8871 BUILDING PERMIT
TOWN OF QUEENSBURY No 8871
WAR EN COUNTY, NEW YORK
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PERMISSION is hereby g nted to L bi Investments Inc. (Ormondo Leombruno) 5
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OWNER of property locat r00[AjliBay Road Street,Road or Ave. .11 H
Alterations to office bldg. �o.C
in the Town of Queensbury,To Construct or place a alCD
at the above location in accordance to application together with plot plans and other information hereto filed and o g
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
1. OWNER'S Address is Bay •Road tits)
Glens Falls, NEw York o H
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2. CONTRACTOR or BUI LDER'S Name
Dave McWilliams 0
3. CONTRACTOR or BUILDER'S Address
Arrowhead Cottages
Lake George, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
• 6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) . • -
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7. PLANS and Specifications •
alterations to office per application and
No. - specifications submitted. o•
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8. Proposed Use
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Office Building
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$ 10. 00 o PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 85
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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 t3
town of Queensbury before the expiration date.)
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- Dated at the Town of Queensbury this 13th Day of November 1984 V
SIGNED BY —Macie. a_4 for the Town of Queensbury
Building and Zoning Inspecto
TOWN OF :• UEENSBURY
(Space inside block to be filed in by
WARREN COUNTY, NEW YORK Building Inspector)
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Application for Application No. :
Permit Issued - 19.
BUILDING AND ZONING PERMIT . Permit Expires. lit.
Zoning District
• \ uluc �o1 Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1"""1 I"
showing the actual dimensions of the lot to be built Itcn,a1'KS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEEN6B1JRY
d DATE
�1���� t E .h V E r
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOV 8 1984
ANSWER ALL OF THE FOLLOWING. id a= Fe. e Fan
The undersigned hereby applies for a permit to do the following work 71"819i10 12)1.12131` 1516
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 of this property is:
Lfimbi TnJ-2d Q n7� Ti-c- -oGY f ea,. .G....?.'. �15�. .kr\./ /ago I
(NA•.1E) ' I 0.ADDRESSI
The rson responsible for •supervision of the work'insofar as the Building Code and the Zoning Ordinance apply is:
d mer7cco . .. ./...zq,. c.Lrl0 . . . .6g . ( I2:n. V-6. . . . ;6 uq. :`��., L-41 / ?O /
(NAME) (P.O.AD RESS)
V.a. .. L'.'). . . /�-./11Z. ..... Address .
Name of Builder. .��. �� � ��� t�( �,ep!.t)./.tP.o.�.00/l/-� e f..�LL/�2 .i.�U.C�¢..��
Name Of Plumber t 71 r� <<, Address WC.e- A 6'.
' Name of Mason • Address
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Lot Number Unit Estimated value of proposed work$ . 000
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Name of Village '
Name of Street a-/ °�_ - Side of.street: north d!;east 14, south O. west 0
Nearest Cross Street . .`.6th.-,, .�/...:. -e) Distance from this cross street 4 OO D Ft.
Property is north 1+1,south ❑,east i i, west. 0 from Cross Street
If on Corner, which corner, northeast L1, northwest ❑;southeast Q. 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 ached garage ❑
Other: . . . 0CR.-,
Accessory Building
• • One-car detached garage ❑
l] 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 building(s) in dotted line and existing
‘,6O/ 0yt7) l�uilding(s) in solid line.' .
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' Size of property `��U ft. x ���b ft.
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Size and use of fisting buildings, if any . %1 O.x• .Q• •
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y Lo , u,I l
v m Size of proposed building i)1 a ft.x ft.
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to Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUT H 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 - •
Sec_ A.00 l .O 4- f' / Fiv c%Sdd ® P
(cont'd.) ie. r( 4
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. _
Will any second-hand lumber be used? If so, for what 43,
Material of foundation wallsThickness
Depth of foundation walls below grade r �� 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 I • 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.
Sii?e, 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
Willa 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 tee bca i of my knowledge and belief the statements contained in is application,together with the plans and specifications sub-
mitted, area true and co.,.pplete statement of all proposed work to be done th/described pretm and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini proposed work shal corn ''ad eith,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this • Signet ....... . ... .... J�..: !G'�
OWN 0 N S G'ENT,ARCOITECT,CONTRACTOR
day of Y .
NOTARY PUBLIC. WARREN.COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP.# DATE
CITY OR
VILLAGE ' TOWNSHIP s: COUNTY
STREET AND NO.OR -
ROAD AND POLE NO. 1f -_. _r POLE NO.
BETWEEN WHAT TWO
CROSS EMI STREETS SLOCATED?
E ? ca t SECTION BLOCK LOT
S
PREMISES LOCATED.
OCCUPANT'S BUILDING
OCCUPANCY 49/ f=/
OWNER'S NAME
AND ADDRESS TEL.# J/-? ,,,, .
CURRENT
SUPPLIED I — ,7.i 7 FROM THEIR (Ff p,/r OFFICE
BUILDING ! f ram( LJ WORK c' DEFECTS
IS NEW® OLD❑ IS NEW ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loca- - ONLY
tion
CeilingSide Attach't Switch Pendant Bracket No. Type H.P. No. Watts No. A'W'G' INSPECTION
Wall Recep'Is Each Each Gauge
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
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REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:• DO NOT USE THIS SPACE.
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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 OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS POSSIBLE NEAR AS /i+ (. ., y NEW 17 OLD ❑
AVOID DELAY BY GIVING CF.U. '/LLLL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME
� AND ADDRESS
NAM OF
APPLECANT/ '-lam ..'.."`--• - rat '--' DATE OF .
APPLICATION J
STREET ADDRESS - TELEPHONE# /r
ZIP LICENSE NO.
POST OFFICE -CITY OR / CODE /!K rZ f WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department
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Inspectors Report Date //f/c
Name L_2�7�r,�', r6ry/i+ ( L.a 6,, Ar 1 in a.)
Location /;fry /2 i?
Permit No. ✓ Cl t 7( Weather
Remarks
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ExcaOsat on
Footing Forms L/"
Footing & Piers e�
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
.1/12\/ —(
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation
Walls
Ceiling
2-D
Building Y
ctor
REMARKS
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