88-052 H
t . 3 BUILDING PERMIT
TOWN OF QUEENSBURY No 88-52 t o
WARREN COUNTY, NEW YORK `
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PERMISSION is hereby granted to Adirondack Nautilus
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OWNER of property located at 91 Glenwood Street, Road or Ave. r.)
in the Town of Queensbury,To Construct or place a Alterations to Health Club
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. a
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1. OWNER'S Address is 0
91 Glenwood �j
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Queensbury, N.Y. 12801 w
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2. CONTRACTOR or BUI LDER'S Name W
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Chuck Catalfamo rt
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3. CONTRACTOR or BUILDER'S Address
1 Six St.
Hudson Falls, N.Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address p
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6. TYPE of Construction—(Please indicate by X) m
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
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No. 16' x 40' as per specifications and application. a
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8. Proposed Use n
Addition exercise space w
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$5.00 C/O 0
$ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 1988 W
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F
town of Queensbury before the expiration date.) rt
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Dated at the Town of Queensbury this 29 Day of February 19 88
SIGNED BY /CLG� ��eZ-, � for the Town of Queensbury
Building and Zoning Inspector �
TO BE COMPLETED BY BLDG. DEPT.
c� Application No.
_JoWn o/ QueenJlury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 . Variance No.
✓1 Site Plan 'Review No,. c 6 CA 1 D
Approilied-bY'�...
APPLICATION FOR
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will .
be done in accordance with the description, plans and specifications submitted, and such ',
special conditions as may be indicated on the Permit.
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The owner of this property is:
P.O. Address & -t akaTJ 1?.� 1�d I- Tel.
Property Location: eNLoOQ6 Tax Map No.
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION'OF WORK AS REGARDS BUILDING CODES IS:
rL S�ire�� �aAd/y i��-//s , Aje� oV, lax
Name P.O. Address Tel: No.
Name of builder akcl�_ C&-TOmU Address S�k sl, 14v,,Jsor\ PA41S Tel. '747 93SS"
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WRK:. ZONING INFORMATION:
Construction of a new building . -- *.,A .PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building :.drawn reasonably to. scale and attached hereto,
Alteration to a building showing clearly and distinctly all buildings,
(no change to .exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE.AND * whether interior or corner lot. ,Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
*
of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing buildings) Size a- <o o ft X )d_6 ft.
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure - . ft X qv ft _
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
*
No, of stories (habitable s )ace) �. Front yard * * ' ft Rear yard ft
Height (grade to ridge) F " ft. * Side yards ft and ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No, of bedrooms -
*.
No. of bathrooms PRIMARY BUILDING�, . One family dwelling
Type of fuel
Primary heating system ^�— -- * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
\
* Business
BUILDING STYLE, PRIMARY- STRUCTURE *' Industrial
. . Other .
Ranch Contemporary Log cabin Raised ranch Mansion * .If addition, what will use be? if�dy� ����`e
Duplex
Split level Old style Bungalow * . ���_ e,•
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ .two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
'Private storage building
ESTIMATED" MARKET VALUE OF *' Other ' . ' . ' ' . ' ' . ' .
CONSTRUCTiON00
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form APR 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, f ire,safe,etc. UQ 0 OC
Will any second-hand or ungraded lumber-.be used?. If. so, for what?
Foundation wall material 7--Q—_ Thickness . -2- T- Do t, Ete kie j
Depth of foundation below grade . (to bottom of footing)
Will there be a cellar? /JU Heated. or unheated? //P.�i i eat Floor sq. footage (o qO - sq Tt
Will there be a basement? /06/ Will any portion be used as living space? /v d
(If so, what portion? sq.ft. - Type -of use? L--X Prc-
Type of roof - sloped/flat/shed/other Material• of roof
Size, wood studs ' ;9-- "XL" spacing j(- "o.c. length ft.
Joists(floor beams) lst. floor. "X ",spacing_ "o.c. span ft. . '
Joists (floor beams) 2nd. floor. "X " .:spacing "o.c. span ft.
Overlays(ceiling beams) AIX " '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 T _ L-Jpje;� - Of what material? �
Interior wall finish
If a garage is to be attached, describe materials to be used for TIRE SEPARATION:
Is there to be an opening between garage and"dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be•'provided?
Will a flue-lined chimney be installed?` 1��� "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)
Town of Queensbury STATE OF NEW YORK
County of Warren A F � F I D A V I T
I swear that to the best of my knowledge and belief the statements contained
in this application, together with' the 'pl'ans '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 BUILDING CODE,` THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS 44
Signatu _ _ ___ _ ____ ___
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a ( Owner, owner's agent,arcnitect,contractor
/-71— day of �►j; 19
Notary Public, Warren County, N.Y. .
SPECIAL CONDITIONS OF THE PERMIT:
By---------------------------------------
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
900 Haddon Avenue,Collingswood,N.J.68108 � C
a Date March 29, 1988 6
fartif ie5 that the electrical equipment listed has been.examined and is approved as being in accord e
with the National Electrical Code, applicable governmental, utility and Agency rules. C
Owner: John P. Leary occupancy: Health Club
Occupant: Same
Location: 91 Glenwood Avenue Queens bury (Warren Co)NY This certificate covers the.electrical equipment and installation inspected this c
1l, date. If additional equipment should be introduced or alterations made to
Y' existing system this certificate shall be null and void, and application for C
Y inspection should be submitted promptly to this Agency.
Equipment:
yyyy 15-Fixtures Holder of this certificate should present same to his property insurance carrier
(agent orcompany)as evidence of certification of electrical equipment approved Ii
as specified. t;
ItF Louis Pellim Applicant: 25 Pearl Street No, 15-019921
Hudson Falls, New York' 1299
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