1991-389 \\1
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1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date June 28 19 91
This is to-certify that work requested to be done as ihown by Permit No. 91-389
has been completed.
This structure may be occupied as a
Retail Store
Location Adirondack Factory Outlet Center Rte 9
(The Black Sheep(Woolrich)
Owner David Kenny Adirondack Factory..OUtl et Center
4,2
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-389
WARREN COUNTY, NEW YORK o
e
PERMISSION is hereby granted to The Black Sheep (Woolrich)
fV
CO
OWNER of property located at Adirondack Factory Outlet Ctr Rte 9 Street, Road or Ave. ro
in the Town of Queensbury,To Construct or place a Interior Alterations
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. rD
l>1
1. OWNER'S Address is
Dave Kenney r
Adirondack Factory Outlet Center
rD
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2. CONTRACTOR or BUILDER'S Name
David Kenny
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address e'
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) 0
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7. PLANS and Specifications
No. 4,200 sq ft Interior Alterations as per plot plan specifications
and application
8. Proposed Use
3 Addl dressing rooms
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 7, 19 9?
(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 7th Day of ; June 19 91
SIGNED BY _lea-6/'<e, for the Town of Queensbury
Building and Zoning I,Sector
TOWN OP QUEENSBURY
� REVIEWED BY Z�
. FEE PAID $ ‘'j d TOWN OF QUEENSBURY
iiir*, PERMIT NO. q j -mg RECEIVED
BUILDING PERMIT APPLICATION JUN 4 1991
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 • * • • •
The owner of this property is: (l rl erne)"l nr,l' Ft)r 1-nry l,r_ HP f- (1 e r, ,LfY 1_,nrc.
P.O. Address RI-9 ('goy.,-,gr'ip /n Yp G-ern,,n e NY /0,R'U,S Tel. 793 4,1/,/
Property Location En ,/- ,i rl' R t9 /Vnr/-h_ of EY/L-An n f- %-S 7 Tax Map No. 36, / // z s,
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
Woo/tic k
SUBDIVISION NAME, IF APPLICABLE j br Mlnc,L ,�h,-.r/1 rrr/-la „it?, LOT NO.
/ ✓
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
QAurv, 16,✓„i,/f
*
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
Construction of a building * CONSTRUCTION: $ pla-d)
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
Alteration to a building , *
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
* 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 4/4 oo sq. ft. •
OCCUPANCY INFORMATION
*
2nd Floor sq. ft. * ' Primary Building - 31
Other Floors sq. ft. * One Family Dwelling
(hot cellar or basement) .. Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units ‘<-5
Size of new structureft x ft. a Business
Foundation-pier/slab/crawl/partial/full a Industrial
i
(circle one) • ° Other
•
No. of stories (habitable space)
__(r_k___*_4_jclfeega,)
•
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
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 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. 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 11�9. l3ox3ao�
1�n1�;rl. een n ADDRESS ) n YN �--r •rP /x� TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
>3L/ E.hicci9L-cr 3L-
NAME OF ELECTRICIAN CAL 6n ADDRESS 0--le1'1 F rc//S /u v TEL. NO. 793 -9a(„j'
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 agt, tect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
l
tetr&O 0CZ AL frriCos Iu E-NALsrix-)--G 9
BY
•
•
• YOU ARE HEREBY REQUESTED TO
- INSPECT AND ISSUE CERTIFICATES .
. FOR THE FOLLOWING ELECTRICAL .
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
• TEMP.N DATE I
r` f rj `
CITY OR VILLAGE . TOWNSHIP COUNTY
%,f r, �'i P r\/ .
STREET AND NO.OR ROAD �, POLE NUMBER
.0 ` r_` . _
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPA}T'S NAME-" J ( BUILDING OCCUPANCY
r- 1-r-=,i I n re- .
OVJNER'S'PIAME ANDADORESS(" -J -.. / y HOME TELEPHONE NUMBER
/r __((11� ..-..),41,` i__ r-('r_ 1 v,r,. i-'i„ ,-J:_ t r'-�/�' '�f /7., ` -. , ,-`- h fir'; -it-/Yr,/
CUR REN1 SUPPLIED BY - / FROM-THEIR .. / OFFICE ' WORK TELEPHONE NUMBER
•
. BUILDING IS
NEW❑ OLD WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED '
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
- -lion Side Attach't H.P. Watts A.W.G.
