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86-788 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-788 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Anne C. Kent (AKA: Mandigo's Northway Used Auto Part, Inc.) OWNER of property located at Luzerne Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Parts Storage •• m at the above location in accordance to application together with plot plans and other information hereto filed and ca approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a x w co 1. OWNER'S Address is Luzerne Road o rt Queensbury, NY 12801 m z 0 n 2. CONTRACTOR or BUILDER'S Name Glens Falls Insulation Co. w W m 3. CONTRACTOR or BUILDER'S Address a 9 Marion Ave. Glens Falls, New York o G N Fd (D 4. ARCHITECT'S Name rt (o m 0 H W 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel (x) metal 7. PLANS and Specifications 80'x40' per plot plan, specifications and application No. submitted. ro w - n 8. Proposed Use Parts Storage Building U. rt 0 n $5.00 C/O w $ 56.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1987 b (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.) p r Dated at the Town of Queensbury this loth Day of November 19 86 °A SIGNED BY for the Town of Queensbury i cI l ti 3 Building and Zoning nspecto TO BE COMPLETED BY BLDG. DEPT. Application: No. Permit Issued 19 W 40,%NoFmI55,41� 1XV BUILDING and ZONING DEPARTMENT Permit Expires : 19 Queensbury, New York 12801 Variance D. E .11 V R Bay and Haviland Road R.D. 1 Box 98 Zoning Designation L T_- Sit 1n Rev ew No. CT�3 0190* G, I "T' �2 lo- / �13 Appro -d.- %11 APPLICATION FOR BUILDING AND ZONING PERMIT 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. ----------------7------------------------------------------------------------------------------ The owner of thisproperty V AJ A Tel. '7, 17 -3Q51 P.O. Address..&-4,p 117TWJC?�'f Ak��\/ LlIS67G • 0 Property Location: Tax Map No.,9_3 / a/ /0- Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: &E7 Name P.O. Address Tel. No. Name of builder (!5• F-. _Z_ Address Tel. Name of plumber —Address Tel. Address `bZ;Ej- '/Ck2j7-)- A� T'el.-7CIep- Name of mason NATURE OF PROPOSED WORK: ZONING INFORMATION: VIC"Onstruction- of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition 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 1 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 , of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED-., of septic disposal area. COMPLETE INFORMATION REQUIRED BELOW. Size of property !=2?�6ft X �55yf t. Existing building(s) SizZ �20 ft X '30 ft. . . . . . . . . . . . . PROPOSED BUILDING AND USE: Existing building(s) Use '0,pZ')9:7' ODE Size of new structure A5 ft X t . . . . . . . . . . . . . . . . . *. Proposed building, distance from property line (circle one) X Front �_rarrl ft Rear yard Pvvo ft No. of stories (habitable' space)-- -. / and ' Height (grade to ridge) - 1,71-4-11 , ft. * Side yard.s /5-47. 15' f t If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) . . . OCCUPANCY INFORMATION No. of bedrooms No. of bathrooms PRIMARY BUILDING - Primary heating system o -one family dwelling Two family dwelling Type of fuel Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? ' * -Permanent occupancy _�� Central Air conditioning? * Transient occupancyBusiness BUILDING STYLE, PRIMARY STRUCTURE Industrial 10412-7-S Other ' BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or, unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material.,of roof Size, wood studs fixif spacing "o.c. length ft. Joists(floor beams) lst. floor "X spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X It spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish" 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 bury County off Warren A F F .1 D A V I T STATE OF NEW YORK :•I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications subm_itted,_ 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 ------------------------------ Owner, owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. If * * * * * * * * * * * * * * * SPECIAL CONDITIONS' OF THE PERMIT: 1.11 yttvai dots IV V JC,f 77(w 07 H BUILDINr PERMIT APPLICATION CONTINUED - ' [BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be 'used? If so, for what? AA0 ii foundation wall material Thickness - Depth of foundation be grade (to bottom of footing) S will there be a cellar? ruy Heated or unheated? Floor sq. footage sq ft Will there be a basement? _Will any portion be used as living space? (If so, what portion? sq.ft. - Type of use? 'type of roof- -" oped flat/shed/other 1 /2. Material of roof size, wood studs_ "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X spacing "o.c. span ft. _ Overlays(ceiling beams) "X to spacing "o.c. span ft. Roof rafters "X " spacing O.C. span f . Roof truss re-engineered) spacing 4061 *'o.c. span" of ft. Exterior wall finish Of what material? Interior wall finishp�� 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 floor, 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 :'EPTIC. SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A' separate-application is necessary for any repair or new installation of septic system) Coupof f Warren A F F I D A V I IT STATE OF NEW YORK County of Warren I swear that to the beset 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 aws pertaining to the proposed work shall be complied with; whether specified or not, a t a sucTi- work is authorized by the owner. r SWORN TO BEFORE ME THIS Signature-- �`_ _ _ Owner, owner' agent,a cn>r_ect,contractor day o c . 19A v IOU N:, ary 1'c, War en County, N.Y. S1,ECIAL'CONDITIONS OF THE PERMIT: MARGOT HODGSON `Notary Public,State of New York Warren County-No.6923050 p MY Commission Expires March 30,19d { lacc/77lzlBS� Jowtz o f QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME is Gh ISO LOCATION f 42 ei- m e jRa� V-004d — L Date (a js /ate_ Permit No. 2 6 - 7r� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing K Backfill Q Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney ,L-1-N SU LAT I ON: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building nspector 6/86 and-vl 0'G tLo-d) lcX//O/SG Si _/own of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S RE/PORT NAME 15) LOCATION L (A Z e)- h L !+-d a fn? Date J / Permit No. 86 - '7�� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YEP. / NO x Footing/Pier Forms 11A Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl Ca t(-ad i -j-) «'g(, _ own v/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION Date )a �(, /�(�_ Permit No.J * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing �Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: o! Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey NexC scheduled inspection (call when ready) Remarks- B ildin nsp ctor 6/86 and-vl BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR VILLAGE TOWNSHIP{ {`�-1S(3 ut Cc COUNTY 1 L3Ft)-(ZP hJ STREET AND NO.OR Via, f ROAD AND POLE NO. y j'� u' C S�� !'�� POLE NO. BETWEEN WHAT TWO CROSS STREETS IS �� A `� 1 PREMISES LOCATED? SECTION 9�3 BLOCK LOT Z— NAME ANT'OCCUP d �� >? ),P BU kAA�13?I �00 :l G'i'�}�to�-`,`( "°"""'—'Brl ?5 r.'LCCUPA CY t� OWNER'S NAME,-- ' b AND ADDRESS ell L_1 (� �. pjVj o 4 "A—�— TEL.# (q 2 �. eLS CURRENT t SUPPLIED I �� FROM THEIR ` L BY � C%`v.'4`S F_iA L_1,a OFFICE DEFECTS SUILDING NEW "r OLD❑ SORK NEW 2r ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loea- ONLY tion Side Attach't H.P. Watts A.W.G. Coiling Wall Recap'Ia Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base- ment lit Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF (y��.,�I//.� ELECTRIC SIGN TOTAL MAINS G?G--�3 p, (' - E�'' k )FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK C E: M CONCEALED• TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD / UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS NAME OF t l �(SIGNATURE APPLICANT } t'= - `�+ � '° X OF APPLICANT STREETADDRESSt"Jr-"� TELEPHONE# CITY OR / ZIP }} LICENSE NO. POST OFFICE��;= U5 �- ALL- � 3 ��� I � CODE 72� WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING