1988-287 4
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ( /a-61 19
• c?;\
fu
303
This is to certify that work requested to be done as shown by Permit No. 88-287
has been completed.
This structure may be occupied as i Retail Store - Alteration
020q, 305- r-Dik tv
Location 7177Pr)17Pwirr - Statewide Industrial Supply
Owner Ernest Meyers
By Order Town Board
TOWN OF QUEENSBURY
/./
Building & Zoning Inspector
BUILDING PERMIT
9
TOWN OF QUEENSBURY No 88-287
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Statewide Industrial Supply
OWNER of property located at 40 Dix Avenue Extension Street, Road or Ave.
H
in the Town of Queensbury,To Construct or place a Alteration rn
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 11,1
Same
2. CONTRACTOR or BUILDER'S Name
Cr)
P.J. Enterprises 9
3. CONTRACTOR or BUILDER'S Address
22 Lincoln St. U)
Hudson Falls, N.Y. 12839 ti
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
(D
No. Interior partitions only as per drawing and application.
8. Proposed Use ;*
Alteration
rt
cb
5.00 C/O
$ 14.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 88 `*
' o
(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 25th Day of Ma 19 88
,r'
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. -:c rsl ,T QUEEN`
�] Application No. rD i ! 1 +
_town of 2ueniI,urgf - Permit Issued 19 Iv J I J ,
BUILDING and ZONING DEPARTMENT Permit Expires 19 7 �� a „�`) •
Bay and Haviland Road, R.D. 1 Box 98 .Zoning Designation MAI �" �J
• Qu ensbur New York 12801. Variance No.
�V� y� /� IL DING ec C'..JLac E�c.i- :
1 Site Plan Rev• - ��o. Aditt-f°
' Approved bye ®P
\\O APPLICATION FOR �1 CIa (AJCt -
•
BUILDING AND ZONING PERMIT r
* * * * * * * * * * * * * * * * * *. * .* * * * * * * * * * * * * * * * * * * ::•*
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 specificatipns ,submitted, and ts�uch
special conditions as may be indicated on the Permit. - L \Ir\SLt�
The owner of this property is: �`IC:' (,-fid e ync43 `f9( S )y
i
P.O. Address Yk..) �1 4 E(4a-'‘ 5c~`y Tel.
Property Location: • • • 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: '
Name P.O. Address . Tel. No.
Name of builder \ J �n0Q Address )� hi►c,5(n 5-1-_. I4 F Tel.2 Y((7�?0.6
Name of plumber � ` � `
�` � ``k Address ik. 'k Tel. ''
IN,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 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
r,l/fie 121(1 Iti ^-2
P ^rye-PO VS; 0 II L.d(- * 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 buildin• s) Siz ft X ft.
- ' A . ....
PROPOSED BUILDING AND USE: * Existing build' g(s U
Size of new structure ft X ft *
Foundation-pier/slab/crawl%partial/full * Proposed bpi ding, di to a i rom property line
(circle one) * Front yard ft Rear yard ft
No. of stories (habitable space) **' If
Side yards ft and ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
*
No. of. bedrooms * PRIMARY BUILDING -
No. of bathrooms * One family dwelling
Primary heating system *' Two family dwelling
Type of fuel * Multiple.dwelling / Number of units
No. of fireplaces to be installed impermanent occupancy
Will a wood stove be installed? * Transient occupancy
Central Air conditioning? *
* $.Business .
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other '
Ranch Contemporary Log cabin * if addition, what will use be?
Raised ranch Mansion Duplex .
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ two cai./---- car
( CIRCLE ONE PLEASE ) * Attached garage/one r` wo car/_
* * * * * * * * * * * * * * * * * * _Private st _ra e building
ESTIMATED MARKET VALUE OF * Oth
CONSTRUCTION $ 2 D0® � C,C�
•
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, —< etc.
Will any second-hand or ungraded lumber •e 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 sq ft
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.lof roof
Size, wood studs " spacing "o.c. len �� ft
Joists(floor beams) Yst. f oor "X i g " .c. pa
Joists (floor be 2nd. floor "X " spaci g " .c. a f .
Overlays(ceilin beam '')( s " .c. sp
Roof rafters X " sp ing o.c. pan ft.
Roof trusses (pr engineered) =.aci " .c. span ft.
Exterior wall nish V Of what material? '
Interior wall f'nish •
If a garage is to e attached, describe materials to be used for I SEPARATION:
Is there to an 'opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provid? ��'
Will a flue-lined chimney be installed? height above roof .,£t! '
Depth of chimney foundation below grade 7- ft.
Depth of firepla 1: 1 h ft.
Water supply Municipal r priv e well
SEPTIC SYSTEM _ Distance fro Y private well(including adjoining properties ft.
