1991-226 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 10 19
This is to certify that work requested to be done as shown by. Permit No. 91-226
has been completed.
This structure may be occupied as a retail store
Lake George Plaza-Store #15
Location
GREENRIDGE MANAGEMENT CORP.
Owner
Tenant- Etienne Aigner
By Order Town Board
TOWN OF QUEENSBURY
X
Director of Bldg. & Code Enforcement
• : .
BUILDING PERMIT
x
TOWN OF QUEENSBURY No 91.226
WARREN COUNTY, NEW YORK z
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PERMISSION is hereby granted to ETIENNE AIGNER
1
OWNER of property located at Lake George Plaza Store #15 Street, Road or Ave. v
in the Town of Queensbury,To Construct or place a Interior Alteration IN)
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 Management Corp
701 Westchester Av rn
White Plains NY --I
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2. CONTRACTOR or BUILDER'S Name z
Steven Heroux m
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3. CONTRACTOR or BUILDER'S Address z
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Saco-BuKton, ME iO
4. ARCHITECT'S Name
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5. ARCHITECT'S Address rD
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6. TYPE of Construction— (Please indicate by X) -o
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( I Wood Frame ( I Masonry ( )Steel ( ) NJ
to
to
7. PLANS and Specifications `-t•
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:990 sq ift Interior alterations as per plot plan, specifications and application. ,--- '
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8. Proposed Use . .
Retail Store
50.00 April 25 92 =
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
• (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.) 0
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Dated at the Town of Queensbury this 25th O Day of April 19 1
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SIGNED BY �i1/l/� /� /�� for the Town of Queensbury el-
Build' g-ne oning Inspector o
TOWN OF QUEENSBURY a,
REVIEWED BY t, ' QUEENSBURY
" , RECEIVED
,/f FEE PAID lr
,0 PERMIT NO. 9/-2,2 APR 2 21991
BUILDING PERMIT APPLICATION 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 a a a a a * a a a a a * a a a a
The owner of this property is: ef' idie/dCz
P.O. Address JU/ 4s ' re_W;-css rti—�P QcS C�s/ ��i; p F.—cc-0
Property Location -(t4 cc-- /7a#1 i 5 Tax Map No. II
ael
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no fie/
SUBDIVISION NAME, IF APPLICABLE GiT/, -1i /4-/Gif.-4e4 LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
5T omit) hieea a ,yam_
a
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
•
Construction of a new building CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property 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) * Front yard ft. Rear yard ft.
•
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 sq. ft.
* One Family Dwelling
(not cellar or base:-:�nt •• Two Family Dwelling
• Multiple Dwelling/Number of units
TOTAL FLOOR AREA ! S� d sq. ft. •�
• ,
Size of new structure ft x ft.
Foundation-pier/slab/cra partial/full ' Industrial
1
(circle one) • o 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
OVa ER
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 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 ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER-free/6/ 1-4Asot ADDRESSJ/iCts-J .4414 TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN/4y,9O _ rta ADDRESS eicovd' feKC5 TEL. NO.7 73 s7
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 with, whether specified or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF TH PERMI
Qi4e
BY
°'��. ----- MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
D National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date:4-22 ...0 1 _
City, Town or Township Q4ki-Es`lr'Dc: i-1 County OA6L.A-:-() State KI
Location/Address 12ie.. 9 i-•.,,,,K. 6Z0fdtt_ 1r42.14
(If Located in Rural_Area - Please Attach Directions) Pole #
Owner 1__--.�._ �i., . ., , "f ;':i.::
_='�= f.;, , :., 1 u ,f c- � #:;: : ;r �'- ✓ "Permit # =;/
J -
Occupied As Building: Newn Old
Occupant 5E--
Work Area in Building (Floor #,etc.): ,�"' /- LOf
App. for: Wiring Service n or: Ready for Inspection:
Fee Remitted -$ Cash n Check n M.O. I I Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500'2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches _
Lighting Amp. Service. Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer- Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size ,,
Applicant's �f J
Signature . ---f'Ec i-' �,j ! "':�,:z e.-`---- License # Permit #/ r_ J(
T/A Utility: /�lJ,r...,7,2,$ 1`7j.,,.4,..,,.�k - L�/C;Y"1:� , //S
Applicant's Address: .:1 t-1• "%1_ - /5/ (NAME) (OFFICE LOCATION)
(City) (`f' !e -) ,''1/)f, (State) *,--)`-1 (Zip) IZ-2',Ji Service Request #
Phone # / .. '7`l_• -C1Ef-
� . - Electrician: k tc)yob kir (';-wizEL-- , . ,c.-1
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above or:
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
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. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2- 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
II500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
FE
i I RW Progress: Inc.! I LKD❑ Contractor
•
❑ CFT Violation: Work Comp..❑ Inc. ❑
n L/A Owner - CASH ❑
n L/A - - Fee CHK #
Due MO #
n IPA Municipal
• INV #
Date: . Other Side El Utility Applicant n Owner
Cut in Card Temp # Date
I I Final # Date •
INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 4/89
* TOM OF QUEENSBURY
:1 - 531 BAY ROAD
AMC;'
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 47 41/
NAME /7,(,, (/4y . i/g
�! �LOCATaD
/.fir
DATE _0* PERMITS
TYPE OF STRUCTURE f-4 G6g/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUIBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS .-
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY/DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS'
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS `
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL '
OK TO ISSUE C/O OR C/C
COMMENTS:
//a `jr0AI ?�,t/tPhVrn5ho
AV
ARRIVE
DEPART"3 7 -�
......
