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1991-828 t 4 4. CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date >40,44, 19 f-d\ This is to certify that work requested to be done as shown by Permit No. 91-828 has-been completed. This structure may be occupied as a storage area Location Lake George Road I Lt2A SWe- 9 Owner Chapplain Oil Co. d/b0a COCO MART INC. uirry mart store By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-828 WARREN COUNTY, NEW YORK ro PERMISSION is hereby granted to CHAMPLAIN OIL CO. d/b/a COCO MART INC. O JIFFY MART OWNER of property located at Lake George Road Street, Road or Ave. to in the Town of Queensbury,To Construct or place a alteration to building H 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 2126 S Burlington VT 05403 2. CONTRACTOR or BUILDER'S Name �-I Glen Beckwith 3. CONTRACTOR or BUILDER'S Address #3 Mountain Rd Lake George NY 12845 • n 4. ARCHITECT'S Name O O 5. ARCHITECT'S Address H H 6. TYPE of Construction—(Please indicate by X) (K)Wood Frame ( ) Masonry ( )Steel ( ) ''. Pi 7. PLANS and Specifications N � Gl No. 45 sq ft Alteration to building as per plot plan, specifications and application. 1-1 8. Proposed Use (D R.+ Storage area $ 15 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 27 ,19 92 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt. town of Queensbury before the expiration date.) rt. 0 Dated at the Town of Queensbury this 27th Day of November 19 91 Cr for the Town of Queensbury �, SIGNED BY j>,„ , :;Building andInspector/ I-'- I TOWN OP QUEENSBURY , ' 4 � REVIEWED BY: at.al/OWN OF J ,o b RFCEr mra i#1, FEE PAID: PERMIT NO. : ql- gz( NOV 25 1991 FLO(3. & CODE OEp1-. 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. , * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: G1-IANlpt.xlt1,-: ott.. 60. (dto2 GvcvM+it2r, rt.JG,) 0 t-c)5 P.O. Address: Pp, 6c' Z iZe. 1 50. (S 4 2(-t tJ6To►J r VT PHONE 86044- -53&0 Property Location: Vt 16t# c* 12Tel t Lt012.1-4 o6- Ec. T& Tax Map No. 35 / I / 4.ZZ Has there been any split of this property since October 1, 1988? Yes No ) If yes, Planning Board Review is necessary. Subdivision Name, if applicable: 1J IA Lot No. i•--1/A THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: RRt,lt._ 6 , t;JAIvi6LAA)..) z1 Cc,NSd,tL-i1 i.i r ( z - - H- 4zw NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ 850, aQ t- Addition to building * Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of- Property: . 0`7 Aft. x .7,[ii‘Ot. F17 Other work (describe) * Existing Building Size: * sL l'B PLh * • S&' ft. x 415 ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor 4f%j Sq. Ft. * Front Yard> `7 7 ft. Rear yard, 3& ft. Side Yards 1,c, ft. and Ir/P} ft. 2nd Floor d Sq. Ft. * If on corner, setback from side street- * .J/A ft. Other Floors e) Sq. Ft. * (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: 4 Sq. Ft. * Primary Building - * One Family Dwelling Size of New Structure: '1.C✓ ft. x &' o ft. * Two Family Dwelling Found. : * Multiple Dwelling/No. of Units _ Pier/Slab`'Crawl/Partial/Full (Circle One) * x— Business CE>C16ili.JL.1 ) * Industrial No. of stories (Habitable space), 0J1 * Other Height (grade to ridge) P1' -o -1-- ft. * If residential , no. of families: tit/A * If addition, what will use be? No. of rooms (excludi•ng baths) : c7�c * `5Yor2raU e. No. of bedrooms: KJ 1/A * No. of bathrooms: ti / A * Accessory Building: Primary heating system: IJ ors E - * Detached Garage - One/Two Car - Type of fuel : iJ 1 A * Attached Garage - One/Two Car No. of fireplaces to be installed: Uo>i * Private Storage Building Will a woodstove be installed?: k.ta * 7; Other Central Air Conditioning: Yes No ) * ATi Y.I41E17 �,4-f-Eb 0u ek[5F"I1i(A COOC,1 �LA-13. (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: • Type of construction: wood frame, fire safe, etc. L1.A rD 2i11-n6 bl.) 6e161: 1121614- Will any second-hand or ungraded lumber be used? If so, for what? L o Foundation Wall Material : i tCIL Thickness: AIL 4- Depth of Foundation below grade (to bottom of footing) : e)CISn NCB tag " $" Will there be a cellar? WE, Heated or Unheated? UI�1-1 -r Floor Sq. Footage: Will there be a basement? IJ O Will any portion be used as living space? 1J o If so, what portion? ',Ilk Sq. Ft. Type of Use? �oLD G•T-c12. c Type of Roof: Sloped/Flat/Shed/Other I-}eD Material of Roof pD Eo.0 S : Size, wood studs " x 4 " ; spacing lei " o.c. ; length>e ft. Joists (floor beams) : 1st Floor LJA " x IJA "-; spacing jjj• " o.c. ; span 1'A ft. Joists (floor beams) : 2nd Floor PA " x f✓'A "; spacing IJA- " o.c. ; span k,4 ft. Overlays, (ceiling beams) : 'Z " .x 4 "; spacing tee " o.c. ; span tet ft. Roof rafters: " x Cv ; " ; spacing t(o o.c. ; span 6 ft. Roof trusses (pre-engineered): spacing IJA " o.c. ; span 1J A ft. Exterior Wall Finish: W000 I oI uta,l,;"': of what material ? SP2UGiS_ Interior Wall Finish: ?Jo FI itSN If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /A- Is there to be an opening between garage and dwelling? PJJk If so, will a Fire-Rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? 110 Height above roof u fA• ft. Depth of chimney foundation below grade: J/1 ft. Depth of fireplace hearth: _ J/4 ft. '),{ in. Water supply . Municipal or private well: • tvlu pA.L. (6= 1S7-IuU ' SEPTIC. SYSTEM: Distance from any private well (including adjoining properties: al/A- ft. (A separate application is necessary for any repair or new installation of septic system. ) u /1 NAME OF BUILDER & ADDRESS: ALEiJ }fir✓(J L) Thl, #3 MovuTIiu pp. PHONE teie 4-335 VAME OF PLUMBER & ADDRESS: Ral14 • LAKE L1E e. I-1. PHONE VAME -OF MASON & ADDRESS: J /A zG4-5 PHONE VAME OF ELECTRICIAN & ADDRESS: Oh X1< ,PHONE 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 ill proposed work to be done on the described premises and that_ all provisions of the WILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall )e complied with, whether specified or not, and that such work i authorized by the owner. Signature /zee C, • Owner, owner's agent, arch tect — •-- __contractor /JoU/U.11601 ;PECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer TOWN OF QUEENSBURY 531 BAY ROAD i3{= QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAMEa Prk id)e pp LOCATION yXfiZ9 �/7'. 4 // ) 3v9 DATE c_:1 ,t PERMIT# 9/& f TYPE OF STRUCTURE P, 7'" 9A6 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL XFRAMING - ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS ale.6, 2,P�j�` _ 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 I OTHER FLOORS SWEEPABL / OTHER FLOORS CARPETED V STAIR CLEARANCE/RAILINGSI\ HANDICAPPED ACCESS I \ SMOKE DETECTORS / \ BATHROOM FANS/WHOLEHOUSE FA4IS ALL PLUMBING FIXTURE OPERATING GARAGE FIRE PROOFIN DOOR CLOSERS C' \ OTHER FIRE SEPARA ON a, FIRE/DEMISE WALLS \ DUMPS TER SITE PLAN/VARIA CE REQUIREMENTS FINAL ELECTRIC / OK TO ISSUE C/ OR C/C ✓ COMMENTS: 5/1t l>' � , oas�� /boa41 35 ARRIVE / DEPART //die,,fj INSPECTO' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /2/ qq( NAME ,S � 'No LOCATION 14KP @q e cC/ 0 Q DATE r) PERMIT 9 c / ' /? TYPE OF S RUCTURE RECHECK APPRO N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE ' THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FkOM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONC ETE. MATERIALS FOR THIS PURPOS ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/V5NTS IN P ACE PLUMBING UN�. SLAB 'FRAMING- " JACKJSTUDS/HEADERS BRACING/BRIDGING_ JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- • FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART INSPECTOR . c� // s Jouin of Queen iLUr i` • BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPPTIC DISPOSAL SYSTEM INSPECTION NAME //1�ir ., -1 LOCAT ION(,/g�f(//fuji/ c?- ,- - ",�5 DATE , P / ?) PERMIT NO. 9�-rP�9 SOIL TYPE - anl7...› Loam - Clay - - Percolation Ted Required? - YES NO . Percolation rate - Min/Inch : TYPE of SYSTEM: 7 . Absorption field, total lengt. 7 Length of each trench"" / Depth of trenches. ' �� , ►/ Size of gravel' - ,/ -SEEPAGE' PITS4Nuinber of) _/ Size- ft. X fO,ft. Jr Gravel size , '7 uu PIPING: Size Type Bldg. to tank 4 ",� 41-t(d AK-- Tank to dist. box i PVC- Dist. box to field/ it L. p(j� Openings sealed? YES �TO�,) Partial r , ,LOCATION/SEPARATIO S: Foundation to tank • 16ft. ;-- Foundation to abso -p ion zo f t.-¢- Absorption to lot Dine /Q ft. , • • Separation of pit ,f/„ft. LOCATION OF SYSTEEA ON. PROPERTY(circle one) Front - a')- heft side _ Right side - COMMENTS: - • • • SYSTEM USE APPROVED ES NO Building ns ector 01/86 and vl . 'ld3a 3000 v- 'n.al:l L66L 5 9 AON 0 3 A 3�-; "19SN33no =10 NAAO Lor /3u/� D/AL/L> co✓EL,lGE " IL �- G/IL' ✓E�- �E•Q A1Esf,PGE . G7�' i ��• 0A� / /o U/IQss GAc�o LD,c/�Scd PAEO : � � F,, .:� SF Ac•L. ZLo p/. 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' � �'� , NUT L/ 1-4 ` GG' Acme 2 d L Ac/oTE p /Z v IV Id a r Y/ Z. /A/,& 7 0Q Ilk ---EOE P Yi # BUILDING & CODES DEFT, REVIEWED B DATE � M � i Miw r L � .4 a�wM �r��i I .' Mr�M�N bfd ' ! ar�i�Ms�MiMtN1a �.. `k ILE COPY Z p I J — I LEGEWD ^ Tg�e 0 6E p.�N►OVED r' 'f"�e O DB RELOCAI'W PoL.&I LZ' —EOEP r-= Of E%IsglW4 "Me Pvt 9 FOLE ..— x •— x --- GNAI w LINK rewcE PON44CtE MONUMEt.1Y i e5 p CC xy are p WAIL MP Un 15 ' .�PtEU,D.�uouS .wwo cz== WC 45 IM 1 —'r'--' I.�L VISE/ dif0VA4F- - TOO tor, of-GAW4 6rogm DF'A•IN+ 8 y G/t aC ON/G 9E /Z ✓/G E.1 /A IC, /,c./ d SSacId r/OAl W/rW ,44 J,uAk: c. W.d d O/c,9 G.E . I • Y ••moo _��'l Fr,'. • 4n� a3i1�t'7- �~ • • c1 I C� w >_ Ld > 2 < cr- 0 ;;� I O U Lu '� Y- _ z J a 4 � 1 F— 0 N e4-t�1/1,W /S /,/, y - 4440 , / '/b 9 /c//r/Y JrnIZ4­1 .4on er 10 /l//rs/ le- e, TO /�/T. O� �a�a•, -L EGENo � ^� �� L� u/L • F/ X ru/� E•s �,uEwJ -0c.. A 7�FL ©uc F/xr`ua.ES 11coA.'W'0,¢ S/o.C/ K/r� ur -44=�" n/ ,t/E LV Q U /� L L O L E T =@r E A /s r-/,uCr ,D �/ r4 E r3 F ✓u,v c r /c/ ,v 4,0 A 7 - /L E A/ .o v .E T/3/z 1`o BE aZ` A0vE0 A16 L, v d r E� v us�.c. E X - /1Z Ad/3/,c/.Er E A/ r- L/ G r 4/.u1/- o-� C 41y 46 Zc a s .AI,w ACcr IW All / .e /1 L 4 o 5 le /.Z E A/ Z E L ✓ d ro A ),/ S,aE c / -/c 'd r/ o,cr yp, wero/1. yE�r Mechanical and electrical plans are intended to.serve as conceptual direction during design -bid stage. Owner is advised that due to restrictions of existing structure, adjustments and in -field rerouting and/or placement of fixtures and devices may be required. Cross reference all work with own a general contractor to establish priority of trades. 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