1987-868 BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 87-868
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Adirondack Factory Outlet Center w
LA imi � Rte 9 9 (Between Adirondack Factor y
OWNER of property locat at Y Street, Road or Ave.
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Outlet & Lake GeorgePlaza)
in the Town of Queensbury, To Construct or place a Demolition
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.
t. owNER s Address is Same
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2. CONTRACTOR or BUI LDE R'S Name
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3. CONTRACTOR or $UILDEWS Address
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4. ARCHITECT'S Name [�
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5_ ARCHITECTS Address
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B. TYPE of Construction — (Please indicate by X)
( I Wood Frame ( ) Masonry I I Steel i 1
7. PLANS and Specifications W
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No. 30 ' x 40 ' House as per application W
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B. Proposed Use p
Demolition of old house between Adirondack Factory Outlet and o
Lake George Plaza *i+
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$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 1988
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(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 axpiration date.)
Dated at the Town of Queensbury this / 16th /� Day of December 19 87
SIGNED BY 7 lr ' C_ r'. _ �' r✓ for the Town of Queensbury
Building and Zoning Inspector �,/�
TO BE COMPLETED BY BLDG . DEPT"
�r Application No.
own n �►17 {/_�/►aeeerid6ecr
I `�'�G Permit Issued 19 r(.)'VV v
BUILDING and ZONING DEPARTMENT Permit Expires 19 - -.
Bay and Haviland Road. R.D. 1 Box 98 zoning Designatio ', -/, C3 1 'J � 4
Clueensbury, New York 12801 Variance No. l J
Pfj /7 Site Plan R,evid No . I 1). 1 d 1987
Approved by :
1,1
APPLICATION FOR 'G _--
EUILDING AND ZONING PERMIT
A 'PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undernigned 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 of this property is : Ig4P /J /9G, /C , c/7 �{ ' /�- � z - ✓ + t - ,*
P . O. Address Jt ! J Tel .
Property Location : 4=&&, /L � / C�v e c ✓� �rswL�,r Tax Map
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 builder Address Tel .
Name of plumber Address 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 dissensions) * 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 Id
* 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 'BELOW .
Size of property ft x ft .
Existing buildings) Size ft x ft .
PROPOSED BUILDING AND USE : * Existing buildings ) Use
Size of new structure ft X ft * '
Foundation-pier/slab/crawl/partial/full " Proposed building, distance from property line
(circle one )
Noe of stories (habitable space) * Front yard ft Rear yard ft
Height ( grade to ridge ) ft . * Side yards ft and ft
If residential , no. of families * if on corners setback from side street ft
No . of rooms (excluding baths) * OCCUPANCY INFORMATICN
No. of bedrooms "
PRIMARY BUILDING
Noe of bathrooms -
Primary heating system * One family Swelling
Type of fuel * Two family dwelling
' * Multiple dwelling / Number of units
No . of fireplaces to be installed
Will a wood stove be .installed? �► Transient
occupancy
Central Air conditioning? Tt occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE ,. Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition , what will use be?
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
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form BPA 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 Thickness
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?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material. -of roof
Size , wood studs "x Is
spacing "a . c . length ft .
Joists ( rloor beams) 1st . floor "x is spacing "o . c . span ft .
Joists ( floor beams ) 2nd . floor "x " spacing "o . c . span ft,
Overlays ( ceiling beams ) sox '• spacing "o . c . span ft .
Roof rafters "X " spacing o . c . span f t.
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish Of what material?
Interior wail 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 device be provided?
will a flue-lined chimney be installed? Height above roof ft ,
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in ,
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any
1r�epTair. or new installation of septic system)
Town of f Warren A F F I D A v i T STATE OF NEW YORK
County of warren
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 specified or not, and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature ! �X,
Owner, owner ' s ag t , arcn t , contractor
Py day of P� C 19
Notary Public Warren County , N . Y .
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SPECIAL CONDITIONSS OF THE PERMIT :
By