1106 BUILDING PERMIT
TOWN OF QUEENSBURY No. 001106
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to McDonald' s of Queensbury, Inc.
OWNER of property located O\ Route 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Private storage building .
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.
1. OWNER'S Address is
Upper Glen Street
Glens Falls , New York `\
2. CONTRACTOR or BUILDER'S Name
Galor Const. , Inc .
3. CONTRACTOR or BUILDER'S Address
Schenectady, New York
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address
Same
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame (X) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 20'X20' as per plot plan
8. Proposed Use
Storage building
(L.
$ 6.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 7/1/ 1971
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 30 Day of March 19 71
SIGNED BY for the Town of Queensbury
,�
Building d Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued I's
BUILDING AND ZONING PERMIT Permit Expires Ili.
Zoning District .
••
Value of )Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'1o'o (1 by .
showing the actual dimensions of the lot to be built Itcmark, '
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• TOWN OF' QUSENSB'3 '-- 5 e'— 7 / REGErEUR';
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DATE G /r LO. )J) I JJ
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MA:\), 3 0 '19(1
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
The undersigned hereby applies for a permit to do the following work 7f,319110N'I211 I2 i 3 i ,51 d
°A-hich will be done in accordance with the description, plans and specifi- A
cations, end such special conditions as may be indicated on the permit. •
Th ow,ne*• of thi i roperty s:/ /
14 /�I?R'1G1°•J D[ L1\Gt e 6 /� i,1 G
(NA`AE) (P.O.ADDRESS)
The person responsible for •supervision of thew rk insofar a tom-Building Code and th Zoning O di ance apply is:
crake rim 7,- IC s���7zr'e--
(NAME) (P.O.ADDRESS)
Name of Builder Address
Name of Plumber Address
Narne of Mason Address
Lot Number Uni Estimated value of proposed work$ �✓�Dc,
Name of`tillage . . u.eetv�4A-(2
Name of Street 9, / '/,/ Side of street: north 0, east 0, south O. west 0
Nearest Cross Street /-�,�IG/� Distance from this cross street Ft.
Property is north 0,south N, east Ci, west ❑from Cross Street
If on Corner, which corner, northeast 0, northwest 0, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
•K Construction of a new building. Main B.ui-ltding
❑ Addition to a building. One-family dwelling ❑
❑ Alteration to a building. 1 . . 9 Two-family dwelling ❑
Demolition of a building. -family apartment house ❑
41
Y.
I�71 Store building ❑1P
WI A.1 c Other: -car attached garage ❑
log • • �/ ;• Accessory Building
I❑ f_)ther work. Descr...fe: "kV' `� V\1SrC Q� One-car detached garage ❑
�'� LTV 'Sj�� Y . . . Two-car detached garage ❑
��xt U1 `N ®F Q11�i�' Private chicken house ❑
`� Private storage building RI
Other:
Z ONIN 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-
NORTH - posed buildings, and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
building(s) in solid line.
Size of property ft. x ft.
r `�c Size and use of existing buildings, if any
I..
W Size of proposed building ft.x 2-0 ' ft.
r
Atc) � „�fr y Height(from grade to ridge) ft.
, dl/4/ r gl /
!M 0'01 Front yard it.
f// Ili •
Side yards ft. and ft.
. Rear yard It.
^ w SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
1 line to nearest part of building.
(OVER)
(cont'd.)
' �T1 DING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.2
Will any second-hand lumber be used? If so, for what
Material of foundation walls Thickness •
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size, wood studs "x ",spacing "o.c., length • 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.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish • With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main bui,liding 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?
Town of Queensbury AFFIDAVIT
County of Warren ss.
State of New York •
I swear that to the best of my know,iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete 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
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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