91-456 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY;. NEW YORK
Date 19 _
This is to certify that work u to dote sho b Permit No. 91-456
has been completed.
This structure may be occupied as a
Location Quaker Plaza
Owner 73 Quaker Rc! Associa ant Garden Pizza & Salads
4 v By Order Town Board
TOWN OF QUEENSBURY
Director.of Bldg. do Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-456
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Garden Pizza & Sal ads
OWNER of property located at Quaker Plaza Street, Road or Ave. ,
in the Town of Queensbury,To Construct or place a Restaurant (Interior Al tprati Ofis�__
at the above location in accordance to application together with plot plans and other information hereto filed and a
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ro
1. OWNER'S Address is
73 Quaker Rd Associates N
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2. CONTRACTOR or BUILDER'S Name y
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) W
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications O
No. 1,000 sq ft Interior alterations as per plot plan specifications
and application
8. Proposed Use
Restaurant
$ 50 nn PERMIT FEE PAID—THIS PERMIT EXPIRES July 9, 1992
(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 9t6 Day of July 19 91
SIGNED BY 7 for the Town of Queensbury
Building and Zoni VA'spector
TOWN OF QUEENSBURY
REVIEWED BY:
FEE PAID: �( �- PERMIT NO. :
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: 73 c9dk-��
P.O. Address: PHONE
Property Location: 4-t16;CX;;_ Tax Map No.
Has there been ahy .split of this property since_ October 1, 1988? Yes - No
If yes, Planning Board Review is necessary.
Subd' ion Name, if applcable: �,��'�/ �� ,� _��XLot No.
THE PERSON RESPONSIBLE FOR SUPERVISION' OF WORK AS- REGARDS TO BUILDING CODES- IS: .
NATURE OF PROPOSED- WORK: * ESTIMATED MARKET �VALUE OF THE
Construction of new building * CONSTRUCTION: $
Addition to build-ing
Alteration to building, * COMPLETE INFORMATION REQUIRED -BELOW:
(no .change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building S,fze:
*° ft. x ft.
* Proposed building :- distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner,' setback from side street- -
* ft.
Other Floors Sq. Ft.
(not cellar or basement * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: Sq. Ft. * Primary Building,- '
* One Family.Dwelling
Size of New -Structure: ft. x ft. * Two Family Dwelling
Foundation: Aultiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * ✓ Business
* Industrial
No. of stories. (Habitable -space) * Other
Height (grade'to ridge) ft.
If residential ,Brio.''of "fami-1 i es: * -If addition,- what will use be?
No. of rooms .(excluding: baths)
No. of bedrooms:
No. of bathrooms:. * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes - No
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire- safe, etc.
Will any second-hand or ungraded 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:
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.
Joists (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 & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: 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
all proposed work to be done on the described premises and .that all provisio of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining t th p pos d rk shall
be complied with,• whether specified or not, and that such work i a� ram' ed a owner.
Signature
Ow er, o er s agen , architect
contra or
--------------------------------------------------------------------------------------------
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE ' (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / t
LOCATION
DATE L� PERMIT f_
TYPE OF STRUCTURE
RECHECK APPROVED
FOOTINGS/PIERS N/A YES NO
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO14
FREEZING FOR 48 HOURS FOLLOWING
THE_.PLACENtNT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
'FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL s
ROUGH PLUMBING ,
PLUMBING VENT/VENTS I!N PLACE
PLUMBING UNDER SLAB
FRAMING: '
JACK STUDS/HEADERS
BRACING/BRIDGING it
JOIST HANGERS I V.
JACK POSTS/MAIN BEAM
FIRESTOPPING r
WALLS
CEILING
FIREWALLS
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
R EMMA R�KS: / /
Oc
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ARRIVE41
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DEPART I y� A
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
fa QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME �. �J YL Z&zz
LOCATION 7�
DATE .�i � PERNITf y�,
TYPE OF STRUCTURE _(�
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS
AIA
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION !`
B VENT/LOCATION
PLUMBING VENT 1'
ROOFING
SIDING x",
DECK/PORCH/STEPS/RAILINGS e
RELIEF VALVES � ,;-
FURNACE/HOT WATER OPERATJAG
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: rj
BATH/KITCHEN WATER T'I`GHT
OTHER FLOORS SWEEP LE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAL`LINGS :.
HANDICAPPED ACCESS
SMOKE DETECTORS I F.
BATHROOM FANS/WHALEHOUSE FANS �a
ALL PLUMBING FI7 TURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION ti
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C t..
COMMENTS:
� C19
.4cU16-9-
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
J
LOCATION
DATE PERMIT# f
APPROVED
�4> ,/./,�/�, - N/A YES N7
EXITS _
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LaGHTING l
FIRE EXTINGUISHER /I
AUTO. EXTINGUISHIA Y M � /
HOOD INSTALLATION I
AUTO. SPRINKLER SYSTEM t
ALARM SYSTEM !
INTERIOR FINISHES ,,'•;,
STORAGE: `t
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE f ,i
CHIMNEY
WOODSTOVE /
FIREPLACE-MASONRY j
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
AR V
DEPART
INSPECTOR