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1986-452 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-452 © 3 . \cWARREN COUNTY, NEW YORK 3\ PERMISSION is hereby granted to Walter H. Mitchell rt OWNER of property located at 49 Dox Ave. Ext. Street, Road or Ave. n x in the Town of Queensbury,To Construct or place a Addition to restaurant (patio) 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. CD 1. OWNER'S Address is 49 Dix Ave. Ext. F—' Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same VD 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name Cri • 5. ARCHITECT'S Address 6. TYPE.of Construction—(Please indicate by X) (X) Wood Frame ( I Masonry ( )Steel ( ) a, N• rt 7. PLANS and Specifications 0 22'x32' per plot plan, specifications and application submitted. 0 No. rt 0 ri 8. Proposed Use rt Restaurant (eating patio added) sv rt $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 b w (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 Dated at the Town of Queensbury this 29th Day of July 19 86 SIGNED BY i 1a. for the Town of f Queensbury Building and Zoning Inspecto TO BE COMPLETED BY BLDG. DEPT. Application No. own O/ Queenilury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 • TOWN OF' QU Eft S URY Bay and Haviland Road, R.D. 1 Boa . Zoning DesignatianLl-Ili 4- OC. f f I f�' (f� f1� . y Queensbury, New York 12801 Variance No. lin d`� 4J Site Plan Review No. J Approved JUL�� A 19136 PP Y A.M. `q�" 1 ���- 1) APPLICATION FOR If . ' Ain aL.(�.. 7I 819p_oIj1)12)1 J 2I 3)4 15 6 ' o a e fl • 3 el [ e e • Cj BUILDING AND ZONING PERMIT AO0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :.* 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. The owner of this property is: .W /. 1 1.eg /1 ?1, I c `1, 11 P.O. Address y 9 72 / V , /,' - 'Tel. 792 - 9 gi' Property Location: • Tax Map No. /1Oy 1 / Z.Z Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. ' Name of builder 1,4y, 1/P7, TGh - )l 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) APIIIIIIIF * set-back dimensions from property lines. Give L✓oaD P.7/0 * street and number or dot number and indicate FOR DEMOLITION PERM:[`[', STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /C 5 ft X 13 Z ft. * Existing building(s) Size IL ft X 7 ft. * PROPOSED BUILDING AND USE: ' * Existing building(s) 'Use Size of new structure 22 ft X 3 of t * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space) * Front yard L�J ft Rear yard ft Height (grade to ridge) 4 .4, f% * Side yards ft and ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * No, of bathrooms * PRIMARY BUILDING - Primary heating system * One family dwelling Type of fuel * Two family dwelling No. of fireplages to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy 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 * ''WL, PA-I 1 C)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 �--1�p � *$ • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form I3FA 4/8 . ma-vl L.,�:_.:. su i''[:iit l;: , ''. ._,_. ::z'luii :::O4TiNULU BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. G G./J' Will any second-hand or ungraded lumber be used? If so, for what? 62,61 Foundation wall material .116C ,e Thickness 5/y Depth of foundation below grade (to bot m of footing) :tf it ` Will there be a cellar Heated o unheated? - loor sq. footage>' sq ft Will there be a bas ent? Wi any portion be ed as living spa (If so, what por n? sq. . - - Type of us Type of roof - oped/flat/sl d/other Ma rial• of roof Size, wood ds "X " spacing "o, ength ft. Joists(floor beams) 1st. f or "X spacing "o.c. span ft. Joists (floor beams) 2nd floor "X " spacing 6.c. span ft. Vfts~ leling bea "X ' spacing "o.c span ft. "= r ' a spaci o.c. span ft. Roof trusses(p -engineered) pacing "o.c. pan ft. • Exterior wa finish Of w t material? Interior 11- finish If a g age is to be at ached, describe" terials to be used for FIRE SEPARATION: Is there to be an opening between !liar-age- and dwelling? . - If so will a Fire-rated door, enclosure, and self-cllo rrd aevice be provic Will a flue-lined chimne be installed? Fldight above roof ft. Depth of chimney fou tion below grade ,,,rt. Depth of fireplac earth ft. in Water supply unicipal or privat ell SEPTIC SY _ Distance from private well(includin joining properties ft. (A se ate applicatio ecessary for any repair new installation of septic system) Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, toggther with the plans and specifications submitted, area true_ and complete stat:.x ent of a: l proposed work to be done on the described premises and that all _ provisions of \he BUI .ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed ork sl . 1 be complied with, whether specified or not, and. that such work is authorized by the o,ner. , 1- SWORN TO BEFORE ' THIS Signature -- --- Owner, owner's agent,arcnitect,contractor day of 19 • Notary Pub ic, War County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * *, * * * * * * * * * * * * of a * * * * * * * * * SPECIAL, CONDITIONS O THE PERMIT: • By • . oain of Queeniurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME tir,�- LOCATION— Date 7 Z(/ Permit No. 3 6 - I3 2 * * * * * = APPROVED - YES / NO. Footing/Pier Forms Foundation Waterproofing • Backfill Fra�min ' ff-a . f►?!1-,404/t Of-friFY0l( a/ oofing Siding . Masonry Veneer Rough Plumbing Relief Valves Ext. Porches ` Finished Floors . Interior Trim Stairs & Railings \ 1 Cellar Drain Tile Concrete Floors Plbg. Fixtures ' Gar.. Fireproofing • Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey . • Next scheduled Inspection(call when ready) Remarks- - • =ca/ Building Inspector 6/86 and-vl Jown of Queeniurcy VA BUILDING and ZONING DEPARTMENT Nl Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME E,,j ,_erf /14 LOCATION— _; Date ?/7_/ Fce Permit No. 86- L-15-a * * * * * * * * * * * * * * * * * * * * * * * � ✓ = APPROVED - YE / NO 'Footing Pier Forms Foundation Waterproofing /Backfill ✓ Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim .7A Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey 44-A4 ( Next scheduled Inspection(call when ready) Remarks- - Building Ins ec r 6/86 and-vl a, P •e_ 41\ t 3 il PIRO Posa I \te -=t f e / y t f� f e�. � _ _ t —! � � j f 1 } s � � ��. ,��.: -- _ R rt _._ .. �,_„ �_. �� ,�� �� ,w_. i I �� 1 � �..�.i x ;=.T. � __ r ,.,< { � � S� t ` � !{I- i i t � y !`� .. � 1. $ _,„,e..... p - �.-..4�..��.�.,K ,�.�.. ..,,,,..., �.a���„ i FW__. ....,...._,.._ ! 4 a LgNVS o. -SUtI/V.4M Foe'07E.PLy WM•/7c. .Or14..4L — A FFNCC coRNE.G • 600 #t' 7•• 4- Qv49,eE6 D. —ate • 24 1 MACH DAM saeFAcE-' .. `cR - _ -D= .% --X• AVENUE \M 1. - x— • j s -(i5.44.so- E IEON rep I ATN.PAcE1 13 2 Co s`Pv'FY MAPLE-AT FENCE cOR. 4 M'9,P�� C.EAeti E �HAeoLDX41 N 4 .- -4' W I L S o N — ,' , 4. `U• NAeOLa FAE�NAtao �s 3 Id -o 1 Q;, it 1-28-19bo 403J5.45 qi . , O \ $ a „ O N ,, ti +' ' L 1 f//N6STON&S .5T0eE •. 0 I \*41-4--- ,..• E3L.2: ...1 = 8texas \� 0 13ZI . �111 ¢q 0e, NI• C.5.44.So -VJ \\ , . . 5e5 G n\ u�J 0 a '4 19vEeAOE FENCE X,eEGT/eN LI 14.1 Fee Dix Au N E. S•oT Foe Soo' til � reel-1 W Z ' P O� u LANDS eo lc SG/LL/VAN p M A • \ - 7of LA ND5 of o ti H`AR OLD FAU N �►N O ,\) q V • • SITUATE 1N �f 7oWN of QUEENSBU lay -- WAee.EN co. N.y. N 3 5cALE : �" + 50' JUL�/ G, 197o \\ SuRVEy 46 MAP Sy COULTE g. & Mc Cost MACK LtCENMED LAWD 51.31ZVe40e5 LE14 FALL. , N-y- F-/G/6