87-264 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87_ 264
WARREN COUNTY, NEW YORK
McDonald ' s
PERMISSION is hereby granted to
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OWNER of property located at _ 1 Route 9 UpPer Glen st , Street, Road or Ave. 0 a
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in the Town of Queensbury, To Construct or place a M
Addition to restaurnat for cooler / freezer
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at the above location in accordance to application together with plot plans and ether information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
F2CONETr'RACTLr'OR
WN 'Sdressis Route 9
Queensbury
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or BU1 LDER'S Name
Machnick Builders , Ltd . r'ro
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3. CONTRACTOR or BUILDER'S Address "o
1 West St . M
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Green Island , NY
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4, ARCHITECT'S Name 0
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5. ARCHITECT'S Address
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E of nstruction — (please indicate by X)
I Wood Frame I l Masonry l isteelNS Coand Specifications
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No_ 11 ' 7 "xl4 ' 10" per plot , specifications and application o
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S, proposed Use
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Fast Food Restaurant - addition for cooler / freezer
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December 1 19 87
$ 12 00 PERMIT FEE PAID - THIS PERMIT EXPIRES rt
{If a longer period is required an application for an extension must be mede to t h a Building and Zoning inspector of the
town of Queensbury before the expiration date.) o
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May . 19 $7 n
Dated at the Town of Queensbury this 18th Day of _ 0
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SIGNED BY _ for the Town of Queensbury H
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Building and Zoning Inspector r'^
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TOWN OF
TO BE COMPLETED BY BLDG . DEPT * y
Application No .
- /pwn iD ixeenjhury Permit Issued 19 11.J1� +�/ 1
BUILDING and ZONING DEPARTMENT Permit Expires 19 MAY 1 3 #987
Bay and Haviland Road, R. D. 1 Sox 98 Zoning Designation
Queensbury, New York 12801 Variance No . BUI DING a cooE DEFT.
Site Plan Review No . (
Approved b - 4�
APPLICATION FOR { p r
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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 .
..........- f - -
The owner of this property is : }/r � os/� [� y 101
P . O. Address I er `I V-/r+r 'r Tel . , may
Property Location : 1� V1 �lT >I� R( v�� Tax Map
Street number or building lot number
Subdivision name (i£ applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
CC1i�G�la� GSC ti*. <c Q'52S LTD 1 w65C S'Cft� � � ,tiSL�1tJ�3 i If63 sris
Name P . O. Address - e ` No .
!3�B8a�a—cc�[
Name of builder (`t4:+Griw c,x tomes Gs1+AddressJl wT+S S C� 26Fu 3sJ� n_�n Te1 . �S� + s )
Name of plumber Addres 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
street and number or lot number and indicate
whether interior or 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 INFORMATION REQUIRED BFLOW . l
Size of property � Co 40 .*7,7 ft x
Existing building ( s) Size
-T ,1 ft X,--- -ft .
NO
PROPOSED BUILDING AND USE : � 1a403+�
fr -ry Existing building ( s )( s ) Use
I
Size of new structure�t f t X �! • f t
Foundation-pier/slab/crawl/partial/full Proposed. building distance from property line
+ L/c c// f t
(circle one ) ^^, �� Front yard �" ft Rear yard
No . of stories (habitable space ) CJ Side yards ft and ft
Height ( grade to ridge) ft . If on corner , setback from side street_�
If residential , no . of families OCCUPANCY INFORMATION
Nom of rooms ( excluding baths )
>k
No . of bedrooms * PRIMARY BUILDING -
No . of bathrooms
* One family dwelling
Primary heating system Two family dwelling
e of fuel l
Type 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 Industrial
,� Other
Ranch Contemporary Log cabin If addition . whot wi use -
Raised ranch Mansion Duplex (J qe `
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 V DO �
INFORMATION ON BUILDING SPECIFICATIONS ■ ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED :
Form EPA 4/86 md--vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . Q
Will any second-hand or ungraded lumber be used? If so , for wha
Foundation wall material I 1c ness
Depth of foundation below g de (to bottom of footing)
Will there be a cellar? ted or unheated? Floar ' sq`.' footage s ft
Will there be a basement? ill any portion be used as living space ? q
( If so , what portion? q . ft . - - Type of use? .7
Type of roof - sloped/flat/shed/other Material of roof
Size , wood studs '"Xtospacing "o , c . length t .
