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1987-065 BUILDING PERMIT TOWN OF QUEENSBUR"Yr WARREN COUNTY, NEW YORK No. 87-65 PERMISSION is hereby granted to Alex Potenza (Miller Hill Mall ) y '{ m OWNER of property located at r•-�' Route q Street, Road or Ave. � 0 in the Town of Queensbury, To Construct or place a Alterations to facade of mall at the above location in accordance to application together with plot plans and other information hereto filed and N approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p' i . oWNE R's AcWreas is 7 Moorwood Drive F, Queensbury , NY ro rt x N• 2. CONTRACTOR or BUILDER'S Name F Bay Ford Construction ' i� r1 3_ CONTRACTOR or BUILDER 'S Address 18 Turner Drive Spencer Port , NY 14559 4. ARCHITECT'S Name fF.-A• �-i x M• F- 5. ARCHITECT'S Address 1 0 G rr rn 40 6. TYPE of Construction — (Please indicate by X) I ) Wood Frame f I Masonry { ; Steal { 1 7. PLANS and specifications No. alterations to facade of mall per specifications and application 8. Proposed Use y N rt m Mall - retail stores ' 1 r-r N» 4 .^3 iA $ 36 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 7g 87 � 0 If a longer period is required an application for an to extension must be made to the Building and Zoning inspector of the ry town of Oueensbu before the expiration date.) rh P� n Dated at the Town of Queensbury this 13th Day of March 79 87 � 0 SIGNED BY InL f f _ for the Town of Queensbury d Building arrd Zoning Inspectoror �°' Ln F- I� TO BE COMPLETED BY BLDG . DEPT . // Application No . vwn +7 [!eE'n36Clrf� Permit Issued 19 f 7()Wfti OF QI..iEiZalfSuur- BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 zoning Designation QueensburyNew York 12801 Variance No . Site Plan Review No . MAR 4 $ Approved by �BUILDING & CODE DEPT, 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 . ______________________________ --------- _________------ ______-------_---------____... The owner of this property is : ,�^.1ex *70 %'0- /" Z 4 ,r+� �r P . O. Address "7/ rdboIC�'LCJC7 .�J �� /eyS f +f^/` rS� .CJI ' /a� IG7/ 'Lel . "�3 -IEr fir/ Property Location : - /� i�� - /r F. luca� Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON SP RONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : K e4V7 Ar d Name P . O. Addresser- s Tel No Name of builder C'��' Address / LI�fJ�ie •'b[? bf/ e , Tel ,Z,*Z) _ .3192- � -- Name of plumber Address -fir--Tel . Name of mason Address Tel . 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) * set-back dimensions from property lines . Give fps L * street and number or lot number and indicate E �rrD * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STAT S * of water supply and location and configuration LOCATION OF STRUCTURES AFFEC'T'ED . of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property ft X ft . Existing buildings) Size ft X ft . * PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line ( circle one ) No . of stories (habitable space) * Front yard ft Rear yard ft Height ( grade to ridge ) ft . * Side yards ft and ft If residential , no . of families * If on corner , setback from side street ft Noe of rooms ( excluding baths ) * OCCUPANCY INFORMATION Noe of bedrooms * PRIMARY BUILDING No . of bathrooms Primary heating system * One family dwelling Type of fuel * Two family dwelling No . of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * �Husa ness BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * �Otther CONSTRUCTION �A _ tL2 ?Q _ _ - _ _ _ _ INFORMATION ON BUILDING SPE6IFICATIONS , 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 . 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 "' x it spacing '"o . c . length ft . joists ( floor beams ) lst . floor '"x IN spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor FIX itspacing_ "o . c . span ft . Overlays ( ceiling beams ) "X IN spacing "o . c . span ft . Roof rafters "x IFspacing 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 repairor new installation of septic system) Town of f Warren A F F r D R Y I T STATE OF NEW YORK County of Warren 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 agent , a nXcect , Contractor day of 19 Notary Public , Warren County , N . Y . * It rt * * rt * * * * * * slr it * !r it * * * * it * * * * * * * * it * * Yr yt ie 3k Yr Ye * * * * * at SPECIAL CONDITIONS OF THE PERMIT : . m/n of Queel" JI "ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 'Po r 26 A, ' 2� - LP LOCATION A LCC+�12 tt LL ,NIECE Date f Permit No . 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 : Foundation Floors Walls Ceiling FINAL ELECT AL INSPECTION. _ DRIVEWAY APPROVAL �- " (Final Building Survey`_ Next scheduled inspection (call when ready } Remarks- Wo ,� ,e C0 ,,#%o► VLr� li e, AA AJO C-/o T-0 iSSvis Bui ding in e+ct 6/86 and-vl