1990-192, • • ;;;;;,, `•-• ' -`••• 4 4- ' • - ,„ , „ •"'•
7'1
• f
1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _4
This is to certify that work requested to be done as shown by Permit No. 90-192
has been completed.
retail store/interior alterations
This structure may be occupied as a
Location Store #7—Lake George Plaza
CRAZY HORSE/Tenant
GREENRIDGE MANAGEMENT/Owner
Owner
By Order Town Board
TOWN OF QUEENSBURY
/*---
Director of Bldg. & Code Enforce ent
, _ •• , • • _ , , ;
•
n . BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-192 t .�
• WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CRAZY HORSE
OWNER of property located at Store"#7 —Lake George"Plaza Street, Road or Ave. 6
in the Town of Queensbury,To Construct or place a Interior 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. a
White Plains NY N
2. CONTRACTOR or BUILDER'S Name x
0
same
3. CONTRACTOR or BUILDER'S Address
cn
CD
4. ARCHITECT'S Name
O. _
5. ARCHITECT'S Address (�]
O
O
•
fD
6. TYPE of Construction—(Please indicate by X) -
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 5
O
No. Interior alterations Store #7-as,per-plot plans, specifications and
applicaiton.
8. Proposed Use t, ti
Ib
Interior alterations/retail store ,a .
50.00 90
PERMIT FEE PAID —THIS PERMIT. EXPIRES November.2 19
(If a.longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2nd Day of May, 19 90
SIGNED BY - " - for the Town of Queensbury -
Building,and Zo ing Inspect
YOU ARE HEREBY REQUESTED TOfet- 7
• INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
• EQUIPMENT TO BE INSTALLED BY •
' THE UNDERSIGNED
TEMP.# DATE
•
. 4-16-90
CITY OR VILLAGE TOWNSHIP - COUNTY
Queensbury Warren
STREET AND NO.OR ROAD POLE NUMBER
Rte. 9 lake George Rd. •
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
• Exit 20 and Rte 149 ..
OCCUPANTS NAME BUILDING OCCUPANCY
Crazy Horse Lake George Plaza Store #7
OWNER'S rA.EAND
Shimon Shalit HO`EjEriaN Nl�I E�5030
' CURRENT SUPPLIED BY FROM THEIR OFFICE L LL�� NLLU��y
Niagara Mohawk • Glens Falls g` - 3 �J 34
BUILDING IS
NEW 2 OLD❑ WORK IS NENM� ADDITIONAL El DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
t' OUT-
SIDE •
SUB- ,
' BASE
BASE
MENT • '
1st
FL. •
2nd
FL. '
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
�3Y�f a�C'f�/ 0 5 ?'�v C, /c ' lz%G 4C' / ✓a,: ci e -7
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
•
• 2,C,c /Ct 9/0
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
2,(.:'-1"7' ❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) . CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
El OVERHEAD in UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR I AS POSSIBLE)/1 l DENT F CAT ON NUMBERS %/IJ
U IV I S I / 17 Iz
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS . 4
NAME OF AP' NT- • ' DATE OF APPLICATION v ��SIGN T C OF APPLI 1 T •,.- --,_�.
1.0. r 1 1 r r.T I cL I/1,t .L.iv C 4/-2 C - ^ 1.1 - i r :::S
STREET ADDRESS ♦♦ T.E"krEPHONE NO.
CITY,OR POST OyFFICE A ZIP CODE LICENSE NO.WHEN APPLICABLE
J'"! G.`-141'`iw( A.)- . / 2e:c 7
El 85 John Street 41 State Street/ CI 570 ❑570 Delaware Avenue 217 Lake Avenue 202 Arterial Road
NEW YORK,NY 10038-J ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1
.(,A l.,\•.A.4,1 A. 0 /.A/.A l..\l.A/.A/..\•/.A/.\A/.A./..\.&A,l.\./.l J.A!.M..\1,19/.a l..\./.:%.\J..\.J."-A/..\1."."."..\94.".akk".".".Ml."•,\t/.\t/."/.:ef,".1"f.\f.A.,„AP).. ,,\I..' '. /•` 1THE NEW YORK BOARD. OF FIRE UNDERWRITERS ; :.,, ;
.
-
1 :}!_�,' BUREAU OF ELECTRICITY
41 STATE STREET.ALBANY, NEW YORK 12207
Application No.on file l
Date TT't.(( /11 . 1.`',; ;� V� 1I 4
THIS CERTIFIES THAT O1 ell--
'�
only the electrical equipment as described below and introduced y the applicant named on the above application number in the premises of :.
,a
1 (.N nl 'F1 L,.'..,' • ; r T •1 , t` Y {(',!. 1, �'1 \ �T:URYN.Y.
DR. }Ilif-`.. t:_:.i ; E '�' ';"'L T:L is i..;.z, i.: .- 1 ''•T`I-- ;t
in the following location; ❑ Basement " ❑;1st Fl. ❑ 2nd Fl. Section Block Lot
k was examined on 31T,';` ;;L'. ; ri/i C, and found to be in compliance with the requirements of this Board. :if
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 'ii
OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
g g DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS --
0 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS .•'
i
SERVICE DISCONNECT NO.OF S E R V I C E
AMT AMP. TYPE METER Km,. ..,2W 1 If 3W 3.W 3W 3 JB'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G.
EQUIP. PER B OF CC.COND.. OF HI•LEG OF NEUTRAL
i
n
OTHER APPARATUS:
r-- J.rr q i _
ti.).(''JR . 1. .v H.P. ,,,, I
..
