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1986-854 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 3oi -1 -G)3 This is to certify that work requested to be done as shown by Permit No. 86-854 has been completed. This structure may be occupied as a Addition to retail sales and service Location 's" Corner Dix and Queensbury Avenues Wm. Fox (Quaker. TV) Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 86-854 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Wm. Fox (Quaker TV) OWNER of property located at Corner Dix and Queensbury Avenues Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to retail sales and service 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 IL Ursola Ave. Hudson Falls, New York 0 2. CONTRACTOR or BUILDER'S Name Dan DelSignore n H 3. CONTRACTOR or BUILDER'S Address 87i Main St. Hudson Falls, New York 4. ARCHITECT'S Name 0 0 CD n 5. ARCHITECT'S Address CD CD 0 o a 6. TYPE of Construction—(Please indicate by X) 1 $Wood Frame ( ) Masonry ( )Steel ( ) CD d 7. PLANS and Specifications No. 24'x30' per plot plan, specifications and application submitted. y • ro 0 0 8. Proposed Use co Cl) Retail Sales and Service (addition for showroom and office) w O a a. a. $5.00 C/0 m rt $ 26.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 87 C o (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I ' town of Queensbury before the expiration date.) CD 0 It, ri Dated at the Town of Queensbury this 12th Day of Dec. 19 86 -ii r. Co r• o ~ SIGNED BY � ? for the Town of Queensbury • Cn Building and Zoning Inspe ..r P3 o N O 0 O o 0 rn rn w n CD TO BE COMPLETED BY BLDG. DEPT. acC77 // Application No. wn o Queen3burr� Permit Issued 19 i T NO CUEFENSBUPY BUILDING and ZONING DEPARTMENT Permit Expires 19 t> n;. Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 1 �- " - t ' k;; 6 `'ci - - Queensbury, New York 12801 Variance No. Site P an Review No ! pig i 4 ' ( I Appr e b 1 A. A. ") ,- FO6- 1J i1•`. APPLICATION FOR ' f 7j8)9 �I 2)p 566 I e ® I F r l e �, I t c bCIO (NC L. 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. The owner of this property is: �C. , // ' /-L-;//. P.O. Address %t2 /7,r, (0 ` 4 Atie ft 1'/ Tel. 77 -,7.' P Property Location: 17,,,,?.✓r (p04?.?.A.64-9 .fW- � "n// 4'v,7 Tax Map No. / / Street number or b.u/ilding lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder �.R/I ta,/ .rKrro--6 Address • '7 /7f,'/ie-) .i " /67/ Tel. 7%2-5J -'Y Name of plumber • Address Tel. Name of mason `1 Address ' ' W Tel. // NATURE OF PROPOSED WORK: * 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' ,"'7 '7, ft X ,,I ft. * Existing building(s) Size 0 V ft X ) ft. PROPOSED BUILDING AND USE: * Existing building(s) Use ,c-/ )✓% _ — J-41,,,— Size of new structure * 9V ft X2e-9 ft * • Foundation-pier/slab/crawl/partial/9 * Proposed building, distance from property line (circle one) * �( No. of stories (habitable space) /' * Front yard / %v ft Rear yard �� ft * Side yards . ft and / 14) ft Height (grade to ridge) /I ft. �� ' If residential, no. of families * If on cornef,' setback from side street ft No. of rooms(excluding baths) ,? * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms Primaryheatingsystem *. One family dwelling y •�`'� /' * Two family dwelling Type of fuel , % '- ,4, . . Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? * Permanent occupancy Central Air conditioning? ' * Transient occupancy * ;X' Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Rra-' ed ranch Mansion Duplex If addition, what will use be? Split level Old style Bungalow * 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 CONSTRUCTION $---' / 000 • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl . BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungra ed lumber be used? If so, for what? 4Jv Foundation wall material Thickness 1 Depth of foundation below grade (to bottom of footing) 6 Will there be a cellar?, ' Heated or unheated? a q/ Floor sq. footage )77 / sq ft Will there be a basement? %v Will any portion be used as living space? /?/v (If so, what porti ' sq.ft. —Type of use? f'14,„,s'z Type of roof - oped flat/shed/other Material of roof 2 7j) '::'hI i i Le.S Size, wood stud "X " spacing /r "o.c. length i/ ft. Joists(floor beams) 1st. floor "X /o " spacing « "o.c. span /' ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X /' " spacing /c "o.c. span /' ft. Roof rafters "X e " spacing /C o.c. span ,-;,,,/ ft. Roof trusses(pre-engineered) rub Exterior wall finish igeW �"� ( ( / Of what material? ;' e ?L.