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1991-018�/' .. - �,.f, ,Y_ a ' _ mod, .. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARRE°°;e COUNTY, NEW YORK Date January 24 19 91 Q._ , ( I- ( 4° A. This is to certify that work requested to be done as shown by Permit No. 91-nig has been completed. This structure may be occupied as .a RetailStore /WI( k,_ci- le & V Location Lake George Rd. Log Jam Factory Outlet Owner Willey Creek (Ribbon Outlet) By Order Town Board TOWN OF QUEENSBURY •/ . / Director of Bldg. & Code Enforcement i 4 BUILDING PERMIT TOWN OF QUEENSBURY 3 No. 91-018 WARREN COUNTY, NEW YORK 0 w PERMISSION is hereby granted to Wi 11 ey Creek (Ribbon Outlet) °1 Lake George Rd - LogJam FactoryStreet, Road or Ave. `"' OWNER of property located at 9 N in the Town of Queensbury,To Construct or place a Certificate of Occupancy 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 PO Box 1070 iT Exeter, NH 0 2. CONTRACTOR or BUILDER'S Name c+ CD 3. CONTRACTOR or BUILDER'S Address • CD - 4. ARCHITECT'S Name rD fD 77 5. ARCHITECT'S Address 0 cn sv 3 6. TYPE of Construction— (Please indicate by X) —n ( ) Wood Frame ( ) Masonry ( ) Steel ( ) e+ 0 7. PLANS and Specifications 0 No. Application for Certificate of Occupancy Only 8. Proposed Use Retail Store c) $ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 17, 19 92 (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 17th Day of. January, 19 91 SIGNED BY for the Town of Queensbury Building and Zoding Inspector TOWN OF QUEENSBURY ' REVIEWED BY ,' 11 FEE PAID $ Q F PERMIT NO. i - © I d BUILDING PERMIT APPLICATION 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:_1 )I 11e (iy 0 t . ��� /y1� P.O. Address Tel. Pro ert Location �I P Y �F Ciii �D(IJ - _� ,_)cl r��.�n r Tax Map No. /_/ Has there been any split of this property since October 1, 1988? / 7 If yes Planning Board Review is necessary. yes no suaDwistotrivatE, IF APPLICABLE , hh 'vt 0uo-( ),- _L,O`i"NO. ` THE PERSON RESPONSIBLE.FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK: * ESTIMATED k1ARKET VAL E OF • * Construction of a new building * CONSTRUCTIO - * COMPLETE INFORM�ION REQUIRED BELOW: Addition to a building * Size of property ft x ft. Alteration to a building • * Existing Building:(3) Size ft. x ft. (no change to exterior dimensions) • Proposed buildin: - distance f om property line: Other work (Describe) Front yard- ft. Rear y:rd ft. 0,p)I-EAtx.,a,ci, * 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 oF base; :ont Two Family Dwelling `TOTAL FLOOR AREA__ sq. ft, •• Multiple Dwelling/Number of units Size of new structureft x it. * Business _� Foundation-pier/slab/c ,'i rtiaii/full * Industrial (circle ur►:. '' 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 Will a wood stove be installed_ • Central Air conditioning OVER _ I BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. Will any second-hand or upgraded lumber be used? If so, for what? Foundation wall material 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 bean 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 ft. (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 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 i h, whether specified or not, and that such work is authorized by the owner. . Signatu er, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 2/t- / QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTION RECEIVED /AS/7 NAME /,��>�17r� // LOCATION � � n���?� DATE / 7 `9f PERMIT # % / -G 1. APPROVED YES NO OOTING/PIERS MONOLITHIC POUIV FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ) ' FRAMING ELECTRICAL ROUGH=IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS Vf GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION '.' FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: C i t'��l�u / t 41140 FL-- J ,/, I ARRIVE 2 o o „, 4 _..„;g4 DEPART 0265. SPECTOR