1989-579 1kk FR ATE OF 00C PAN C JL"
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
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t
Gate fiept. 8 19 £i 9
This is to certify that work requested to be done as shown by Permit No. 89- 579
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has been completed.
This structure may be occupied sus a Restaurant
oute 9 Mali
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Ow'n,er Patricia genders
s
By Order Town Board
} TOWN OF QUEET SSURY
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G Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 89- 579 _
WARREN COUNTY, NEW YORK s
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PERMISSION is hereby granted to Patricia Jenders `•"'
ry
OWNER of property located at Routo 9 real 1 Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Intgri or 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 r"
4 Division Street v
Queensbury , N . Y . 12804 po
2- CONTRACTOR or 13UI LDE R'S !Name �
ra
W
3_ CONTRACTOR or BUILDER'S Address
4_ ARCHITECT'S Name
G
C
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5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
I ) Wood Frame I ) Masonry I i Steel I )
7. PLANS and Specifications
No. 2000 sq . ft . Interior Alterations as per plot plan , specifications ,
and application .
8. Proposed Use _
Interior Alterations ( Restaurant )
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$ 1 [1i _. 0QLLCl n v PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 19 90 n
(if a longer period is required an application for an extension must be made to the Building and Zoninu inspector of the C
town of Ouaensbury before the expiration date_I
Dated at the Town of Queensbury t 26th Day of, July 19
89
• L
SIGNED BY2 for the Town of Queensbury
Building and Zonfngr Inspector
O . V O Q UEE 1B LPR i r,� fy! r r
TOWN
TOWN OF QUEENSBURY
RECEIVED
Fee ra..zt-~fi /4 JUL 2 1989
1�1ILDINC, IIND CUDES U1 I 'f'111T T.K.7 V"e IsaueC
BLDG. 8a C£7DE QEPT,
Ay .end tiewrLwAND ROADS RD I BOX Jd
nVEENSBURY , NEW YORii 2 =d 04 PC/Uno4.et NU . .� -
Tel . ( 518 ) 792 - 5d3 = £xt 244
■ r r ■ w . +
* * * * * IS • r , w ■ ■ * r r r r ■ w r ■ * r a ■ e r ■
A PCIMIT MUST U13 OBTAINED LIEI' ORE aE0Iak4H1 SIC. CONSTRUCTION . NO INSPECTIONS
►'' ILL I3L HADC UNTIL APPLICAMT i1AS r.LrCCIVED A VALID 13UTLOINC PERMIT .
All the
applicable: spaces on ttsis application must he conipicted and
q rrpature of the applicant must al-spearon the reverse sick of this shccc ,
• X Ya wt a !i a ■ 1t �a in AA R ,t 1t X A ■ * 7k Y[ R ■ • 1[ ![ 9f * a a 7a!k
{
Ttie owner of this property is ; 3 '� C" a
V . 0 . Address
1roperty location NOTAX MAP NO .
i [ as there been any split of this property since October I . 1988 ? /.
y a n o
2E yes , Planning Board Review is necessary .
� UBOJVISION NAME . Ir APPLICARLC LOT IVC7o
ne person responsible for suNa: rvision of work as regards auildinq 'Codes is :
? YC
NAl+� E F . G . ADDRESS TEL . No .
rrumc3 Tel
of builder Address
Tel
t,i,.maa of Plumber I.darosrii
Name of M.u.son Tel
4.tTuRt Or r'RC3r'QSLD WC]R►. ' aw
ZONING iN1 01tri1ATLON iUrtice use ensyl
:an:.zruCti:.r, of a * ZONING OL•""SICNATION OF PROPERTY
�Ad4 itiCn to a builalinq /} * PERMITTED PRINCIPAL PERMITTED ACCESSORY
ZALta: r.+eion to as 4ui1dtnel /t S dercn
6 Q c1wa: «la. to «: xckjrLor IREVIEW REQUIRED - PLANNING BOARD.. ?.ONINC BOARD
UGt,ur wort: [ .1�scrLt,a; ! * SITE PLAN REVIEW 0 APPROVED DATE
isOSS AkLA Dip 1AROL' C33CD. L 'i` faUL:'1' Uft� ' VARIANCE I! APPROVED DATE
s t Floor �� 0 C 0 sq, ft . ,/
* Remarks :
! nd r l oo r sq f c . saL QU Ilu„G uL LAjka .
