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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Junen� 98 19
r /(o-(-j 90-191
This is to certify that work requested to bene as shown by Permit No.
has been completed.
This structure may be occupied as a retail store/inteitor alterations
Location / /� I S - , g.4-Sqre #4-Lake George Plaza
by iiaci !° leaasiaaa
Greenridge Management/Owner
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 90-191 'C
WARREN COUNTY, NEW YORK + 2
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PERMISSION is hereby granted to DESIGNS BY MINI O9
OWNER of property located at Sotre #4, Lake George Plaza Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Inteiror alterations
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Greenridge Management
701 Westchester Av x
Whitp Plains NY cn
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name h
CD
5. ARCHITECT'S Address
t9
CD
0
6. TYPE of Construction—(Please indicate by X) 011
ro
1 1 Wood Frame ( ) Masonry ( )Steel ( ) Nw
7. PLANS and Specifications
No. Interior alterations to store#4 as per plot plans, specifications and
applications
8. Proposed Use
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Interior alterations to retail store
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$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 2 19-90--
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) CJ�
Dated at the Town of Queensbury this 2nd Day of May 199_
SIGNED BY for the Town of Queensbury
Building and Zonin Inspector
TOWN OF QUEENSBURY
REVIEWED BY s
i��
FEE PAID $
111,4,'„W , OV N OF QUEE��. ��
PERMIT NO. - -
MUTkilti
BUILDING PERMIT APPLICATION
APR 231990
BUILDING.& CODE.DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUSTbe completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * a * * * a * * * * * * * * * * * * * * a a a a * * * * * * * * * * * * * * *
The owner of this property is: Greenridcae Management
P.O. Address701 Westchester Ave. White PLains, N.Y. Tel: 1-914-949-5030
Property Location Lk. George Plaza, Lk. George Rd. Queensbur Fax Map No. /L/a'7,,,
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
Store #
SUBDIVISION NAME, IF APPLICABLE Designs By Miki LIT-NO. 4
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Bud Bell
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
Construction of a new building ,. CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of propertyTNtpri or A1terStNcrn —ft.
x Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. . • Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA 3 sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x ft. * x Business
Foundation-pier/slab/crawl/partial/full * Industrial
(circle one) • • Other
•
No. of stories (habitable space) •
Height (grade to ridge) ft. . • If addition, what will use be?
If residential, no. of families •
No. of rooms(excluding baths)
. . •
Accessory Building
No. of bedrooms • _Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system • Attached Garage ONE/TWO Car
Type of fuel • _Private storage building
No. of fireplaces to be installed •
• Other
Will a wood stove be installed
•
Central Air conditioning
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type ocons't'ruc:tion,' wood frame, fire safe, etc.
Will any second-hand1or upgraded lumber be used? If so, for what?
Foundation wall material Existing Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? • sq ft. Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x "spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material?
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in..
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties N/A ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDERGreenridge Mgmnt ADDRESS White Plains , N.T EL. NO,1-914-949-5030
NAME OF PLUMBER County Line Rd.
Brian Meur_s ADDRESS Glens Falls TEL. NO. 792-4400
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN nwi ght Flect ADDRESS poB 0 TEL. NO. 861-6490
Altamont, N.Y.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plans and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Sign to a
er, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT: •
BY
YOU ARE HEREBY REQUESTED TO ..vf" '
/// INSPECT AND ISSUE CERTIFICATES
7
FOR THE FOLLOWING ELECTRICAL
• EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED -
•
TEMP.# DATE
• 4-16-90
�., \/, VILLAGE TOWNSHIP COUNTY
Queensbury .. Warren
STREET AND NO.OR ROAD • _ - POLE NUMBER
Rt. 9 Lake George Rd. ,
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK • LOT '
Exit 20 and Rte. 149 .
OCCUPANT'S NAME BUILDING OCCUPANCY
Designs By Miki Lake George Plaza Store #4 •
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
Dr. Shimon Shalit 1-914-949-5030
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
Niagara Mohawk Glens Falls 518-798-7234
BUILDING IS �qI� •
�
NEW iLF+i�- OLD❑ WORK IS NEW Ll ADDITIONAL❑ DEFECTS REMOVED El
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MUIURS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach•t H.P. Watts AWG.
Ceiling Wall Recep•Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
. BASE ,
BASE- ..
MENT
1st -
FL.
2nd • •
FL. I. •-
3rd - -
•
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. �/ .y
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THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS / ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
/5, 77/ ❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND t` .
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSC. e�/ e ,7 t// MUST ENTER IDENTIFICATION NUMBERS 7 14-I ' '�I I I '7 I e-I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS ''s`\
NAME O LICANT _ _ -.G. DATE OF APPLICATION SIG ATU E F APPL CANT, ---
t,67 ,I - - rr. J t'' C'it.) d. .j ,, - -Z c-F G `, Ili . i.r ki _.----g-'� -
STREET ADDRESS / ✓ JELEPHONE NO.
/ 'Z G 1 ✓, (s -6..c . . i6S trtc-• V90
CITY OR POST OFFICE - ZIP CODE LICENSE NO.WHEN'APPLICABLE
❑ 85 John Street ❑ 41 State Street ' ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE Win^ ilia i" ---
. . .
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.A. THE NEW YORK BOARD. OF FIRE UNDERWRITERS.
-.6 BUREAU OF ELECTRICITY
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m. 41 STATE STREET.ALBANY,NEW YORK 12207
B 4.
