8140 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8140
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mobil Oil Corp.
t3'
OWNER of property located at south side Aviation Road Street, Road or Ave.
at Exit 19 of 1-87
0
in the Town of Queensbury,To Construct or place a Alteration to qas station 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. C]
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1. OWNER'S Address is 19 Aviation Road
Albany, New York
2. CONTRACTOR or BUILDER'S Name
Roger Smith
3. CONTRACTOR or BUILDER'S Address
Box 217
Warrensburg, N. Y.
4. ARCHITECT'S Name ~
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5. ARCHITECT'S Address 7Z1
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame . ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. enlarge salesroom into 1 bay area per application
submitted.
8. Proposed Use ct
CD
Service Station
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1984 0
(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.) Al
Dated at the Town of Queensbury this 4th Day of October 198 3 cn
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SIGNED BY /' e:E,L a' 'o� �vU for the Town of Queensbury
Building and Zonir?lg,Lnspector 0
t! 3/44,7C-if A-'c`-�e.;.i L 6 Z 3 • %'r
1 '®'i�� N OF QUEENSBURY (Space inside block to be filled in be
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. •
Permit Issued - 19.
BUILDING AND ZONING PERMIT Permit Expires. 19.
'tonne, District
\ AIR.uc. ill Work %
THREE (31 Copies of a PLOT PLAN, Drawn to scale .\1)1'r„"c•c1 hY•
showing the actual dimensions of the lot to be built Rc•nm:IrK5
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
7 7- a —v ci/ zr TOWN OF' ?LJE \ISBU :'',`
DATE IR,
8 � � � E A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK - .�
ANSWER ALL OF THE FOLLOWING. SEP ; 3 1983
The undersigned hereby applies for a permit to do .the following work �d re��'
which will be done in accordance with the description, plans and specifi- A•%%
cations, and such special conditions as maybe indicated on the `l $ 91o11)i1 Y 3 ! 5 6
p permit. I_ I_ �_._�,� l 1' 1 i ,
The owner of this property is:
(NA'.E) IP.O.ADDRESS)
Thr
rson responsible for su rvision of the work insofar as the Building Code and the Zoning Ordinance apply is:
d 7� L. . ,2 > -7 / u�",RRENse U R ,i�),l .
p �� (NAME) (P.0 ADDRESSI efr
Name of Builder Address •
Name of Plumber Address •
Name of Mason — Address �c._,
Lot Number g)- Unit Estimated value of proposed work 3 OOvName of VillagePA NSLIU Rd' 4/7
Name of Street . l4 /9- //ON ¢'?I Side of street: north ❑, east 0, south O. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east i 1, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Cl, 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 ❑
X1 Alteration to a building. Two-family dwelling ❑
LJ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
4/1/4eR ,3 5 • •S/` •Z• FOC17? ,(Ai TO / 59, PRE") • Accessory Building
1/ 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, site and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
• Iuilding(s) in solid line.
Size of property • ft. x ft.
Size and use of existing buildings, if any
U U,
s w Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard. 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
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . .7 . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? A/C) If so, for what7
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . .4/.6 If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "x ", spacing "o.c., length •
ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Site, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr, bar of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.pplete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining proposed work shall be complied with,whether specified or t,
and that such work is authorized by the owner. / — �
Sworn to before me this Signature n
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR a� i211 ,
day of 19 /I t
- NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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