5135 ( //n, pa
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date --.•,me•-="a0 19
This is to certify that work requested to be done as shown by Pennit No. 9R-G
has been completed.
c+6raal{,
This structure may be occupied as a 1:,_:•'.T.A..1-;L!
Location -9rA+C 12aKi..e Cl
Ctwner H1)OY1C ( 00rp
By Order Town Board
TOWN OF QUEENSBURY
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, Building & Zoning Inspector
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CREATIVE -INSTA PRINTING. GLENS FALLS N Y 12801 1518)783-5858
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5135
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to McDonald' s Corporation
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OWNER of property located at Route 9 Street,Road or Ave. • d
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in the Town of Queensbury,To Construct or place a Storage Buildings and Freezer Pad
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.
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1. OWNER'S Address is 0
1 Computer Drive
Albany, N. Y.
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2. CONTRACTOR or BUILDER'S Name
Machnick Builders Ltd
3. CONTRACTOR or BUILDER'S Address
1 West St. =�
Green Island, N. Y.
4. ARCHITECT'S Name fD
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( ) A
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7. PLANS and Specifications
12' x18' pad for freezer, 20' x20' storage shed and 20' x19' 4" U,
No. trash enclosure per plot plan, specifications and applicat_on H c-1-
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submitted and Var. #545 granted 4/19/78. m H
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8. Proposed Use
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Fast Food Restaurant w
$5.00 C/O Paid
$190.00 PERMIT FEE PAID—THIS PERMIT EXPIRES _ November 1 1972
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 21 st Day of Apri 1 19 78
SIGNED BY /` / j for the Town of Queensbury
uilding and Zoning Inspnsp ctor
. TOWN OF QUEENSBURY • (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application No. .•
APplication for Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg..
7 nninti District
. \ ;(sue OI Work,%
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'I)" "'`I I" .
showing the actual dimensions of the lot to be built kt'inarKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB •
-
MITTED WITH THIS APPLICATION.
iG�
I,� � :.;.. OFQUEENSBURYN�QQUEENSBURY• 11/ h DATE D 3 E U M E
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 2 1 1978
. ANSWER ALL OF THE FOLLOWING. A.M./ JP r e- . 1.4. '
The undersigned hereby applies'for a .permit, to do the following work 7I8I9110)11112N2)3I41516
which will be. done in accordance with the description, plans and specifi- .
cations, and such special conditions as may be indicated on the permit. .C �6 - ,
The ower of this property is:. .
/� �4�g 1
�t�t�,t„ p.r5. 4-e�/^��U/ —/>D�/ �. . .Y(1!t'!1Z�.S. ./.�l/1�� ) . .C• • • • ,���t7• - ..r`t•
• ' � • ' (NA•'El / ('P O.ADDRESSy
The person responsible for .supervision of the work-insofar as the Building Code and the Zoning Ordinance apply is:
n y . . SAr� / P. �. �c ''‹ . . ieft!E-..51.// g• �'/
�'. .��'�/ftz.�? . S C-iJi°.F'-. . .�. t ?/. . / . . ��i. .• (P.o ADDRESS.) / •
,/� (NAME) p /
Name of Builder../G(' '2//UfC°f • e.v./.��•4`--`j . 'L� Address . .! 6L�E—a• ST/. Ce-67-4 h1 -4
W. �. • t'J �. . e-t-�— Address . C, et-z.- .,1 /. . . .�-
Name of Plumber'. . • • 1 i '`��!• l , `
Name of Mason. . : . /1"P./-14. '1 C°•i�'251 l6 Pe,'re5' Address /
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Lot Number Unit Estimated value of proposed work 3 &•0: .00p
Name of Village
Name of Street . . .&/ � Side of street: north 0, east 0, south 0. west :{
Nearest Cross Street . . ._e< -./1i 77(7(t/ l Distance from this, cross street Ft.
Property is north .. ,south ❑,east 11, west 0 from'Cross Street
If on Corner, which corner, northeast ❑, northwest ,I ., southeast ❑. southwest
(Designate by marking with an "X" in the'correct space.)
NATURE OF PROPOSED WORK OCCUPANCY •
❑ Construction of a new building. Main Building
One-family dwelling ❑
Addition to a building. °�S/ tC_. Two-family dwelling ❑
Alteration to a building.
❑ Demolition of a building. • • • • family apartment house ❑
Store building ❑
-car attached garage ❑
4.A)) Other:
/IG� r {loL' zP/ /Z /. Accessory Building
( N C S/�� • One car detached garage ❑
❑ 'Other work. Describe S YC , Two-car detached garage
2CI ,Y ' i/JC-LG 5e d- Private chicken house : •
❑
Private storage building ❑
rlt / L--7YeLCS Ii/22—�'-C /9'� y Other: . ( .i�5 -4`t/. E-/
RP it k 2-0 --LUs.
