2010-206 Blue Moose Tavern & Restaurant el` TOWN OFQ UEENSBURY
742 Ba Road Queensbury,NY 12804-5902 (518) 761-8201
Y ,Qu t►n',
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100206 Date Issued: Wednesday, May 05, 2010
This is to certify that work requested to be done as shown by Permit Number P20100206
has been completed.
Tax Map Number: 523400-288-020-0001-019-000-0000
Location: 1300 STATE ROUTE 9
Owner: DOUBLE S PARTNERS, LLC
Applicant: BLUE MOOSE TAVERN & RESTAURANT
This structure may be occupied as a:
Temporary Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Dire tor of Building& aist E ;>., ement
Planning Board or Zoning Board of Appeals.
��� TOWN OF QUEENSBURY
`low 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100206 Application Number. A20100206
Tax Map No: 523400-288-020-0001-019-000-0000
Permission is hereby granted to: BLUE MOOSE TAVERN &RESTAURANT
For property located at: 1300 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DOUBLE S PARTNERS, LLC
14 LONE TREE LOOP Temporary Sign
DIAMOND POINT,NY 12824-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-206
TEMP SIGN TO RUN FOR 4 DAYS MAY 5TH - MAY 9TH
$10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 05, 2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To, • eens ry; e s( e • y, May 05, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
,.,
OFFICE USE ONLY p 4 - -,¢; - . ` ;
f r iii:'
� / � Imo' -- -:7-"- ��
TAX MAP NO. /0-2—C)6DEPOSIT: ' /
PERMIT N0. ' s: 3 /
rr; _ /
APPROVALS: ZONING: TOWN CLERK: PER IT F E: &H. s ;
•
/ /gr): fig'/
/ - 6/
TEMPORARY SIGN PERMIT A ,PLICATION:
Applicant Information Business Information
Name: j1J c, %,6 , e,,- , Contact Person: ti) j c/4,)---s3
Address: I J 0 SrZj, dt t Address: )& t i, ,c' d,k,
0 i'.'4 0,--4.,..--)0 63 411 / q‘?" CI 0 cP4-12. —0 /era /4"7 / ) X'''''-'-7
Phone No. r ! 1--- 7 6 / —? P ao j Phone No. S7 Z 6 C 1---- ((.
Specific Information about your sign:
V What is the date for placement of your sig ? G -(\t-1--)
✓ What is the date for removal of your sign? ,Ni `artuN.
✓ How many days will your sign be displayed, ( .1.12-7,-r
V Indicate exact address for placement of sign: ' ).a 0 EIV-3_ , - 6'
/
✓ Indicate tax map number for your parcel:
✓ Indicate the type of sign you will display:
•
Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot exceed 16 square feet)
✓ What are the dimensions of the sign? a- X /J = ?c, sq. ft.
✓ Indicate in words what your sign will say: r, tid o ( ! 1, f ,, 1/6
,-,427
lit/7 k%$) C/1 1) Sif t g f /A —t•-) s C itti , (-76, r„......L„
V yV
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
Declaration: To the best of my knowledge, the statements contained in the 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 Zoning Ordinance, and all other laws
pertaining to the proposed work all be complied with, whether specified or noted, and that such work is
authorized by the owner.
APPLICANT SIGNATURE: l/p ` DATE: Wi,in. //it. /-6,) 7D
I hereby authorize the applicant to place a Sian nn my nrem,oHA/ nr h.in.lin/•,•
Temporary Sign Requirements
(Effective per Local Law#11, 1993)
• Temporary signs for the Town of Queensbury are issued for 12 calendar
day periods.
• Temporary signs may not be issued in excess of 60 calendar days per
calendar year per applicant.
• Only one sign per applicant may be displayed at one time.
• Temporary signs may not exceed the following sizes:
o Wall (banner) - 32 square feet
o Free Standing — 16 square feet
Note: Temporary sign deposit may be forfeited if the sign is not removed by the
specified permit expiration date.
Temporary signs are also subject to basic requirement of the sign ordinance.
Please refer to the Code of the Town of Queensbury, Chapter 140.
r•
Example of information required for Temporary Sign Permit
Application:
SIGN TO BE DISPLAYED:
GRAND
OPENING
Zhet
JANUARY 10th
1< show lengfh
PLOT PLAN SHOWING WHERE SIGN WILL BE DISPLAYED:
v '
! i
� 1
kit -
41 (Liidini)
rt.
1
°r b s i ii
4 (if a w.
