8902 BUILDING PERMIT
TOWN OF QUEENSBURY 8902
No.
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to USCI Division, C. R. Bard, TNr _ H
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OWNER of property located at 266 Bay Road Street,Road or Ave. C'
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in the Town of Queensbury,To Construct or place a ' Addition to hl dg_ 4 N•
at the above location in accordance to application together with plot plans and other information hereto filed and o
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 266 Bay Road
Glens Falls., New York Pzi
2. CONTRACTOR or BUILDER'S Name Fi
Glens Falls Insulation Co.
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3. CONTRACTOR or BUILDER'S Address C)
9 Marion Ave.
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address (3)
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry (NJ Steel ( )
7. PLANS and Specifications -
18 'x27 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use
Light Manufacturing (addition to building 4)
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$ 20. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 8 5
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2 7 th Day of November 1984
SIGNED BY `-ma L oC/
for the Town of Queensbury t-Q
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. :
Permit Issued 19. .
BUILDING AND ZONING PERMIT limit !•.spires., 19.
7.(minL District /*-------,
• \ a l uc• nl Work,f ( )
THREE (31 Copies of a PLOT PLAN, Drawn to scale •\1'11")\c•cl h�' ti-- /
showing the actual dimensions of the lot to be built 1tc•niarKf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF AUEEI�IEI�I;JP-s?`l
1 O�-- I — 1 el November 15, •1984 R
E (�1i. I�• 11 �f] E =-;DATE �U1 �,C 1?!
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,� ��
ANSWER ALL OF THE FOLLOWING. 2 a .
The undersigned herebyapplies fora permit-to do the followingwork A.M. �� 6 f' °
9 PPP 8J9I.0141+2)3r
which will be done in accordance with the description, plans and specifi- 71, • e d
, I ! e1,4J-5 ,
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
USCI'Division i. .C- .R-. Bar d,, Inc,,. 2.6.6 .$ay. .Road,. .Glens. Falls.,. New. Y.ork.12801
(NA.AEI (P.O.ADDRESS)
The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Keith R. Jablonski,, USCI,. Glens.Falls, .New.York .12801
(NAME) (P 0 ADDRESS)
Name of Builder. Glens, Falls. In.s.ulation .Co.. . . ... . . . .Address . 9. .Marion .Avenue, .Glens•Falls,• N.Y •12801
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$ 1.0.,.000.0.0
Name of Village .4ueertsbury
Name of Street 266 Bay.Road, Glens Falls.,. .NY Side of street: north 0, east 0, south O. west
Nearest Cross Street Quaker Road Distance from this cross street . . .1,00Q Ft.
Property is north ®,south ❑,east iii,west 0 from Cross Street
If on Corner, which comer, northeast 0, northwest ❑; southeast 0, southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
El Construction of a new building. Main Building
® Addition to a building. , One-family dwelling Cl
❑ Alteration to a building.
Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached &arage ❑
• • Other: Manufacturing
• Accessory Building
One-car detached garage ❑
❑ Other work. Describe. ' • Two-car detached garage • ❑
Private chicken house ❑
Private storage building ❑
• Other: Manufacturi,r)g
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
• • Indicate on the plot plan street names, the location and
. size of the property, the location, size and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
QUAKER huilding(s) in solid line.
-Size of property • --- ft. x --- ft.
Size and use of existing buildings, if any
F i- Light Manufacturing
PI < ro p po x 27 ft.
� m Size of zed building18 ft.
Height(from grade to ridge) 18'7" ft.
Front yard . . . N/A • ft.
Side yards
N/A ft. and ft.
GARRISON _ Rear yard N/A ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
?-73—M .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. Stran Steel and Structural Steel
Will any second-hand lumber be used? No If so, for what?
Material of foundation walls Concrete Block Thickness 8"
Depth of foundation walls below grade 2 1 6„ Continuous foundation?
Will there be a cellar? No If so, material of cellar floor
Type of roof: Sloped or flat? Slipped Material of roof . . .Steed.
Size,wood studs "x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams x ", spacing "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish Steel With what material?
Finish of interior walls Metal Building Insulation U Factor .068
If garage is to be attached, of what material is wall between garage and main budging to be constructed?
N/A
Is there to be an opening between garage and building? . . .N/A
Kind of heating system . . . .Gas: Unit.Heater - _Oil burner or coal?
Will a flue-lined chimney be provided? N/A Depth of chimney foundation below grade N/A
Height of chimney above roof N/A
Will there be a fireplace? N/A Depth of fireplace hearth
Will a toilet be installed? N/A
Will a kitchen sink be installed and connected to water supply? . . . .N/A
Water supply (public water supply or pump) . . .N/A
Distance of cesspool from any private well N/A feet
Will drainage system be provided with required traps, cleanouts, and vents? N/A
Town of Queensbury AFFIDAVIT
County of Warren
State of New York -
I swear that to tt•ba j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.•lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the pro.:: . work shall be complied with,whether specified or not,
and that such work is authorized by the owner. ,��iG'1 � �j�. ���
Sworn to before me this Signature .... . . . .
/':WNER.OWNER'S AGEN .A CHITECT,CONTR TOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP.# ® 1,0 ;i t'l
CITY OR
VILLAGE GLENS FALLS TOWNSHIP QUEENSDURY COUNTY WARM
STREET AND NO.OR .
ROAD AND POLE NO. .266 BAY ROAD POLE NO.
BETWEEN WHAT TWO'RSS Ai
IS
PREMISESREETS LOCATED?- BAY ROAD & Q ROAD SECTION • BLOCK LOT
OCCUPANTS BUILDING
NAME USCI DIVISION, C. R. BARD, INC. OCCUPANCY LIGHT MANUFACTURING v
OWNER'S NAME
AND ADDRESS user, 266 BAY ROAD, GLENS FALLS, MY 12801 TEL.#r 5518-793 2531
CURS
BYPPLIED NIAGARA MOHAWK •
FROM THEIR OFFICE
BUILDING WORK DEFECTS
IS NEW r OLD El IS NEW 51 ADDITIONAL El REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp'Receptacles MOTORS HEATERS CIRCUITS
Loco- ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub
•
base
Base
ment
1st FL 1.U,
4 711,3 2 12
2nd Fl.
3rd Fl.
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REMARKS: LIST OTHER ELECTRICAL DEVICES NOT-SET FORTH ABOVE: DO NOT USE THIS SPACE.
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 F
y{t ) ELECTRIC SIGN TOTAL
MAINS 500-2 (Parallel) FEE DEERS350-2 LAMPS NA WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK N) IH3'J"AL2,1,'tI0![ TRANSFORMERS OF p/ VA
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WORK TO BE (NUMBER) (CAPACITY)
STARTED - WOV ,1984 COMPLETED 1/85 SIZE OF SIGN N/
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS-BUILDING X OF SIGN
INSPECTION REQUESTED .
ON OR AS POSSIBLE NEAR AS Y 1985 NEW ® OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS RHIT0 JABLONOKI, PLANT ENGINEER
NAME OF' FOR USCI D ISION� C. R� i INC.APPLICANT DATE OF
APPLICATION NOVEMBER,20, 1984
STREET ADDRESS 266 BAY ROAD TELEPHONE# 51S-793 2531, Ext. 212
CITY OR ZIP LICENSE NO. ..,-
POT OFFICE GT N FAT,T.G, wag Tem CODE. 12801 WHEN APPLICABLE
46-EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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TOWN 0;7 QUIFIENSBURY
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