1125 CERTIFICATE OF OCCUPANCY
4
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 1, 19 71
This is to certify that work requested to be done as shown by Permit No. 001125
has been completed.
This structure may be occupied as a Drive-In Restaurant
Location Corner of Roche 9 & Farm to Mkt. Rd
Owner Carlton. & Martha. Freiberger
By Order Town Board
TOWN OF QUEENSBURY
/ Building 6 Zgmng Inspector t
BUILDING PERMIT
TOWN OF QUEENSBURY '
No. 001125
WARREN-COUNTY; NEW YORK
PERMISSION is hereby granted to Carlton & Martha Freiberger
OWNER of property located atCorner of Route 9 & Farm to Mkt. Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Drive-In Restaurant cD
at the above location in accordance to application together with plot plans and other information hereto filed and 1Q
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cD
1. OWNER'S Address is C7
R. D. #2
n
Lake George, New York
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2. CONTRACTOR or BUI LDER'S Name
Iselin Brayton
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3. CONTRACTOR or BUILDER'S Address rt
R. D. #2 Lake George Rd. w
Glens Falls , New York
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address
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Same
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6. TYPE of Construction—(Please indicate by X)
O
Wood Frame ( ) Masonry ( )Steel ( ) 1-h
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7. PLANS and Specifications r_
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No- 20'X44' as per plans and specifications submitted. ko
91
8. Proposed Use
Restaurant
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$ 32.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 1�_1_ 19—_
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.)
Dated at the Town of Quee bury this 19 Day of April 19 ]1
e �
SIGNED BY for the Town of Queensbury
Building and Z ing Inspector
-FOWWOF QUEENSBURY inside block o I � "(Space t x hllccl in bv
WARREN COUNTY, NEW YORK Building Inspector)
_ :application No. . . . . . . . . . . . . . . . . . . . . . . . .
Application for
Permit Issued. . . . . . . . . . . . . . . . . . . . . . . . . 19. .
BUILDING AND ZONING PERMIT
Permit Expires. . . . . . . . . . . . . . . . . . . . . . . . ISI.
Z(min- District
Val(ic of \Fork S . . . . . . . . . . . . . . . . . . . . . .
THREE (3) Copies of a PLOT PLAN, Drawn to scale Ap1'('m c cl h\ .
showing the actual dimensions of the lot to be built Itcnlark' . . . . . . . . . . . . . . . . . . . . . . . . . . .
upon, The exact size, and location on the lot of the
wilding to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBLIRY
�32 Fe,&
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A;';,D\ 19 1971
ANSWER ALL OF THE FOLLOWING.
A.M. P.M.
The undersigned hereby applies for a permit to do the following work '71.8 19 t101l l 11J12i 1 12 J 3 I v G
:➢
which will be done in accordant® with the description, plans and specifi-
I'll , -I_
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: rn-")✓Z 7h Y) r n e!a c2 G•C/C
(NA.' E) V (P.O.ADDR S )
The person res nsibie for •supervision of the work insofar as the Building Code and the Zo ing Ordinance apply is:
. . . . . . . . . . . . . . . . . . . � . .� �� . .��.za. . . e. . . . . . . . . . . . . . .
(NAME) ( .O.ADD S)
Name of Builder. .S`�' 1 w. . !}"j U.0- *4-J. . . . . . . . . . . . . .Address . .�. . .�_G'. G C�e�f •f� Fes`
Name of Plumber. .4� `r�. .SYL?U. 4v. . . . . . . . . .Address .Y.`.N . .S.Q . . �`��`S �`/
� . �. . . . . . . . .
Nameof Mason. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot Number. . . . . . . . . . . . Unit ... . . . . . . . . . . Estimated value of proposed work>e . . . . . . . . . . . . . . . . . . .
Name of'5lillage . . . .ee.�u.. . . O.y.. . .� E.Lu�; �:�'`�. . . . . . . . . -
Name of Street .6bvr4. i". . . . .'r. . . .� �G�a-ti►!.`¢ .0.)"r;'16tSide of street: north 0, east ,1 , south '0. west
Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance from this cross street . . . . 0 . . . . . . . . . . . . Ft.
Property is north 0,south 0,east i►, west ❑from Cross Street
If on Comer, which corner, northeast 1., northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OT-PROPOSED WORK — — ~-- _ - OCCUPANCY — --- _y
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. . . . . . . . .-family apartment house ❑
Store building , IVY- \ ;;��:t..�aN.St 0
. . . . . . . .-car attached garage � ❑
Other: .. . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .`. . . . . . . . . . . Accessory Building .
One-car detached garage ❑
❑ Other work. Describe:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage ❑
Private chicken house ❑
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-
NORTH posed buildings,and the location of all existing buildings.
--� --� Show proposed building(s) in dotted line and existing
IAuilding(s) in solid line.
Size of property ��►X. r. . ft. x6 g.�X.�.�� £t.
