5721 BUILDING PERMIT
c6/\ TOWN OF QUEENSBURY No. 5721
P/- WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Neba Roast Beef
lessee Route 9 - Miller Hill
of property locat2c?"at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to commercial building
at the above location in accordance to application together with plot plans and other information hereto filed and c'
tv
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
1. OWNER'SAddressis I . Charles Lebowitz
119 Warren Street
Glens Falls, N. Y.
O
(D
2. CONTRACTOR or BUILDER'S Name h-h
John P. Matthews
3. CONTRACTOR or BUILDER'S Address
R.D. #1
Lake George, N. Y.
4. ARCHITECT'S Name 701
Paul E. Cushing Associates
rt
N
5. ARCHITECT'S Address
Quaker Village i.
Glens Falls, New York H
H
m
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) ~'
F-'
7. PLANS and Specifications
change location of men' s lavatory per drawings and
No. application submitted.
8. Proposed Use
Restuarant
tr
LQJ
i✓' f,
$ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 1 19 79 H. 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tC1
town of Queensbury before the expiration date.) (-t-
O
()
Dated at the Town of Queensbury this 1 Day of April 19 7 9 O
g
SIGNED BY 1 ' (D for the Town of Queensbury (i
Buifding and Zoning Inspect
0
)v
H
•
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application No. .Application 1'(..rmit ls:,uNI 19
BUILDING AND ZONING PERMIT Pori„it Expires. 19. .
;:A,(iin;l District
• \ aloe of Work%
THREE (3) Copies of a PLOT PLAN, Drawn to scale A1)1 `'`I by
showing the actual dimensions of the lot to be built I:cm:i kS'
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
7-- G`1 -/-es L-•P_'I,c)(.c.'l 1 1 ATE T O'J it OF )UEFENSBURY
—,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKRIi El I t
ANSWER ALL OF THE FOLLOWING. fa-1.�
The undersigned hereby applies•for a permit to. do the following work APR i ., IJ1:1
which will be done in accordance with the description, plans and specifi- A M. P.M.
cations, and such special conditions as miea.e,_iay be indicated on the permit. 7lglgil0'11112'1I2I3I4I5.M
Theo n r of this p rty is , / _
1 .. . . v . (P.O.ADDRESS)
(NAV'E)
The person responsible for supervision of the work insofar as t le Building Code and the Zoning Ordinance apply is:
(NAME) (P.O ADDRESS)
Name of Builder. •,JQN V A /27,41i,i" tJ Address /2D til ,,C/9-4- �li_',yG
Name of Plumber cj r1-✓e4 6.Lco ' . . Address
Name of Mason J F /2/4Tiffe' / Address
Lot Number Unit Estimated value of proposed work 5 , Da'.' • •
Name of Village
Name of Street . . �f'4f. . e_41/ )T Side of street: north 0, east 0, south 0, west 0'
l,.. U�l Ft.
Nearest Cross Street,. .Q✓.4't=�tr Distance from this Bross street 5
• . �v
Property is north Ci south 0,east i.), west ❑from Cross Street
•
If on Corner, which corner, northeast ❑, northwest 0, southeast C. southwest
- - . - -(Designate by marking with an "X" in the•correct space.) __ •
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
Addition to a building. • One-family dwelling ❑
Two-family dwelling ❑
❑ Alteration to a building. . • • . , . .-family apartment house ❑
•
❑ Demolition of a building. Store building ❑
-car attached garage ❑
Other:
• Accessory Building
/ /� One car detached garage ❑
III---"Other work. Describe:. .�Ni -. .!t� 17i'o2 o r• • . Two-car detached garage
Private chicken house ❑
/r�Frv� ✓/�TOXej ❑
I 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, size and setbacks of pro-
- • % posed buildings,-and the location-of all existing buildings.
NORT Show proposed building(s) in dotted line and existing
,.7— huilding(s) in solid line.
Size of property ft. x ft.
•
v` Size and use of existing buildings, if any
s s w Size of proposed building ft.x ft.
Height (from grade to ridgy - ft.
. ,` /] t ft.
Front yard . . . ‘�•r
t Side yards ��(--// ft. and ft.
Rear yard • ft.
souTH If on corner,setback from side street ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building. '
(OVER) -
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?,. . . . F�'✓.��• (/4,4 I
Will any second-hand lumber be use ?' JIf so, for what2
G✓7- �Lc�a/< Thickness `r
Material of foundation walls ��G� �
Depth of foundation walls below grade Continuous foundation? /E S
Will there be a cellar? /L) If so, material of cellar floor
Type of roof: Sloped or flat? . . .t2(.S.Y/.A- Material of roof
Size,wood studs
L "x ", spacing "o.c., length. _ (U ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Siie, roof rafters or beams " x ", spacing "o.c., s an ft.
Exterior finish f- (I( With what material? . .
Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system 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? Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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 ... .i ...`..%f AO'L.i. .
(o OWN ,OWNERS AGENT,ARCHITECT.CONTRACTOR
day of {/ 19
----- --- NOTARY_PUBLIC._WARREN _- __ ________ _ _ _ _ _ __
SPECIAL.CONDITIONS OF THE PERMIT:
•
•
•
•
By