8413 •
BUILDING PERMIT
TOWN OF • QUEENSBURY No8413
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dunham Brothers Company
OWNER of property located at Routes 9 and 149 Street, Road or Ave. .
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in the Town of Queensbury,To Construct or place a Demolition gas station
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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. 0
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1. OWNER'S Address is P. 0. BOX 813 I-I
Brattleboro, Vt. 05301 e'
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2. CONTRACTOR or BUILDER'S Name
R. I. Lamphere Construction Co. • sy
3. CONTRACTOR or BUILDER'S Address
Burlington, Vermont
4. ARCHITECT'S Name O
CD
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No.
demolition gas station 28'x28 ' addition 18 'x24 ' per
application submitted.
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8. Proposed Use
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Demolition g.as station o.
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the U)
town of Queensbury before the expiration date.) rt
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Dated at the Town of Queensbury this 20th Day of Apr i 1 19 84 0
SIGNED BY 2G2/ a, / for the Town of Queensbury
Building and Zoning Inspector Q
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector) '
Application for Application No. : .
pp ` Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 9.
/Awing District
\ aloe „t Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1)1)"`i'c1 b`
showing the actual dimensions of the lot to be built itcmarKf
upon, The exact size, end location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. I .
( I - 3.5 4 / i6. /9f / TOWN OF QUEENSBURY
DATE HIEGE [IVEA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. At'k 1 6 "34,
The undersigned hereby applies for a permit to do the following work A.M.Ot (-31 C° P.M.
which will be done in accordance with the description, plans and specifi- 1 819110111412�1 21314 5I6
cations, and such special conditions as may be indicated on the permit. 0 ' " ' ° ° IA I
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The owner of this property is:
. . .D.u.tt.... .wi . .'. . . c7 kii.eeS. . . . . Co4KpaVt_. . . . . . . P.,.c?...60.n .8".>3. . .i.3-:,21`7(1 44��.,.v1:. . ...U.. . .
(NA"E) (P.O.ADDRESS)
The person responsible for supervision of the workinsofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IP.0.ADDRESS)
Name of Builder.1-?,-Zlc!-c4pd1 ore �olisn'4 tl/ev:-. CO ,. . .Address . . .
8t./✓hi1 •fah. _ Vf .
Name of Plumber Address
Natite of Mason Address
Lot Number Unit Estimated value of proposed work 3
Name of Village
Name of Street . .4 .S 7 i"/`f Side of street: north 0, east 0, south 0. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east iii, west, ❑from Cross Street
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 ❑
❑ 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:. 6, fy Two-car •detached garage ❑
mod . t Private chicken house ❑
- a Private storage building ❑
y ' 0 cY GU l le Other:
FQ-6324—' s C d1. IF ' Yay / .
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 building(s) in dotted line and existing
i F l2uilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
In N
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i ' 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—N
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grad Continuous foundation?
Will there be a cellar? 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 z/ "o.c., span ft.
Size, ceiling beams " x ", spacing ' "o.c., span ft.
Size, roof rafters or beams " x ", spacing/ "o.c., span ft.
Exterior finish With what material?
Finishof interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between gar. e nd main building to be constructed?
Is there to be an opening between garage and buildin:2
Kind of heating system Oil burn Cor 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 wale supply or pump)
Distance of cesspool fro any private well \ feet
Will drainage syem be provided with required traps, cleanouts, and vents? ll
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt bard 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 on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo w,o!k shall be complied with,whether specified or not,
and that such work is authorized by the owner. h0. J '"` ,T�h r5 �-
Sworn to before me this Signature ct € ✓.J.. � '� I A...4.5 (,t rev'
0 NER.OWNER'S AGENT,ARC,I)fECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By •