-RI/pup- Arml-'&rr Interior wall finish 12-f(Am-LL. + "A If a garage is to be -ached, describe materials to be used for FIRE SEPARATION: Is they be an opening between ge and dwelling? If so will a Fire-rated do , enclosure, and self- sing device be pr ed? Will a flue-lined c ney be installed? Height above roof ft. Depth of chim foundatio ke-lo ade ft. Depth of f'replace hie -rt" ft. in. Water supply - Municipal or private well SEPTIC. SYS Distance from ANY priva well(including adjoin p properties / ft. (A sepa- ate application is necessary—for any repair or new insetaallation of seftic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that 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 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 Signature_ ...., Owner, owner's ag ,archite ,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF, QUEENSBURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK . STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. _ ANSWER ALL of the following:. 1. Gross floor area 2 . Type of heat 4'ri /to/ s ,/ 3 . Is the building mechanically cooled? 'L"D 4. Percentage of area of windows and doors PA A. Over 16% Only 1 . Uo .value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2. Floor over heated spaces YES NO a. Are foun ation wall insulated? YES NO l.L If YES what )s the R value? 3. Slab on grade �ES� NO a. If YES, t. wh is • e R value of insulation around perimete of floo\ • 4. Is, basem/ent heated? YES - NO a. . R/value of insulation 5. Type of insulation \ A • B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 42 3 . R value of glazed area !J 111,t,// 4 . R value of doors - 2/ 5/4 Ii1r O t• 5. R value of floors over unheated spaces If / / 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10 . Type of insulation /.,/c,r- y/ ,/f C. Controls 1. Thermostat maximum heat setting %:.? � D. Duct Systems 1 . Is duct system installed in unheated spaces? YESt/ NO a. If YES, R value of. duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F. Service Water Heating 1. Performance efficiency . • 2. Temperature control setting maximum G. For Swimming Pool Only 1. Maximum heating Telephone No. 777l-/ r7 (applicant i s fsighature) • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. i/ ^ r (TEMP.# (DATE I 1 1 -- -' / ; CITY OR VILLAGE TOWNSHIP - . / _ �i COUNTY ' STREET AND NO.OR ROAD AND POLE NO. POLE NO. BETWEEN WHAT TWO CROSS STREETS IS 7-7--:' SECTION k'A. BLOCK LOT f PREMISES LOCATED. (I OCCUPANT'S - ' BUILDING f'V/iJ, NAME i! OCCUPANCY 1','f! . • OWNER'S NAME AND ADDRESS / , " TEL #�'. ;'�z'�, .-. . . T, CURRENT SUPPLIED - BY <•! j;-i _ ,� ,ir,. _ . FROM THEIR ,1 OFFICE BUILDING _ WORK DEFECTS IS NEW❑ OLD.Q IS NEW ❑, ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Fixtures& ' BRANCH NUMBER OF OUTLETS Lampf fReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- .ONLY tion 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 / s'f 1st Fl. ,./ ?" !.,• ' 2nd Fl. 3rd Fl. • 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 OF ELECTRIC SIGN TOTAL MAINS _ - _ - FEEDERS - LAMPS WATTS CHARACTER rEXPOSED.? GAS TUBE SIGN OF WORK --CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED= -/f":'.-` SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS ) OF SIGN BUILDING INSPECTION REQUESTED • ON OR AS NEAR AS POSSIBLE �- - r' NEW I I OLD III : .. t AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS „T NAME OF _ _ �- ,V SIGNATURE . /7% APPLICANT ffA OF APPLICANT ' - = 1 " ' STREET ADDRESS - - TELEPHONE# •F -' CITY OR ZIP LICENSE NO. POST OFFICE rF!: ' �_ - CODE WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING `, THE NEW YORK BOARD. OF FIRE .UNDERWRITERS � 1, 4001669 _ is BUREAU OF ELECTRICITY. !'' 41 STATE STREET.ALBANY.NEW YORK 12207 EE ' if" ® Date May No.on file (J(�7 9 Ci 3.r u 7 , �-'�- ay 8 9 1987 A 6 8 J. li.2 THIS CERTIFIES THAT to= only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o Bill Fox , Dix & Queensbury Avenue , Queensbury, New York _ in the following location; ❑' Basement R.Eklst Fl. ❑ 2nd Fl. outside Section Block 5 Lot 1 ® was examined on 4/2 9"1E 7 and found to be in compliance with the requirements of this Board. 