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1700
s. A 0CCUPAN%WdejL %WWI OF TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK lqu A700 This is to terrify that Work 2'eq,,,*,,d to be done as shown by Permit No. has been completed- This structure may be occupied as a most rv�,k �fwrw Location. ph I -A t1b H . hw* Owner By Order Town Board TOWN ©F QUEENSDURY Building & Zoning Inspector 4r '" BUILDING PERMIT TOWN OF QUEENSBURY No. 1700 WARREN COUNTY, NEW YORK. *d lx PERMISSION is hereby granted to_Pliili H . Hart r� OWNER of property located at Bay Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a Restaurant & Bar 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 14 James Court Glens Falls , New York 2. CONTRACTOR or BUILDER'S Name Rodney We Stevenson 3. CONTRACTOR or BUILDER'S Address Star Route Glens Falls , New York 4, ARCHITECT'S Name 5. ARCHITECT'S Address • fi_ TYPE of Construction — (Please indicate by X) r , i 1 Wood Frame (XI Masonry 1 ) Steel ( 1 7. PLANS and Specifications t+ No. 39 ' K50 ' as per plot plans and speCIfications submitted ,hCl ernc a sewiltste system* B. Proposed Use Restaurant & Bar c /o 5000 s 47 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 9 '1- is � � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueansbury before the expiration date_1 Rated at the Town of Queensbury this 21 day of Apr 1 19..,12 SIGNED BY or the Town of Queensbury 07 'Building and Wing I r r TOWN OF QUEENSBURY (space inside block in lx• filled in by . WARREN COUNTY. NEW YORK 13nildin} lw%pe•ctfn-) Application for 'hpplication N<.. . . . . . . . . . . . . . Permit 1 %sn •d . . BUILDING AND ZONING PERMIT P( ri„ i; K%,Pirc% . . . . . . . . . . . . . . . . . . . . . . Is, n14 1 )i%arift - - - - - - THREE 131 Copies of a PLOT PLAN, Drawn to scale pj 1rt ,. (-d br . . . . . . . . . . . . showina the actual dimensions of the lot to be built upon, Ae, exact sixe, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN f^ ^ GATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK jtd ANSWER ALL OF THE FOLLOWING, 46 The undersigned hereby applies for a permit to do the following work l , . which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner o this// ro rrtt is. p,`-�' /, ! - � ! . . �" - - . L y. .r . s, - � . . . . . . . • CNA .AFI IP.0. ADDRESS) - The - n espansibie for pervision of the work insofar as the ildin Cade d the zanin O inance apply is: Ott �"y1 � t st+Ar ME}T h(4::i 7 ;iu t✓S . a r . . . . . . . . . . . . . . I O. ADDRESS1 Name of Builder . . ,�.,�'` ,6 C1 A�.o w �r �- Address . .2 ✓Q r! S ° x�. . - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r� . . . . . . . Name of Plumber . . . . . G. r .I, v `" . . . . . . . . . . . . Address Y Name of Mason . . _ . . . ? .� +! r et: . . . . . . . . Address - - LOt Number . . . . . . . . . . . . Unit . - , . , . . . . . . . Estimated value of proposed work $ . . . . c4- - f ..:nL :"n �. . . . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . Name of Street . - - . ''�.fl . . . . . . . . . . . . . . . . . . . . . . . . . Side of street: north O, eat Ia . to�th ❑ . west Q Nearest Cross Street +.., . f- .k �"� . . . i`+, , , . �. 1r_ f�! . distance from this cross street . . . . d. Ft . property is north 0 , south C ,, 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 L' Construction of a new building. Main Building a El Addition to building. One-family dwelling Q 0 Alteration to a building. Two-family dwelling � 0 Demolition of a building. -family apartment house Store building 0 wrar attached garage f Other: . . . _ . . . , Accessory Building One-car detached garage 0 Other work. Describe: . . . . . . . . . . . . . . . . . Two-car detached garage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house . . . . . . . . . . . . . . . . . . 0 Private storage building ED Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . zONING 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing l p /If huilding(s) in solid line. _ Size of property . . . /. ? . . . . . . ft, x Size and use of existing buildings, if any . . . . . . . . . . . . . Size of proposed building f�t,./x . . - ft. Height (from grade to ridge) . , , . . Z-q� . . , . , ft, Front yard . . . . . . . . ® . . . . . . . . . . . . ft. Side yards . . . . . . . . . . ft. and . . . . . rc . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . J, . . . . ft. sour H If on corner, setback from side street . . • '� �• - - • • - • ft. . . Now All distances are net, as "%assured from street side line to nearese pars of building. ;a4ER) i (cont'd.) BUILDING SPECIFICATIONS.. Kind of construction: Wood frame, fire safe, etc,? , . /-+N, CK 0u-K' // // Will any second-hand lumber be used? . . . Jf.ZJ . . . . . If so, for what? . . . . ."" . . . : . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . fit, 4 - 3:If so, m d?i. Depth of foundation walls below grade . . . , . . . 