ZONING SPECIFICATIONS. Fill in for new building, r addition to existing building, or a change of occupancy.
Indicate on the plot plan street names, the location and
. size of the property, the location, sire and setbacks of pro-
NORTHposed buildings,and the location of all existing buildings.
Show proposed building(s) in,dotted line and existing
I uilding(s).in solid line.
•
ize of property ft. x ft.
. Sie and use of existing
�buildings,
�if any
W �.AC 7Z7- fl:J/ t• /llC%G'���V ft.
to Size of proposed-hung ft.x
Height (from grade to ridge) . . . ... • .... ft.
Front yard ,/ %=G� � �G( Cc 1/000 �ft�z�
- Side yards ft. nd ft.
Rear yard . . . . . . ft.
.7 it.. ..
SOUTH If on corner,setback from side street
Note: All distances are net, as measured from'street side
• line to nearest part of-building..
(OVER)
7-73-M •
(cont'd.)
BUILDING SPECIFICATIONS., G-5-er-P J�'S
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what7
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size, wood studs "x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish With what material?
Finishof interior walls
If garage is to be attached, of what material is wall between garage and main bui,Iding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
Will there be a fireplace? Depth of fireplace hearth
Willa toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to it bj 1 of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to e prposed, ork shall be complied with,whe r specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature •.• --�
=INFF {pAU As,ENT-AReHtlEOL-.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
„tow - ..,1x1.) ,..IC� J.L.�. 1 �_Cd . S_,,,,I.J.,N.,n,"-.._. tJRJEJ. ...-InEe..,, ›_NA)JS_...._.,_N.,•C � �C..).. � ,_,,i. 7ep_.4.-In .I.A.,.. J. p..... � a .,,,!.
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THE NEW YORK BOARD OF FIRE UNDERWRITERS Y
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.<; BUREAU OF ELECTRICITY
' I ,., , - 41 STATE STREET,ALBANY,NEW YOrRK 12207 r
'; Date Application No.on file A ^ - '1, Ni
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'AI THIS CERTIFIES THAT ;T
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Y
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'. in the following location; ❑;Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
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' was examined on and found to be in compliance with the requirements of this Board. , '
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SFIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH-WASHERS EXHAUST FANS kii
OUTLETS RECEPTACLES SWITCHES MERCURY
INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.- AMT. K.W. AMT. H.P. Y
4(
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lk DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS '
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS 4
NO.OF FEETAMT. WATTS '
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IT
1 '>7
SERVICE DISCONNECT NO.OF S E R V I C E ,r
�1 TYPE EQUIP. I,2W 1/B'3W 3,B'3W 3,0.4W NO,OPER ZCOND. OF CC.COND. NO.OF HI-LEG OF-HI-LEG NO.OF NEUTRALS OF NEURAL }
14 i
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OTHER APPARATUS:
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15' — - T
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BRANCH MANAQaER .y
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /.
Nan,
Location v r
Permit No. j/ �' Weather
Per Cent •
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation ).
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt %
Roofing
Siding e,
Masonry Veneer / /`f4 ARough Plbg. I
Rough Htg. y7�
Relief Valves /
Wall Board
Ext.Porches
Finished Floor s�
Interior Trim f
Stairs&Railings
Cellar Dr.Tile /
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
TOWN OF QUEENSBU`'Y
Building Department
Inspectors Report Date 6/q/
Name )7L� >��l��/�/S
Location )721 l/C'%' /,I G-P/
Permit No. 51 3 S Weather
Per Cent
Complete Remarka
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing �ff
Backfill ✓ ��'l — // M/
Final Survey
Framing x� J��2At<S?/�� r� Gt'/'l //_S
Sheathing ✓ TR-Li`,S ---ti
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches •
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval y/1 -
Building inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name '4/P /
Location J 274 / //Pr
Permit No. ..fri Weather
Per Cent
Complete Remarks
Excavation /..-
Footing Forms 0 It- _ Ake 14 0.��/�
Footing & Piers 13L zj)
Foundation U� /
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
9. Far Site•
10. PAVIN.
1.211 !42; !i r•, CO C PAO 50 P FR .4 E. - .
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PP7`Jifi r CD:'.)ut k P ,i ::_a ;146-✓,
l :� .; GA�ir,
F ``1 may.:rii `_ r _ .
.'� . '�' ', ` ,_ � •, r c t I. R{cDnn,
;1 tt. 71 Corripux;.
`") a�1�-i.r :�`i..P. t)o{1E[{!f. ,i . Paving.
- tion, It
1t Will
•`��'.of�-+. _ ,:'9, CO .�. .% Li,. r' .lam
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5I Parkin.
ti 2. Survey Piepoi