2003-405 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030405 Application Number: A20030405
Tax Map No: 523400-302-006-0001-05 1-000-0000
Permission is hereby granted to: RED LOBSTER
For property located at: 756 GLEN St
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ILENE FLAUM Commercial Alteration $100,000.00
400 ANDREWS St Suite 500 Total Value $100,000.00
ROCHESTER,NY 14604-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2003-405 RED LOBSTER
4534 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$544.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 18,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Wednesday,June 18,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r a
Z0'd :YiOtt3 Q8AI302ii 6T:0T £0—£0-90
Building Permit Applications
Town of Qucensbury—Dept of Community S?oveloptnent,742 Say Stood,Queeasbury,NY
(518)761-9256
Apermitmustbe obtained before beghningconstsuction. PemutFileN2�9'Dzl•`Lf 0 4�$
No inspection will be made until applicant'has received a Fee Paid $
valid building pernut.All applicants!spaces an this Roo.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
___lf
Applicant-
Address., D l f�ri �/ Address: (o
Phone# Phone#( , )
y
?wpertyLaeaticn: LotNumber: / House Number.
SubdivisionName: Tax Map Number .)—
❑ New Building: residence/commercial l3sbmated Market'V'alue of Construction:S • .
R Addition residence/co 1 If an Addition,what will use of new addition be?
Alttxation: xed
commercial
❑ o change to extRiar size: r= coce com'l
a Other work(desea'be
Check Qecupancybformatiou i Floor 2 Floor Other,Boor Total
Below sq.ft. sq.ft. sq.f. Square Feet � �% / D
o Single Evenly dwelling
t3 Townhouse
dwellin J l!N , 0 20 03
Clo Multifamily dwelling
#ofunits TOWI`I OF QUBSNSBURY
❑ office; BUILDING ACID CODE
o Mercantile
n I car detacheaigarage
❑ 2 car detached garage
ma 3 car detached garage
a I car attached garage
a 2 car attached garage
❑ 3 car attached garage
❑ Storagebuild ng-
commercial
a Storage building-
residential !
�{ Other
• ,X\ _
r
VIat IS tl el�tO afeet = IneeS 0
Will any second-band or uograded Iumber be used? If so,for wbat?—4142
Type of pleating Sy el�/ fl/gas/wood/forced hot air/baseboard I other:
jaJ Number of Br I inm to be installed Number of Woodstoves to be installed _
! List below the pictwu(s)responsible for supervision of work as Togards to building codes:
Name Address Phone Number
Builder /
Plumber I!
Mason
Electrician t!
7}grjgption pleaso signbelow after youhave card i llyread the statement:
To the best ofmy knowledge the statements contained inthis application,together with the plans and specifications
submitted,are a true and complota state Sent of all proposed work to be done on the descriibod premises and that all
provisions oftho Building Codc,the Zoning Ordinuua nod all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner; Further,it is understood thatYwa shall
submit,prior to a Ccrtitficato of Occupancy or Certificate of Compliance being issued,as requested by Ilan Zoning
,Administrator ar D�areetor of ding and Codes,antis Bath Sarver by a licensed surveyor,drswa to scale,showing actual
( location of all
i
Sigoatum: owne owner's agent; chitect,contractor
c00igooGA W//Ong "A147,01x a c9:60 aal 9009/c0/90
6T : (9 T 00-00-90
Iyroject l�latne: S�.�F�rr-� ��� ��'��2G1y� 8P�` (��, .._. S
Address: zn2 L.4hcee
/ f
Building Permit Submission Checklist Multiple Dwelling
Commercial Projects
All items below must be checked either yes,no or not applicable prior to submission of any b,,MLg
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the pernik
Will"o accepted-until such time as the application is deemed complete for submission
Building P ertnit Application Completed............ T no Ofl/a
2. EtieWForinorChecls�6teF,=tUGDdeQnTliance Forms Coinpletu-.- Oyes F]no a
(submit 2 copies) W
3. Energy Code aspectoA Report from Checkmate Program.............. Dyes Ono it
(subruit 2 copies)
4. Septic application conTletelyf"out Cif applicable).................. ... E]YUS Ono Kn-/a
5. ec,
cuical Inspection Form....... ....... ........................... ........ EIcs Ono VI-11/a
(2)sets of plans showing the fouoWiUg.-1.......--,..................... Yes Ono [In/a
TWO
6% Floor plan(s)......... ........... .. ..........
Erb. Foundation plan -."' ............... .....................[J)'t% QIav Wa
6c. Cross ...... ....... ............................. —lao 4
Wa
64, ........................--........... ...........—', 1../
ts no ' IV 21
6e. Desigri loads including floor,snow load,and wind load...... rs DaG ,/a
6E S6sinic design(r,�,VW a(icrfan-1,2003)........................... s nno '(/a
6y'. plans signed byregistexed amwtect or eugineex,sign ... ....... ��s Duo nn/a
and sealed by a registered architect or engineer
"Window and door schedule............. ........ ................... Elyes Ono 041-1 2
Two )(�(2 site plans showing location of the structure to be built..........
Ono On/a
location of well or water lines,location of septic system or sewer lice with
all setbacks and separation distances sbo-%m,and all improvements to
the propeAy-
8. Solid Fuel Burning or Gas Appliance Form(rf applicable)................ Dyes Ono */a
9. Drivewaypermit.. ........... .......... OYW Ono
*ft
Date: 4 t' lag
YVd OZ:60 Mll M,--,M,00