87-123 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87_123
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lake George Ventures, Inc.
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OWNER of property located at Street, Road or Ave.
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in the Town of Queensbury,To Smuma>Kor place a Demolition partof restaurant/recreation bldg. 0
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 RR #1 Box 1390 �*
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Lake George, NY -12845
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2. CONTRACTOR or BUI LDER'S Name same
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3. CONTRACTOR or BUILDER'S Address same
4. ARCHITECT'S Name H
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) "
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( )Wood Frame ( 1 Masonry ( 1 Steel ( ) n
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7. PLANS and Specifications
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No. demolition 6830 sq. ft. of log building former restaurant
and recreation building.
8. Proposed Use
Restaurant/Recreation Building Demolition
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10.00 Nov. 1 87 ca H.
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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 H 0
town of Queensbury before the expiration date.) p�
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Dated at the Town of Queensbury this 6th Day of April 19 87
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SIGNED BY / / t �— for the Town of Queensbury w
Building and Zoning Inspect o rt
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a Application No.
-r ocun o fQueen-duryPermit Issued 19'� TOWN OF QUEENS l-PP',,
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation p . I�J' 1 �YJ V I i
Queensbury, New York 12801 Variance No. U
site Plan Review No,. APR 61987
-G+ Approved by; BUILDING 8c CODE ®APT;
APPLICATION FOR
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such -
special conditions 'as may be indicated on the Permit.
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The owner of this property is: 1-alp- 6eor ,- V&i+ue-es
P.O. Address ,P I 1�6X I2)R O Lo._e TtJy Tel. S5/I 5
Property Location:,—Fb n-p the- Gil 01-14 C o c_k_h_a„- N-{n.)Zd. Tax Map No.
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
�c h�a,` c,[,r o,zz o h i i 6-u x (3 a o a-Pcc, c
Name P.O. Address Tel. No.
Name-of builder. Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) ' * whether. existing or proposed and indicate all
_Other work (describe) * set=back dimensions from property lines. Give
* street and number or lot number and indicate
. ..FOR DEMOLITION PERMIT, STATE .SIZE AND * whether interior or corner lot. Show location
S{``-''LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
CS�3c)6nuare - ncrr Lfi T � � * of septic. disposal area.
R.QS l sect✓c4:.1p(" `'-` ` ',`*"COMl?LETL'§INF012MATION REQUIRED BELOW.
Size o'f� property ft X ft.
* Existing building(s) •Size ft X ft.
PROPOSED BUILDING AND USE: * Existing buildings) Use
Size of new structure ft X ft * '
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front yard ft Rear yard ft
No.. of stories (habitable space) * Side yards ' ' ft and ft'
Height (grade to ridge) ft•If residential, no, of families " ' * If on corner, setback from side street ft
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No. of rooms(excluding baths) ' * OCCUPANCY INFORMATION
No. of bedrooms
No, of bathrooms
* PRIMARY BUILDING -
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Primary heating system Ore family dwelling Type of fuel * '—Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
will a wood stovebe instalhed? _ *-'_Permanent, oCcIIR4ncy _
Central Air conditioning? _ * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch -Contemporary Log cabin * Other '
Raised ranch Mansion Duplex
* If addition, what will use be?
Split level Old style Bungalow
Cape Cod ' Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
Private storage building
ESTIMATED MARKET VALUE OF * +Other
CONSTRUCTION $ * ^
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - -
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BUILDING SPECIFICATIONS:
Type,of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor scl. footage sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size,- wood studs "X Is spacing "o.c. length —ft.
Joists.(floor beams) lst. floor six " spacing "O.c, span ft.
Joists (floor beams) 2nd. floor "X is spacing "O.c, span ft.
Overlays(ceiling beams) "X Is spacing "o.c. span ft.
Roof rafters "X Is spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof. ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft.
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F I D A V I T STATE OF NEW YORK
County of Warren
.1 swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a, true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, -whether specified or riot, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature__�-_ ____ _--- --__ ____ __
O er's; a ,arc sect,contractor
T day of 19K TAMi-JJU Wi�tl� _
N Public, state of New
No.
No. 4ti<i6269, Saratoga Countyf%%Y �x
My Commiss{on Expires June 30. 19
Notary Public, Warren County, N.Y.
111 IF
SPECIAL CONDITIONS OF THE PERMIT:
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