8369 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8369
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Brian Meurs (Scotia Marine North)
lessee •
Route 9
fR of property located at north of Exit 20 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Adrition/alteration to gas Station
at the above location in accordance to application together with plot plans and other information hereto filed and ed
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N.
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1. OWNER'S Address is John J. and Anthony J. Brock.
34 Denim Drive
Clifton Park, New York 12065 •
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2. CONTRACTOR or BUILDER'S Name
Fregoe Construction
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3. CONTRACTOR or BUILDER'S Address
R. D. #2, Lake George, New York
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4. ARCHITECT'S Name • (p
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5. ARCHITECT'S Address 'D4
6. TYPE of Construction—(Please indicate by X) O�
( )Wood Frame ( 1 Masonry ( I Steel ( ) N
7. PLANS and Specifications
addition to existing, island per plot plan
No. and application submitted.
new building 28 ' 6"x 16 '
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8. Proposed Use
Gas Station
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 W
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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 expiration date.) sj-
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Dated at the Town of Queensbury this 2nd • Day of • April 19 84 0 n
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SIGNED BY _-A C a . for the Town of Queensbury rt
Building and Zoning Inspector
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TOWN OF QUEFNSBURY - BUILDING DFPARTN'ENT
R. D. *1 WY A?:D YAVILAND ROADS
GLFTS FALLS, N.FW YORK
Prone 792-5832
DATE: %4=1///Vg`r`
TO:
Our records indicate that you were issued a building permit
number R 3 6 j on L.(.)- _ q
for the construction of L24
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.
Next required inspection 4"7--(2-Z
For all new construction Town Law reauires 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.
QUEFNSBURY BUILDING DFPART! ENT
TOWN OF QUEENSBURY (Space inside block to lx filled in be
WARREN COUNTY, NEW YORK Building Inspector)
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Application for Application No.
Permit Issued 19•
BUILDING AND ZONING PERMIT Perini! Expires. • 19.
. /,oiling District c—
• \ ali•ic•.ibl Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\110'"`(•cl ►'`
showing the actual dimensions of the lot to be built Rc•niar)4.5"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. 3� I [
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,3 co _ i . •3 1
v ,}� �tS — TOWN OF QUEENSBURY
DATE REG, Ern
IS
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK •
ANSWER ALL OF THE FOLLOWING. f 13R 2 19:4
The undersigned hereby applies for a permit to do the following work A.Ibia.//0 r t .• l 'Alc9
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. , I® I a 1 a I
The owner of this property is: . .
(NA'AEI OP O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Codee and the Zoning Ordinance apply is:
m, vc su'- (NAME) p-02,. A ,..„6I, (,P-1
Name of Builder.--e--; Cov-1 wg(-o; Address . 17.2t � -rQ 1 .\�-�.- L2$4-,S
Name of Plumber Address
Name of Mason — Address
Lot Number Unit Estimated value of proposed work 3 SOC)[D. —
Name of
Name of Street --RA-9- Side of street: north 0, east Or, south 0. west ❑
Nearest Cross Street R-1- I4cj Distance from this cross street Ft.
Property is north ❑,south i ,east [1, west. 0 from Cross Street
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If on Corner,which corner, northeast ❑, northwest ❑, southeast ❑, southwest
, (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. . One-family dwelling El
[a—Alteration to a building.
Two family dwelling
❑ Demolition of a building. family apartment house ❑
Store building
-car attached garage ❑
. Other:
Accessory Building
One-car detached garage ❑
Other work. Describe: Two-car detached garage ❑
Private chicken house ❑
Private storage building ❑
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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
lluilding(s) in solid line.
Size of property 3 I -3 _ ft. x 5 6ft.
Y 2� .. 55o
Size and use of existing buildings, if any
s laSize of proposed building 1 (0 ft.x 2`....`2. • - . ft.
Height (from grade to ridge) �) ( ft.
Front yard 5-j.)t ft.
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Side yards
C^ ft. and a C 0 ft.
Rear yard �-- 0 ' ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M .
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.7 JJ 0 1
Will any second-hand lumber be used? . . . .Ai 4 If so, for what?