3isu of laroi�a; rzy rc x_rc .
] thcr s loorsa sq f a . * IG.xaa.tarktj i.0 .ta.+. l+ +I+j ( m: ) Si _,s r L xr c .
tnoz cellar or bosamenc )
TOTAL FLOOR AREA 0 G C3 s+q f t . + lixaacirkq C►a+ a LJinay i :. I Uaa.k
Ui :u of nraw a:truacuru f t X ft
k'uL .dacion-r+ ior/ ;laL,/crwwl/Laarcirl/ full ` >troLao�ea wiivang . cia . carkc� froau i.raal�c:rcy lL[us
(circiu one. ) + Front yard it Roar y"rd fz
iy+a . of ±coriess i)+;►Iaic:ablB ;:larcc ) Side ..rdu rc :and rt
11a:ighc ( grade to ric go) fc . y —
If rssiduncial , now Of r:an►ilie�[ ; If on corner , :.4GI3.►u:k from si4u rtrwc:c�,,,�fz
"0 * of rooutx ; Qxcludinq D»chsl * DCCUraANt:Y I1VFOrtN1ATICxV
r1oo of budrooatat PRLM^Ry LUILDIMC
No. of bwt1%roo1H:a Ono faaLaiy dwelling
vritrr4ry 14watituq sys:c.w Lwo i:&Uwwly dwwlliny
#yp" Oaf fwoL t�uitir+las alwulling / Huldaer of units�+ �-.
aow, of firulalac.sr t4a laa,kop
insG:.ilaxd� � L+,iizsa+tiexkz occuP;u.cy
wall y trra4i.1 scay.a L..r iny:r.:.ilaa4t?r,�� * �}�VjAn:.ia:skn wQcoAp;*jvwy
i:aanGL.al Air ca�acJititut.iaq': * Hwsinuaafi
UUILDING STYLE$ PRIMMY STRUCTU " . Inctwszrial
++rikc3t Cpntswu�rarry 1.G.i? c:abis4 • och.r
t�,aiawnfl rar►cl� iwai►�{a4ak Dui+lasx * If rC.3icis3n , wl+rt wa11 u.aa fa.a7� .,ter
MOO 4c LWVQ1 old UCYL4 tau+kaawl0b!
4:..1044 C04 C4*Crw44LJ ,t Oc twr s ACCESSORY UU I LCINC-
Coionirl 14ON rCw.[a 13ows• * L cachacl cj.ar.4go/one cLr/ two cat/ ewe
CrACL.Ai CHI* PLt:A rE ) ' Aczacha:u cycar"9"/o,ts car/ two ccwr/��c.ka•
• • • • ■ ■ • • • • a ■ . • • • • lar'" LYrF 'Lw scor:agaa builcti.nq
�w
k: CTIKATi: 0 MARILE4r VALUC of Och.sc
1NF'4r0tATTCW OK BUILOTNC SpnelFrCATION3 , ON RCVERSE: CIon of THIS C}fOWT, TO BE COMP"L.CTC01
Form DPA 30/80 vI
N,0
-
construet �.on , wood Era -.e , _ _ _ sa _' e , et �
se ,ond- nand or ungraJa? c.e sad : sc , _ cr w ! at
Fau.ndz tion wall material i vk .^. ass
: epth of foun :iaticn be Low grade = c t,ottom of foot r.ai
Wi1L there be a cellar ? state•µ or a^> a3tad ? Floor sq . footage sq ft
Will there be a basement ' Will arty portion be used as living space ?
If so , what portion ? sq . ft . - - -:,y a of use ?
