91-129 BUILDING PERMIT
TOWN OF QUEENSBURY X
No. 91-129
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Mr. Charles blood co
OWNER of property located at Howard Johnson Motor Lodge, Aviation Rd Street, Road or Ave. I
in the Town of Queensbury,To Construct or place a interior Alterations
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 -S
PO Box 511
Lake George, PAY
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2. CONTRACTOR or BUILDER'S Name CD
James M. Heller, PE
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name O
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) r
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( )Wood Frame ( ) Masonry ( )Steel ( ) Fire Safe t�D
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7. PLANS and Specifications O
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No. 72 sq ft interior Alterations as per plot plan specifications and
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application
8. Proposed Use
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Expansion of Kitchen a
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$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April B, 19 92 H
(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 Fith Day of April 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning spector
OWN of QUEENSBURY
REVIEW-ED BY
FEE PAID TOWN OF QUEENSBUM
RECEIVED
PERMIT NO..
BUILDING PERMTr APPLICATION MAR 2 8 1991 .
_ BLDG.,& CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE-BEOINNWG CONSTRUCTION. NO INSPECTIONS
WELL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUELDING PERMIT.
All applicants:spac es�on this application-MUST be completed and the signature of the
applicant MUST appear on the reverse side.of this application.
The owner of this property is; Mr. Charles` R. Wood
11 73-
P.O. Address P.o. Box 511 � Lake George,:',New: Yoxk Tel. '('518). 792 '6568
Property Location Howard Jobnsnn Mntbir L,odae.' Aviation Road _Tax Map-No. 15,9
.Has there been any split of.this property-since October l; 1988?
If yes Planning Board-Review is necessary. :yes no
SUBDIVISION NAME, IF APPLICABLE NA. - LOT-NO.
THE PERSON-RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: ..
-James M. Weller, P_;E.-
NATURE OF PROPOSED WORK:- - * ES.r;MATED_ MARKET VALUE OF
Construction of anew building CONSTRUCTION:
* C0MPLETE-INFO RMATION-REQUIRED BELOW:
Addition to a building • Ex�stXng ft x ft.
Size of property
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions)
-Proposed building - distance from property line:
Other work (Describe) * Front yard N - ft. Rear yardft.
* Side yards- NA ft-. ' and ft.
Alterations * If on corner, setback from side street : i_ft.
GROSS AREA OF PROPOSED SMCMR& •
1st Floor 72�+ sq. ft. • OCCUPANCY INFORMATION
2nd Floor NONE sq. ft. - • Primary Building -
Other Floors _ NONE sg. ft. * One Family Dwelling
(not cellar-or basement • _Two Family Dwelling-
---E:Iultiplc_Wvsllfn[W-umber of units_=
rOTAL FLOOR-AREAA-7=72 --- _ _ ---
. Busirs"a -
�ize of new s4ruciure -�ft z®ft:- _ -
Foundation-pier/sLb/crawl/partiial/Lull • Industrial
(circle one) ' Other
No. of storias (habitable space
Height (grade to ridge). NA tt. , If addition, what will-use bet-C-1 ,
M
ff residential,ho. of families_ •
No. of rooms(eXcluding bathe) NA ' Accessory Building _
No. of bedrooms ::NA • _L,_Detached Garage ONE/TWO Car
No.-of bathrooms M A_ ;. •
Primary heating systetnL
_Attached garage ONE/TWO Car
Type of fuel_ ' NA Private storage building
No. of fireplaces to be installed, U_ '
. .. • _Other -
WiU a wood stove be installed—.-a—
Central-Air conditioning NA
OV*ER
BUILDING PERMIT APPLICATION COvTIN.UED -
BUILD IN&3PFCIFICATIO�S:
Type of construction; wood frame, fire safe. etc. Fare Safe
Will any second-hand or upgraded ltimberbe used? if so. for what? No
Foundation wall material Existing Thickness Existing
Depth of foundation below grade (to bottom of footing) Existina
Will there be a cellar? NA Heated or unheated? NA. Floor sq. footage NA sq ft.
Will there be a basement? NA Will any portion be used as living space? No
(If so, what portion? NA ft. Type of use? NA .
Type of roof,- sloped/flat%shed/other NA :Material of roof
Size, wood studs '2 "x 4 " spacing 16 " o.c.-length g. ft.± Non Load Bearing
Joists (floor beams) 1st floor NA "x It
spacing "o.c. span ft.
Joist (floor beams) 2nd floor NA It " spacing "o:c. span ft...
Overlays (ceiling beams) NA "x it spacing " o.c. span ft.
Roof rafters NA "x " " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing NA " o.c. span ft.
Exterior wall finish Existing of what material? Existing `
Interior wall finish Fire Rated Gypsum Board
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: . NA.
Is there to be an opening between garage and dwelling? NA If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? NA Height above roof ft.
Depth of chimney foundation below grade NA ft. --
Depth of fireplace hearth NA ft. in,
Water supply - Municipal or private well Municipal
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties Existing ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER owner ADDRESS TEL. NO.
NAME OF PLUMBER owner ADDRESS TEL. NO.
NAME OF MASON owner ADDRESS TEL. NO.
ft
NAME OF ELECTRICIAN Owner ADDRESS TEL. NO.
DECLARATMON
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 thet,r1 ;.—mvis .of the BUILDING CODE, THE ZONING ORDINANCE, and
kll other laws pertaining to the proposed work shall be.complied with, whether specified or not, and that
such work is authorized by the owner.
Signature
Own owner's agent, aiX, contractor
Eng neek
SPECIAL-CONDMONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY
531 .BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED �
LOCATION (Q'lAkyk i ,d ,Q
Lq
DATE PERMIT# - q /—/.�o
TYPE OF STRUCTURE �6y
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL _FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
_INSULATION WOODSTOVE/FIREPLACE
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REMARKS
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F; APPROVAL
N/Al YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT �
ROOFING 3
SIDING f
DECK/PORCH/STEPS/RAILINGS %
RELIEF VALVES I
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY D60RS _
FINISH FLOORS: ri
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA$LE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS i
HANDICAPPED ACCESS 1
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS \
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS \
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
Ao tvo�tx::� Doki a r-) j P(20
ARRIVE
DEPART
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