.joists { floor beams ) Ist . floor FIX " s g "o , c . n ft . 4✓
Joists ( floor beams) 2nd . floor "X spacing *' . c . span ft ,
Overlays ( ceiling beams ) "X 'to acing "o . c . span ft .
Roof rafters "X IF spacing o . c , span ft .
Roof trusses (pre-engineer ) s cing " o . c , span ft .
Exterior wall finish_ r1C/C Of what material?
Interior wall finish -`
If a garage is to be attached , descri erials 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 he pro ?
Will a flue-lined chimney be installed? Height above roof ft .
Depth of chimney foundation below gra ft .
Depth of fireplace hearAkA. ft . in .
Water supply Prl to well
SEPTIC SYSTE:C----c,�sLance rr ANY private well ( including adjoining properties ft .
(A separate application necessary for any repair or new installation of septic system)
Town of Queensbury I 7 D 11 I
County of Warren A F F A V 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, whet ecified or not , and t t sbj4ch work 'authorized by the owner ,
SWORN TO BEFORE ME THIS Signature _
Owner, wner ' s - gent arch i' e`ct, contract
day of 19
Notary Public , Warren County , N. Y .
* * * * * * * * * IF * * * * * * * * * * * * * * * IF * * * * * It * * * It * It * * * For * * +
SPECIAL CONDITIONS OF THE PERMIT ;
By
(p fJ UILDING and ZC?NING DEPARTMENT
/f ay and Haviland Road, R.D. 1 Sox 98
Queensbury. New York 12801
BUILDING INSPECTOR ' S RsEpORT
NAME
LOCATION
Date� � / Permit Plrx .
APPROVED - YES NO
Footing/Pier Forms
,�/)Foundation
Waterproofing
Sackfili
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Fini-shed Floors
Interior Trim
Stairs & Railings�_ _� . .
cellar Drain Tile
Concrete Floors�_.��_
plbg . Fixtures
Gar , Fireproofing
Door closers
Smoke Detectors
Chimney
IN SU L.AT I ON
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL II3SPECTI
ON
llRIVEWAY AppROV
Final Building Survey
pection (call when ready )
Next scheduled ins
Remarks-
J
Building Inspector
6/86 and-vl
Journ cot Q
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S, REPORT
NAME lCyei G'" "?G�/
LOCATION
Date Z / ' per No *
y' APPROVED - YES NNO
poting/Pier Farms
Foundation
Waterproofing
Backfill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
interior Trim
Stairs & Railings
Cellar Brain Tile
Concrete Floors
plbg _ Fixtures
Gar .. Fireproofing
Door Closers
smoke 'Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION _
DRIVEWAY "PROVAI _ -
Final Building, Survey�� _.
Next scheduled inspectiOn (call wI►en ready )
Remarks-
/`v.; �✓ o 6E fi 1
Building Inspector
6/a6 and-vl
TRANSMITTAL Langer - Dion - Morse Associates
�. RENSSELAER TECHNOLOGY PARK
# LETTER 125 D*FREEST DRIVE
TROY. NEW PORK 12180
I
PROJECT: C7 r Qu ix� , ARCHITEC7'3(name, address),address) PROJECT NO: CJ f
DATE- dF
TO : rHa. opht v,45 , if enclosures art not as noted, please
Worm us immediately.
if checked below, please:
ATTN : ��� � � i-y��r a - d- ✓ s [ j Acknowledge receipt of enclosures.
Return enclosures to us.
WE TRANSMIT;
''^ ! herewith ( ) under separate cover via
( } in accordance with your request
FOR YOUR :
I 1 approvaY ( } distribution to parties ( "rnfora uxion
( review dr Comment [ ) record
( } use ( 1
THE FOLLOWING:
I ) Drawings CK) ,i&W Drawing Prints ( 1 Samples
( ) Specirications [ ) Shop Drawing Reproducibles ( } .Product literature
( ) Chance Order [ 1
COPIES DATE REV. NO. fyESCRITT1pN ACTION
CODE
ACTION A. Action indicated on item transmuted D. for st=naiure and fo -waedina as noted below under REMARKS
CODE 6_ Na action required L See KEMAKXS below
C. 7or s nature and return to this office
RJEMARKS
LAr
Mom_ �--
COPIES TO: (with enclosures)
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❑ By:
ONE PAGE
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