1991-222 te°/\-CERTIFICATE OF OCCUPANCY
7( TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Lhfa,6/ le) 19 9/
a
This is to certify that work requested to be done as shown by Permit No. 91-222
has been completed.
This structure may be occupied as a rebAil store
Cor Dix Av & Queensbury Av
Location
Owner Lawrence Waite/John' s Outdoor Sports, Tenant
By Order Town Board
TOWN OF QUEENSBURY •
(7)
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-222
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JOHN'S OUTDOOR SPORTS
OWNER of property located at Cor of Dix & Queensbury Avenues Street, Road or Ave. a'
in the Town of Queensbury,To Construct or place a Tntei ror Al tPrati ons
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
Larry Waite
Mud Street
Hudson Falls NY 12839
2. CONTRACTOR or BUILDER'S Name
CD
John Borlang
3. CONTRACTOR or BUILDER'S Address
Hudson Falls NY
to
4. ARCHITECT'S Name -o
N
5. ARCHITECT'S Address
n
• 0
-5
6. TYPE of Construction—(Please indicate by X)
x
( 1 Wood Frame ( I Masonry ( )Steel ( ) 523
.o
7. PLANS and Specifications rD
fD
No. Interior alterations of 3640 sq ft as per plot plan, specifications
and application.
8. Proposed Use
Retail store
fD
CD
50.00 April 23 19 92
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
ct'
Dated at the Town of Queensbury this 23rdDay of Apri 1 19 91
'
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1 !77--- su
SIGNED BY .�/ for the Town of Queensbury r°ii
Building and Zonin4 spector
O
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TOWN OF QUEENSBURY
REVIEWED BY F,,
0 lialI1�11A FEE PAID $�l/ — im s"•I OL!
PERMIT NO. /i„2 Z------
APR 19 1991
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.
• • • • * • * • • * * * • * -* * * * * * * * * • * * * * • * * * * • • * * * * * *
The owner of this property is: 'Ot1 ( 6d ei.
P.O. Address / /1s)--- /7/6�,4 » /'UA /7 Tel.
Property Location tl o nta, a.1 aiA, ,79ve f f efe2 462,1/6(Tax Map No. /_/
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes nojrU 46/4-do7:47--71-S
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF`WORK AS REGARDS TO BUILDING CODE-S-ISIS:�
c (DA n Box�/g / ��n g�1'412n 791 -9�o7/
*
NATURE OF PROPOSED WORK: ESTIMATED MA T- A-L-U-E-O
•
Construction of a new building - * CONSTRUCTION: $
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
i * 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 36 0 sq. ft. `
OCCUPANCY INFORMATION
*
2nd Floor sq. ft. • ' Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or base: �` Two Family Dwelling
TOTAL FLOOR AREk? 0sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x ft. * Business
* Industrial
Foundation-pier/slab/crawl/partial/full
(circle one) • O Other
i
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 01 J ftitri € ,Pi't* _Attached Garage ONE/TWO Car
Type of fuel CV / * Private storage building . ;
No. of fireplaces to be installed
Other
Will a wood stove be installed _ _
Central Air conditioning •
OVER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. -('-2a �✓�✓
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? ,n04-V Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space? 0.4/c"
(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 BUILDERq /03, ?/U
ADDRESS 4� 1-P J%/or8 A TEL. NO. r ,?V?-qY'
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 with, whet specified or not, and that
such work is authorized by the owner.
Signatur ) / 1 4
wner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
., ovil rare:, P642- A-Peou c/tArrr
B Y
w(EIDIAZ;-
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION �/ Date: if / - -i
City, Town or Township y� (1 ( /1/ -' ,i/C / County /.4;) / t 3 /2 (-" i( State Al. "
Location/Address
_ (If Located in Rural Area- Please
Attach Directions) Pole #
Owner -r am--D - ':f,. ;•�--=sue-'=44 /_cr'tU/ 40 6+I%. Permit #
•J-3
Occupie As A,7'•46'> .� ,-.',''y f" -).� J'S Building: New❑ Old
Occupant i^h.•, c r."}1l/: 7..) ,.... .3,},t.1 t '
Work Area in Building (Floor #, etc.):
_. �
App. for: Wiring S Ready for Inspection:
Fee Remitted -$ - Cash❑ Check 1' M.o.
