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1993-028 BUILDING PERMIT TOWN OF QUEENSBURY No. 93-028 WARREN COUNTY, NEW YORK -, PERMISSION is hereby granted to KAY'S MOTEL OWNER of property located at Route 9 Street, Road or Ave. in the Town of Queensbury,To Construct or place a Demolition N 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 Marian Cannistraro RR 5 Box 230 Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name Norman Ouellette 3. CONTRACTOR or BUILDER'S Address 26 Elm St o Hudson Falls NY 12839 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and SpecificationsCD Demolition of living quarters, office and six motel units (all one a build*ing) 122'x26' as per plot plan and application. 8. Proposed Use O Removal of fire damaged building for replacement. $ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES n/a 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.) Dated at the Town of Queensbury this 3 Day of February 19 93 SIGNED BY C for the Town of Queensbury Building and Zoning Inspe r - -OW- - -,.$.1.**.k.1140A.- , : TOWN OF QUEENSEURY l',.-- APPLICATION FOR DEMOLITION PERMIT DATE: 3 9,3 FEE PAID: �®, Of, "VN ORECEF QIIVIEENSBLED ,... INSTRUCTIONS FOR COMPLETING THIS APPLICATION F E B 3 1993 1. All applicable spaces are to be completed. '!_DG. & CODE DEPT. 2. Two plot plans are to be submitted, drawn to scale, showing: a. Lot boundaries, with dimensions and adjacent roads and streets. b. All existing structures, indicating which are to be removed. c. Location of all utilties. 3. Fee submitted per current fee schedule. g75 1`/b TZ OWNER OF PROPERTY: 42 /Ki/9,,,/ ('/.9%-„it/) $7/Z,9;j 0 P.O. ADDRESS: 4/e ' j A ' 5L3'O 42S6yTEL: - PROPERTY LOCATION: pon,,'�.se(>,2 jL,� TAX MAP #: ? V/ / / I Person Responsible For Work: 17/2/Z/27/9)1/ Oci L 1 ;- Tel : 7 y?--6cP.4. Address: (p eLin S T-oxr�e 7— Hy1,5 er-✓ F/9-66,S ' `/ WHERE WILL DEMOLITION MATERIAL BE DISPOSED OF? 93 (l/ . 0-K— LiAh4.70/4-i'LL The following building(s) located on property described above are to be removed: Previous Use of Buildinge)/ A,,E L.i. L- 6.- Qof-xT �S (Circle One) : Residence Garage Storage Business Other ' / fit;i cp,5-✓(-- 47 cs4Wriaei Have all utilites been disconnected? Gasyp> Electric r Propane t Water ye.- Size of Building(s) : 1. f -2. ft. x ft. Location on property rgDA/ — ft/ 6-/0j S//]. 2. ft. x ft. Location on property 3. Number of Stories: /&T gip-( 4. Foundation Type (Circle One): Full Cellar Crawl Spac Slab Foundation Will Remain Be Removed 5. Another Structure Will Will Not , Replace This Building. Replacement of structure will require application for Building Permit. NOTES: gt4/2./9-ce-iiii-7,-,7— 72 /3 sPici "756- s.S�',O �.//) �/3 -,, SIGNATURE OF APPLICANT: 7-1� a- � ( `/ Owner, Owner' s Agent, Architect, Contractor j C.SEWAGE TREATMENT INFORMATION 1.Type Q�On-site ❑ Municipal(Name) (Complete questions 2,3 and 4 only if private system is in use.) 2. SPDES Permit Required? ❑Yes ❑ No 3. Specify the major component of the system in use 4. Sewage Treatment Schematic obi u,i4 -41, D. FOOD SERVICE Number of food services High Risk Medium Risk Low Risk E.HOUSING(If no housing is provided,go to Section F.) Number of buildings 3 2.Specify the quantity of buildings by UFPBC Type Type 1 Type 2 Type 3 Type 4 Type 5 Number used for sleeping 2i 4.Was a fire safety waiver or variance issued? ❑ Yes ❑ No a.Type of heating .-ft't1 • b. Capacity BTU/hr @Fire Alarm/Detection 4-L rK+'tf`tist, — a.Are there smoke detectors? Yes No b. Are there heat detectors? ❑ Yes ❑ No c. Single station devices only Ai Yes 0 No d. Where is the fire alarm control panel located? 7 a. Is there a sprinkler system? ❑ Yes No b. Is the system ❑Complete ❑ Partial c. Is the system ❑Wet Pipe ❑ Dry Pipe ❑ Deluge F6 BATHING FACILITIES L1 Yes El No If yes, attach DOH-2948. If no, proceed to section G. ri. Minimum level of supervision required ()Type of filtration system (pools) .A.(L►�at- `$. Name of body of water beach is on g�Capacity of each facility 33 5. Is Certified Pool Operator required? ❑ Yes ❑ No ICJ COMMENTS: DOH-1316(4/91)p.2 of 3 TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME /LL/ J?( a LOCATION I DATE 410, PERMIT# / . TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE 7 — f if REMARKS Or' ffj APPROVAL Il N/A' YES NO CHIMNEY HEIGHT/LOCATION pI! B .VENT/LOCATION r? ,1,, PLUMBING VENT t; ROOFING SIDING , DECK/PORCH/STEPS/RAILINGS RELIEF VALVES ,ri FURNACE/HOT WATER OPERATINGi;' BASEMENT INSULATION/DUCTWOR INTERIOR TRIM/PRIVACY DOORS V, FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE t OTHER FLOORS CARPETED , STAIR CLEARANCE/RAILI,NGS HANDICAPPED ACCESS }� SMOKE DETECTORS „' BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: Gee( 1COiAt( ARRIVE /72) DEPART /k.,.!$ I PE LAYOUT SKETCH Place a North arrow on the map. Show all buildings, indicate height of buildings in stories; if building has an interior corridor, put a "#"next to the number of stories. Show location of water supply and sewage treatment system components, pool and beach location and roads. Indicate the distances from the nearest building to the following:water sources, sewage treatment components, fuel storage,pools and beaches. -MN OF•QUEENSSL:. • • RECEIVED FEB' 31993 4,rri G. & CODE DEP7'� • ••. k I or o)sseA t 44. • • • 7 1 C tivi..201) , 1 . Hi ,� / - r i..) , 1 • • • 11 , • '� • •,„ f ..., . . . 1 . ... 1 6';',. / .. , _ • • • . • : VIgol ,A.' A • : .4P14.4%) V • X4 NJ. . . . . . . . . s..,` —. . . . . . . DOH-1316(4/91)p.3 of 3