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1987-196 CERTIFICATE OF OCCU- FANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 18 Iq 7 This is to certify that work requested to be dome as shown by Permit No. 87-196 has been completed. Addition to motel This structure may be occupied as a Motel Unit second floor unit 1 Location } Aviation Road Owner Wayne Yelak - luzperiai Motel By Order Town Board TOWN OF QUEENSBUity Building & Zoning inspector OFC3CCTJPANC�' CERTIFICATE i TOWN OF {QUEENSSURY WARREN COUNTY, NEW YORK ,I Date June L8 19 37 This is to certify that work requested to be done as shown by Permit No. 87-196 4 has been compieted. a This structure may be occupied as a Addition to motel - senond .Floor - 'Unit2 I I LA3ocation 29 Aviation Road i f 0wtxer Wayne Polak - Imperial Mote, { 1 By Order Town Board I TOWN OF QUEENSBURY I Building & Zoning Inspector i i I CERTIFICATE OF OCCUPANCY j TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i Date .Tune 1$ 19 7 This is to certify that work requested to be done as shown by Permit No. 066-196 has been completed. This structure may be occupied as a Addition to iaotel - 2od floor - Unit 3 Location 29 Aviation Road Wayne Pelak Imperlal *Motel Owner I By Order Town Board TOWN OF QUEENSSURY I l Building & Zoning Inspector ` i CERTIFICATE OF C CCUPAN'%0.nq04r�' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date_ -Tune 18 __19 87 'Phis is to certify that work requested to be done as shown by Permit No, 87-196 has been completed. This structure may be occupied as a Addition to motel - 2rLd floor - Unit 4 Location '?9 Arvlatlon Road Wayne Pelak - Irsperlal Motel Owner By Order Town Board TOWN OF 4UEENSBU RY Building !9r Zoning inspector ' I • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY i WARREN COUNTY, NEW YORK Date_ .tune 18_ 1952 This is to certify that work requested to be done as shown by Permit No. 87-196 i ` has been completed. i 1 This structure may be occupied as a Addltiot� to moral - 2nd floor - i3nit 5 Location29 Aviatlon Road Wayne Pelak. - imperial 'Motel owner By Order Town Board i i TOViN OF QUEENSBURY Building N Zoning Inspector , I BUILDING PERMIT TOWN OF QUEENSBURY No. 87-196qj M WARREN COUNTY, NEW Y©RK w r Imperial Motel (Wayne Pelak) c PERMISSION is hereby granted to rr m d Street, Road or Ave. 29 Aviation Road F ' OWNER of property located at ,--. 2nd Story Addition to Motel (5 Units) in the Town of Queensbury, To Construct or place a 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- �d r w [2:CONTRAC"Tr'OR OwNE R'S Adress is 29 Aviation Road Queensbury , New York 12801 N or BUILDER'S Name Town and Country y w ft rt Y• O 3. CONTRACTOR or BUILDER'S Address � Hartford , New York x1 0 CI ty FARCH111TECT'S=Name ITECT'S Address 6. TYPE of Construction — (Please indicate by X) xj wood Frame I ) Masonry i 1 Steel I } r PA 7_ PLANS and Specifications Phase I - 5 Unit$ Per Variance No . 1241 r„ 51tx2l ' per plot plan , specifications and application o No. using existing septic system per approval from New York State ,4 Department of Health a s3. 8. Proposed Use r �r 2nd Story Addition to Motel ( 5 Units) o• rt $25 . 00 5 C /Os o S 100 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES November1 19 87 c (of a Longer period is required an application for an extension must be made 'to the Building and zoning inspector of the rt town of Queensbury before the expiration data.