T'rype of roof - sloped/ flat/ shed/otY: er Mdtertal of roof
wood studs "" x �" spacings^" a . c . is ^gch S t ft .
voists ( floor beams ) lst , floor dqX spat _ o o . c . span.ft .
.`oiscs ( floor beams ) 2nd . floor ^ X It spacing "'o . c . span ft .
C.verlays ( ceiling beams ) " x spacing "o . c . span ft .
Roof rafters " X " spacing c . c . span ft .
Roof trusses ( pre- engineered) spacir.c " o . c . span ft .
Exterior wall finish Of what a^.aterial ?
Interior wall finish
if a garage is to be attached descr : ' e materials o be used for FIRE SEPA liN .
k' ' w � 2_
Is there to/be an open g betwe n ga age and dwelling ? If so will Fire- rated
door , enclosure , and self-closing device ba provided ?
will a flue - lined chimney be installed? Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ftN, in .
Water supply - Municipal or private well
SEcPTIC SYSTLIM _ Distance from ANY private well ( including ad3oining properties ft .
( A separate application is necessary for any repair or new installation of septic system )
DECLA RATIO N
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 wort: shall be complied with, whether specified
or not, and that such work is authorized by the owner.
Signature ) 2C ,
Owner, o ner"s agent, architect ontractor
! * N ! * ♦< (t •' # 4 Q • 'E a 14 f Y 'If t 1` a I! R A 1i ♦ R i IN IF rt f IN „ ! ! At • ■' • 1F 4 !
At
SPECIAL CONDITIONS OF THE PERMIT :
Member N.F.P,A. & r.A. Ef2Ctricaf Certificate � � - �`^i' �
ATLANTIC - INLAND, INC. m- NEW Y+DRK _
Electrical and Fire Inspection-Enforcing& Consulting Service
997 McLean Road, Cortland, NY 13045 DATE: �- ,,` ,� : °�'' CERTIFICATE NO.:
OWNER:
} _ -..:1d-k'x_ AS APPROVED FOR:
ADDRESS: r. 1.�.,� } f}"
ELECTRICIAN: 'E't
ADDRESS; ;s :.w31 tv� iii1i,
The nonditions tomawing governed the issuance of this certificate. ant➢ any Cenificafe previously "slue[
is cancelled:
This cenificale only covers the eleC'tnpal equgpment lisled and installation conditions as at date UpoF
the introduction of additional equipment or alterations. application Shall be pYs al a made tar inspection
I iolale nrs of this Company shall have the to privilege of makingeti inspections"ons al any time, and if ifs rule
are violated, the Company shall have the right So revoke this certificate.
AI - 27
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 3280� ///
TELEPHONE (5I8) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR
INSPECTION RECEIVED
NAME
LoOCATION t '
DATE — PERMIT
APPROVED
YES NO
FOOTING/PIERS
MONOLXTHIC POUR FORMS
FOUNDATXON/DAMP—PROOFING
BACKFIIJ� APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL `%ROUGH—IN
INSULATION: •
FOUNDATXON '
FLOORS
WALLS
C SLING
NAZ XNSPECTION.
CHIMNEY HEIGHT
!ROOFING
SIDING
EXTERNAL PO HES/S S
sTArRs-ILEA NcE & LS
PLUMBING F TURES/REL F VALVE
INTERIOR T IM/PRIVACY RS
FINISHED RS —
GARAGE FI EPROOFING
DOOR CLOS R (S)
SMOKE DE CTORS —
FINAL ELEC ICAL INSPECTXON �1r
FINAL APPR gg AL OF CONSTRUCTION T,
A SIGNED CERTIFICATE OF OCCUPANCY ST BE
OBTAINED FROM THE BUILDING DEPARTM BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS. r
,/ k L ' / 6F
J 4 `re/ G f ` `
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
DAY 6 HAVI,LAND ROADS
QUEENSBURYr NEW YORK � !
