1991-277 '
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date `4)4 (iLl s' f 19 qi
This is to certify that work requested to be done as shown by Permit No. 91-277
has been completed.
alteration to building for office
This structure may be occupied as a
space
1,,,tcentt6 Route 149 —° " ,u-e-k—Roati
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Gevrgia and Devereaux Priest
Owner
6cyberry Cyr-viers Residurovii,
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-277 •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Georgia & Devereaux Priest/BAYBERRY CORNERS RESTAURANT (xi
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OWNER of property to tedM Rte 149 & Bay Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Alteration to Bldg.
at the above location in accordance to application together with plot plans and other information hereto filed and T.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
Same r)
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3. CONTRACTOR or BUILDER'S Address "S
to
CD
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
0
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6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. Alteration to building as per plot plan specifications and
application
8. Proposed Use
Office
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 9, 1992
(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, 9th /Day of May 1991
SIGNED BY for the Town of Queensbury
Building 496 Zoning Inspector
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'''O `,OF QUEENSBURY
TOWN OF ,?:SEE:S:, ,.;..
REVIEWED BY 5:F '1. )�i"� '7 .V ',
ea FEE PAID $ SCE,UI� G�° k ,: f /).'- 1 --r �t ' t
g � PERMIT NO. 1 ( 7 7 3`. • r _AY t ,3S nC''z,
BUILDING PERMIT APPLICATION a DEPT..
BUILDING St CODE DE 6.
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 * * * « * * * * *f a * * n* * * * * * * a « * a • * * * s * *
The owner of this property is: C.l Jj . `/FzJF X' t
-i°. j c0to}nL' PA)1';s f (i1.121 ,, /J,,e,r��r2s el":0
P.O. Address - s (11 �- ;41` ICo.ar0• r/ha/lam 6eon7 ih',/ '5t1el. 7 953�;,i12 .
Property Location /yg ;L IRA�,, A Tax Map No. Li"/ / l
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: * ESI';MATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $ -yp/9,
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) t\}=P,i-'..e Front yard ft. Rear yard ft.
Px;slin>-� ime,� * 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 4 , sq. ft. • One Family Dwelling
(net cellar or basement) a Two Family Dwelling
TOTAL FLOOR AREA ( L ,sq. ft. • Multiple Dwelling/Number of units
Size of new structure ,s'r •ft x ,/ ft. ' Business
Foundation-pier/slab/crawl/partial/full ` Industrial
/ 7�-(circle� one) i ovruc( )t, •uisgs ' iOther ,s9F�c
ftLI2e14cr y r� �'I
ia
No. of stories (habitable space) •
Height (grade to ridge) ft. • If addition, what will use be? ,P2f"�--)Ze
If residential, no. of families •
No. of rooms(excluding baths) /Oa/Ue_ * Accessory Building
No. of bedrooms A94,,,,P ` __Detached Garage ONE/TWO Car
No. of bathrooms io,,,uo •
Primary heating system /Q6, ,UP • _Attached Garage ONE/TWO Car
Type of fuel we iv p. ' __Private storage building
No. of fireplaces to be installed yt)p„/p •
Other / 1C/' fir>4 -'r•/�
Will a wood stove be installed j `
Central Air conditioning ,)44.
OVER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING 3PF.CIFICATIONS:
Type of construction, wood frame, fire safe. etc. €.4_906,d,
Will any second-hand or upgraded lumber be used? If so, for what? 0 n
Foundation wall material Qp,,ie[ . , ,;� Thickness 2/q
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? f0e-) Heated or unheated? ,yurmjc, Floor sq. footage /l sq ft.
Will there be a basement? ,or Will any portion be used as living space? 107)
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other 54�(.1 Material of roof '/2, i.4p.
Size, wood studs , "x e, " spacing 14, " o.c. length It? 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 ,R "x , " spacing fL, o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft. _
Exterior wall finish X. 6, of what material? fe.r/z.iyr 1 i1
Interior wall finish '/X
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be 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. min.
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 -c), �,�s l ADDRESS Qf67 iZ► ._ PA1 TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.n
NAME OF ELECTRICIAN94,/,0,T 1iie.s,,:,, ADDRESS ,�j1,)l/,vet ,�0,,7 iTEL.l O 2-- 970T
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 comp ' with, whether spec' 'e or not, and that
such work is authorized by the owner.
Signatu e
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
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ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating. - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
De.,Vc°l2e)W ( ie5i
Ale ,41 gAzJ. lie 4�flizi<,, /0/ 5rvs
APPLICANT'S NAME PROPERTY LOCATION _
TO" ee
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE '`` ` f .1 11
1. Gross Floor Area - Sq. Ft.
BUILDING Et CODE, DEPT.
