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5784 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Location Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING GLENS PALLS. N Y 12801 15,8)783-S6S8 BUILDING PERMIT TOWN OF QUEENSBURY No. 5784 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gary A. Servilio (SR hi' So r.! c !) �} Cleverdale Road OWNER of property located at Street,Road or Ave. in the Town of Queensbury,To Construct or place a Restaurant—Bar 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. N6 1. OWNER'S Address is Star Route o' Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name Phil Davies 3. CONTRACTOR or BUILDER'S Address Star Route Glens Falls, N. Y. 4. ARCHITECT'S Name George Kurosaka, Jr. PE m N' 5. ARCHITECT'S Address 206 Glen St. Glens Falls, N. Y. 6. TYPE of Construction—(Please indicate by X) OSv (X)Wood Frame ( ) Masonry ( )Steel ( ► 7. PLANS and Specifications No. 36 'x56 ' per plot plan, specifications and application submitted including sewage systemLEY6T11) 8. Proposed Use Restaurant and Bar rt $5. 00 C/O Paid $170. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 79 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) ft I Dated at the Town of Queensbury this 9th Day of May 19 79 SIGNED BY fJ G. 141V for the Town of Queensbury Building and Zonilig Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. " Pp Permit Issued 19 BUILDING AND ZONING PERMIT 1',•t m nit Expires lq i.i nine District • \ Atli' .i1 \V rk,% THREE (3) Copies of a PLOT PLAN, Drawn to scale \l'l)""e(1 by showing the actual dimensions of the lot to be built R'nt;rr Kf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. `/ n,.//.{/J TOWN!7, 1)) E OFQUEE0 j [i ��NSBURY t3 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK // J t P4/ MAY L. i J' ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.M. P.M. 7�8�9�1(�11112�1�2�3�4�5�, which will be done in accordance with the description, plans and specifi- .� . . cations, and such special conditions as may be indicated on the permit. A The,owner of this property. is: . 5 e r V't ' O -.. - 1z� k.Z v.%� t 4 `J—�Z 1�0,;:—, <-V.G"`') V L S, ti .•� 1 3.Sti c I (NA 't (P 0 ADDRESS) the person esponsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME)_ (P© ADD ESSI Name of Builder \ t 11 V- v f O 1 Address c27, 111 Z \c-0 u- % 1" Name of Plumber Address Name of Mason Address _ Lot Number'.) -4a. Unit 1 Estimated value of proposed work$ flJ' t OCG) Name of Village . QUt-.. .,.,`7 `•`•`Z Name of Street .(-.Qk.-1)t Z-DI\L-k:- �0 Side of street: north l5, east 0, south ❑. west 0 Nearest Cross Street .1-A1A5`Q' t Distance fro,,, this -ross street 1 `� Ft. Property is north Er south 0,east i i,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest 0, southeast D. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Er Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ❑ Two-family dwelling ❑ Alteration to a building. . . . -family apartment house ❑ El Demolition of a building. Store building ❑ car attached garage Other:Kt-�., +�11.�r'+N7 �ATz �, -. . . . . . . . . .... ., Q.. .sx5. . Accessory Building One-car detached garage CT] 0 Other work. Describe S ofra- -,- Two-car detached garage ❑ A , s LQ - Private chicken house ❑ f Private storage building Other: ZONING SPECIFICATIONS. Fill in for new building, or 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, site and setbacks of pro- uat_5 posed buildings,and the location of all existing buildings. - , -7, Show proposed building(s) in dotted line and existing Milsd.-, i.7 ' G �-' tuilding(s) in solid line. i Size of property \- ft. x VI-`I ft. Size and use of existing buildings, if any j I• �1P 2 of proposedkeiol.ding . . • • • . ft.x ft. Height (from gr to ridge) ft. Front yard . . . �� ✓ ft. Sideyards . - . . • ft. and1 yft. Size C aV ..Z- \-V R-0 Rear yard .:) ft. -Mem if on corner,setback from side street t`' ) ft. t co7 Note: All distances are net, as measured from street side line to nearest part of building. (OVER) 7-73-M (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.' Li�.0�7 V Zrlt-'‘ti Will any second-hand lumber be u_ d? . . .tNQ If so, for what? t .> Material of foundation walls 16 \-.4•C.-4(.• •I• C.,01`'(-3t4 TE- Thickness • •V(O i I Depth of foundation walls below grade c Continuous foundation? Will there be a cellar? . .`.-e.k, S If so, material of cellar floor C..: C. r, T' = Type of roof: Sloped or flat? . . .5 0 .v). . . . . Material of roof saris\-' rt\ ti4 C. (> Size,wood studs "x LA ",spacing \ (9 "o.c., length ft. Size, floor beams, 1st floor "x t ", spacing \ .).-. "o.c., span -4 ft. Size, floor beams, 2nd floor N i\ "x N B ", spacing Nl R "o.c., span 1-')D ft. Size, ceiling beams I A " x . •l' H ", spacing . . .I-?i n. . . . . ."o.c., span . .L.5. (14 ft. c , spacing 1�' S Z4 "o.c., span . 