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1987-061 BUILDING PERMIT TOWN 4F QUEENSBURY No. $7_51 ro WARREN COUNTY, NEW YOR K r, PERMISSION is hereby granted to Frederick Hathaway ( Southwest Traders ) px, 1 rr l� + Azi OWNER of property located at —ems Route 9 south of ake George Town Street, Road or Ave. + Line 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 o approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 'Y ro 1 . OWNER'S Address is Lake George Road Lake George , New York 12845 r-3 +.i ro la. ra 2. CONTRACTOR or BUILDER'S Name ' I m John Parker ra 3. CONTRACTOR or BUILDER'S Address � rt RD # 2 Box 2530 t , rn Lake George , New York 12845 x ro rc d. ARCHITECT'S Name G m O G H r+ fiQ ro fEs 5. ARCHITECT'S Address 0 L - o en rt r µ 4;.3 0 6. TYPE of Construction — iPlea4se indicate by X? to rr ( y wood Frame I ! Masonry C 1 Steel l Y o i-h 7. PLANS and Specifications new roof structure per specifications and application submitted . No. B. Proposed Use Retail Store (new roof ) $ 46 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES QCtober 1 1987 oa p O r�irt (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ro H ro town of Oueensbury before the expiration date.) N W H CT rt llth March 87 o c r Hated at the Town of Queensbury this -�.y� Day of 19 Ct SIGNED BY !/7 C.l. for the Town of Queensbury o rt rK 04 0 Building and Zoning Inspecto ro r �-t w > , TO BE COMPLETED BY BLDG . DEPT . TOWN OF QLIEENS`,Ak� W �JApplication No . MMNUTkkk? �lotun o/ Q"eenjg"ry Permit Issued 19 !!AA pp BUILDING and ZONING DEPARTMENT permit Expires 19 {fla R 9 1987 Bay and Haviland Road, R. D. 1 Box 98 zoning Designation ' Queensbury, New York 12801 variance BUILDING & CQDE DEPT. Site Pl Re iew No . Lt4f / `7L, ' C Appr c� �,� Cil 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 I Z ` p p P . O. Address -¢ - � - ` t �. iy r `Z GY C# r Tea . �e Property Location : C3ciyv . R. _ Tax Map Pao . S15/,L/ 3.3 Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 7? c-y `) a :510 ]L G r a` [ t'z $ �[ 5 fn 2M -y' -- Q. 1 1 Name lt� P . O . Address Tel . No . Name of builder 4yo./� Address Tel . Name of plumber Address 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 , t./ 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 street and number or lot number and indicate * whether interior or corner lot . Show location * of water supply and location and configuration of septic disposal area . jlw _n r ��y � ri f lZ * COMPLETE INFORMATION REQUIRED BELOW . � � ,4 -•ty% K) L -1 Size of property ft X ft _ * Existing building s) 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 on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding ba s ) * OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING No . of bathrooms �. - * One family dwelling Primary heating sys Type of fuel * Two family dwelling Number of units No . of fireplaces to be installed * Multiple dwelling / Will a wood stove be installed? * vo�Vermanent occupancy Central Air conditioning? Transient occupancy we'Susiness BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other * If addition , what will use be? Raised ranch Mansion Duplex 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 Other CONSTRUCTION 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 . 7J13 \ T cr r Will any second-hand or ungraded lumber be used.? If so , for what ? DSO Foundation wall material e p( ;,5T ...r 4z. 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 u Material of roof Size , wood studs " X ,f spacing "o . c . length ft . p / ' Joists ( floor beams ) lst . floor "X It spacing "o . c . span ft . Pea F d� Joists ( floor beams) 2nd . floor "X " spacing "o . c . span ft . Overlays ( celling beams ) "X spacing "o . c . span ft. Roof rafters ..