1987-242 BUILDING PERMIT
TOWN OF QUEENSSURY No. $7_ 242
WARREN COiUNTY, NEW YORK
w Jade Palace Restaurant (Phillip Lau) �
PER ISSION is hereby granted to ¢
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OWNER of property located at _ ; �RQLLte 9 Street, Road or Ave_ ~a
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in the Town of Queensbury. To Construct or place a Addition to restaurant (Pagoda) 0
at the above location in accordance to application together with plot plans and other information hereto filed and .-
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, =r
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f . OWNER'S Address is Lake George Road i"'`
Queensbury , New York 128f11 d
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2. CONTRACTOR or BUI LDER S Name
Lee horning Const .
3. CONTRACTOR or BUILDER'S Address 8 Webster Ave .
Glens Falls , New York rt
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
fi. TYPE of Construction — IPlease indicate by X)
{ ) Wood Frame l ) Masonry t ) steel ( 1
7. PLANS and Specifications
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12 ' xl4 ' per plot and application a'
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8. Proposed Use
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Restaurant (Pagoda added) V1
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$ lt] . t70 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 87 �
(lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r'f
town of Queensbury before the expiration date.)
Su
Dated at the Town of Queensbury this 12th Day of Mat 19 87 MA
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SIGNED BY ( - for the Town of Queensbury
Build ing a nd Zoning Inspector
TO BE COMPLETED BY BLDG , DEPT ,
�] Application No .
/UWI� U t1 PB►e3G�arr� Permit Issued _19 'foWiN 10F +OJF�--Oc.. .�-
1ltOlhiG and 2t3AlYNG DEPARTMENT Permit Expires. Wi t
'y and liavlland Road, R. D. I Box 98 Zoning Designation I 1
Queensbury, New York- 12801 Variu..Ice No .
Site Plan Review NON thAY 8 1987
Approved by : BUILDING $c OBP T.
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-ofr this-property is : Z,4 LW 4-7e- Pi r
P . n. Address A - ram:. cGS sv! : ' r 2 E5C> r Tel .
Property Location : C, .+ a.� Tax Map NO "
Street number or building lot 'lumber
Subdivision name ( if applicable)
THE �PERSON RESPONSIBLE FOR cSUPERVISION OF WORK AS REGARD'S BUILDING CODES IS : C
Z, G e;) !h .�! t ..,,' Cr 1-daG1e> �+1G ? A. �r,= C L:! a'S � &%=' 1 /
Name I � P . O. Address Tel . No .
Name of builder dn-� • -+c. _C'o. r4-� Address <f2W4 Tel .
Name of plumber f3 Address Tel .
Name of maaon ^J / 4 Address Tel
NATURE OF PROPOSED WDRK : * 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 anclli.ndicate all
other work (describe) * set-back dimensions from property lines . Give
* street and number or lot number and indicate
* whether interior cor 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 .
* COMPLETE INFOR1ATION REQUIRED BELOW ,
_ * size of property ft X ft ,
* Existing building ( s) Size ft X ft .
*
PROPOSED BUILDING AND USE : * Existing buildings ) Use
size of new structure r ?, ft X 14- ft " '
Foundation-pier/slab/crz*wl/partial/full '� Proposed building , distance from property line
(circle one) * ft
Front yard ft Rear yard
No . of stories (habitable space ) * Side yards ft and ft
Height (grade to ridge ) ft • * If on corner , so.tbaok from side street ft
If residential , no. Of families
No . of rooms (excluding baths) * OCCUPANCYINFORMATION
No , of bedrooms * PRIMARY BUILDING
No , of bathrooms one family dwelling
Primary heating system Two family dwelling
Type of fuel
"T'yp * Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent Occupancy
Will a wood stove be installed?
� Transient occupancy
Central Air conditioning? Business
BUILDING STYLE, PRIMARY STRUCTURE * I'zdustrlal I J
_Other 4
Lunch Contemporary Log cabin '
* If addition , what will use be?�. 02 T � _ "�
Raised ranch Mansion Duplex rt,
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Split level Old style Bur' ow
Cape Cod Cottage Ohre * ACCESSORY BUILDING-
* car
Colonial Row Town House Detached garage/one car/ two cap /
( CIRCLE ONE PLEASE 1 " Attached garage/cane: car/ two car/ car
w w ++ +t x : a * * r * * • + r w * * Private storage: building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
INFORMATION ON BUILDING SPFCI'FICATIONS , ON rtEVj,1-RsE SIDE OF THIS SHEET , TO BE +COMPLETED I
Form SPA 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
Depth of .foundation below grade Thickness
g (to bottom of footing )
Will there be a cellar? Heated or unheated?
will there be a basement? Floor sq. footage sq ft
( If so Will any portion be used as living space?
what portion? - ,Type of 'use?
Type of roof - sloped/flat/shed/other ` ?LorE Material of roof
JoisSize , Wood Studs ) t ,C spacin _. �" g ft .
ts ( floor beams ) Zst . floor 9x 01 length
Joists ( floor beams ) 2nd , floor spacing "o . c . span ft .
overlays (ceiling beams ) .�x " spacing "o . c , span ft .
p
Roof rafters Z "X X spacing lf . _"ca . c . span fC .
_�_ spacing C a . c . span�ft .
Roof trusses pre-engineered) s acin 4
Exterior wall finish p g '•o . c . span ft _
Interior wall finish Of what material ?
If a garage is to be attached , describe materials to be used for FIT2T SEPARATION :
Is there to be an opening between garage and dwelling?door , enclosure, and self-closing device be provided? If so will a Fire-rated
Will a flue-lifted chimney be installed?
Depth of chimney. foundation below Height above roof ft .
Depth of fireplace hearth 'grade ft .
no
Water su 1 p iv iel
.PP y Municipal or private well
SEPTIC
sep SYSTrate a 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 Warr„An 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
pro the
thevproposedfwork shalllNG CODJEj THE ZONING be complied with, whether AspecifiedI andaor.
authorized by the owner . ye�t�randwtlzatrsucttrworkoi::
SWORN TO BEFORE ME THIS
day of lg Owner , awn ay _ t , arcnitect , contractor -
i
Notary Public , Warren County, N . Y .
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SPECIAL CONDITIONS OF THE PERMIT :
BY