Ceiling .Vyyp Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
. SUB •
-
- BASE •
BASE •
-
' MENT •
1st
FL.
2nd
FL.
•
-,-3rd
FL:
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. _ ..
-
•
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
. THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF - . VA
❑ CONCEALED
DATE WORK TO BE STARTED • DATE COMPLETED SIZE OF SIGN(NUMBER) • CAPACITY
-
SERVICE ENTERS BUILDING • MANUFACTURER OF SIGN . _
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER DENT F CATION PUMANTS'
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
- PRINT NAME AND ADDRESS - •
NAME OF APPLICANT p ' '-'s DATE"OF APPLICATION SIGNATUElE OF APPLICANT -
•r'r,! . _ . _/,-. -t i-(:r-(_r''ti.7- _ 1" C e -. �., 1 i,(' /, . /r: X !�.,/,,,,-;....------
,. jlj -
STREETADDRESS-` �(\ l`"/ -'/ '. TELEPHONE NU.��-�
+? /, .%. /:;n -,./ r-/ -,---/ . i ./--'• !)// i
CITY OR POST OFFICE - ZIP CODE 'L(CEIVSE9NO.WHEN APPLICABLE
•
❑ 85 John Street l ❑ 41 State Street ❑570 Delaware Avenue ❑ 217-Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
• THE.NEW YQRK BOARD QF FIRE UNDERWRITERS
...� C.�¢a 4.-1..!J..!...-1.I.a!.a!.),1.)L a/.1.!.J _Cl to MCA ta_¢--s.A?."-af!.1!-1.!.�.•A.‘.t .:a..). a!..A.!..1 t.11'44.��i.A.C�,±...11 a1!.a"!.a."l.a9.:�?.>>.:1 1.�°.!.; !.?!.....1..i.:l..?!a!.?t: !. ,.,/.. •d-
�, THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE .1 r
?O18658 BUREAU OF ELECTRICITY
I 41 STATE STREET,ALBANY N ORK•12207
-6 Date JULY 24 1991 Application No. n fi1T)7124 991/91 H 412497
THIS CERTIFIES THAT PERMIT NO. `1-389 ca
only the electrical equipment as described below and introduced by t t named on the above application number in the premises of 741
-1.1DIR. FACTORY/OUTLET CTR. , RT. 9, BLACKSHEEP 'TENTURING, QUEENSBURY., N.Y.
�, in the following location; ❑ Basement 1st Fl. ❑ 2nd Fl.. WOOL'RICH Section36 Block. Lot 9.8
3. 1'
�, was examined on JUNE f 199E and found to be in compliance with the requirements of this Board.
•
'`' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ri
ECEPTACLESI SWITCHES
-.6 OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W.' AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
-', 17 17
4.
-<' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS til
tc' - SYSTEMS
-(' 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 E_DISCONNECT_ _ NO. ---- { ,: - - --
S E R V L_,. C E
.. AMT: AMP. TYPE METER 1 if 2W 1 fif 3W 3,B'3W 3,9 4W NO.OFF C®COND. OF CC.COND.. NO.OF HI-LEG O W .
F.HI-.IEG NO.OF NEUTRALS Op NEUGRAL
J.
2
-u OTHER APPARATUS:
•
•
-4.
MI
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PA
-*\D.v.,..„—__ (...._ :
..7.;:' .:4: ,i, . i 5; ADIROND1CK FACTORY OUTLET ' _'.
21).77-et
.c' CENTER INC. BRANCH MANAGER
, RT. 9 BOX 32G2 • -
-0 LAKE GEORGE, NY, 12845 Per
of. 4.1
�, This certificate must not be altered in any manner;return to the office of.the Board if incorrect. Inspectors may be identified by their credentials. '':
(Y Tr fY V't i'1 r'i YY'fY t'i l'•i i-;S'1 Ti r•i R.1 YY i7.7 i71 i'l YY f1 Y•i Y'i V..i Y'i et C'i el I..?f•i N-i Y i V./Y•i\'i(•r VI i•i Y•i i Y Y`i Y'i Ci f•i in' 'ti e, i•i 1-i?F l`,77 i, i C r . . ;"4-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT•BE ALTERED IN ANY MANNER.