Date
'..P.t. THIS CERTIFIES THAT:
Application No.on file
Cic 1 . A i.i.'::: -i
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only the electrical equipment as described below and introduced by he app icant named on the above application number in the premises of
1
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— 10 ICI
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'lc: 71,1•1 f..:11-IM.T.:•':; ,-.11-',1.-T.T. 1--, 1.::-.KE ,:/7•1?f,HI,7. P.:1-i. I.6H C : DE'LJ(.;!s.: : L'i- "TII:j :l .IFT:,:TP,IJ.R':.
in the following location; L_J Basement L4,1st Fl. LI 2nd Fl. Section Block Lot
was examined on •11_71N-F, ,-.;,! I 0,1),,-. and found to be in compliance with the requirements of this Board.
14;
FIXTURE-i. ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS N z
INCANDESCENT.FLUORESCENT OTHER AMT. K.W. APAT. K.W. . AMT. K.W. AMT. K.W. AMT. H.P. Ki 5
g"
BO El
1- ID t
. ,,.. ..., ,..
a 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. NAP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
?t:
::: ANT.
DISCONNECT NO.OF S E R
II:: T. AMP.
METER
TYPE EQUIP. 1,2W 103W 303W 3 0 4W
NO.OFF,EFirCOND.
OFd WiND.. V I C E
NO.OF HI-LEG op.ale NO.OF NEUTRALS
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0 FA NYEICA A L
ILI =i,. OTHER APPARATUS:
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L102. .1,1cYn 11E.WEL :1-2. 1.1.11-.
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10TUrffi:1 -4 , 5 N.P.
1 LP.OT, Df.;: i- 3 M.
I1k. j2.17, . 1: I
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"D'.Tri:rAIT ITL1-':! ‘:....? Lii.'
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• • BRANCH MANAGER
12:: liT127' I .
111: :'.1.,T.-.,.11T. 3•.?:'. I.:n){:,.! •
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., .• • Per '' '" IAA i/V•
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.. IX: This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
iT'?•-c?ii-4ii-i• METE MOE MIME CNIESIESIOME1 rl MEW rl 11 I!I II MEMO tl II n251ESEW Mil ri MMI!1 II r ' MEM II t1
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANMER.
6 41 i\I
TOWN OF QUEENSBURY • /
BUILDING AND CODES DEPARTMENT . n' j� ��'Vr-
BAY & HAVILAND ROADS LI J w /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR INSPECTIONRECEIVED/ 5 I (CO
NAME I� f2j, LI
LOCATION Lib ci_ I CLL.
DATE 6 COO 1 �j"�j PERMI I # ' ���- ' i 1
((( APPROVED
• YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION "
FLOORS "
WALLS .
CEILING
1 INAL INSPECTION:
• CHIMNEY HEIGHT Al
, — • • : . '
ii
ROOFING V '
SIDING i
EXTERNAL PORCH E %STEPS
STAIRS-CLEARANq' '& RAILS /
PLUMBING FIXTU ES%RELIEF VALVE ✓/
INTERIOR TRIM/ RI��1CY DOORS 1.. /
FINISHED FLOORS \ ✓
GARAGE FIREP bOFING'
DOOR CLOSER( . .
SMOKE DETECTORS 1 f
FINAL ELECTRI9(%AL INSPE TION 1/
FINAL APPROVAL OF CONSTRUCTION " " ‘,/
OK TO ISSUE /O OR C/C \ -
1
A SIGNED CERTIFICATE OF \OCCUPANCY MUST BE
OBTAINED FRJM THE BUILDING DEPARTMENT BEFORED!
THESE PREM SES ARE OCCUPIE
REMARKS: r \
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ARRIVE /(};aD /
DEPART (ONO I
1
I PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ,
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR ,INSPECTION RECEIVED/ 322) 5A,
NAME 44�?//,.0 JIL14
I �
LOCATION & J;el{ "Q >
DATE Ly/L ``PERMIT # / i ?,,!
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION: E
FOUNDATION
FLOORS /
WALLS / .
CEILING 11
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING •
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANOE/ & RAILS •
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS;
GARAGE FIREPROOFYNG
DOOR CLOSER(Si
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
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FINAL APPROVAL OF CONSTRUCTION •
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUDDING DEPARTMENT BEFORE
THESE PREMISRS ARE OCCJPIED!
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REMARKS:
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„„
• •
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT j--t/C e--
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
i
BUILDING INSPECTOR'S REPORT
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REQUEST FOR INSPECTION RECEIVED
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NAME2���f�4
LOCATION 4 G �At GI f1'"(1% JL1
DATE rj! ? �v e'PERMIT '# J 2) /9
J / 7
k' APPROVED
// - /g a .1 YES NO
FOOTING/PIERS 1 if '
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL.
ROUGH PLUMBING
FRAMING ;3 1 "
ELECTRICAL ROUGH—TN . 1
INSULATION:
FOUNDATION
FLOORS .
WALLS ° . .
CEILING .
FINAL INSPECTION: y 1
CHIMNEY HEIGHT I
ROOFING 1 •1
SIDING . 1 . ' '
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE RAILS
PLUMBING FIXTURES RELIEF VALVE
INTERIOR TRIM/PR1VACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) o `e.
SMOKE DETECTORS!
FINAL ELECTRICAL !INSPECTION
FINAL APPROVAL O4 CONSTRUCTION '
OK TO ISSUE C/O OR C/C
A SIGNED CERTIF4CATE OF OCCUPANCY MUST BE
OBTAINED FROM T4E BUILDING DEPARTMENT BEFORE
THESE PREMISES IRE OCCUPIED!
f
REMARKS: 3'
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ARRIVE � 21
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DEPART k., 1!/J� lM�„4
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION UJ,,RECEIVED
NAME J1�f J//YIJ' � 1 7/ �,
LOCATION A kf)7C.•?' /k L'
DATE g 3f 1 n lj PERMIT # C "'1 7.1
APPROVED
LL YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE&. RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C ''
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
/ .
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•
ARRIVE //;
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DEPART
INSPECTOR