1989-876 f � �
r ti r
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW YORK
Gate November 6 19 89
I
This is to certify that work requested to be done ss shown by Permit No. 89-876
has been completed.
,I *Mis structure may be occupied as s Retail More
.�
I.xacation Rte 9 Mall Lns Vega: Golf -
John Brock
Owner
By Order Town Board
TOWN OF QUEENSBURY
/ r
Director of Bldg. & Code Enforcement
I
I
I
BUILDING PERMIT
»
TOWN OF QUEENSBURY No. Q4 'Q76
WARREN COUNTY, NEW YORK
0
w
PERMISSION is hereby granted to .loHrr SROCK / LAS VEGAS GOLF CNN
I
OWNER of property located at Route 9 Mall Street, Road or Ave_ w
w
in the Town of Queensbury, To Construct or place a retail ctnrp ^�
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.
t . OWNER'S Address is
34 denim Drive
Clifton Park , NY
2. CONTRACTOR or BUl LDE R'S Name O
s
EIppC7
3. CONTRACTOR or BUILDER"S Address
c's
7C
RI7
4_ ARCHITECT'S Name .0
rn
R
con
�n
5. ARCHITECT'S Address �=
•rt
6. TYPE of Construction — (Please indicate by X)
Fuictin Rlrin _
{ ) Wood Frame { ) Masonry { ) Steel (7( } - �—�—
J. PLANS and Specifications i+1
No. 3500 sq . ft . retail store out of existing store u'
as per application
S. Proposed Use
Retail Store
$ 50 . )0 c/o PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 iggo
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m
town of Queensbury before the expiration date.) —•i
A
f�
Dated at the Town of Queensbury this Day of November
S1G1VE17 BY +' for the Town of Queensbury �°*t
Building and Zoning { ctor
OWN OF QUEENSBURY
REVIEWED BY TOWN OF OUEENSBURY
,r� RECEIVED
FEE PAID S y�C � C> L� � 5
PERMIT NO. NOV 0464W
BUILDING PERMIT APPLICATION
13LD(3. & CODE 13EP7. -
A PERMIT' MUST BE OBTAINED BEFORE BEGINNING CONSTR.U+CTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALUD 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.
w w a w « * « « « w * w « « « # * w w w w w w « w « « « « « « « * « * w w « « « *
The owner of this property is: - S c7/la, 1s rc�c r
P.O. Address 3V Y a f zI /' Tel.
Property Location Tax Map No. I_!
Has there been any split of this property since October t . 198 /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE f LOT NO. _.
THE PERSOff RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
4
NATURE OF PROPOSED WORK: ESP.MATED MARKET VALUE OF
Construction of a new building .. CONSTRUCTION:OMON
$
Addition to a building ' COMPLETE INFORMATION REQUIRED BELOW:
" Size of property % I -- ft x ft.
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) NOON, Front yard ft. Rear yard ft.
+r
Side yards ft. and ft.
r
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 ow
Other Floors sQ. ft. +► One Family Dwelling
{not cellar orbasement) 0 Two Family Dwelling
TOTAL FLOOR AREA " sq. it. " 4 Multiple DweWng/Number of units
ye
Size of new structure ft x ft.
» < Business
• Industrial
Foundat io"ier/slob/craw l/part i&V f uU
(circle one) Other
No* of starfr--- frinbitable spalcia)4MON +"`1 A
w
Height (grade to rtdgo) /�'//' ; If addition, what will use be!
If residential, no. of families a
No, of rooms(excludit baths) • Accessory Building
Noo of bedrooms • Detached Garage ONE/TWO Car
Noe of bathrooms
Primary hoatint system . COMENEEMENEEMOOMbAttachod Garage ONE/TWO Car
Type of fuel " Private storage building
Na. of fireplaces to be installeC! Other
Will a wood stove be inastaUed
Central Air conditioning.
O V• ER
BBUILD [NG PERNIIT .kPPLIC \ T1OV CONTINUED -
BUILDING 7PF. C' IFICATIONS:
Type of construction, wood frame, fire safe, etc, / y
Will any second-hand or upgraded Iitmherbe used ? If so, for what ? !
Foundation wall material Thickness
Depth of foundation below grade Ito bottom of footing)
Will there be a cellar ? Pleated or unheated? Floor sqv 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 *14aterial of roof
Size, wood studs "x " spacing " o.c. length.ft.
