87-120 (2) BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-120
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to W.S.M.B. Corp.
OWNER of property located at 312 Bay Road Street, Road or Ave. •
in the Town of Queensbury,To Construct or place a Addition to restaurant for storage area
at the above location in accordance to application together with plot plans and other information hereto filed and 'd
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 312 Bay Road
Queensbury, New York
2. CONTRACTOR or BUI LDER'S Name
Don Whalen
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name fa.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ► Masonry ( )Steel ( 1
7. PLANS and Specifications
G.
20'x16' per plot plan, specifications and application submitted.
No. r*
8. Proposed Use rt
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Restaurant — addition for storage 1-t
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10.00 November 1 19 87
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(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.)
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Dated at the Town of Queensbury this 6th Day of April ig 87 1t
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector g
TO BE COMPLETED BY BLDG. DEPT.
ac'7 Application No.
wn of Queenitury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF
C3UEcNEc_MRY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation N L (I�.. 15 0 \y' I? jJ Queensbury, New York 12801 Variance No. t�Site Plan Review No. APR 187
(9!/_" /- 39, .2 Approved 1 �d' -eC
BUILDING & CODE DEPT.
APPLICATION FOR
i vbe .23 1.34)4_0_41e
BUILDING AND ZONING PERMIT t _...
* * * * * * * * * * * * * * * * * * * * * * * * * * * it: * * * * * * * * * * *
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: S � C fit/ 0904$
P.O. Address S/ 47 ier 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:
floes /24lC."
Name P.O. Address Tel. No.
Name of builder /Qh t(/ j4),,.� Address Tel.
Name of plumber '"5'Fje,� F4 ark Address Tel.
Name of mason C.,JO,, / 4f/7i. d Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
jddition 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 / 3 47 ft X 2 d c ft.
* Existing building(s) Size £ ft X y p ft.
*
PROPOSED BUILDING AND USE:
/ * Existing building(s) Use DC�GS /_�C,r„.,,i-
Size of new structure g(") ft X 4 ft *
Foundation-pier/s /crawl/partial/full * Proposed building, distance from property line
*
(circle one) j * Front yard ft Rear yard / 3 v ft
No. of stories (habitable space) / * Side yards -3 p ft and ft
Height (grade to ridge) /,2- 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
Primary heating system V. * One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed /04L * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
* Transient occupancy
Central Air conditioning? Li _S-. * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial ,s�
Ranch _ Contemporary Log cabin * Other /r eS 1Aur-4,1
Raised ranch Mansion Duplex
* If addition, what will use be? � )i-A-7
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 - -' 3. S v` �'
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. b(.1OO /'Am
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material 'il e r- Thickness 62 ,
Depth of foundation below grade (to bottom of footing) 1"
Will there be a cellar? f'jC) Heated or unheated? Floor sq. footage sq ft
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat , S pq(f
'-�/other Material of roof jq `j - SA l'--, /c cy
Size, wood studs a "X " spacing 4,, "o.c. length P ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " s acing "o.c. span ft.
Overlays(ceilin beams) 9 "X f " spacing 7' "o.c. span ft.
Roof rafters "X /0 " spacing,C, o.c. span / ? ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish nf, p-,- i Of what material?
Interior wall finish S c t-ro-c k
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 ft. 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 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 .1
Owner, owner's ag t,arcnitect,contractor
ca day of apr /l 19 (572
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 32 o .sue A
2 . Type of heat /-Ip 4- 4 it-'
3 . Is the building mechanically cooled? CieS •
4 . Percentage of area of windows and doors / ` o)/ 71/. d00 -
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 foundation walls insulated. YES NO
1. If YES, what is the R value?
3 . Slab on grade YE 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 / Pjerq//ASS
l
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
q 1, � _3(6 f -37y tf/9et J.
2 . R value of exterior walls 6' !Z `/, t- 34( rf o;4//4'-eAf
3 . R value of glazed area /,4`
4 . R value of doors R ( /
ri
5 . R value of floors over unheated spaces y h '- z
6. R value of slab edge insulation - unheated slab /'- /Z%
7 . R value of slab insulation - heated slab A. - , ?
8. R value of heated basement/cellar walls (above grade)
, d
9 . R value of heated base ent/cellar walls (below grade) /—
10 . Type of insulation / Cke.r / -55
C. Controls p a
1 . Thermostat maximum heat setting dQ
D. Duct Systems
1 . Is duct system installed in unheated spaces? YE 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 / 7/4
2 . R value of pipe insulation M/4
F. Service Water Heating
1 . Performance efficiency Pdr
2 . Temperature control setting maximum I i+1I, "
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. ' S�,C
app
p licant ' s ,-ant
_town of Queen ihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME j i75 of 6
LOCATION64
.4:el
Date 2 / Permit No. �- 1 o�.0
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - ES NO
7tin /Piepndation j9z(,,L( )filie - AT? ,
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile1\
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing y
Door Closers `�
Smoke Detectors
Chimney
INSULATION: \\
Foundation
Floors
Walls
Ceiling 1
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- Al,
(/ //'1'
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Buil ing Inspector
6/86 and-vl