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1985-209 w ERTIFI,CATEE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. $4 �--- i has been rxrmpleted. }2c��ptiU C Cl�Y1 This structure may be occupied as a ^ " *' et,_t �� t.h � F'�rc' r i.c3 3�oac' LA)cation e red 0.' Owner ' � rcv arc F' at . } i c � t � r � ; By O tder Town Board TOWN OF QUEENSBURY Building 6► Zoning inspector r CREITy'E "+M6T•4" PwXNTNG. GLEwg FALLS. w Y 3r01 [s ++ 1Ts}• 4s6 BUILDING PERMIT TOWN OF QUEENSBURY No_ 85_ 209 WARREN COUNTY, NEW YORK 4 ro rh PERMISSION is hereby granted to Jeffrey and Pa: ti Sc c9 z C OWNER of property located at Route 9 north Re dr ick Road Street, Road or Ave_ in the Town of Queensbury, To Construct or place a Restaurant 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. En 1. OWNER"S Address is Robert Gardens North 160 - 1 Glens Falls , Ne[•,T York � w rr 2. CONTRACTOR or BU1 LOERS Name same 3_ CONTRACTOR or BUILDER 'S Address. r`I] O same G rt if1 4. ARCHITECT'S Name 41-I�i ♦I 0y l + 5. ARCHITECT`S Address T • (D 6. TYPE of Construction — (Please indicate by X) N• f] ( I Wood Frame ( >! Masonry I } Steel ( } O 7, PLANS and Specifications 521x44 ' per plot plan, specifications and No. application submitted including sewage system . S. Proposed Use Restaurant $ 5 . 00 C/o Paid M $ 130 00 PERMIT FEE PAIL? — THIS PERMIT EXPIRES December 1 19 85 U' ti- (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the flt town of Queensbury before the expiration date.) t'f Dated at the Town of Queensbury this 2Oth Day of May 19 85 CIO SIGNED BY !►Ida !Z Qi _ for the Town of Queensbury Bu1Idingand Zoning Inspector TOWN OF QUEENSBURY (Space inside block to him hiled in bN Buildini; lrtspc'tterr•I WARREN COLitii`l;Y. NEW YORK %ppil( atioOl No- Application for P( rin4f ls.rrt•cl BUILDING AND ZONING PERMIT ��r ^rinil E'%Joires try . /A 011111 i 1%trict �i ,� ,r� ua•al to THREE ( 3 ) Coplos of a PLOT PLAN. Drawn to scale Il, r,a:r I Kir slrowin the actual dimensions of the lot to be built upon, The exact sins. and location on the lot of the building to be erected or altered MUST BE SUB- ¢ /M1T�TED WITH THIS APPLICATION, 4?r ( r'- — f h '2o Lfl _?� `U naffs TOWN <:)F 'QUEENSSURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING 'WORK � rCE0VFm D ANSWER ALL OF THE FOLLOWING. MAI i 5 1985 The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- A.ltll. 0 "cations, and such special conditions as may be indicated on the permit. TI $I9fflx ,�,, 1. 1 1 , 1 a 1 $ G D The owner of this property is: f ' (teaP.� s 11f, rwA . • l tP O. ADDRESS 1 The person responsible// for supervision of the work Iinsofar as the B/` uilding Code and the Zoning Ordinance apply is . .�erC .✓e �''. . .�GhL.1saI'.'�r�. . . . . . . . . . . . . /� a6Pr � �arnrP,�aS /11 •/rQ`C " / . . . . �. ?�ns . .f" df.I-f . . . . - (NAME) � c ws,r z . . . . . . . . . . . . Address - q [� e. �. . G�a. (l��r Name of BuiIder . . �. r . . st t { / r ,r . Address Name of Plumber - C . . . . . . . . . �l SQ . Ie - Address 1�1 p J/?4 'c ! z Ar. . . . . . . . . . Name of Mason . i'[ � n. . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . ,r� . . Estimated value of proposed work S G+. o o .o . . . . . . . . . . . . . . . . . . . . Lot Number . . . . . . . . . . . . Unit , p A° Name of Village . . . . . . . . . • . . . . . . . . Name of Street . Q �. . . 4' �' r -C.e Side of street; north ❑ , east south ❑ . west ❑ Nearest Cross Street . _ . . . Distance from this cross street . . . . . . . . . 1 t Property is north , south © , east i i . west ❑ from Cross Street If o Corner,1.which corner, northeast 0, northwest ❑ , southeast L, , southwest re (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORT{ OCCUPANCY Main BuRding JN Construction of a new buildfng. C}ne-famiiv dwelling M Addition to a building- Twos-family dwelling © Alteration to a building. - . -farnily apartment house M Demolition of a building. Store building KI -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building . . . . . . . . . One-car detached garage n Other work. Describe: . . . . . . . . . . . . . . . . . . . . , . . . . . Two-car detached garage O Private chicken house O • 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. sire and setbacks of pro- posed buildings, and the location of all existing buildings- NOATH Shaw proposed building(.$) in dotted line and existing r tsuilding(s) in solid line. 2 Size of property . . . . .�. .+�. 