2. Type of Heat - Wei/A, Elec. Base Board / Other _1-3
ce-
3. Is Building Mechanically Cooled?
r/ YES ' �`���� 0
4. Percentage of Area of Windows and Doors / 0/J.0d4 ver 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R
C. Glazed Area R
D. Exterior Doors R
E. Floors over unheated spaces R X�oio�
F. Edge of Slab on Grade (Heated Building) RR -ice
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code NO
TEMPERATURE N- 'OL MAXIMUM SETTING 140s - WILL NOT BE EXCEEDED
Mir 2 2/72—
APPLICANT S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVIEWED BY
,-1. -S,14,S-19ti !4..Ina1!.a�!.atia1i.a�i-. -e...4•..a,.iaPtia"; .Y!,.19!„IYtia9,!.?. ‘.9i..1"?.".n"- -',. . ....i.191a9.4a,9tiA.,:94a.Y(.a i:.!"i."..)"!.1e.a.?,.9.s9 ;.!-19?19?-_.?-1"i 19? 9'.,19!j.9 `..!.`_•,,�.
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.A. THE NEW YORK BOARD OF FIRE UNDERWRITERS ; GE !.
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�; `?t 18.1G BUREAU OF ELECTRICITY• ;-
II 41 STATE STREET,ALBANY,NEW YORK 12207 •
i' Date •JiflJE 04,19'_'�:I. Application No.on file06 9.//y//;J 1/'91.- 1:1 1.11.>3
I THIS CERTIFIES THAT Gil- / / °�.'
�: only the electrical equipment as described below and introduced by the applicant named on the above applications number in the premises of .,'
l EV ERF-i_r>. PRIEST, BAY- RI . & R . II' BAYBERRY CORNERS R1 . _ 1.,.,1T, �;EoR E, i«,�-, 'T
• in the following location; ❑ Basement 0 1st Fl. ❑ 2nd Fl. Section Block Lot •'�s
�' HAY 2`) .1-re • r.:
was examined on and found to be in compliance with the requirements of this Board. ;i,
ik; ;i'r
il' FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
�; ECEPTACLES SWITCHES
OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .1.
1
-C
1
!"0 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
BELL SYSTEMS i
" AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT... AMPS. TRANS: AMT. H.P. NO.OF FEET AMT. WATTS ':•
SERVICE DISCONNECT- NO.OF - S E R V I C E $N
r. t' AMT. AMP. TYPE. EQUIP 1,2W 1/if 3W 30 3W 3,ff AW NO.OFF CCC.gCOND. OF CG COND.. NO.OF HI-LEG OF HI-•LEG NO.OF NEUTRALS OF NEl1GRAL •:,
+ OTHER APPARATUS: :� .
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.: ..,. BAYBERRY CORNERS REL;T. - - -
'�' RT. 149 & BAY RO BC} . 150 ' • _ (StJ' ;:
--i; LAKE GEORG;E, NY, 1 7`Z�'1 r, BRANCH MANAGER .! W
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,, Per :
"1; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identifiedw■ by ;:is
their credentials. '
�-i.?Y.i Yyf•i•Ti.YYiY'i• ® rl ® 0 II 0 0 0 0 I7 ® Mr !I 0 0 ® MIL' 0 II 0 II C IN1 Ili vtu 1R1 UR,
.' COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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, . , .;�;. TOM OF QUEENSBURY
6 % r., 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIO.
REQUEST FOR INSPECTION RECEIVED
NAME e11 % (? .-1
LOCATION
DATE �, //g/ • PERMIT# 9/-, 77
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING 1rNAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS dii (- CI�_ GLi�rJ/G� li
it
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING /
SIDING
DECK/PORCH/STEPS/RAILINGS. !.
RELIEF VALVES I
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCjfWORK
INTERIOR TRIM/PRIVACY DOORS,
FINISH FLOORS: ti
BATH/KITCHEN WATER IGHT
OTHER FLOORS SWEEP BLE S,
OTHER FLOORS CARP ED
STAIR CLEARANCE/RAI INGS i
HANDICAPPED ACCESS 1
SMOKE DETECTORS
BATHROOM FANS/WHOIEHOUSE FANS 't
ALL PLUMBING .FIXT RES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS , ,`
OTHER FIRE SEPARATI N
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE-€tO OR '� ✓'�
COMMENTS:
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ARRIVE 030
DEPART /a.3,C
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RECEIVED
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•30. • MAY 1991
. 30
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_i=. . BLDG. & CODE DEPT.
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