__"X ( Q spaci.ng !to . C . spank 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 Queensbury County of Warren. A F F I 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 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 __ _ ou Signature.... day of 19 owner ' s agent , archxrect , contractor Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION R EIVZD �,II,2� Qf� NAME LOCATION DATE P XT # APPROVED YES I NO FOOTING/PIE MONOLITHIC UR FORMS FOUNDATION/D P—PROOF G BACKFILL APP VAL ROUGH PLUMBIN FRAMING ELECTRICAL ROU IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFSNG SIDING EXTERNAL PORCHES . TEPS STAIRS—CLEARANCEk RAILS PLUMBING p-rxTvRSAPELXEF VALVE INTERIOR TRIM/PRVkCY DOORS FINISHED FLOORS GARAGE FIREPROO N DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL NSPE " 'ION - FINAL APPROVAL OF `CONS UC 0 _ OX TO ISSUE C/O O C/C A SIGNED CERTIF�TE O CUPANCY MUST BE OBTAINED FROM TH BUILDI DEPARTMENT BEFORE THESE PREMISES RE UPI D! .a REMARKS: i ARRIVE DEPART INS TOR '~ TOWN OF QUEENSBURY BUILDING AND CODES .DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY,, NEW YORK I280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED. ,r��q NAME S�,di LUPt CMli7�k 4f1 pe!! P+ W� s LOCATION DATE f PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONfDAMP-P OOFING 23ACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION WALLS CEILING j�FINA L INSPECTION: II CHIMNEY HEIGHT >OZGOFI NG SIDING EXTERNAL PORCHE /STEP ,STASRS-CLEARAN E S RAI PLUMBING FIXT RES/BELIE VALVE INTERIOR TRI /PRIVACY RS FINISHED F RS GARAGE FIRE ROOFING DOOR CLOSE (SJ SMOKE DET TORS FINAL ELEC ICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION Al o s L cD E3 yi c 01 AlCn A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: W �~ , tGL e,�4 L L /4 G •� � F f AI 14& r J 44sp BUILDING DEPT. COPYCIE THIS COPY WIFORM Ul PING DEPT WREN REO.UIRED�RE UNDERWRITERS, TEMP. !F PATE CITY OR r' M y 5 TOWNSHIP COUNTY VILLAGE } STREET AND NO. OR C t ` POLE NO. ROAD AND POLE NO. ,.,....yj BETWEEN WHAT TWO CROSS PREMISES LOCATED? BLOCK STIR E ETS ISOCCt,, LOT p t s! BUILDING NAMUPANT'S �- t i... '!'S Ki ti..F./ I�i T OCCUPANCY OWNER'S NAME 4'� TEL. # AND ADDRESS 'r u UR@NY� FROM THEIR OFFICE By l� DEFECTS BUILDING SORK NEW REMOVED par OLD IS NEW ❑ 19s ❑ 0.DA4Y14NAL LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No- at Fixtures m BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY Lacar ech•t H.P. Wach Na. A.W.G. tion side Att INSPECTION Cellists W4II Recepwis Switch pendent Btecket No. Type £ecIs rio. Each Out- side Sub base Base meet tst Fl. 2nd FL 3rd FI, REMARKS- LIST OTHER ELECTRICAL 6EYlCEB NOT SET FORTH ABOVE : 00 NOT USE THIS SPACE. This aPPlicaliaa is intended to cover the above-listed equipment to be inspected but if at time of inspection thew is found additional equipment not above listed. the inspection and adjust. the tee to cower the additional equipment, as can provided by the applit. you are authorized to make TOTAL SIZE OF ELECTRI SIGN WATTS MAINS FEEDERS LTUBE SIGN AMPS CONCEALED EXPOSEDGAS TRANSFORMERS OF VA OF WORK CONC (NUMBER) ICAPACITYI WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN UILDING INSPECTION REQUESTED OLD ON OR AS NEAR AS NE-W 1J POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT MAW rANCh ADDRSS {I ' DATE OF NAME OF "�,L 'kU C.l.. -. Y �. ,+'R APPLICATION v APPLICANT .— .) 4C de t (' {} .J �-. �. { + J 2 - C., TELEPHONE STREET ADDRESS LICENSE NO. CITY OR CODE WHEN APPLJICABLE POST OFFICE na EL InEV. s/e5I A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDINGS ----M i AAA NO3 .47E 72 35. f1 Y ��� f29 67 • W S qn saoa+er ietn�+on ia.n n LM40 r N07o " 8 -� V � So 1 Iran �..! 105 A At to vyl N07 Al . ��0�6,5 2 STY+ `PkI I.1 A 'FRAME Mir ji old licl cli } tooY +"" co + , 0OD OD Mon 0 too o ` - 9 co OD y Found han SDtke Ah ,s �r Realared with Railroad Sv we n AO ' i } S '� C' 0$ rID E,2George 7 CSTZo. 2 . t f Qi�Y wSt1 Ra+Iraod SGr►e paa�' S22a-22'- OS" E