1.$ ft. Siie, roof rafters or beams " x _ Exterior finish V• 1 1 t With what material? t- 11 t Finish of interior walls. . .�tit.>.--`-�2...c_.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attach'd, of what material is wall between garage and main building to be constructed? Is there to be an opening !!between garage and building? L, ri Kind of heating system �RZ°"` VI``' Oil burner or coal? tit L Will a flue-lined chimney be provided' .`.C'.-• _ . . . . . . . Depth of chimneyfoundation below grade �- 5 P Height of chimney above roof. . 3�. . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? t-S Depth of fireplace hearth Will a toilet be installed?. .. Iw .E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to_Igter supply? `- ") Water supply(public water supply or pump) 1 k•^-"-? Distance of cesspool from any private well H feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt bey Iof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.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 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 OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR day of 19 NOTARY PUBLIC,WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: °ti By TOWN OF QUEENSBURY Building Department Inspectors Report Date Name Location C/ i'r lc Permit No. S i R LI Weather Remarks Excaiation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill (,/;1'/;5/1: Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling /.112 Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date /C)--Z.2 -29 Name ___<c3sJ..Ccr Location Permit No. ,r-7 R Weather Remarks Excat'ation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer • Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior TrimStairs & Railings / 1;k-Ardij Cellar Dr. Tile L/I! Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Wa11s Ceiling Building Inspector REMARKS 4 e, � �� ??ate 47-ezi . . GOed Vo "I I TOWN OF QUEENS-BURY Building Department Inspectors Report Date 7 Nam r•cfa // Location ���OQ-cYa`c Permit No. 5-7 g 4 Weather Per Cent • Remarks Complete Excavation Footing Forms Footing & Piers Foundation 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 l /e 4V- Building Inspector Z14'6t d<IREMARKS W05/_Z/L'ier lR !J.E'_7 Pit) r"---777a/s Q 90_,} 'ei/ TOWN OF QUEENSBURY Building Department inspectors Report Date Name C Location G7'/€,>.e Permit No. 5 i Weather Remarks Excatta tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings �,�71 r Gt/Z Cellar Dr. Tile -�ins/ re) Concrete Floors C!Ve Plbg. Fixtures Gar. Fireproofing 2i` CSC//i- /4 Door Closers "1 -2 11 Chimney LL11 Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling Xcs, 5. Building Inspector REMARKS A /6/-ej ,6-,"7/1)' 0 / /S �G C �' a, f- 're- "Q,J sit/. /7 TOWN OF QUEENSBURY Building Department Inspectors Report Date C—.29— Name A.L* Clic,cc, Location c'/e/A-pv-*/ Permit No. 51 g - Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation 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 Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS Gf� TOWN OF QUEENSBURY Building Department Inspectors Report Date 61,24111 7 Name Uqr Se - / + t1p ( SanEo,te:1 ) Location C-/C.L►- clot/e. K-d Permit No. 5`7 8 Weather Per Coat Remarks Complete Excavation Footing Forms Footing & Piers f✓ Foundation L/ ?•e t 14!J 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 Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval I! Building Inspector REMARKS o F' -NIL ZS c.n a.O S I►t THE. W A ItIM N C.o o a'F 'S � f uo�E: A SEAR.�a Y GC•ER.IC i Ol: Ftc@ NAS P2o17vcEo Cool LIGT►N4 INf:o2M4-[►otil. THIS 1aT ; DFF.O SZF.�E�Euc.t. WAS G•jtf_ATE_9 IN 1940 ANo W45 Al ASooz• 4S F'EE.T 33' o ►.Pf ABouT EVQNS- �I.EVE2vht_c I uL- B`( S(G F•E Er a. 1,4-rv_A S�EEo �1576) BASV.D o N A 19.7dr I��,/'��-•, ff Te SoRV6`l M ? 8`( W• 4. GjZoc_KEK ANO FILlLP, p-.cCV_t9ES _-rRiS I,oY SEQV\�\O A 45 x S(� x4S KG8. ►' • WE CANNOT FINo APT R>rco>Zfl6o - t�9 EJ10ePLC To SoSSTANT►A-TE. -THIS A,1••W TAKE: 9 \y 1 is 613 3-THIS "CANS 'Ta ►.Pf1 ' At,E2T owNEo_ o Eo AREA. ' SB•�i p F JoNA^cAAN � r I Ib a � KovyE ' ' tQ•5. 4ssj. � QETz� t*o� 5-83•,q'3o•'-, Fu-aN� G. Go6uRrS J¢.i lr'f• - - — _ -f-- __--- a --- - ►r• M w A _ 8'3 6 30''E 6918 . a LPF• .of 77 z W 8 Q V� UNAUTHORIZED ALTERATION OR ADDITION TO THIS SUPVE" L�s• SLrf1 fib MAP IS A VIOLATION.OF"SECTION 7209 (2) OF THE NEW YY::; y STATE EDUCATION LAW. IRS. u 133.5S' BETT 8oas T G Alz*v A. s7.-R v I L t o c TOWN OF avEC►JSC3u1C`( W ACLR.IF-N COUNTY, N.Y. SCALE: 1. _ _ 30' DATE: MAy 4, 19'75 --- VAN D i LAND SURVEYORS, GLENS FALLS, N.Y. Y• STp,TF L_tc•. Oa. z 4ogS I.P.S. -IRON PIPE SET " I.P.F. - IRON PIPE FOUND NS 1936 _ 13-z-2, 79-3a-&z