} v Dated at the Town of Queensbury this 24th Day of _ Afaril 19 87 lII SIGNED BY � • for the Town of f].ueensbury m Building and zoning 1 ns :o:r C7 TO BE COMPLETED BY BLDG . DEFT . _.Down o/ Queenig"ry PeprmitaIssuedoy lg (C)WN OFIy�Uil ElC;VS � BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D, 1 Box 98 Zoning Designation cy Queenslaury. New York 12801 variance No* f rit I APR � 3 M7 �^ Site Plan Review No . - J 1�} Approved by :_ ._ 4 BUIILEANG k C)DE DE:PPT. APPLICATION FOR ! r �/ 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, + A. P . O. Address a q &Y l &L k t d eJ Tel ." q 3 --- Property Location : „ Tax Map No . I Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name FP . O. Address Tel . No . Name of builder l owjj + CotArilf i Address iq^r sr11 ►� / - Tel . 7 `{7 �66 Name of plumber- Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORIMATION : _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 * whether interior or corner lot . Show location FOR. DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . Size of property I `pFr ft X 30 ft . Existing building ( s) Size I j''] `to " ft X I •" ft . PROPOSED BUILDING AND USE : r f r Existing buildings ) Use kntq O"tle Size of new structure ft X It ft Foundation-pier/sla /craw partial/full '� Proposed building , distance from property line {circ e one * Front yard ft Rear yard ft Pao * of stories (habitable space) t ft Height (grade to ridge ) r i ft . Side yards rO ft and * f an corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) S * OCCUPANCY INFORMATION No , of bedrooms * PRIMARY BUILDING No . of bathrooms r * one family dwelling Primary heating system 1 %A" of fuel �. Two family dwelling Type �` yC�^Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed? Transient occupancy Central Air conditioning? * �Busin+ess BUILDING STYLES PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * other ' sed 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 g rage/one r.,.ar/ two car/ car ( CIRCLE ONE PLEASE ) Attached ga ge/ono' 'car/ two car/ car x * r x * * * * * * * * * * Private stora building ESTIMATED MARKET VALUE OF —other" CONSTRUCTION $ 0 0c) 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 . tdfJ E.' 0 1^ur[L� 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 he a cellar? - Heated or unheated? - • Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what por sq . ft . - - Type of use? Type of roof sZopee flat/shed/other Material of roof Size , wood stu "Xadv 10 spacing "o . c . length ft . JOIsts ( floor beams ) Ist . floor "'X IF spacing "o . c , span ft . . Joists ( floor beams) 2nd , floor _ �"�{ y�� spacing j 2 . c . span! ft . Overlays ( ceiling beams ) lox " spacing "o . c . span ft . Roof rafters "x Isspacing o . c . span ft , Roof trusses (pre-engineered) spacings C " o . c . span f t . Exterior wall finish ; x ,� O£ what material? Interior wall finish t gl 6p ek 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 , and 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 r.44tF_ 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 A F F T D A V I T County of Warren STATE OF NEW YORK 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 _ day o£ C1wne ,/Wher ' s agent , arcnztect, contractor c 19a�'� Notary Public , Warren County , N , Y . * * * * * * * * * * * x * * * k * * it It k * * IN s Yk 1k * * For SPECIAL CONDITIONS OF THE PERMIT : By �u � ; j ( . .•�� k � iii TOWN OF QUEENSBURY f p�F•[i t � 74 to WARREN COUNTY r 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 : AO rr"� 14 Gross floor area 2 . Type of heat. +' 3 * is the building mechanically cooled ? �✓ 4 , Percentage of area of windows and doors_ 77�i�J iV r� A , Over 16 % dnl 1 . of walls , roof /ceiling and floors Uo value of gross area exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 , Slab on grade YES NO a . if YES , what is the R value of insulation around perimeter of floor ? 