Size and use of existing buildings, if any . . . . . . .'.'". . . . .
NN . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . I . . . . . . . . . . .i . . . .
W Size of proposed building . . .'�0 . . . ft.x ft.
Height(from grade to ridge) . . . . . . . . . . .... . . . . . . . . . ft.
Front yard . . . . . ...4;pz . . . . . . . . . . . . .`.c.,. . . . . . . . ft,
Side yards . . . a- Y . . . . . ft. and .b. !. . . . . . . . ft.
a Rear yard . . .�.�.f� . . . . . . . . . . . :. . . . / ft.
SOUTH If on corner,setback from side street . . . . . . . . ft.. ..
rr ` Note: All distances are net, as measured from street side
rll-23" a �Q'r 1G w S line to nearest part of buildings.
(OVER)
(cont'd.)
'BUILDING SPECIFICATIONS.,
/� f
Kind of construction: Wood frame, fire safe, et ?. . . . �.0 0 . . .�.f�. e. . �. . 0 C'�" `�
Will any second-hand lumber be us ? .0. . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . ..S.ir. . . . . . . . . . . . . .
Material of foundation walls . . . . . �. . . . ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . . , . . . . . .
Depth of foundation walls bglow grade . . . �z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . .\. . S . ,
Will there be a cellar? . . . Q`J. . . . . . If so, material of cellar floor . _. . . . . . . . . . . . . . . . . . . . . . . . .'
Type of roof: Sloped or flat? �l b.P� . Material of roofjQ.. .
. . . . . . . . . . . . length g,. .
Size, wood studs . . . .�.� f . "x ", spacing j o.c., . . . . . . . ft.
Size, floor beams, 1st floor ��. . . "x . . . . . . . . . . . . . . .", spacing . . ..I. �. . . . . ...o.c.,span . .. . . . .. . ft.
Size, floor beams, 2nd floor x . . . . . . . . . . . . . . . spacing . . . . . o.c.,span . , , • , , • , . . . . . ft.
Size, ceiling beams . . . .� . . . . . . . . . . "x . . . . . . . . . . . . . . .", spacing . . . .�. . . . . . . ."o.c. span . . . . . . . . . . . . . . ft.
Siie, roof rafters or hms . . . . . . . . . . .....x . . . . . . . . . . . . . . .", spacing . . . . . . . . . . . . . ."o.c., span . . . . . . ft.
Exterior finish . . . . .Lt).C..�j S. . . . . . . . . . . . With what material? . . . loo6 j v�.fe. . . . . . . . . . . . . . .
Finish of interior walls. . . . .y. Gt 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main bu44ing 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? .: 0 . . . . . . . . Depth of chimney foundation below grade . . '.. . . . . . . . . . . . .
Height of chimney above rook . . . . . . . . . . . . . . . . . . . . . . . . 6 . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
Will there be a fireplace? . N.6. . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . .
Will a toilet be installed?. .-. /D . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to er supply? . . . V e`�. . . . . . . . . . .
Water supply(Public water supply or pump) . . . .9' .,r.r,!'E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . S
Town of Queensbury AFFIDAVIT
County of Warren ss.
State of New York
I swear that to the beet of my know)edge and belief the statements contained in this application,together with the plans and specaScations sub..
mitted, are a true and complete statement of all proposed work to be'done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONINfi ORDINANCE,and all other laws peetain' roposed work a ll be complied with,whether speiate®d or not,
and that such work is authorized by the owner. -�
Sworn to before me this Signature . ..zg�
. ... / .
R WN A OGENT, CF91TE ,CONTRACTOR _
�' ........................................day of..................................................19........
NOTARY PUBLIC,WARREN COUNTY, N.Y.
SPECIAL CONDITIONS OF-THE-PERMIT: - -"- -- — --
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By............................................................................. ............ ............ .
SEWAGE DISPOSAL APPLICATION
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A
S F,dAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE
LAKE GEBRGE PARK § TOWN OF QUEENSBURY
1. Name and mailing address of applicant:
2. Specific location of property: vr
3. Application is for:
New construction of dsallin 0I1iiple
Alteration or enlargement of existing sewage disposal system.
. Description of building:
a. number of bedrooms
b. garbage grinder
yes or no
5. Property line dimensions, or total area of property:
/7/ X -
6. Topography: ��
flat, rolling, steep slope, gentle slope, etc.
7. a. , Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as
top soil, clay, /loam, sand, gravel, rock, etc. )
b. How determined?
8. a. Soil percolation test made by
(Refer to Part III, Bulletin 1, N. Y. S. Department of Health)
b. Percolation test notes submitted?
yes or no
9. Proposed sewage disposal system indicated on attached plan or
sketch? e-5
yes or no )
10. Date when construction will commence
It is hereby agreed that if this application and attached plans
dated or any amendment or revision thereof,
are approved, installation of sewage disposal facilities will be
made in accordance with the details thereof as shown on such
approved plans.
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Dated / Signat re of appl ant