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CERTIFICATE OF OCCUPANCY .
TOWN OF QUEENSBURY ';- -
` WARREN COUNTY, NEW YORK
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Date 6P 12_ t4
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This is to certify that work requested to be done as shown by Permit No. 90 375 /
has been-completed. ,,f- ,---' ./
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This structure may be occupied as a intprinm , tetra Alltprptinneirptalill dti,rp
i' -Id S1ci.k s qe.4Lake George Plaza'
Owner -C IEE:N DCE rJ1,4.1ZAO I'v1 11
By Order Town Board
TOWN OF QUEENSBU-RYA
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Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY No. 90-375
WARREN COUNTY, NEW YORK
LAKE GEORGE PLAZA Z
PERMISSION is hereby granted to 0
Store #5
OWNER of property located at Street, Road or Ave. T
I
in the Town of Queensbury,To Construct or place a Interior store 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 MANGEMENT t.M
701 Westchester Av
White Plains NY
2. CONTRACTOR or BUILDER'S Name
LT1
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3. CONTRACTOR or BUILDER'S Address frd
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address �t
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. Interior store alterations (3188 sy ft) as per plot plan, specifications and (D•
application.
8. Proposed Use
Interior store alterations/retail store
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$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 15 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the [n
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 15t' Day of une 19 90
SIGNED BY jlfili
for the Town of Queensbury
Building and Zoning Inspector
v
TOWN OF QUEENSBURY
REVIEWED BY OF QUEC��:�..J.S.
II 1V�
!< '�� FEE PAID $ U U
PERMIT NO.
BUILDING PERMIT APPLICATION JUN 31990
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 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 Mauaaenent
P.O. Address701 Wes_trhes-tQr AVP . White_ Pl_ai-ns Tel. 1-914-949-5030
Property Location T,k_ CaorgP Pi ?tea . Lk_ George Rd. OueensburTax Map No. G/ //a7,d2
Has there been any split of this property since October 1, 1988? / g
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE i gY1S+___cQ, i,10. 5
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
`t P Y tt4 f- -- -
_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.'
•
• If on cocner,.setback from side street ft.
GROSS AREA OF PROPOSED STRUCTURE
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. • _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__ • • S
No. of rooms(excluding baths) •
Accessory Building
No. of bedrooms ' __Detached Garage ONE/TWO Car
No. of bathrooms * S
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 3PECIFIC:AT,I,ONS:, '
Type of construction', wood frame, fire safe, etc.
Will any second-hand or upgraded.lumber be used? If so, for what?
Foundation wall material FxistinG 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 he 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 BUILDER Greenridqe Mcimt ADDRESS White Plains TEL. NO.1-914-949-5030
County Line Rd .
NAME OF PLUMBER Brian Meurs ADDRESSGLens Falls , NY TEL. NO. 792-4400
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIANDT.TiGht ADDRESS P. 0. B. 0 TEL. NO. 861-6490
Altamont, NY
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
ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
;uch work is authorized by the owner.
Signature �
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
6C:rf ?zee. • Grzer-tr—z-e— •
BY a/hi
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JUN 131990
BUILDING & CODE DEPT.
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TOWN OF QUEENSBURY '
BUILDING AND CODES DEPARTMENT Lgi(/g..-;L
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280A. (�. �E.
TELEPHONE 518); 792-5832 A '
B ' LDING INSPECTOR'S 'ORT 7
REQUEST FOR SPECTION RECEIV.D 6Y 3/ 9G
NAME ,642„.( y„
LOCATION 49 a .3 0 A6,-?I
DATE 170� , ' PERMIT / l --3-]
20 ,' / APPROVED
1 YES NO
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FOOTING/PIERS
MONOLITHIC POUR FORMS /
FOUNDATION/DAMP •ROOFIN,/
BACKFILL APPROVA` 1
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH , N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH.`S/S .EPS
STAIRS-CLEARAN E & •AILS
PLUMBING FIXT RES/R LIEF VALVE
INTERIOR TRIM, PRIVA&Y DOORS
FINISHED FLOC'S
GARAGE FIREP OOFING
DOOR CLOSER(.)
SMOKE DETEC ORS
FINAL ELECTRICAL INSPECTION '
FINAL APPROV'I OF CONST" CTION
OK TO ISSUE [ 0 OR C/C
A SIGNED CERTIFICATE OF a CUPANCY MUST BE
OBTAINED FRe THE BUILDIN,- DEPARTMENT BEFORE
THESE PREMI'ES ARE OCCUPIc'!
REMARKS:
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ARRIVE 6/2-:g/,/
DEPART '1/ 0&(.44-eN
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
.TELEPHONE 18) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR 'NSPECTION RECEIVED
NAME , D (d A // J11 /"
5LOCATION Lv CQ I J DATE ( 12- j PERMIT #/' �f s
APPROVED
YES 'NO
FOOTING/PIERS
MONOLITHIC POUR FORMS . /
FOUNDATION/DAMP •ROOFING •
BACKFILL APPROVA`
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)(FINAL ELECTRICAL ,iNSPEC ON
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OK TO ISSUE C/O 1R C/C
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A SIGNED CERTIF CATE OF •iCUPANCY MUST BE
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THESE PREMISES ARE OCCUPI:.D!•
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NSPECTOR
TOWN OF QUEENSBURY N
BUILDING AND CODES DEPARTMENT „p
BAY & HAVILAND ROADS �/l��J
QUEENSBURY, NEW YORK 12804- � -04
TELEPHONE (518 792-5832
BUILD NG INSPECTO 'S ' ORT
REQUEST FOR 0,„. ..INS' CTION RECE ED
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NAME erytsdLOCATION h.; 40 r fi " kl rg
DATE l/ JZ. 'i;) PERMI
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FINAL APPROVAL OF C'NSTRUCTION ' ' '
OK TO ISSUE C/O OR .i/C I .. -----
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A SIGNED CERTIFICA "E OF OCCUPANC MUST BE
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