4 , Is basement heated ? YES NO a . R value of insulation 5 , Type of insulation Under 16 % Only 1 . R value of r f and floors exposed to ambient conditions 2 . R value of exterior walls 3 , R value of glazed area ! " ! 4 , R value of doors / Z/ 5 , R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab N � 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 ) 100 Type of insulation F1Co Controls 1 . Thermostat maximum heat setting_ D , Duct Systems 1 , Is duct system installed in unheated spaces ? YES 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 carry (ing agent pipe_ 2 , R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum it s G , For Swimming Pool only 1 . Maximum heating Telephone No . f3 � 3q � ( appli V t ` s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT afuerr" DATE `� 3 f foe 41 Cam. LOCATION OF PROPERTY FOR INSTALLATION r Wile 459 Owner's Name: Telephone: Address: Installer's Name: Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Fiat Rolling Steep Slope % of slope Sail Nature: circle one: Sand Loam Clay Other / Depth: feet Giround Water: At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEMS Septic Tank gal, (minimum size: 1 ,000 gal,) 'PILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet I M P O R T A N T _._Please....I.IST NEW EQUIPMENT 'I)O BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the 'Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. G. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage IXmposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-S832 SE fTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD. PLACE TO LIVE STATE OF NEW YORK DEPARTMENT OF HEALTH District Office 21 Bay Street Glens Falls, Now York 12081 (518) 793-3893 David Axelrod. M.D Commiss+onef OFFICE OF PUBLIC HEALTH Linda A Randolph, M.D . M.P.H. Derecrat !Irian S. Fear. P.E. 00slacf Arreclor April 6 , 1987 Mr . Wayne Pelak 29 Aviation Road Glens Falls , New York 12801 RE : Imperial Motel (T) Queensbury , Warren County Dear Mr . Pelak : This will serve to confirm our recent conversation relative to your proposed expansion . It was agreed that we would allow you to connect these new units Into the existing sewage disposal system . I trust this will be adequate until municipal sewers are availableo if a problem should occur we agreed that an additional dry well could be installed . Very truly yours , Brian S . Fear , P . E . District Director BSF : ns THE NEW YORK BOARD OF FIRE UNDERWRITERSZZ � 208090 BUREAU OF ELECTRICITY 41 STATE STREET. AL.BANY. NEW YORK 122C>7 w p p Application .vo. on file 0 0 g 7 9 7 —8 7 -[j Date June 25 . 1987 THIS CERTIFIES THAT below end in#red ttuced by the wQp[Ica t taatnee! art the aba�wt applies#ion numberre in the premises Of only the eleetrical equipment as described llnper , al Hotels Aviation Rd . , Queenaburys New York in the follawin q location, ❑ Basement ❑ lst hY. ❑ Snd Fl. .Section Bloch Lot was examined an 6 r 8 / 8 7 and found to be in compliance with the requirements of this Board. RA FIXTUR CO TWIE FIXTURES *A COMING DECKS ENS cis" WASHERS EX T F HAUS RX ANS RXTYMS PTACLES SWITCHES INCANDESCENT FtllOeESCENi AJAT. - K. W. AMT. K,W_ T. K. W- K- W. AM7 AM AMT. F. P• R 12 4 4 FURNACE MIDTORS FUTURE AM IANCE F@gMRS SMOAI REC'PT TIME CLOCKS REII UNIT HEATERS MtiITIAUTIM DIMIMERS DRYERS SYSTEMS ..s* wwrns AMT. K. W, [Ni N. P. GAS H, P. AMT, NO. A. W. G. AMT. AMP. AMT_ AMPS. TRANS. AMT. N, r. ND. OP PEM S RtVKX 6NSCONNECT No. OF S E R v 1 C E METER No. of CC. CONO. A. w. G A. w. G. No. OF NEUTRALS A- W. G. AMT, AMA. TYPE EgIHP. 