1987-590 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Sept . li , 19 87
Daft
This is to certify that work requested to be done as shown by Permit No.
his been completed.
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This str
ucture may be occupied a Retall Store
Location -f ` Glen SC (Carswell Bldg . )
C�iiliam +Cantle
Owner
By Order Town Board
017OWN OF QUEENSBURY
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Building & Zoning Inspector
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CERTIFICATE OF O C+CUPAN CY'
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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This is to certify that work requested to be done as shown by Permit No. 87-590
has been completed.
This structure may be occupied as a Ise to it Store
Locarion 691 Glen Street ( Carswell Bldg . )
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W1111am Canale
Owner
TE::YORA.Y C I0 ISSUED FOR 30 DAYS HY Order Town Board
YEl`I31t iz F INAL t LECTRIC:Ai ,
TOWN OF QUEENSSURY
7 Building & Zoning Inspector
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BUILDING PERMIT
TOWN OF +QUEENSBURY No. 87-590
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to W1111am Canale /Carswell Bldg .
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OWNER of property located at 691 Glen Street Street, Road or Ave. i
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in the Town of Queensbury, To Construct or place a Alterations to Retail Rrnre
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
20 Jerome Ave .
Glens Falls , N . Y . 12801 ~
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2. CONTRACTOR or BUI LDE R 5 Name �y
Dan De1S3'.g11ore
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3. CONTRA or BUILDER'S Address C".)
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87 } Main St .
Hudson Falls , N . Y . CD
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X) I-
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( ) Wood Frame I I Masonry 1 I Steel ( } M
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7. PLAINS and Specifications iv
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No. Internal alterations only-no structural changes ( see permit #87- 139
S. Proposed Use
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Retail Store m
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$5000 CIO �=
56 . 00
$ PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 19� _. ._ t1
(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 data.) rt
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Dated at the Town of Queensbury this 4tlt Day of Sept ` 19 87
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SIGNED BY � .� '' for the Town of Queensbury fD
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEFT.
P
�] / Application No .it AUGry t
oeeru36ur Permit Issued 19 I
BUILDING and ZONING DEPARTMENT Permit Expires 19 R1V�7
Bay and Haviland Road, R. D. 1 Box 99 Zoning Designation
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Queer�,bury. New York 128 Variance No . ':'� f`�ss,� � 6,T,
Site Plan Review o . x `
Approved .�
✓ APPLICATION FOR
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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 :
P . O. Address ^� c --I �s h r•,� �� �`-�� Ct _ C4 Tel . q,
Property Location : 1, , �v 4 � VQ�j S R ¢._ Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR D
SUPERVISION
�O,�F WORK AS REGARDS BUILDING IC� ODES IS :
_..a a`C . y 0, ors , c \'-e_ \ kA �' {\X \r,> vJ �� �.__.`\ S.�a � 1�J j _ �1 Cl
Name ct�. P . O . Address y 1 � t Tel . No .
Name of buildery> Ks � i U r Address , 74/ , {k•.x �J k�_ 1�i,, 1_ `i ' t-
Name of plumber S Address Tel . „
Name of mason Address - 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 buildin showing clearly and distinctly all buildings ,
(no change to exterior dim nsions) 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
t whether interior or corner lot . Show location
of water supply and location and configuration
* of septic disposal area .
^A&3 'SZ-YLi" r-tjaA-1 f� %Ajt 4; x COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
,L.7'2t'1 tT d �1 - �3 * Existing building ( s ) size ft X ft ,
PROPOSED BUILDING AND USE : * Existing building ( s ) Use _
Size of new structure ft X ft
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
( circle one)
Front yard ft Rear yard ft
No . of stories (habitable space )
Height ( grade to ridge ) ft Side yards ft and ft
If on corner , setback from side street ft
If residential , no . of families
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No . of bedrooms
No . of bathrooms PRIARRY BUILDING -
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Primary heating system One family dwelling
Type of fuel Two family dwelling
No * of fireplaces to be installed Multiple dwelling / Number of units
Will a wood stove be installed? * j;peent occupancy
ancient occupancy
Central Air conditioning? Business �� .� "�-Jeo"Tt
BUILDING STYLE,. PRIMARY STRUCTURE � Industrial K� �,
Ranch Contemporary Log cabin 'Other
Raised ranch Mansion Duplex
split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY ILDING-
Colonial Row Town House Detached. ara��car/ two car/ car
{ CIRCLE ONE PLEASE } Attached age/one car/ two car/..car
* * * * * * * * * * * * * * * * * * Priva stor e building
ESTIMATED MARKET VALUE OF 'F 'Othe
CONSTRUCTION r -
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 , etco
will any second-hand or ungraded lumber be used? If sot for what ?
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Foundation wall material 'Thickness
Depth of foundation below g ad n
(to bottom of footing )
Will there be a cellar? ed or uheated? Floor sq , footage sq ft
Will there be a basemen,below
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 .
.7oists ( floor beams ) 2nd , floor "x " spacing "o . c . span ft . 0 (
Overlays ( ceiling beams ) ,_."X " spacing "o . c . span ftt ON
Roof rafters "X to spacing o . c . span ft . iv
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Roof trusses (pre-engineered) s "o . c . span ft *
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Exterior wall fines---- --~ If Of w teri 1?
Interior wall finish "
If a garage is to be attache , , describe materials to be used for FIME SEPARATION
15 there to be an opening between garage and dwelling? If so will a Fire-rated
decor , 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 ft . inw
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 )
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Town of Queensbury A F F I D A V I T
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 .
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SWORN TO BEFORE ME THIS Signature --_ _- -1 - '�' _— --------------
Own r , owner ' s agent , arcnxrect . contractor
day of 19
Notary Public , Warren County, N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
AT
SPECIAL CONDITIONS OF THE PERMIT :
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APPLICATION FOR SEPTIC DISPOSAL PER T
DATE
LOCATION OF PROPERTY FOR INSTALLATION �'��
Owner's Name: �+�� . �A ns PE �s[a^� Telephone. �7 "1 r,?S - `-x EYE)
Address* _ 2� c> y -4e- ro
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Installer's Name: �1= r�s d r -e Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) _
Tapographye circle one• Flat :Rolling Steep Slope 9'0 of slope
Soli one: Sand
Ground Water-: At what depth? s feet
Bedmrk or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min, inch.
Domestic water supply: circle one- Munic i Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank _ 1ro p gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench IS7� feet / Total system length feet
SEEPAGE PIT(S): N zze eac feet by e
Size of stone to be used # _ r,+ - / Depth or Thickness _ „Y� feet f
IMPORTANT �I
...Please...LIST NEW EQT WNMNT TO BE INSTALLED
(over) 1IY
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, the 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.
C. 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 Disposal. Ordinance.
Signature of responsible person: ,y, „
Date: y $
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SE fTLED 1763 . . BIOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE
awl" 0 �ueen.36"ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i Box 98
Oueensbury, New York 12$01
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION K f G - QI � LC/� Si.�JG S
Date/ Permit Noe
✓ = 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
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Bullding Survey
Next scheduled inspection (call when ready )
Remarks-
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