•
•
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 1174
TELEPHONE (518). 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 4/, /�,
NAME ��l/ <A/6/0 clt 0
LOCATION d dtn]f} �(,(` 1� t&jJ 7 1"
DATE 64(0/9/ PERMIT# 97- -7,P9
APPROVED
N/A YES NO
EXITS V
AISLE WIDTHS N/
EXIT SIGNS Y
EMERGENCY LIGHTING /•
• FIRE EXTINGUISHERS \ f ��
AUTO. EXTINGUISHING SYSTEM
-_HOOD INSTALLATION /
• AUTO. SPRINKLER SYSTEM1 f
ALARM SYSTEM
INTERIOR FINISHES i
STORAGE:
, CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING4UNITS
REQUIRED SIGNAGE / 1
CHIMNEY
WOODSTOVE I
FIREPLACE-MASONRY
•'.FIREPLACE-FACTORY BUILT l
'REMARKS: U OK TO THIS DATE
'11\4\J 14%t
1(j1(
/I/
ARRIVE
DEPART / � 1/1 n ;
INSPECTOR.
TOWN OF QUEENSBURY
���... 531 BAY ROAD
` j QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIONI
REQUEST FOR INSPECTION RECEIVED &l50/%,
NAME o %, � //:G!''.GJIf e
LOCATION ad,oxol' °44
DATE qqA7,/ PERMIT# iqf.3�9
TYPE OF STRUCTURE l�li
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
1
l' I
/ APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION /
B VENT/LOCATION
PLUMBING VENT I
ROOFING
SIDING „r
DECK/PORCH/STEPS/RAILI=NGS
RELIEF VALVES �t /
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY\DOORS
FINISH FLOORS: \
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED 'k
STAIR CLEARANCE/RAILINGS :
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIREPROOFING '..
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
`' /
ARRIVE
DEPART
c \)i\()( I, �i-1
TOUR OF QUEE➢ISB531
UR
`�vcj QUEENSBURY,BNE ROAD
NEW PORK 12804
- TELEPHONE (518) 792-5832
BUILD • - h' + 'S REPORT
FINAL INSPECTION..-
REQUEST F �" RECEIVED f�/)7 l Q
NAME cT RC,k SI�n fc / 7
LOCATION Ad.\;(`ov.r)a r c ()l�-�',�P_,-C/v
DATE (RI D-`7 f l • PERMITS '/ —3 1
TYPE OF RUCTURE.-1 1 IN /JLiJ&/(-(1 d7lL
REC ECK r/
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDAMoN BApKFILL FRAMING
ROUGH PLUMBINGINAL ELECTRICAL _SEPTIC
INSULATION WO55STOVE/FXREPLACE
SITE PLAN/VARIANCE REQUIREMENTS _YES NO
_
REMARKS ` A
J
s / APPROVAL
I / N/A'•YES NO
CHIMNEY HEIGHT/LOCATION ,
B VENT/LOCATION ( /
,
PLUMBING VENT 1 / ✓
ROOFING 9 /
SIDING L/ /
DECK/PORCH/STEPS/RAILING
RELIEF VALVES ,/FURNACE/HOT WATER OPERA NG :,//
BASEMENT INSULATION/D CIORK ✓
INTERIOR TRIM/PRIVAC DOORS arm +-
FINISH FLOORS:
BATH/KITCHEN WAT TIGH �/,i'VC
OTHER FLOORS SWE PABLE ,✓
OTHER FLOORS CA PETED ? 2,/
STAIR CLEARANCE/ ILINGS _ ,/
HANDICAPPED ACCE S :
SMOKE DETECTORS 1 ,/,,
BATHROOM FANS/ OLEHOUSE FANS ✓
x
ALL PLUMBING.FfXTURES OPERATING ✓;
GARAGE FIRE P OFING ✓
DOOR CLOSERS
OTHER FIRE S ARATION t, ✓
FIRE/DEMISE ALLS 4,,
DUMPSTER 0
FINAL ELECTRI L (/,ij�,�;� ‘, ✓
OK TO ISSUE OR�, C _ `/'.
COMMENTS:
ARRIVE o- </-
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