0 . . _ . . ft. x . . �. . . . . . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . 2 2t7 ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 - - a m Size of proposed building . . . . . Ft. x . . . . . . . ft. # q) 170 I-ieight ( from grade to ridge) . . . } � . . . . . . . . . . . . . . Ft. O Front yard . ,S7. 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . . . . . . • . . ft. and L? . - . . . . . . . ft. ieC' F c� r c K Rear yard } .� C? . . . . . . . . . . . . . . . . . . . . . . . . SOUTH If on corner, setback from side street . . . . . . , . ft. Note: AU distances are rrrt, As m*asured from street side line In neared part of building. COVEFtY (cont'd. y BUILDING SPECIFICATIONS,Kind of construction : Wood frame, fire safe, etc.? . . j9 C 0. , k. . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? fV0 - . , , _ . , _ _ If so, for what? . . . . . . . . . . , Material of foundation wails . .6104-k . . . . . . . . . . . . . .. . . ness Depth of foundation walls below grade . . _2 , '3 ,?& e . . . . . . . . . . . . I d I Continuous foundation? . . . . . Will there be a cellar? . . o, . . . . . . . . . If so, material of cellar floor Type of roof. Sloped or flat? f.br' cA . . . . . . . . . Material of goof , .� . .`. /f. �y . . . . . , . . . . . Sire, wood studs . . . . . . . . . . . . . . . . . .�. " x '� . . . . . . . . . . . . . ; ., spacing . . . . . . . . . . x .�. . "o.c., length . . . . .�' . .� . . . . . ft. Size, floor beams, 1st floor " x . . . . . . . ", spacing . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . , , . . ft. Size, floor beams, 2nd flour . . " x _ ", spacing _ . . "o.c., span . . . , ft_ Size, ceiling'beams . . . . . . . . . . . . . . . � . " x ( . . . . . . . . . . . . . . ", s acing . . , . . . _ _ . _ 2 „o.c., span . . . . . .1, 64 . . . _ ft. Site, roof rafters or beams �.rj . . . . . �C "o.c., span ft_ k ; � ) Exterior finish _ . � v . . . . . . . . . . . . . . . + . . . th ghat material? . d f. ' lC . . . . . . . . . . Finish of interior walls . . .03 do 1t If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an openinbet}v ggxage nd building? . _ . . . . , . . . . . 11 Kind of heating system aU . . . . . ? i . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? Will a flue-lined chimney be provided? // . . . . . . _ , . . Depth of chimney foundation below grade . , . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . CJ. . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . Will a toilet be installed? yYE'�`. . . . . . . . . . . . . . , . . . '. . . . . . . . . . . . . . . . _ Will a kitchen sink be installed and connected to water supply? . ,l es. . . . Water supply (public water supply or pump) _ l j :,I. _ h t !` . . . . _ . . . . . . . . . . . . . . . . . . . . . . _ . . . . _ . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with. required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I *wear that to it b,cdiuf my knowledge and belief the statements contained in this application, u ether with the plans and speciflowtitww sub mitted, are a true and co a. feu statement of all proposed work to be done on the described prIs w e and that a }rovi*ions of the BUILD- ING CODE, THE ZONING P ORDINANCE, and all other law* pertain' 77W wed work shot! be with, w ed m. not. and that such work is authorized by the owner. p� Sworn to Wore me this Signature . . ,.. . Y NT. A ItE 7, G© ACTQR r� day of . . .. .. . ... . . . 4C I4. 9/ . . . .. . . .... . . NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT; By --- ..... . . . ... .... .. .. .... . . .. ... . . . . .... ..... . .,---- TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : STATE pERMITIN COMPLIAVATION NCE WITH THE NEW YORK RGY A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area 2 . Type of heat 3 . -IS the building mechanically cooled ?Jim i 4m percentage of area of windows and doors 15m J� 47 Y m over 16 *6Only 1 . Uo value of grass 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 i . if YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , what is the Ft value of insulation around perimeter of flooav ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation Be Under 169s Ong 1 . R value of roof and floors exposed to ambient condition s 2 . R value of exterior walls ml - 3 . R value of glazed area 4 . R value of doors -- 5 . It value of floors aver unheated spaces 6 . R value of slab edge insulation - unheated slab �^ 70 R value of slab insulation - heated slab IN-3 y 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cel�rl- aw walls (below grade ) lot Type of insulation_ I , ; nn L p ► rya �n C . Controls ie Thermostat maximum heat setting D , Duct Systems 14 is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation be R value of duct in other areas E . 