1 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. d — 12. 12 6 0= ® DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS o MIT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. •• AMT. AMP. AMT.- AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS >V= v NO. FEET o SERVICE DISCONNECT NO.OF S E R V I C E AMT. I AMP. TYPE ' - METER I 0 2W 1 X 3W 3 0 3W 3$4W NO.OF CC.COND. A.W.G. NO.OF HI•LEG A•W G• NO.OF NEUTRALS A.W.G. _ EQUIP. PER B OF CC.COND. OF HI•LEG OF NEUTRAL 1 200 eb 1 : 1 4/0 1 /0 �_ OTHER APPARATUS: o„ o= 1-,mote detector: _ IN • i' Di IC • II ii - — '?'-71(25-7'‘:'w----.-.—a- c _ Francis Yar shall �� p� 21 Helen Street c BRANCH MANAGER = Hudson Valls , new York 12839 II• .' I i t f 1.1k Per • _ .; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. .7;;. ono MEM a ® 0oo ® 19eoo ® o � ntitiaa ® notion ® na ® titian COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. G/6 ins7; C.a/� 9//607 9. j'n d Jown of Qucenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0140 e 7-U - /Ohl LOCATION QUeensiv4.1 / 4 ve• 1 0;x Le Date.r1/i,�p /),17 Permit No. 86 -T534 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding jtro-r f7 -jj c r17 • Masonry Veneer Rough Plumbing Relief Valves Ext. Ro SD04:34. �- Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL / Final Building Survey Next scheduled inspection (call when ready) Remarks- 5/. -�` k/ O/ZA rz:./i-is I I 4 'ki Ktiiq ..� i&A_ k r ,.t, raC No (,rs& WtrtforrCbtn1 [A-r15- aez: c_GLJ Pfr,Jc c( Ale Building Inspe ' 4A--( 6/86 and-vl .�`- • - • I awn o/ Queenihury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME (2 7 LOCATION 13'iY 4`/ Date3/Z3 / 67 Permit No. ! :cT* * * ✓ = APPROVED - YES / NO Footing/Pier Forms Noundation Waterproofing V Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile • Concrete Floors Plbg. FixturesT(/NNN Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks-e� O�� TOj/a,-C4( (-j L L. — C..G 32 c%T przo 6 L G',1 /lP69 L(M)CtL S i>J --AdL y��-r[�Y,►.. /Al A-fL 111, Building Inspector 6/86 and-vl _Down of Quen.:iur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4d---/Z LOCATION 0( � Date L/<-/ c?—? Permit No. y * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings )K:/// Cellar Drain Tile Concrete Floors • Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Ch'mn NSULATI Fours ationO Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- pat pL_n_ittrAcc- r`4 P 2n P & - L j9 A-L-sa S'© `3 CA-L i ( VCR s i 8 L 6- Building Inspec r 6/86 and-vl aIVIl 01 Queenit ur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ok,.... D-0--e44-7"-_--).../ /� LOCAT ION ^u�� ` I` v, Date 3 / ‹e7—Permit No. 8 p- �5---( ✓ = APPROVED - YES / NO Footing/Pier Rprms Foundation t:,V f 6 iLV'j c_ l/ Waterproofing /JQ/V, / // 'ac fill (/ gaming is Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors • Interior Trim Stairs& Railing Cellar Drain Tile Concrete Floors - Plbg. Fixture Gar. Fireproofing • • Door Closers Smoke Detectors • Chimney INSULATION: Foundation /O,V2 Floors AVL/L- Walls ,IZ—►`'j r/ Ceiling T(-3p FINAL ELECTRICAL INSPECTION . DRIVEWAY APPROVAL • Final Building Survey Next scheduled inspection (call when ready) Remarks- . -1 Si-lePfri-11A4)--S(ow& A,LY-r-Arkii, 1 l'b vi&-a AiZ0-A-4l L FT O tiAx-x_ (Q L(C&=& I/ur BRM- Ae).,::, ,.____,_ _61_,L_,_ 1 Building Inspector 6/86 and-vl Jown o/ Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Qrnie.644,_ I LOCATION 10k Date i7 j7 / Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures 21(\: Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- G )2,rQc rb I - cwA'&ZAC $ (5-T: f or— Prz4 t''1--3 6-v z,44.. 1 U ,t.', � 1r r& Building Ins cto 6/86 and-vl _locun of Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT/ NAME cpc.w f1 LOCATION DO( 41/ Date ).-//Z/ 4iG Permit No. x6 - Y3z7/ �� ✓ — APPROVED - YE / NO £'Footing/Pier Forms 4V_5L4— Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- p )(20 Oc9 fl,vim 4, K x (a/l(/45f Coco 1-0 tski- rb, Bull ding Insp ctor 6/86 and-vl T):�-xMno./if —S IAZ AD o f).'t" 1 o rv_--- ___ /zlsl� GEOR=.KURMAKA JM P.E. ,WM)MSYSTEMSCWMTAMT rms crr Box m 660 f GLEMS FALMNM YORK 12801 Eli 11 golo V-- 04 L b pi 0 "49r pp-o p 010A I IL6 V2. OPAS*L-w- (oat 4­4"�-S 40 a — at 1A , 7 '4W o jkj to t 72 *'Z-ye*,P Wocx' of (b 4&- Ito 4 C_ -.C. 9 j t 4" F-M ;i f - 1-7 'o r 12 ------ Z4,P L _lr_cj_ -P-1-4 AV ou i kv—