7569 BUILDING PERMIT
TOWN OF QUEEN.SBURY No 7569
I � rj v. � " , WARREN COUNTY, NEW YOR K
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PERMISSION is hereby granted to
Pizza Hut , Inc . N
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OWNER of property located y?, Route 9 — Miller Hill Street, Road or Ave.
in the Town of Queensbury, To Construct or Place a Addition t0 restaurant for equlpmext rl•
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 . OWNERSAddressis Herbert Sheinberg
P . 0 . Box 428
Wichitar KA 67247
2. CONTRACTOR or BUILDER'S Name
Cvlonie Builders Inc .
3. CONTRACTOR or BUILDER'S Address
8 Northway Lane
Latham . N . X . 12110I
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4, ARCHITECT'S Name ra•
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S. ARCHITECT'S Address ~
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6. TYPE of Construction — (Please indicate by X) F-'•
F-'
F-�
{ ) Wood Frame l } Masonry f ) Steel I }
T
7- PLANS and Specifications
8 ' xl2 ' per plot plan , specifications and
No, application submitted and Site Plan Review 41 -82
B. Proposed use Q'
Fast Food Restaurant rt
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0 P
Fi
$ 1 � ' � � PERMIT FEE PAID — THIS PERMIT EXPIRES ` 1 79 $ tD a
Q
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ¢ia F5
town of Queensbury before the expiration dame.? � W
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LD A�
Dated at the Town of Queensbury this Ist Day of Or"t-n her 19_ R 2 t Fri
SIGNED BY + d� for the Town of Queensbury
Bui irg and Zoning Inspector
TOWN OF CU E FIv SBURY - BUILDING DFPARTMENT
R . D . # 1 BAY P ": D Y.AVILAND ROADS
GLFNS 'FALLS . r' FV7 YDRK
Phone 792- 5832
DATE : • E� /�� 3�/G�y� /
TO :
our records indicate that you were issued a building permit
number 7S u i' on
for the construction of --,�,
our files show that the required inspections are incomplete .
If still under construction please contact this office for an
extension of your building permit , or if completed please
contact is so we can take your card out of the active file .
l
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy .
Noncompliance may result in legal action .
To avoid further delay and possible legal action , contact this
office to make arrangements to update your file .
OUF£NSBURY PUILDING DFPARTM ENT
TOWN OF QUEENSBUR`1P L
r��e in.idG �rlortk ter $x fill< tl ik, 1,.
WARRENCOUNTy. mmW YORKBttilciin};rcxrxApplication #or +.urLdBUILDING AND ZONING PERMIT `I'i41`THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale
showingq the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
ite
MITTgp to be WITH THIS *d or sATIC7Nred MUST BE SUB-
/d TOWN OF QUEESV5S1.3Ry
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
H V
ANSWER ALL OF THE FOLLOWING. � �� " ! �
The undersigned hereby applies for a permit #o do the following work A.ldl. /G� � p,
which will be done in accordance with the description, plans and specifi- 71819R0111 1� 2�
cations, and such special conditions as may be indicated on the permit-
The
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The owner of this property ia: f � u
(N A•.tE1
The person res nsibit: for supe son of the work insofar as the Building Code and the ZoningOrdinance apply i+:
/�_ A�,.',rs,c�a Rr4cu '�✓ ,4 ee 14,ee t
(P O ,4nORESSI
,�►'t t' . , Address ,�. . /tfc.. i w�...JK . '�r..�.r C 1�ui�u, h+` 7
Name of Builder . . • . • • . ✓!
Address ff
Name of Plumber . !�/ . . . . . . Sri c.? c • . . . . . . _ . . . ,
Name of Mason . . . . !'. . , .'`e' G: fc!rrt I+C: . . . . . . . Address - . . . . - . . .
Lot Number . . . . . . . . . . . . Unit
Estimated value of proposed work S '� . . . . . . . . . . . . . .
Name of Village . . . . , . . . . . . . .
Name of Street . . . !`" ` � Side of street : north ❑ . east . south ❑ . west ❑
Nearest Cross Street . . . . . . . . . . . . . . . .