1 S' nu,.11ben
5d,splayec
I (rF a frttsfascbs j si jn; titre I
I Sid„ wi11 k diy147ed hots 4 •
I -� - —(sLni 5e+I k cltst4r )
sfr?e f' i ht
t*9 tva o f y
Main St.
' ' Queensbury Building & Code Enforcement - Residenti naI'Inspection
Office,No. (518) 761-8256 Arrive: ilk_am/eg Depart: am/pm
Date Inspection rereceived: Inspector's Initials:
NAME: quie711:41Ci X PERMIT#: ,e� -z f--
LOCATION: 7:15 f - / st 1-,. DATE: Ate'„�lgeF
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4” Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location /
Fresh Air Intake 3//
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monocle Detectors
Every level: t/ Every Bedro6m:
liOutside every bedro area: ✓
Inter Connected: fr Battery backup: V
Attic access 30 inch s x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area //
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly /
Gas Logs in Sealed or Glass Enclosure r//
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces I Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certificatio cared
' /
Okay to issue C/C o C/ Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
I , Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20100260
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
05/21/2010 Final Electric Residential Alteration MIDDLE DEPARTMENT
Approved 2010-260
An inspection has been made of the exposed electrical equipment in the premise indicated. No obvious
unsatisfactory condition was found
05/26/2010 Miscellaneous Residential Alteration JENNIFER HENDERSON Staff
Misc 2010-260
permit entered
07/28/2010 Miscellaneous Residential Alteration JENNIFER HENDERSON Staff
Misc 2010-260
permit issued
07/28/2010 Miscellaneous Residential Alteration JENNIFER HENDERSON Staff
Misc 2010-260
permit issued
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\•:"\:.,_•..A,,'\ ::Q•='\,_•„,: ,. .,._,, $..•'\'`„l'.\•:Y\•:...10vC•:'\Q•..ov .,‘.�. ?.��4r _.�t•�'a�:'L�:'\'�:�'�: '\h\-its'��:��:�,�:��:'\ :'$_fv : •• \ "\ '\ • ' ' ' '
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4 * MIDDLE DEPARTMENT INSPECTION AGENCY, INC. '�
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<<�) ei,i �P.:that the electrical wiring to the electrical equipment listed below has been examined and is approved as tia
ks being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
j noted below and is issued subject to the following conditions. ti?
0 Owner: i Date: i,�:y
(>j Unknown p �-J P � 05/21/2010 C�,�
\,N Occupant: Same 75 Rockhurst �,
���) Location:75
(N,�) Queensbury, Warren Co. NY APs,
q Occupancy:Single Family Dwg. r�
�;%) Applicant F '
<<>) Phoenix Electricians Co. <<�
ig PO Box 668 >
5; Cairo, NY 12413 (<�
�?j � L'.?
_
0 Raymond A. Novak '§dNO 140252129805EL
411
Equipment: 0
(�;?) An inspection has been made of the exposed electrical equipment in the premise indicated. No obvious
C unsatisfactory condition was found. Cly
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<<�) This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and .,�
C�) above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership )
(j� inspection. No warranty is expressed or implied as to the mechanical safety, effi- of the property indicated above,this certificate shall be immediately null and void. `(.t�
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, `�
� be valid fora period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ,ar
g; system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle ��.;J
(�j) ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation `h.�
(`a any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. yam.
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Deed Reference
i' jTMP#268.2a 1_18
";Mdtan Latham�-
Dorothy Latham
to
1,Double 5 Partners,Inc. fi
,;Book:1226 Page:162
?Date:3 August 2001 I j
17
TMP#288.20,_1 19 r
;Milton Latham – —
:tc,
Double 5 Partners,Inc. �� { —'7"—_.————
oo
Bk:1226 Page:1G5 { '----
Date:3 August 2001 { 585°48'00—'E
356,07'
{ Paved Partvng
Map Reference 4
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umap o#.,. {
:''Mrs.Gladys Mooney ( { { ,
'By:John 8.Van Dusen �`�• { 4 { ,
Date:23 March 19G5
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. 1 i Total Area=4.6±acres
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of a proMalot plan for
Blue Moose Tavern t&Restaurant
Situ kte In \
Town of Queen5bur y County of Warren
State a New York
I
Scale: 1"=80 feet ate:8 December 2009 Mapp na Notes
Hots:Only tide""''t`h'% ng the maker's
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omen than embo9xd%e n cope s may contam
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#:288.20 I i8,79 inewS i
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