102 W 1 .a 3AN 7 X aw' 3 y' •w PER a crF CC. CpND. No. OF HtIEG pE M4AECa NEvrRhl OTHER APPARATUS1 I -gfcl _ _ 1 - smoke detector "Town F: country Construction / - RR 1 Route 196 Box 1642 BRANCH MANAGER Fort Edwards New York 12828 PCr - This cartificote mutt not be okered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _J'ou�n cr Q,keerrs1 ury {4 gull piNG and 20NING DEPARTMENT 11'' Say and Haviland Road. R-0- 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT/ NAME LOCATION Permit No . Dcwte * * * * * * « APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing ding 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 i' f INSULATION : Foundation Flours walls ceiling FINAL ELECTRICAL INSPECTI RIVFWAY APPROVAL "Lal Building Survey - -�- Next scheduled inspection (call when ready Remarks- r d/ / r if 1'• �,�.�..�----^' suildin Inspector f,/86 and-vl _ ,/ocun o gQuve*1J1Ur&4 BtjjLDiNG and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME m t+ �r'i Gif *4 7- c LOCAT I ON1q f pr Date/ — Permit Nov � �] 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 Gar . Fireproofing Door closers Smoke Detectors Chimney JNSUI ATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION „ DRIVEWAY APPROVAL Fillal Building Survey - Next scheduled inspection ( call when ready ) Remarks. RuilCinglrn'sPectO fi/8Fi and-vl � IIM ._ ✓vcura oteeere �� urt�f so BUILDING and ZONING DEPARTMENT gay and Haviland Road$ R-0- 1 BOx 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAMEjTs LOCA7ION Date/ 3 Permit No . APPROVED* -*YES* NO Footing/P±er Forms Foundation Waterproofing �acltfill raining Roofing Siding Masonry 'Veneer Rough plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Rcallings_ � .. Cellar Drain Tile Concrete Floors plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPR©VAI r, -- Final Building Survey* _ Next scheduled inspection (call when ready ) Remarks. Buil CIX g Inspector 6/66 and-vl BUILDING DEPT_ COPY OF APPLICATION FORM 46-EL, NEW YORK 130ARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. tt DATE :t I s I�-1 TOWNSHIP �,�r,_`•fr^"',y�i�= ',[,l,y�'r COUNTY �.b3. ✓ STREET AND NO. OR ifs ROAD AND POLE NO. �-�'�I1jr Ad/ JOL � POLE NO. BETWEEN WHAT TWO CROSS STREETS IS ,�j -f PREMISES LOCATED?,'Aj�L4.Tb� ©'L.> '4 + lRr �" SECTION f BLOCK 1a LOT OCCUPANT�Tj BUILDING NAME ,i,�-�r . ¢+ OCCUPANCY OWNER'S NAME 1 ANO ADDRESS IP i ., ) TE L. <; 's r r ' 7 i > U / ,�,, ems SUPPLIED FROM THEIR .L �/T . + ;94 �..-a OFFICE BY BSUILDING NEW dLP NEW© WORK DEFECTS ❑ AODITIONA REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures A BRANCH Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE NUMBER OF OUTLETS Lam- ONLY tion Side Atpaph't H.P. Watts A-W-G. Calling wail Recop'N Switch Pendant Bracket No. Type E, No. Each No. Gau,ya INSPECTION Out- "do Sub- boom Baas, marst 1st FI. 2nd FI Srd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application to intended to corer the abovr-hsted equipment to ba irupacted but it at time of inspection there is found additional equipment not above listed, You are autharitad to make the inspection and adjust the fie to cover the additional equipment, es provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) ICAPACITYI STARTED COMPLETED S12'E OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW EJ OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION IAY BE RETURNED. PRINT NAME SA,,N�D' ADDRESS, APP NAMSCANT LA AS-4; ^ 1f f7 ft APPLICATION TION STREET ADDRESS I I' -c} ' C[ f r Ii. '"'^^ TELEPHONE ' ' CITY OR I {/'' 2'IP � [ LICENSE NO. POST OFFICE �v.;:_-s 'y t-F i 1. CODE JW�3" WHEN APPLICABLE 46 EL (REV. 1/65) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING