1986-150 BUILDING PERMIT
TOWN OF QUEENSBURY Na. 86-150
In ARREN COUNTY, NEW YORK
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Mobil Oil Corporation
PERMISSION is hereby granted to
OWNER of property located at east side Route 9 at Exit 20 Northway Street, Road or Ave.
Canopy and replace tank
in the Town of Queensbury,To Construct or place a
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. r
1. OWNER'S Address is 19 Aviation Road 't
Albany, New York 12205
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2. CONTRACTOR or BUILDERS Name Machnick Builders
3. CONTRACTOR or BUILDERS Address 1 West St.
Green Island, New York
4. ARCHITECTS Name
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B. ARCHITECTS Address
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6. TYPE of Construction—(Plasm indicate by XI
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1 1 Wood Frame 1 1 Masonry 1 1 steel ( ) ,o
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J. PLANS and Specifications
24'4"x55' canopy and replace tank per plot plan, tri
No. specifications and application submitted and Var. 1067
granted 4-16-86.
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8. Proposed Use
Gas Station
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$ 412.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 1986
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector f the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 22nd Day of April 19 86
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SIGNED BY &� N.,aj_' 2 for the Town of Queensbury p,
Building and Zoning Inspector ��pJ n n
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TO BE COMPLETED BY BLDG. DEPT.
...aG7 Application No.
wn of Queenihurly Permit Issued 19 T WN CF rjtj!FMCfl'-L':'
BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation LE u �
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Queensbury, New York 12801 Variance No. IOG 7 'f WM , APR 22 1986 J
Site Plan Review No.
4„„(��i rec. r M.
Approved by: i8I8 112)3)4161•
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APPLICATION FOR
BUILDING AND ZONING PERMIT "ZDu
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.
The owner of this property is: MaA,L cit.. Cotco2 nt,O ti
P.O. Address 181 Avlh TIoni Co AL-csA.3 9 1,3y \22e5 Tel. 4S8-28B\
Property Location: -2i<`ci r= I-'87 Tax Map No. 3 G / I / zs
Street number or building lot number
Subdivision name (if applicable) ti /A
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder I-(4cnw„ce 66iio641 Address 1 WEsi Sl eaEEv44.[2&b b/ Tel. '2l2 - L 1 0
Name of plumber 142.266lry 8oii6ro1 Address 116Etit ST Gv.Eew jsi.nv.+n 6/Tel. 2/2 -R.)ab
Name of mason 1,-/ec4 ,a l: 6uI'- E6i Address 1U3S ST Si P.N.QEwTh.d66 to ' Tel. Z12 -8220
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NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction 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
Other work (describe) Cowswociio,.. * set-back dimensions from property lines. Give
pc ti F'as cn.,cei e Twwc ZFvLacae+Ev7 * street and number or lot number and indicate
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
C66,o6* dace ISO.6S,F, *
?e.-),c AaEa I ioz4 s.1 * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 319.80 ft X 2 3\c6 ft.
* Existing building(s) Size 1,3 ft X 40 ft.
* (.814) - 2- 'Poc Ne (a Nee ICi - 29‘O,oheu+
PROPOSED BUILDING AND USE: * Existing building(s) Use SQTUIC% S+.-.>;-cr
Size of new structure 244 ft X SS ft *
Foundation(ieyslab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front yard 21 ft Rear yard 29'8.3 ft
No. of stories (habitable space) I * Side yards 1! ft and 9 1 ft
Height (grade to ridge) Ih ,q ft. * If on corner, setback from side street v/A ft
If residential, no. of families 1J/4
No. of rooms(excluding baths) 1o/A * OCCUPANCY INFORMATION
No. of bedrooms t.,/q *
* PRIMARY BUILDING -
No. of bathrooms N/A One family dwelling
Primary heating system !✓//T * Two family dwelling
Type of fuel ).,/A * Multiple dwelling / Number of units
No. of fireplaces to be installed N/A * ---Multiple
Permanent occupancy
Will a wood stove be installed? N /A * —* Transient occupancy
Central Air conditioning? N/A
_* _Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
f Other S-er�• cf 51sA.Lob r
Ranch Contemporary Log cabin *• If addition, what will use be? ri/A
Raised ranch Mansion Duplex
Split level Old style Bungalow * —
Cape Cod Cottage Othe * ACCESSORY BUILDING-
Colonial Row Town House * _Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * A _Private storage building
y ESTIMATED MARKET VALUE OF " K Other 16) //
CONSTRUCTION $ Zo.� t-)2 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. S T E E (-
Will any second-hand or ungraded lumber��N be used? If so, for what?
"/��lo N O
Foundation wall material kc([Erb Thickness RS& /F5 POD PLAA/S
Depth of foundation below grade (to bottom of footing) 5' - 8"
Will there be a cellar? NO Heated or unheated? N/A Floor sq. footage ., / /F sq ft
Will there be a basement? NO Will any portion be used as living space? v/A
(If so, what portion? ni i� sq.ft. - - Type of use?
n1/of
'type of roof - sloped/ lad/shed/other Material of roof :Isis e
Size, wood studs 1.7/A- "X )J/A " spacing N/A "o.c. length N/A ft.
Joists(floor beams) 1st. floor WA "X N/, " spacing p/A "o.c. span N/A ft.
Joists (floor beams) 2nd. floor N/A "X 1J/A spacing N/A"o.c. spanN)/A ft.
Overlays(ceiling beams) N/A "X I44,l " spacing N/A "o.c. span N/A ft.
Roof rafters N//{"x 1JJA spacing N4 o.c. span U/n ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish N/A Of what material? IN VA
Interior wall finish N/A
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: IN/ON
Is there to be an opening between garage and dwelling? N VA If so will a Fire-rated
door, enclosure, and self-closing device be provided? N /R
Will a flue-lined chimney be installed? WO Height above roof 1J/A- ft.
Depth of chimney foundation below grade N/A ft.
Depth of fireplace hearth N/A ft.y/ttin.
Water supply - Municipal or private well N/A
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ti/R ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren AFFIDAVIT 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 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 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 gent,arcnirect,contractor
(B day of Acr iI, 19j16
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * • * * • * * * * * * * * * * * * * * • • * * • * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date S' L/a
Name e7C,r20 ~Zed_
' location An
' Permit No. Blo - /So Weather
Remarks
Excavation
Footing Pe
Footing & Piers
Foundation
Cement Coat
Waterproofing
Packfill
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
may"
uilding Inspector
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