TELEPHONE (S1$J ��2-5832
$32
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
OCATION L /
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR
FOUNDATIONfDAMP�PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL RO -I1V
INSULATXON:
FOUNDATION
FLOORS
WALLS
CEILING
L4INAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORC S/STEP
STAIRS-CLEA E 6 RAT _
PLUMBING FI RES/RELIE VALVE
INTERIORTR /PRIVACY D
FINISHED F RS
GARAGE FIR OOFING
DOOR CLOSE S)
SMOKE DETE RS. ....�-
FINAL ELEC CAL INSPECTIOIH
FINAL APPRO L OF CONSTRUCTION
A SIGNED CE IFICATE OF OCCUPANCY ST BE
OBTAINED F THE BUILDING DEPARTME T BEFORE
THESE PREMT %ES ARE OCCUPIED!
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & ffAVILAND ROADS
QUFsENSBURY, NEW YORK 226016
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FORM .INSPECTION
fRECEIVED
NAME �_ AcK y c o tiJ A'cu'fiis '�
LOCAT p �+
,DATEION0 ,,,, PERMIT
APPROVED
YES NO
FOOTING/PISRS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKF.ILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRI L ROUGH—IN
XNSULATI N:
FOUNDAT N
FLOORS
WALLS
/CEILING
FINAL INSPECT
CHIMNEY HEIG `
ROOFING
SIDING '
EXTERNAL PORCHES TEPS :
STAIRS—CLEARANCE & LS
PLUMBING FIXTURES/R IEF VALVE
INTERIOR TRIM/PRXVA
FINISHED FLOORS
GARAGE FIREPROOFI G
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL P$SPECTION " 1
FINAL APPROVAL O CONSTRUCTION
A SIGNED CERTI ICATE OF OCCUPANCY MUS E
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISS ARE OCCUPIED$'
RE/M�AItICS: � �i t C_
TOR
s? ' ,
MAIN OFFICE ATLANTIC=INLAND, INC.
997 McLean Rd. NEW YORK
Cortland, New York 13045
MEM ER OF N.F.P.A AND I.A.EJ.
Phone: (607) 753-7809 FIRE UNDERWRITERS
t64 753-7809 C 48637
(607) T53-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
i
Desiring Certificate of Approval, application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT:' DATE OF APPLICATION
CITY. TOWN. VILLAGE COUNTY f2 STATE r
STREET
ADDRESS SUILOa No.
RURAL
DIRECTIONS POLE No.
i OWNER'S
NAME OCCUPI ED AS
OCCUPANT tt / BUILDING — New Q Old WORK — Now Q Additlonal
'II OWNER'S P.O. r" ! 'T �if < y ..,. �J
ADDRESS
APP. FOR — ROUGH VARINa4eOFIXTURES 0 OR READY FOR INSPECTION 1B
I
FEE REMITTED — S BY CHECK Q CASH ❑ MONEY ORDER 0 MAKE PAYABLE To ATLANTIC-INLAND, INC — NEW YORK
Nuwow of Rough Wiring; Outlets Fixtures Add Installation
f SwWh 1-1100 Recep. Hear KW Beres Sul Fluor. 600 1 730 1000 000 1250 1WO 1750 2 2250 2500 2750 3000
I Elect. Heat
Service e C2 r Water Htr. Bumrr Air Conn.
Sumacs Linn ^ _,. Oven Range Gr. [Nap. Dish w-
i
Dryer H.P. Pump Ex. Fan Hood
OTHER EQUIPMENT (Specify Type 6 Capacities)
r
TYPE OF SIZE OIF '1 SUB- HES NO. OF
j WIRING OPEN ❑ CONOEALE OTH R �„[�, MAIN ✓ MAIN CIRCUITS
APPLICA
SIGNATURE ^ - f LICENSE • ~ PERMIT A
APPLICANT'S /1 `�{ ' / ..y UTtuTY NAME F es/ADDRESS !J T�
OFFICE TO♦ _ ZIP E. 4tir�L1
OfTY L I +E.- STATE OOQ BE NOTIFIEOI
^ ROUGH WIRING AMP SERVICE K.W. SURFACE
OUTLETS EOWPMENT UNIT
SWITCHES AMP SERVICE K.W. OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES 5H.P^ PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W- DRYER 01344WASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER - � K.W. RANGE
FLUORESCENT N.P. AIR AMP. RECEPTACLES
FO(TURES CONOThosIER
MERCURY VAPOR OR WIRING 6 CONTROLS FOR BURNER SMOKE. FRAC. H.P.
