1987-326 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-326
2Z ! ` WARREN COUNTY, NEW Y'ORK
PERMISSION is hereby granted to Lake George Plaza
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OWNER of property located at R.ute 9 north Exit 20 Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a Alteration to shopping mall. (roof ) �
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at the above location in accordance to application together with plot plans and other information hereto filed and N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNEWSAddressis RR
Lake George , New York
3. CONTRACTOR or BUILDER'S Name
Wooden Indian Inc .
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3. CONTRACTOR or BUILDER'$ Address Box Ill$
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Manchester , Vt .
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4. ARCHITECT'S Name r�
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S. ARCHITECT'S Address
B. TYPE of Cyyo�� nstruction -- (Please indlcate by X)
( 71 Wood Frame I ) Masonry I I Steel I )
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7. PLANS and Specifications
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roof over open mall area per specifications and application
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B. Proposed Use
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Shoppz.ng Center r
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V00 . 00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES January 1 19 88
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Rif 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 Sth Day of June 19 87 ,
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SIGNED BY F� ' _ DC/� a' for the Town of Queensbury ion
Building and Zoning Inspector U
TO BE COMPLETED BY BLDG. DEPT.
Application No.
_Jowr+ e� eteert3l� ur Permit Issued 19 III TOWN {)F QUFk=t%4 as'
BUILDING and ZONING DEPARTMENT Permit Expires 19 '
Bay and Haviland Road, R. D. 1 Box 98 Zoning Desi.gnatlonX74G--7— l i1 f
Queensbury, New York 12801 Variance No.
-y Site Plan Review No . i JUN 3 W+
'` ' Approved by :
BUILDING& CODE DE
APPLICATION FOR e/ ` , /
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 submittedo and such
special conditions as may be indicated on the Permit .
The owner of this property is : tyA ky- - V A eA, _ - - - -
P. O, Address 12LL ewe ADS $t,A. � � 7� T Tel .
Property Location : n/; a }fir` . +r+ •+-x �• Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O. Address Tel . No .
Name of builderf ``oot pi � .tt Address it ( 1. PIA&time lei P
Name of plumber Address Tel .
Name of mason Address Tel .
NATURE OF PROPOSED WRK : * ZONING INFORMATION
Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
iAddition to a building * drawn reasonably to scale and attached hereto ,
i/ 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 n r or lot number and indicate
FOR DEMOLITION PERMIT , STATE SIZE AND * whether interio or er lot . Show location
LOCATION OF STRUCTURES AFFECTED. of water supply nd 1 ion and configuration
of septic disposa are .
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* COMPLETE INFO TI RECUIRED BELOW .
Size of prop ty ft X ft .
Existing buil ) ze ft X ft .
PROPOSED BUILDING AND USE : * Existing buildi ( s ) Use
Size of new structure ft X ft
b'oundation-pier/slab/crawl/partial/full ' :Proposed building , distance from property line
(circle one )
*
No . of stories (habitable space) Front yard ft Rear yard ftSide yards ft and ft
Height (grade t ri * If on corner , setback from side street ft
If residential , f amilic�s
No . of rooms ( excl ' ins ba hs) * OCCUPANCY INFORMATION
No. of bedrooms � PRIMARY BUILDING -
No . of bathroom one family dwelling
Primary heating em
Type of fuel Two family dwelling
No . of fireplaces be installed * Multiple dwelling / Number of units
Permanent occupancy
Will a wood stove be installed?
*
Central Air Conditioning? Transient occupancy
�usiness
*
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other
* . If addition , what will use be?
Raised ranch s].z Duplex
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDI
Colonial Row Town House * Detached ga lafe
ne car/ two car/ car
( CIRCLE ONE PLEASE ) " Attached o e car/ two car/ car
Private st building
ESTIMATED MARKET VALUE OF * Other . . .
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . € CW..>d F=aAmleow
Will any second-hand or ungraded lumber be used.? If so, for what.?
Foundation wall material Thickness _ 1A
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? 10c.)
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/'other_,�/,,4+ Material of roof ,6e,E7 1WVoe*e2A64e,* A.14?.
Size , wood studs.�" X�j�L." spacing. iL Z "o . c . length t 4. ft .
Joists ( floor beams) lst . floor "X spacing "o . c . span ft .
Jousts ( floor beams.) 2nd . floor "X " s c ' pg "o . +c . span ft.
( ceiling beams } fe
-��"X ' spacing- ' � 'o . c . span�� ft .
Roof rafters y ? "X - -•' spacing o . c . span ft.
Roof trusses (Pre-engineered) spacing "o . c . span ft . %SLtra Z �
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 dev ' a be provided?
Will a flue-lined chimney be in t 1 ? _ .�j Height above roof ft .
Depth of chimney foundation be gr d ft .
Depth of fireplace hearth ft . i.n .
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 f Warren p F F T D p V I T STATE OF NEW YORK
County of Warren 1-� L u I-t Y 1
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 cified or not , that such work is
authorized by the owner . �� ,•-y,
SWORN TO BEFORE ME THIS Si egnatur ____ _ -----------
Owner , owner ' s agent , archirect , contractor
day of 19
Notary Public , Warren County, N . Y .
SPECIAL CONDITIONS OF THE PERMIT :