. . . Distance from this cross street . . . . . . . . . . . Ft -
Nearest
is north 0 , south ❑ , east 4 i , west 0 from Cross Street
If on Corner,11 which corner, northeast r i , northwest C3 , southeast 0 , southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Malin Building Q
C7 Construction of a new building- one-family dwelling
Q Addition to a building. Two-family dwelling
Q Alteration to a building. I . . . . -#'artily apartment house
Q Demolition of a building. Store building Q
- . . . . . - - -car attached garage
Other:
Accessory Building j
. . . . . . . ,.YiEwr , One-car detached garage
t4 other work. Describe: , y/�• • - . . . Two-car detached garage
Private chicken house Q
1!c Q � • " . . . . . . . . . . . . . . . . . . . . . . private storage building Q
• Other-
"OX
ZONING SPECIFICATIONS. Fill in for new btiildi g or�addition to exissting 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.
��}I Naatrr Show proposed building(s) in dotted line and existing
ltuilding(s) in solid line.
Size of property . . . . . . . . . . . . . . . ft. x . . . , • . . . . . . . ft.
Size and use of existing buildings, if any . . . . . • • • •
. . . . . . . . . . . . . . . . . .
j
ft.
"' Size of proposed building . . . • . • . • • ft. x • . .
Height (froth grade to ridge) . . . . . . . . . . . . . . . . . . . . . Et.
Front yard . . . . . ft.
Side yards . . . . . . . . . . . . . . . ft. and . . . . . , . . ft.
� - •
Rear yard ft
. . . - . . . . . . . .
sourk+
If on corner. setback from side street . . . . . . . . . . . . . . . It.
Note: All distances are met, as measured from street side
line to nearest part of building.
(OVER)
7�73 �M
(cont'd.)
BUILDING SPECIFICATIONS., rye
Kind of construction : Wood frame, fire safe, etc.? . . /. .'.�' '� .
Will any second-hand lumber be used? . Nam. . . . . . . . If so. for what? . . . . . . . . . . . . . . . . . . . . . . . . ��. . . . .
Material of foundation walls . . . . rc , C . . . . . ' Thickness . . :c6. . . . . . . . . . . . . . . .
Depth of foundation walls below grade . . . . . . . . . . . _ . . . Continuous foundation. �
Vb''ell there be, a cellar? If so, material of cellar floor . . . .
Type of roof: Sloped or flat? . . . r .. . . . . . . . . . . . Material of roof . . _ . . . .
Size, woad studs . . . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . spacing . . _ . . . . . . . . . . . "o.c., length . . . . . . . .• . . . . ft_
Size, floor beams, Ist floor . x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "o_c., span . . . , . , . . . . , . . . ft.
Size, floor beams, 2nd floor - - . . . . . . . . . " x TV. . . . . . . . . . . . . . . spacing . . . . . . . . . . . , . . "o.c., span . . . . . . _ . . . . . . ft.
Size. ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . , . . . . . . . , spacing - . . . , . . . *Vc., span . . . .
Site, roof rafters or beams . . . . . . . " x . . . . l f . . . . , , *D spacing . . . . . . . . . . . . . . 'Sn.c., span ft.
A ? .
Exterior finish , . . . t5�"..Gs'?x � ,Lr` .a`/�`'`�n".z.�"/ .4?t P . . . . . . . . . . ft.
.
� . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . . . . . .
Finish of interior walls .-'"�,4AVA* . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
I . . . 4 . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? . . . N/r� . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system . . . . . . . . l alrW!?G . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . ✓u v,%+ F.0 . , , . . . . . . . . , .
Will a flue-lined chimney be provided? . . - - . . 1r__. . . . . . Depth of chimney foundation below grade . . e4p' *?^. . . . . . _
Height of chimney above roof. . . . . . . . ? . . . . , . ,
. . . .
Will there be a fireplace? . . . . . . . . . . r--' . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . / +5
Will a toilet be installed? . . . . . . . . i .
Will a kitchen sink be installed and connected to water suu ly. '
Water supply (public water supply or pump)
Distance of cesspool from any private well . . . . . . / xy� feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . .
