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CERTIFICATE OF . Y
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• TOWN OF QUEENS U;.�Y
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WARREN COUNTY, NEW YORK
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f lJaee October 11 B9 '90 l
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This is to certify that work requested to be done shown by Permit No.
90-595 `
has.been completed. F
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This structure may be occupied as a
retail store
� C Log Jam Factory Outlet Center
loLocation � � RICHARD ROBERTS JEWELER/Tenant
WILLEY CREEK COMPANY,-I C.
r Owner
By Order Town Board
TOWN OF QUEENSBURY.
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p ilt-( J 4.d- L-ztel /
I I. Director of Bldg. & Code Enforcement F
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-695
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to RICHARD ROBERTS JEWELER
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OWNER of property located at Log Jam Factory Outlet Center Street, Road or Ave.
in the Town of Queensbury,To Construct or place a retail store-certificate of occupancy only
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
Wiley Creek Company INC
Watson Brook Rd PO Box 1070
Exeter NH 03833
2. CONTRACTOR or BUILDER'S Name 70
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70
3. CONTRACTOR or BUILDER'S Address 70
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70
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4. ARCHITECT'S Name L
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70
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
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( )Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications a
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No. 2000 sq ft Store as per application. o
8. Proposed Use
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Retail store
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$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 10 19 91 --s
(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.)
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10th October 90
Dated at the Town of Queensbury this _ Day of / 19
07(.4,11.1-
SIGNED BY �.: % for the Town of Queensbury
Building and Zonin'lpspector
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TOWN OP QUEENSBURY pj ,µ17—
REVIEWED BY
Al% FEE PAID $ D
i � PERMIT NO. qd qs ',`°_4,`:f cr QUEENSBURY
� � `' (D 'riCEivED
BUILDING PERMIT APPLICATION
OCT - 9 1990
•
•
BLDG. & 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.
a a a a • a a a C a a a'/a * !
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The owner of this property is: id/AV ;eft l- j/- J/;u f /� -
P.O. Address' /, 4, d0m` /4f/agiY- i s7vf4=/�1- Aleid rys4i Tel. ( c7. � 776-- 8-/n
Property Location ,Ri bitQlI d'fieTS./ezL 4 R-- /0444trj fib'/t/P y&rtt Tax Map No.. / /
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: SI'MATED MARKET VALUE OF •
•
Construction of a new building 4, CO TRUCTION: $
Addition to a building ` COMPLETENFORMATION REQUIRED BELOW:
' / • Size of property ft x ft.
V Alteration to a building , • -,..,
(no change to exterior dimensions) Existing Buildings(3) ize ft. x ft.
•
Proposed building - distlb a from property line:
_Other work (Describe) • Front yard ft. Re yard ft.
•
Side yards ft. and " ft.
* If on corner, setback from side stree ft.
GROSS AREA OF PROPOSED STRUCTURE • N.
1st Floor •
c76� •sq. ft •
. OCCUPANCY INFORMATION
2nd Floor 1/0/ --
sq. ft. • - Primary Building -
Other Floors ,(V.117-- sq. ft. •• One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA • Multiple Dwelling/Number of units
sq. •ft.
Size ne o tr-ucture_ft x ft. ` ._. l�usiness
-P dil •
ountlon /t
r.eiertephr. , w*i�1�/u11 ' Industrial -- -
(circle one) • Other
No. f stories (habitable space)_ •
Height Fade to ridge) ft. , If a tion, what will use be?
If residentl , no. of families ,
No.-of rooms(e cluding baths) • Accessory B-
No. of bedrooms N ' Detached age ONE/TWO Car
No. of bathrooms •
Primary heating system • _Attached Garage E/TWO Car
Type of fuel_ ' Private storage builds
No. of fireplaces to be installed '
Will a wood stove be installed \ • __Other
Central Air conditioning '
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. `t .
Will any second-hand or upgraded lumber be used? If sd. for what?
Foundation wall material Thickness'
Depth of foundation below grade (to bottom of footing) .
Will there be a cellar? Heated or unheated? 7 Floor sq. footage sq ft.
Will there be a basement? Will any portion ,caused as living space?
-atso,-what portion?----=-----sq-ft._Typav fpus—.- _-- - -
Type of roof - sloped/flat/shed/other aterial of roof
Size, wood studs "x " spacing " o.c. length . ft.
Joists (floor beams) 1st floor " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) Z "x " spacing " o.c. span ft.
Roof rafters "x," " spacing o.c. span ft.
Roof trusses (pre-en(neered) spacing " o.c. span ft.
Exterior wal finish of what material?_
Interior wall finish -"...
If a garage is to be attached, describe materials to be used for IRE SEPARATION:
Is/there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided? .,'p
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth Xt. in..
Water supply - Munici ffl or private well
SEPTIC SYSTEM istance from ANY private well (incl ding adjoining properties ft.
(A separa application is necessary for any repajr%oc new installation of septic system)
•
NAME OF BUILDER .." ADDRESS TEL. NO.
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NAME OF PLUMBER ADDRESS TEL. NO. .
NAME OF MASON ,,?'---#- ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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' 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 statemen • _ ., oposed . . k • be done on
the described premises and that all provisions of the BUILDING 2 9 E, THE ZO. , 0 ORDINA E, and
e11 other laws pertaining to the proposed work shall be compli • with, whet, - 14 ed or not, d that
such work is authorized by the owner. /
/Owner, owners agent, architect, contractor ,
SPECIAL CONDmONs OP THE PERMIT:
BY
,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /9/91
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/ /(/q/��
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NAME / / l��i-1'1k1 fLl eitz
LOCATION , 409
QL/yiti 19, I . `
DATE /v��,l 9U PERMIT # 9d-6,9S
\ //' APPROVED
YES NO
FOOTING/PIERS\ r`
MONOLITHIC POUR FORMS ;'
FOUNDATION/DAMR-PROOFING ,'
BACKFILL APPROVAL
ROUGH PLUMBING \P
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS '
WALLS
CEILING
/d 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 CONSTRU TION ,�
- OK TO ISSUE C/O OR ;C/C e S, /�
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE;BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
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ARRIVE 5=�3 DEPART - 5 1 1 Ce--
IN PE TOR