500 750 10001250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat •
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
. Water Heater - Air Conditioner Dryer Pump
Receptacles
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 r-;
Applicant's/ r / f
Signature L.., ,. , //.l •fi-- f r • License # Permit #
T/A - Utility:
r/ (NAME) (OFFICE LOCATION) -
Applicant's Address:/4e f.)'-eie� ./iA ,,7i
(City)CIA.A.C( N.6,1 (State) ./l/Y (Zip) f!.-)'?.)V Service Request #
Phone # ..57e- "" 79 93, / Electrician:
MDIA USE ONLY DATE RECEIVED-: - -- "-- - - DATE INSPECTED: - - - -- - _
Correct Location: Same as AboveI-1 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 • I
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat /
`) I/ %-- - J,/ I;;› ill��17, / 6- 'L(',, /it/N 6 C. /-./C:I) T //).
CORRECT
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE
❑ RW FEE PAID
Progress: Inc.❑ LKD❑ Contractor 5
❑ CFT Violation: Work Comp.❑ Inc. n CASH
L/A Owner
Fee ' CHK #. /
n L/A , Due MO #
n IPA• - Municipal INV #
Date: Other Side❑ - Utility _ Applicant ❑,. Owner
Cut in Card 1-1Tem # - . DateIf_ .r,
��/- �_ �� INSPECTORS SIGNATURE
n Final # Date •
APPLICATION FORM NO.250 EL 11/89
TOWN OF QUEENSCURY
ha 4'‘il//
4.; 531 BAY ROAD
`E0`. QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDINg INSPECTCR'S REPORT
I
FINAL IHSPECTI(a
REQUEST FOR INSPECTION RECEIVED 7 6 �1/
LOCATION , - %x '\)z t qiee-hs1.70
DATE , / /oq/ • PERMITS 9,7—c),-),�
TYPE OF RE_LI--k (T. 7-VW
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING 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 r
ROOFING
SIDING ,c �`
DECK/PORCH/STEPS/RAILINGS I
RELIEF VALVES i
FURNACE/HOT WAFER OPERATI.RIG ,"
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS: i
BATH/KITCHEN WATERTIG'HT
OTHER FLOORS SWEEP ISLE t/`
OTHER FLOORS CARP,ETED i/'�
STAIR CLEARANCE/ ,'ILIINGS
HANDICAPPED ACCE,S,S_i
SMOKE DETECTORS' ,
BATHROOM FANS/WHOLE[OUSE FANS ,
ALL PLUMBING/FIXTURES OPERATING
GARAGE FIRVPROOFIG
DOOR CLOS S
OTHER FI E SEPARAV1ON
FIRE/D ISE WALLS
DUMPST R I
FINA ELECTRICAL )
OK T ISSUE " L//
C/O OR C/C
COMMENTS: /
• /rhwl F,, 0/ 7'- -
A g 'V tt rr,0C, GG7
ARRIVE.A /S
DEPART 020
- --, ' ' ' `' ' -'f,',''• ''''- :z.e ,4.i '-'l'•VII'`,',;-',.',,,'f,'.' 1" ':,' : ,,- ' • ',..,..-•,.::!:„."- s
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Building-Plumbing:Fire Inspections
Date iii& Ati 4141' .
'p- 4 101t1,1111110,WW
glii -NII
110",
,
1 s ectorVIIP: _ ...
., i
IT . constitutes certification that the
{above installation, but not the equip-
ment itself, has been visually inspected
'as of this date pursuant to the applic-
able codes. If additional equipment •
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
:ie submitted promptly to this Agency.
-- -- —
•
•...
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED . 5- 4�/q
NAME -1-r-Al 0 s (D0-1-\- -7r)-vA ` off-LS
LOCATION Cv�� ��?(I' ( ` )efi,,,a1
/o✓,,6a\
DATE 5 / PERMIT 9 [ -74f��—�4'' _/
;APPROVED
NA YES NO
EXITS /
AISLE WIDTHS ;q
EXIT SIGNS `j ¢
EMERGENCY LIGHTING 11 I
ii
u /
FIRE EXTINGUISHERS 'io
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION A
AUTO. SPRINKLER SYSTEM ifl
ALARM SYSTEM
/ '
INTERIOR FINISHES i
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
I
CHIMNEY I
WOODSTOVE f ,
FIREPLACE—MASONRY
FIREPLACE—FACTO BUILT
REMARKS: : OK TO THIS DATE
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ARRIVE r J
DEPART ��
INSPECTOR
6jJOA-P - 44-44
ws TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
/46-61, w tr14 INSPECTOR'S REPORT
0- t4 /""tt N • 2/ f\5 19
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PROPERTY LOCATION
LUN1 5 -EL,AtcrC /lT^ ctZ -r-coj/, -L
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER
REMARKS: IA
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- (518) 798-9524
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112 Lower Dix Ave. U
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(518) 798.9524 C L OTI 1 1 N G
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