Town of Queenshury } AFFIDAVIT
County of Warren
Stste of New York
I swear that to tr Ae4 e of toy knowledge and belief the statements contained in this application, together with the p�� and specifications sub-
raitted, are a true and cu.uptete statement of all proposed work to be done on the described prenuses and that s11 of the HIJILD.
ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be cone d t r ooL
and that such work is authorised by the owner.
//.
Sworn to before the this Signature .. . . . .. . . 7_ -
OWNER [7WMEq'S AGEN wgCHITEC7, CONTRRCTOR
dayof . . ... .. . .. . . .. . . .. . . .. .. _.. _ 19 '
NOTARY PUBLIC, 'WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .. . . . ... . .. .... ..... . . ....... . . .... . . . . . .. .. .. . .. . . . .. ... .. .... . . . ... .. . . ...... .. ... . ..... . . . ... . . .. . . .. ...
-rC3W14 OF QUEEN58URY
awaaa.,e t7ediparti
._
Repozo
rt .. Dame
Tia.®e 02-
�.
Pard W,�at�.yar
Remarks
Excaat}on
Footin Forms
Foot-in & piers
Foundation
Cement Coat
water roofin
,ga,c]cf i 1 J-
Final Surve
Fri
Sbeathin
Roof Felt
Roofin
Siding
Veneer
Masonr
Rou h P�
Relief alves w --
Wall Board
Ext . Porches
Finish Floor
Interior Trim
Stairs & Railin $
Cel.l.ar nr ,. 'file
Concrete Floors
- pl Fixtures
• Gar . Fire roofin
- Door Closers
Chis+ne Inst .
Water Meter
Se tic A roval Floors
�-
Fain nd��nn •.,�..�_��-------"
.nsulation
Ceilin
Building' Inspector
R14MARKS
TOWN OF +Q►UEEN58URY
$uildiaa Department
l..ocaation.,,, — \dVfcat'k.er
Perwit No.
Remarks
rxcavation
Foatin Forms
Footin & Piers
Foundation
Cement Coat
' water rOofin
' gacRfill
Final Surve
prami-n
sheathin
Roof Felt
ROOfin
Siding
M.Sonray Veneer
ROu h Plb
,Relief Valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
stairs & Railin Is
Ce.1 jar Dr . Tile
Concrete Floors
,pl F , Fixtures
Gar . Fire roofin �-
" ,moor Closers � � ----- -- ---_
C}ji mne
Water Meter Snst .
Se tic A roval
- Floors
Foundation
Insulation Walls � --- �-
Ceilin
Build-Ing Inspector
REM"KS
4002343 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
41 STATE STREET, ALBANY, NEW YORK 12207
Date October 59, 1982 .application No. oiafile 007458»82 ,A 592034
THIS CERTIFIES THAT
only the electrical equWmeaat as described below and introdaced by the applicant named on the above applicasion number in the promises of
Pizza Hut , 26 Upper Glen Street , Queensbury , New York
in the following location; ❑ Basement Ise FT. Q 2nd FT. Section Block Lot
was examined on 9 �2 9 w 82 and found to be in compliance with the requirements of this Board.
FIXTURE RXTURM RANGES COOti1N6 DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS WC EPTACLES SWITCHES INCANDESCENTJ FLUORESCENT All K. W. AMT. K. W. AMY. K.W. AMT, K. W. AMT. H. P.
3 2
DRYERS FURNACE MOVORS FUTURE A"UANCE FEETtERS ISFECIAL RECPT TIN! CILOCIM UNIT HEATERS MULn-OUTLET DL%U"RS
'AMT. K. W. OIL H. P. 0AS H. P. AMT. NO. A, W. G, AMT. AMP, AMT, AMPS. TRANS. AMT. H. P. HO SYSTEMS
AMT. WATTS
SERVICE DISCONNECT NO. OF S E R V 1 C E
AMT. AMP. TYPE EECK T w Still i w 3w 8 X sw 3,,R +RM' NO, Of CCC- COND. OF CC COIVD. NO. OF HI-LEG CA
IwILCs TiO. OF NEUTRALS OF NEU MA�1.
OTHER APPARATUS:
R . Rosette
64 Vly Roach
Albany , New York. 12205 239
BRANCH MANAGER
fi
Per
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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