Joists ( floor beams ) 1st floor "x if 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 IT o.c, span ft.
Exterior wall finish of what material ?
Interior wall. finish ; / /r °
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 fte
(A separate application is necessary for any repair or new installation of septic system )
NAME OF BUILDER ADDRESS TEL, NO,
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 ail proposed work to be done on
the described premises and that all provisions of the 13UILDING CODE, THE ZONING ORI?I,DrIP_MCE, 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,
Signature '
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMTTm
BY
TC1�'�N aP QUEENSBURY
HUILL7ING AND CODES DEPARTMENT
,BAY & HAVILAND ROADS 1280t4
RY Nj&w
UEENSBUP
g yORJC
TELEPHONE ( 518 ) 792� 5832
BUILDING INSPE0TC7R.' S REPORT
REcsrvEr����
REQUEST FOR ,INSPscT� r---
NAME
LOCATION gflPERMIT #
APPROVED
DATE YES NO
FOOTING/PIE BUR FORMS
MONOLITHIC DAMP�PROOFING_�~
FOUNDATIf) APPROVAL
BACKFI� MSING
ROUGH
FRAMING
IN
ELEC TRICIA� .
INSULAT
FOUNDATION
FLOORS
WALK
EILING TIL?N -
FINAL INSPEC
CHIP xey HEIGHT
ROOFING
SIDING pdRCHESISTEPS
E.XTERNA�LEARANCF
STAIRS FIXTURESIRELIEF VALVE
PLUM. ING JXT I1'RIVAC, DOORS
INTERIOR
FINISHED Fr'IFING
GARAGF FIREPRCK7
DOOR CLOSERS )
SMOKE DETECTORS INSPECTION
FINAL ELECTRICAL CONSTRUCTION
FINAL APPROVAL OF
CUPANCY MUST BEFORE
A SIGNED CERTIFICA BUIOIFDIN DEPARTMENT
OBTAINED FROM THE OCCUPIED !
T[IESE PREMISES ARE
Pe (fr r 2
I�
IN TOR
T011Id ()F 4UEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & H44VILAND ROADS 128111
NEW YORK p?j�
QUEE,NSBURY + 51$ ) 792�5832
TELEPHONE ( ASS REPORT
�
BuII�C, INSPECTD
REQUEST FOR INSPECTION RECEIVED
NAME r� � 'C' 1 111, 1 1
LOCATION IT #
kn I Cn `, �- ---PERM APPROVED
DATES YLS NO
FOOTINGIPXBRS ,ram
MONOLITHICPOiJR FORM FOUNDATION1DAP_pgOOFING
$pCKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION'
FOUNDATION
FLOORS
WALLS
CF;ILING ^ '�•`„%•-
�FINAZ. INSPECTION
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL POF2CHESISTEFS, '
. _._----
STAIRS--CLEAPj2lNCE & RAxLS�� - E
PLUMBING FIXTURESIRELIEF +VALVE
INTERIOR TRIMJrPRIVACY DOOR'S
GIARRE
SGHED FLOORS FIR �FING
DOOR CLOSER (S )
SMOKE DETECTORS INSPECTION
FINAL ELECTRICAL CONSTRUCTION
FINAL APPROVAL OF
MUST
CATE OF OCCUPANCY BEFORE
A SIGNED CERTIFITHE BUILDING DEPARTMENT
Qx3TAINED FROM OCCUPIED !
'THESE PREMISES ARE
"MARKS :
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (51.8) 792-5832
BUILDING INSPECTOR ' S REPORT
i
REQUEST FOR NSP C SON RECEIVED_ ..
NAME
I.00ATSONf
DATE [ PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS i yr
CEILING k
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING ir
EXTERNAL PORCH S/ TEPS
,STAIRS-CLEARA CE RAILS
PLUMBING FIX REST ELIEF VALVE_
INTERIOR TRIPRIV Y DOORS
FINISHED FT(�Y_7RS
GARAGE FIRE ROOFING
DOOR CLOSE' (S)
SMOKE DETE TORS
FINAL ELECT CAL INSPEC ON
FINAL A PPROfA L OF CONSTR CTION
i
A .SIGNED jC11ICATE TIF OF UPANCY MUST BE
OBTAINEDOMTHE BUILDINGDEPARTMENT BEFORE
THESE PRSES ARE OCCUPIED
REMARKS: _k
INSPECTOR