Material of foundation walls tr 0 ✓t •,.t'T c Thickness 6-
el
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? ('J lI If so, material of cellar floor
Type of roof: Sloped or flat? /—_/ c-4-z" Material of roof Ab'tIal t
Size, wood studs I "x Zf' ", spacing /6. " "o.c., length ft.
Size, floor beams, 1st floor 2_. " x 6 ", spacing /` '' "o.c., span t5- ft.
Size, floor beams, 2nd floor /4,4x ", spacing "o.c., span ft.
Size, ceiling beams 2-- " x . ", spacing /G " "o.c., span / ( ' ft.
Size, roof rafters or beams 2-"x . ", spacing /( "o.c., span / ft.
Exterior finish 7—V// With what material?
Finish of interior walls P GL w e ( tin.
If garage is to be attached, of what material is wall between garage and main
ai bu�l&ing to be constructed?
Is there to be an opening between garage and buildi ? 42 2
Kind of heating system it/. Oil burner or coal? /V /4
Will a flue-lined chimney be provided? ,/ ' . Depth of chimney foundation below grade . (vim
Height of chimney above roof li//l
Will there be a fireplace? /(10 Depth of fireplace hearth (V
Will a toilet be installed? . /Gl0
Will a kitchen sink be installed and connected to water supply? l✓ 0
Water supply (public water supply or pump) (1/
Distance of cesspool from any private well /.v 4 feet
Will drainage system be provided with required traps, cleanouts, and vents? /U4
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt ba r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.e.plete statement of all proposed work to be done onthe described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to)he p posed work fih 1 be complied with,whether specified or not,
and that such work is authorized by the owner. r
Sworn to before me this Signature /ltl�ZC�. . z
esi,
OWNER,0 N 'S AyE T,A CHITECT,CONTRACTOR
day of 19 /
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR /l _
i
VILLAGE TOWNSHIP )/ `r" ',-4/' r 1('� .COUNTY l/ _ r`j r •
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STREET AND NO.OR —� C
ROAD AND POLE NO. / POLE NO.
BETWEEN WHAT TWO /
CROSSSTREETSIS r /
!•REMISES LOCATED? � ��'/- SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME - // j IrLAC OCCUPANCY ^ .J�Il�:/ir< IJ
f/. J/ 41A�4�+.
OWNER'S NAME
AND ADDRESS 5 Y�
CURRENT
SUPPLIED �!y/
BY %r' ( fTh
FROM THEIR � 44- -1�! f-';�L� OFFICE
DEFECTS
SBUILDING WNEW El OLD❑ REMODELED SORK NEW ❑ ADDITIONALA1 REMOVED ❑
• LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures e MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion Side Attach't H.P. Watts A W.G. WATTS
Ceiling Wall RecepCls Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS • FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS
BUILDING OF SIGN (� - OLD (�
INSPECTION REQUESTED "" // I I
ON OR AS NEAR AS
POSSIBLE %>9 /it i ,'- NEW I I
AVOID DELAY BY GIVING FULL AND
ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
APPLICANT i�.✓ �.z�/'� (-f� /,.e/.� 7 -DATE OF �!
APPLICATION , _
STREET ADDRESS ./ Jv,2- 'tW" J z. -l" ? 0 P 4 S/ -
, f ,
CITY OR ` J ZIP - LICENSE NO.
POST OFFICE (T - a{fCi ��f�C�> A�/ Y CODE WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF•QUEENSBU RY
Building Department
Inspect Report, Date C 3
Name "J 5 S c'o ��
'Location 9
Permit No. ,r--7..3�' Weather
Remarks
• Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey n
Framing 1/' •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. _
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling '
'7//9
Building Inspector
REMARKS
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RECENT FILL ENCROACHMENT -
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lands 'now or formerly of Peter F. Bailey ano. NOTES
• Book 657 of Deed Page 291 /
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1-UNDERGROUND UTILITIES NOT COCA TicD. .1R'
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EXCEPT AS SHOWN: •
MOUNT AIN VIEIr REALTY TRUST
- - ' ...•:ORN ACR DTD. APRIL S ISIS E INFORMATION IN P•RENTNESIS IS OF RECORD, O 0 •
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. - - CONCRF TE.OMum(MT