QUARTZ FIXTURES I DETECTORS VENT FANS
OMFMOTOR$. H.P.R its 11e 1 1I4 11 1,43 112 1 314 1 1 1 114 1 2 1 9 1 5 1 7% 10 1 15 . 20 1 25 1 30 1 40 1 50 1 76 1 100
REACH ,^y,I W
5W TW 1000 1250 15M 1750 2000 2200 2MO 2750 30M
e
APPARATUS Bleat. Heat
MISC. INFO. Recely d Inspected A&V FEE PAID
b
I TOTAL *
CI DEFEO LIVE
❑ Rough Wringts Canuflca Check Na.
L13
Tamporafy awvice Money Order
6i'FMML CERTIFICATE — A0Gash
.� +JgDup. Can. RaR. �..,
Charge
E] MUNICIPAL =
1 ` MUN. ADDRESS qe
ATTN:
3
i I
Teelp. Gut-In Cwd tam �,,.e' p Final Cut-in Carol No.
� rsepwclar
i
AP-01
MIDDLE DEPARTMENT INSPECTION. AGENCY, INC.
_ National Headquarters
— - g00 Haddon Ave., Collingswood, N.J. 08108
D ate :
APPLICANT • SECTION
City, Town or Township C;is r County
1,_ � State ► � s''-
Location/Address
( lf Located in Rural Area - Please Attach Directions) Pole #
Owner t� � Permit
F
# /
Occupied As �.� a
,.. Building: NewO OIdQ
Occupant
Work Area in Buildin Floor #, etc. 1 :
for: Wirin (� Service [] or. Read far Inspection :
Fee Remitted - $ Cash 0 Check 0 M.IO: Make Payable To: M.D. I.A.
500• 750 kOW 125D `1.�540 k75o 20 d0 225D 2500 2750 :1i700
Number of Hough Wiring Outlets Elect. Heat
Switches
Amp. Service ' Surface Unit Dishwasher - Range
Fighting Water Heater Air Conditioner Dryer Pump
Receptacles Owen _ Garbage Disposal Wiring and Controls for Burner
Number of Fixtures Aiinp: ,Receptecles' Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/2 1{12 1/14 1J8 1/6 1J4 1/3 1/2 314 1 1 rz 2 3 5 7 {z 10 15 20 25 34 44 54 1 75 1
Mark Number
of Each Size
Applicant's License # Permit #
Signature
T/A ' Utility : (NAM f) F ICE LOCA 1ON
AApI v / f / Servica Request #
(State y ' ` (Zip
Electrician:
PATE RECEIVED: DATE INSPECTED :
Correct Location : Same as AboveQ or:
Red Notice Label
Rough Wiring Outlets Surface Unit Oven
Garbage Disposal
Switches Range
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp, Service Equipment Burner- Wiring & Controls for Amp, Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P, 1/24 1/12 1/14 1/a 176 1{4 1/3 1/2 /4 1, L 1Nr 2 ' 7 30 15 20 25 3d 40 . 5 75 100
Mark Number
of Each Size
Elect, Heat 50U 150 1000 1250 1500 1750 2000 2250 2sao 2720 SODD
Y
w� Z
0 RW Progress: Inc. � 7.D Ww7ContractorCFT Violation : Work Comp. -CASH
LIA Owner Fee CHK #
Q L/A pue MO #
17
[] IPA .. Municipal INV #
Applicant
Date :
CFtherSideO Utility Owner
Cut in Card Temp # Date
- INSPECTORS SIGNATURE
[� Final # Date
APPI.,ICATION FORM NO- 256 EL 11/86 -
APPLiCANT'6 COPY