0 1 in Insulation in agent pipe Size of hot water or cooling yg carr 2e R value of pipe insulation F . Service Water Heating v 10 performance effxcxency - 2 . Temperature control setting maximum G . For Swimming Pool [rnly Maximum heating 72 Telephone No . _ 72 { 1 ant ' s signat ) k - TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SF1K7AGF DISPOSAL PERMIT APPLICATION 10 Owner ' s Name_ _ < 7, ^, r e/, gl- ,A, i ; , - Address .90 e r GeLrzleiJ)S' 1� �1 -/ 4 0 --z S ` tj Telephone No . 2 _ 2 . Property location d+ ,�C� 3 . Name of person /or firm responsible for installing system Telephone No . - Address i 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow crallons/day 6 . Septic tank capacity- _ [2 C) (7 gallons 7 . Topography : flat , (�Eolling steep of slope 8 . Nature of soil and depth a nix 90 if ground water , bedrock or impervious material is apparent at what depth does it began? ft . 10 . Percolation test : is required ,,,E , + I be. fes-t-e 0' `-g is not required r�Ur .n [:>Xc= AJet�. +} lT C If required what is the rate minutes/inch 11 . Water supply : municipal ' well , other 12 . Type of system proposed : drywell , the field , others Any contractor ,. corporation , individual , etc . +engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . 1 V J-J_Sl rD /d Date JAjrC*o4ure of Sapp ant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 82 TOWN OF QUEENSSURY Buildisir Dopartment � PYz�1�01 P.e�r' n itlt Now l'-'..�{JIAI ( �t.�S Lt" �� Qi V Remarks Excaoa tl.on Footing Forms Food r & Piers Foundation Cement Coat , Water roofin Backfi 11 Final Surve Pramin Sheathin ,Roof Felt ,Roofin Siding masorLry Veneer Rau h IIIP- Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim i� Stairs & Railings Cellar Dr , Tile Concrete Floors P21>9 Fixtures Gar . Fireproofing Door Closers ChimneLf Water Meter Inst . Se tic Approval Floors Foundation Insulation Walls ild ng lnspector REMARKS w- � era, Pfrvw(a — C% l� TOWN OF QUEENSBURY Building Department Inspectors Report Dune Name Location ce k Permit No. F Weather Remarks 8xcaOo tion FootIn Forms - Footing & Piers - Foundation - _ Cement Coat _ Water roofin - Backfi 1l - �_ Final Surve - Fram-1 Shea thin ]Roof Fe3 t - - Roofin Sidi Masonr Veneer.Rough P1 - Relief Valves - wall Board --- Ext . MT!Je -- Finis rnter Stairn s - CellaleConcrrsPl sGar . fin --- - Dc>or Closers chimney water Meter Snst . Se tic A royal F1raars �,^,_ Founda ti+cfn rnsulation walls Ceili.n Brxax ing Inspector REMARKS TOWN OF QUEENSBURY Building Department loapecomw ptepmt_ Date _ Nam! c cv z Permit No. " - c} Weather Remarks Exca+�Ya Lion _ Footing Forma Footin & Piers Foundation Cement Coat Waterproofing Sa CJkfi I l Final .Survey Framing Sheathing _ Roof Felt Roofing Siding Masonry Veneer Rough PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim stairs & Railings 77 Cellar Dr . Tile Concrete Floors Plbg . Fixtures Gar . Fire roofin - Door Closers _ chimney Water Meter InstI.cgel se tic A royal Insulation oundationalls lin "plow or BuiI ing spec tor REMARKS TOWN OF QUEENSBURY Bulldine Department finspackwu Tieir= Dace . P Na. _e.2. wow,tti� Remarks ExcatYa tz on Footinq Forms Footin & Piers Foundation Cement Coat Watex pro Ba ckfill Final Survey Framing Shea thi n Roof Felt Roof-in Sidin Masonry Veneer Rough Pl Relief Valves Wall, Board Ext . Porches Finished Floor Tnteriox Trim Stairs S Railin s Cellar Dr . Tile Concrete Floors P.Zbg . Fixtures Gar . Fire roofin LOOr Closers Chimne Y. Water Meter Inst . Se tic Approval Floors _ Insulation F40undation Walls Cell-iinn Boil gr Snspeotor REMARKS TOWN OF QUEENSSU RY $nildint Department lammpecters ]Report. DAte r2 Par.eit No. `.s' - cr Wea�thew •� Remarks Exca0at=on FootIng Farms Footing & Piers 00 �! i Foundation Cement Coat Water roofin Baclkfil2 Final Survey Framing Shea thin Roof Pei t Roofing Siding Masanrg veneer Rough PlLml Relief Valves Wall Board Ext . Parches Finishers F2opr Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P2 Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst . ,5e tic Approval Floors Insulation Foundation Wa32s uilding Inspector REMARKS