6387 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6387
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Stanislaw Kostek
OWNER of property located at 284 Bay Road Street, Road or Ave.
rt
in the Town of Queensbury,To Construct or place a Addition to Restaurant and Store
at the above location in accordance to application together with plot plans and other information hereto filed and H•
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 5 Numan St.
Glens Falls, N. Y. can
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
CO
5. ARCHITECT'S Address
0
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
22 "xl8 ' 9" per plot plan, specifications and
No.
application submitted, Per Variance #670,
8. Proposed Use
Q.,
Seafood Restaurant and Store
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$1 n_ on PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 81 rt
(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.) 0 O
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Dated at the Town of Queensbury this 10th Day of June 19 80 G
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SIGNED BY N U• for the Town of Queensbury
J� Building and Zoning In ctor "'f'
TOWN OF QUEENSBURY (Space inside block to lie filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for .%l'1'lication No.
PP Permit Issued 19
BUILDING AND ZONING PERMIT r,.)mi. Expires 1q
7.4,15in_ Uistritt
;11ut• I.1 Work 1
THREE (3) Copies of a PLOT PLAN, Drawn to scale . %I't •""'`1 1)y
showingthe actual dimensions of the lot to be built Kern,' Kr
upon, T exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
1 f/ FV1 / 3/-ii DATE
h iii C J , '
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK / DLUJ
ANSWER ALL OF THE FOLLOWING. JUlV `) 19W
The undersigned hereby applies for a permit to do the following work A.i. � P.M.,
which will be done in accordance with the description, plans and specifi- 7 8I . �. )121 ,3 4 6
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: ,
i . osT4. . . . . . . . . . . . AD. . . 5'4`v.'�? sr G/csfa
• � � " � (NA•:E) IP.O. DRESS) /`le X.-
The person responsibie•for supervision.of the work insofar as the Buildij Code a9d the Zoning Ordinance apply is:
/4,J /S� 4 --) 4/oS7- ,� i'V : ii << _,,zst«,i A>,/
(NAME) IP.O AOOPE ( (,gt/j )/i"c'•SS
Name of Builder. Pt 74/ma c A`/14 A.S Address
' t ' ' / " '_� . k...s 2ci-/7/edP i-',/ �/S/l %Ls-�
Name of Plumber. � ! L•L 5 L U/y�/Z G/. . .�9//lam eZG'Z.Address /.� . / ` i,� �.�,zi/
Name of Mason i Address
Lot Number Unit Estimated value of proposed work S 43 U G G
Name of Village sni., •G .L) C,"- S 1-,/r 2 c
Name of Street}" r "1 ') l 4�v � Slide of.*treat: north ID, east ❑, south O. west 0
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Nearest Cross Street . .0 L- ,' ILA (. •1C , f..c�.-!i. ./ ). . . Distance from this -ross street Sv Ft
Property is north CI,south Pt,east ri,west 0 from Cross Street,
If on Corner, which corner,northeast V, northwest ❑, southeast ti southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One family dwelling
Addition to a building. Two-family dwelling ❑
❑ Alteration to a building. . . . -family apartment house ❑
❑ Demolition of a building. Store building Ii3`
. . . . . . . .-ear attached garage ❑
Other:
Accessory Building
One-car detached garage 0
❑ Other work. Describe. Two-car detached garage 0
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
G o ! (C t`1Z (C_-i 3 buildings) in solid line. - {
Size of property tr. ' ft. x . ./J•-2). . . . ft.
R.
Size red use existin buildi , if a, 36. x Y
in � 4Lie.:4
< q
iM
e *4�- W Size of proposed building . . ' • • • . ft.z . �,�. •/• • • ft.
,� r Height(from grade to ridge) /02 t'
-* /'1//i■ Front yard �/C'Z, ft.
Side yards 3 '' ft. and 9 ft.
Rear yard 76 1 h._
SOUTH If c corner,setback from side street ft..
Note: All distances are net, as measured from street side
hill 0 line to nearest part of building.
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS.,
V f
;
frame,fire safe,etc.?. . . . . . . . U U.G'� . . .k4 �� /. .COi r e.. .! C�GI�
Kind of construction: Wood If so, for what
Will any second-hand lumber be used?
ee AC#f r thickness /.. it
Material of foundation walls Sy it Continuous foundation?
Depth of foundation walls below de
Will there be a cellar? tillC If so, material of cellar floor _ WOOL')
of roof: Sloped or flat? . . . . . .-.� F"/(.. . . Material of roof
Size,wood studs - „. x q 1,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 / 2— ", spacing "o.c.,span ft.
Site, roof rafters or beams "x ",spacing J)"o.c.,span , ft.
Exterior finish — With what material? . . !:l.i. w. .s:P c1
Finish of interior walls. . . . . . . /.p L M. c:.) '.4.
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 N vr0-- 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? .
� c_ i?f4-)�=:'. . . �, .(�/�/I - S 1 AJ
Water supply(public water supply or pump) . . � •� •'• 1. .
Distance of cesspool from any private well — feet
Will drainage system be provided with required traps,cleanouts,and vents? 4 'o
A(FFIDAVIT
Town of Queenshury / a t
County of Warren
State of New York
I swear that to to y.;;r of my knowledge and belief the statements contained in this application,together with the p s and specifications sub-
mitted, are a true and oo.,.plete statement of all proposed work to be done on the described premises and that all�� ' of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to proposed work shall be co tl s specified or not,
and that such work is authorised by the owner.
Sworn to before me this Signatiwe R.own AGENT.AR M CT. ONTRA
` .day of 1 ..,oi
1� NO RY P/� UBt IC. REN NTY. . ..),922 41CLQ/2173 1/37)/17 L
SPECIAL CONDITIONS OF THE PERMIT:
•
By
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TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date �l 17 4°
Name S /eeS 4k
Location ram(
Permit No. 3<? Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
. Backfill
Final Survey
Framing iy
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 FouzidatiOn
Walls
'Ceilii •
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Building Inspector
REMARKS
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ADDITIONAL INFORMATION:
13. *SITE PLAN - Draw to scale proposed building(s) in center box.
Please fill out all setbacks for adjoining properties. Also fill in
the current land use types in each blank (ic; retail stores house,
machine shop, etc.)
4,17,),./9474
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Additional C nts Concerning Site Plan: 74e fieWsor%
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