(A separate application ' necessary for any repair o ew installation of septic system)
Town of Queensbury A F F .1 D 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 B DING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the prop sed work all be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO B OREa THIS Signature � --
Owner, , own �.s ent,arcn�.tect,contractor
day 19
Notary Publ' , Wirren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By •
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS..
FILE THIS COPY WITH BUILDING D.EPT.WHEN REQUIRED. 7
'
/I
ITEMP.# -`- ' ' 'DATE I X v ^J'•• --- — i'
CITY OR a I lJ
VILLAGE TOWNSHIP cid tr—i(,;.✓.SC3kJIZt-.tl COUNTY (tf1ll re,at1, Ai
STREET AND NO.OR C /� / I (-' .I S r�� POLE NO.ROAD AND POLE NO. ..3 !% �P 1 X f C / . 1 •
BETWEEN WHAT TWO
r
CROSS STREETS IS r .,
PREMISES LOCATED? J SECTION
�\'° BLOCK ' LOT . a,�
OCCUPANT'S t,l ' �` �> BUILDING �+ ' .�,� [�
NAME i1l i', I;'�', f r OCCUPANCY i t1 „�, .f -�A
OWNER'S NAME' .- }
AND ADDRESS )1r,'1�L-�'` C ;]c-,1;;> \(,. / 7/ TEL.# / 7' 02 (i(7 ,
CURRENT _
SUPPLIED �/j /�V,jJ //,e� r { 1 f
BY / v �1 1 - FROM THEIR ,L.:.�•� 1 ( OFFICE
IS BUILDING WNEW T OLD❑ SORK NEW K.ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
J • No.of Fixtures& • BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach't • H.P. Watts A.W.G.
Ceiling Wall Reeep'ls Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base- ,
ment -
1st Fl. I
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 EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER -
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW LI OLD 111
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES ' DATE OF
MUST BE FILLED.IN OR APPLICATION MAY BE RETURNED. - APPLICATION K
PRINT NAME D DDRESS r �`" f
NAME OF � SS Y SIGNATURE - f i
APPLICANT /i 1 f 11'J / f� F"" "OF APPLICANT,%-- —.�-.f7. -�'d
STREET ADDRESS�'1 4 �.r/?C i,i t 1 TELEPHONE# .. ((!7 y 0('7 j
CITY OR f3 / { ZIP 1 ) LICENSE NO.
POST OFFICE f")�s")..ice /�%. /�1 %�� l- CODE `V 1� ' ,.j WHEN APPLICABLE
46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT '
BAY & HAV LAND ROADS
QUEENSBU Y, NEW YORK 12804-
TELEPHON (518) 792-5832
BUILDING INSPECTOR'S REP'iRT
REQUEST FOR INSPECTION RECEIVED /J
NAME I /.I��rd.01- , i . ;Li 'Q �.
LOCATION '# 446, Ar. 6d,,.
DATE a';'719 v PERMIT '# g g' 7
APPROVED
-gteq.er YES NO
FOOTING/PIER
MONOLITHIC POI ' FORMS
FOUNDATION/D, "-PROOFING
BACKFILL APPRO' L
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
yFINAL INSPECTION:
CHIMNEY HEIGHT _
ROOFING
SIDING
EXTERNAL PORCHES/ST.,:S 1./
STAIRS-CLEARANCE & ILS .(lill-
PLUMBING FIXTURES/R..IEF VALVE
INTERIOR TRIM/PRIVA1 DOORS
FINISHED FLOORS C../''.--
GARAGE FIREPROOFINe 4/%ff(.
DOOR CLOSER(S) ,l"/(//
SMOKE DETECTORS
FINAL ELECTRICAL IN'•PECT eN 731,0460.j
FINAL APPROVAL OF C9NSTRUt TION ' ' 11C-
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFIC. E OF OC PANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES AR, OCCUPIED!
REMARKS: . , 4-/ .S+ O/fPvL
C d-ec , . (a 1 ftsA - 0 et,..,;C -L4JCa._
(, rr-z o I .J,vo c/ co (Ar ( QVY'
c ter. ri t2k fri/r
cv<r i.cl Pits nc'w�-L
t
er , ; - .05 0yr176
ARRIVE
DEPART JDsZ 5.---- 147.2) /N
I ECTOR
y� Jown o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
� Pra1SL
LOCATION `40 Y) uAut (,�
bo-��
Date;S/O /�- ' Permit No.P1- � '
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
AKraming
Roofing
Siding
Masonry Veneer
Rough P1 lbing
Relief Vaves
Ext. Porch-s
Finished F Loors
Interior Tr;m
Stairs & Rai ings
Cellar Drain Tile
Concrete Flool s
Plbg. Fixture-
Gar. Fireproof •
Door Closers
Smoke Detecto•s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL E ECTRICAL INSPE TION
DRIVEWA APPROVAL
Final Building Survey
Next scheduled inspection/ (call when ready)
Remarks-
' Building I spector
"5/86 and-vl
Z
J _t
•
/No. --.11 .
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