6.mat 6. . . . . . . . .of cellar floor . f. . . . . . . . . . . . . . . Coptinuous foundation? . Will there be a cellar? . . . . . .�" . . . " . . . . . Type of roof: Sloped or flat? . , _ . , , . . . . Material of roof Size, wood studs , , , , . . . . .� . . . . . . " x . . . . . . . . . . . . . . . '", spacing . . . .�.[a . . . . . . . "ox., Length . . . . . . d, . . . . . ft, Size, floor beams, 1st floor . . . . , . . . . . " x ee. X> , . . . . . . . . . '", spacing . : . . .! . . . . . "o.c., span - r . . . , ft. Size, floor beams, 2nd floor . . . . . . . . . . . "" x . . . . . . . . . . . . . . . .", spacing , . . . . . . . . . . . . . ''o.c., span _ . . . . . . . _ I . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . "" x " . , . . . . , . " , spacing ox-, span . . . . . . . . . . . . . . ft. Site, roof rafters or beams sy? . " x /. G . ", spacing . _ /. . 6, . . . . "o.c., span !. `r1 . . . ft_ Exterior finish , . , .� 'tt . 4� S .4 . . ! . . . . . . . . . . . . . . . . . . . . . . . With what material? 0! 1.vp .`.4il't Finish of interior walls . . . . 4-vf �:4-. r Q. !p! . . . . . . . , . . + If garage is to be attached, of what material is wail between garage and main buil!ling to be constructed? Is there to be an opening between rage and buildin il .. . _ . , . , . . . . . . . . Kind of heating system . T—!^,r c ; . . . .y .Ir !? ? . . i. . . . . . Oil burner or coal? I / Will a flue-lined chimney be provided? Y , Depth of chimney. foundation below g rr Y. grade .w+ u.df Height ofchimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . : . . . . . . . . . , . . _ . . . . Will there be a fireplace? . . . . .. /k/,f . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . , . . . . . . . . . Will a toilet be installed? . _ . . ca. Will a kitchen sink be install and connected to water sup . . , ply? . . . . I S Water supply (public water supply or pump) . - - . O . +... 4. ? a. , . . , . . , . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be- provided with required traps, cleanouts, and vents? Wit' . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren $a, State of New York I swear that to me best of my knoMyledge and belief the statements contained in this aPPfie+tion, tagether with the pl*na and specification* su1►• mitred, are a true and complete statement of all proposed work to be done an the described premises and that allkions of the BUILD• ING CODE, THE ZONING ORDINANCE* and all other laws perta' the p work shall be oom , whether speciYted or not, and that such work is authorised by the owner. Swartz to before me this . CONTRACTOR .. . . . . ... . . . . ... . . . ... . . ._. -- --day af.... . . .,-.. . .,. . . .... . . . .... . .. - . I9. . _. _ . .... .... . ... NOTARY PUnLIC, WARRe:N COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .. .. ........ ........ ....... . . ... .. . . . .. .. .. .... .. . . ...... ................ TOWN OF QUEENSBURY WARREN COUNTY* NEW Y0RK Application forKT A PERMIT TO CONSTRUCT , ALTER OR ENLARGE A DISPOSAL SYSTEM FOR. A PRIVATE RESIDENCE WlTHI N THE TOWN OF QUEEN5BURY Mail or bring this application to : Building & Zoning Department Queensbury Town Office Building R . D . 1 Bay Road Glens Falls , New York 12801 This application for a Sewage Disposal Permit must be accompanied by a plot plan drawn reasonably to scale showing all dimensions , the size of the lot , the location on the lot of the water supply and sewage system . 1 . Name and mailing address of applicant : 2 . Specific location of property : STREET AND NUMBER ) 3 , Application is for : New construction of / Alteration or enlargement of existing sewage disposal system . 4 . Description of buildings a . number of bedrooms be garbage grinder YES DR No 5 . Topographys ��a at , rolling , steep slope , gentle slope , etc . 6 . a . Nature of sail , ( Describe to a depth of 5 feet if the field is to be used or 10 feet if leac.Yjing � its are proposed , giving thickness of various strata such as top soil , clay , loam , sand , gravel , rock , etc . ) J S 0 be How determined ? ,OV4& /�`v 1 r3 r" 4-7' ) w+ f O / y „ +� /`-��r 4 (51 7 , a . Soil percolation test made by ( Refer to Part III , Bulletin 1 , N . Y . S . Department o Hea th be percolation test notes submitted ? IV6 YE6 C3H NO Be Proposed sewage disposal system indicated on attached plan or sketch ? Vie-t:-) YES OR NO q . Date when construction will comrr.ence /_ -- It is hereby agreed that if thin ap3. 1`3tiorz '- nr3 , tt :� ched lans dated or any amendrr� nt or rFvi int . thc� r� c} f , -�- - are approved , - instta a't on of sewage disposal facilities will }� e made an accordance with the details thereof as shown on such approved planse of icy t nsta ed 8y : Contractor - _a � gnat a pp Owner " Awis am, Comm brit rXeM RaA.&. IWIMIAL R! rt' & .