1•.iJt?.t.:j.Li1}. ii T{t . 1 ].�� CI R. . i.i
r' 1 f,
i -
- . 2'(!t5,..-i_12.--.7 ',.,)
;WIC:DWIC:n ELFC. CO. TT
ro
In
i ' `� `�'i' _t z_r. • BRANCH MANAGER
.-.1_,T'\t`ONT N`. , 1 ' 0!1! Id Ld
. Per
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.
eAulstrwrSitt vkvt Amu m tvetvtA![,rrv[%NrvriLMi[IIP/1Mlit 1.1ti MiltUV Wf AU'mutt vet am,itiaili.l 1 1StvitI wirWuv(1 1 AU lutist vitt 1st Ilk lit(iztmtv[vf[lz flatI ('W -,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
REVIEWED BY
..' 1 FEE PAID $ mod
•
PERMIT NO. 9D OwN OF CiULI ....
BUILDING PERMIT APPLICATION ••
OR 231990
BUILDING & CODE UEF-
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 MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* • • • • • • • • * • * * * * * * * * * * * * * * • * * * * * * • * * * * * * * *
The owner of this property is: Greenridge Management
P.O. Address 701 Westchester Ave. , White PLains. N.Y. Tel. 1-914-949-5030
Property Location Lk. George Plaza, Lk. George Rd. Queensburlyax Map No. / /
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 Crazy HOrse -LOT-NO. :. :7
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Bud Bell
•
NATURE OF PROPOSED WORK: * ESI'IMATED MARKET VALUE OF
Construction of a new building CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of propertyimi-pri or Al ter4fi ixoTr—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 • One Family Dwelling.
sq. ft.
(not cellar or basement • . Two Family Dwelling
TOTAL FLOOR AREA • Multiple Dwelling/Number of units
i •
R F 5 sq. ft.
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
Willa wood stove be installed
Central Air conditioning •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction wood frame, fire safe. etc.
Will ;any;second-Nand or 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 BUILDERGreenridae Mclt ADDRESS White Plains , N.7['£I:. NO.1-914-949-5030
County Line Rd.
NAME OF PLUMBER Brian Meurs ADDRESS Om ens Pal 1 s TEL. NO. 792-4400
NAME OF. MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN nwi ert,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.
Signatur
wner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT: -
BY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
- QUEENSBURY, NEW YORK 1280M. �/iG- .-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /f '! / 15,/-�-�
/ / 4 FL7 a L/
LOCATION �(�t1 ��4Tl�'E
l
DATE 6/ f (,l PERMIT #' y%Z1-/ 2-
t
/ .r APPROVED
lK /71Z�,,, A 7 it YES NO
FOOTING/PIERS 1 ;{
MONOLITHIC POUR FORMS;
FOUNDATION/DAMP-PROOFING,/ •
BACKFILL APPROVAL .7 I
ROUGH PLUMBING
FRAMING ; I '
ELECTRICAL ROUGH-IN . ;z
INSULATION: 91
FOUNDATION
FLOORS . ; •
WALLS h . . . . . . .
CEILING 4 u •
'
FINAL INSPECTION:
CHIMNEY HEIGHT ( '1
ROOFING 1 t
SIDING i 1 • •
EXTERNAL PORCHEStSTE1S
STAIRS-CLEARANCE,'] & RAILS
PLUMBING FIXTURES/RE IEF' VALVE
INTERIOR TRIM/PIVAC DOORS
FINISHED FLOORS' j
GARAGE FIREPROOFING
DOOR CLOSER(S) °t
SMOKE DETECTORS fit,
FINAL ELECTRICAL' INSPECTION . . . . .
FINAL APPROVAL OF CONSTRUCTION •
OK TO ISSUE C/OOR C/C {
I
A SIGNED CERTIF/'CATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING, DEPARTMENT BEFORE
THESE PREMISES ,+ARE OCCUPIED!
y
]
REMARKS: a-
lAt
i f •
y1 Jt .
0 '
ARRIVE
. )9/#464-dgit(
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FORn INSPECTION RECEIVED
NAME 'l'1 flfl J kl/A4J
tl
LOCATION 0 e �, �J,f 1, ,'/2,.gL-
1
DATE . 7j: ,= / i PERMIT,'# 9U - J 2
!;
APPROVED
YES NO
FOOTING/PIERS !
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFINGa'
BACKFILL APPROVAL ,
ROUGH PLUMBING
FRAMING t', Ir •
ELECTRICAL ROUGH-IN 4
INSULATION: ` l
FOUNDATION /
FLOORS • • r'
WALLS F' . . . . .
�/ CEILING I • '
rk, FINAL INSPECTIONS: I
CHIMNEY HEIGHT't /.}
ROOFING I. .
SIDING .J
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE C•:& RAILS
PLUMBING FIXTU*/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/p OR C/C Yg';,
A SIGNED CERTZ`FICATE OF OCCUPANCY MUST BE
OBTAINED FROOHE BUILDING DEPARTMENT BEFORE
THESE PREMISEE ARE OCCUPIED!•
k REMARKS:
i .•
vr2,0o Imo// 07\/1'K/3 .
ARRIVE //. 15
DEPART ✓/ ' 219
INSPECTOR
•I
TOWN OF CUEENSBURY TOWN- OF `QUEEN BUR
FIRE
;,� OFFICE
,
fR ( °' BUILDING & o i , EPT:• rowMaques► vlirr
DAZE, s REVIEWED B. . _ ,
COMMENR, • o "Mr�� l�ar
DATE � IV ,
•
,y i 4
n
1 t a'
/ , _
—/V — -
O
D Z
V J D
//41 .....
.714
O (r rl
L inn] r
.o j tia