-,,,\_a \ , '
TOWN OF QUEENSBURY \\(-- __,)
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR/ INSPECTION RECEIVED ,51i0i q I
NAME f�•�-I e -I1 1-1-P /-t,Cc 1,QA ,,
LOCATION, 4 ke G?�U OCk21-0\
DATE 5 /o)G 1 PERMIT# 9 ' -, �_
APPROVED
N/A YES'-. NO
EXITS ;.//•R`
AISLE WIDTHS ,//
EXIT SIGNS ;; V.
EMERGENCY LIGHTING ,
FIRE EXTINGUISHERS , I,- r",
AUTO. EXTINGUISHING SYSTEM Gi ,3 •,/
HOOD INSTALLATION { / V
AUTO. SPRINKLER SYSTEM / �1
ALARM SYSTEM - .r I
it
s
INTERIOR FINISHES \/
STORAGE: / y
CLEARANCE TO SPRINKLERS .f/-
CLEARANCE TO HE/rING UNITS 1
REQUIRED SIGNAGE / 11
ds, c, /4-= /
CHIMNEY ,./,
WOODSTOVE / i ✓.
FIREPLACE-M SONRY $ ✓,
FIREPLACE-F CTORY BUIL ✓
REMARKS: OK TO THIS DATE
•
ARRIVE
DEPART c
INSPECTO
' TOW OF QUEENSBURY
w.. . 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED $/Jv/(f
NAME /�fiexnP Ai {'1P/
LOCATION, \C ZE'
DATE 'j f jd' C ( PERMIT# � I )3(0
TYPE OF STRUCTURE -1-1r_eN
RECHECK -esvcc
_FIRE MARS AL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION \ WOONSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES _ NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION a
B VENT/LOCATION
PLUMBING VENT i ,,
ROOFING
SIDING X
DECK/PORCH/STEPS/RAIL1 NGS
RELIEF VALVES
FURNACE/HOT WATER OPERAING
BASEMENT INSULATION'DUCTVORK
INTERIOR TRIM/PRIVACY DOO S
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE \ NC
OTHER FLOORS/CARPETED K. •
STAIR CLEARANCE/RAILINGS_
HANDICAPPED ACCESS
SMOKE DETECTQ'RS
BATHROOM FANS/WHOLEHOUSE FANSk
ALL PLUMBIN( .FIXTURES OPERATIN jC
GARAGE FIRE! PROOFING
DOOR CLOSERS
OTHER FIREISEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ?
COMMENTS: III
iS5o •��C tvif&t: A4 sNn-c_s p 4.ou44_
Isc6!v&Y
ARRIVE
DEPART 2=30(,) 11--/
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.Owner �-,iec Gco2G� i�l/"�/-�6 77e4(J!✓ice 4166-)
Occupant Location ry /,Rr( ?��`�
PCJ—y
�VLJ.►.(.. V�7 ui`''L/`�• /,See .
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by /2 k'� y 4JC e7-L C ICE `
Date I'30 1/ Ada �'" ea""' Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.`
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
5 RECEPTACLL. H.P.PUMP
FIXTURES ! T K.W.OVEN
6 ( AMP.SERVICE EQUIPMEN'Y H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
� K.W.WATER HEATER FRAC. H.P.VENT FANS
l,vL
I - 1f i2 Pie l< L/G GLT S;
MOTORS H.P. I/20 1/I2 1/10 % '/s % I'A Ih '/ 1 11/ 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS