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1985-750 CERTIFICATE �L �../�r ire L.J PA1 V \✓� i TOWN OF QUEENSSURY WARREN COUNTY, NEW Y+ORK mcrcx� t , DIM tc 19 — � (� , �- 1 -'''-fit 5 - This is to certify that work requested to be done as shown by Permit No. has been completed. nGLC.E.T77yax +0 Wa \ ` G4M This structure n►ayyy�b�e occqupi as A :u : i . _ i Owner iftim [ By Order Town Board 'rOWrN OF QUEENSBURY rr Building & Zoning Inspector ' CACAT�YS. "IMST A'" •'R INTONG. GLENS FALLS. N Y 12001 ISSIJl3.SSSd BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 750 ' WARREN COUNTY, NEW YORK , W PERMISSION is hereby granted to Papa Gino ' s of America o_ OWNER of property located at Aviation Road Street, Road or Ave. 00 0 restaurant to . +�Eo � e in the Town of QLAeensbury, To Construct or place a Addition o-ror�rr) rur+r+and sra ti r•n I-%c at the above location in accordance to application together with plot plans and other information hereto filed and Rr ,r approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. ' 0 r+• n w 1 . OWNER'S Address is 600 Providence Highway Dedham, MA 2. CONTRACTOR or 13UI LDE R'S Name Same 3. CONTRACTOR or BUILDER'S Address C m same ** N• 0 d. ARCHITECT'S Name p W G7+ 5. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) t ) Wood 'Frame ( XI Masonry I ) steel i f 7. PLANS and Specifications 8 ' xl6 ' addition for cooler and interior -renovations No per plot , specifications and application submitted . w. 8, Proposed Use p rt rr m w Restaurant O w � 0 is rr Paido $ 80 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 19 86 �j m CCa kf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W W town of Queensbury before the expiration dare.) o w Dated at the Town of Clueensbury this 30th Day of December i9 85 co rwr 0 n SIGNED BY ! /f r N for the Town of Queensbury 0 Building and : I nspecto rp �i M TC7(4N F QUEENSBURY ( Spwe inside block Irs lxk lilli-cl ill lr. WARREN COUNTY. NEW YORK Building lnspec-tciri Application for ,;;,III;;, I%''tIell 14 BUILDING AND ZONING PERMIT Ir..r ,,, ir t , l,iresAq 1, „r l r a r • r l �1' ,s'1. ,� ._._�.y7r [,/ 07'tP copy of a PLOT PLAN, Drawn to state showingthe actual dimensions of the lot to be built upon, Te exact six*. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. G} [7 // �"" TOWN tDF' CL3Sn;EEn1�rNp SE3UY} � DATF H k 6 E OBTAINED BEFORE BEGINNING WORK A PERMIT MUST BE OB ' ANSWER ALL OF THE FOLLOWING. wThhec hu nwde 0lr sbigen eddo n rne bayc cppalinecs efwith the description. planslla dnspec fk 7l8 �g ���i` . ' + �3r: 1 1 cations, and such special conditions as may be indicated on the permit. / The owner of this property iis: -.rV- . ? cc,+} . . ipe) e r��� ! � cF*� ' � cGf r "� br�y�rr� t v►� f . (NA 'c) . rp O AUDRESS, - . The rson responsihie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: .n..l 0 , �NAME1 . - �P O A00"ESSY . . . 4 A . b7 C� th..1 r � Name of Iluiider . . - f - Flr. . . . I Address . . . . . . . . . - - . . . Name of Plumber . . . . . . . . . I d d Address . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . . . Address . . . . . . . . . Lot Number . , - Unit - - - . . . Estimated s alue of prs,lMxed wank S - . . . t7r+�f . � � . . . . . . . . . . . . . Name of Village - . . . . . . t .t"CrJ S I'� U �� .�. , . . . . . . . . . . . . . . . . . I I I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street .+. i � f ` . Side of street: north east Cl . south ❑ . west ❑ Nearest Cross Street � d d _ - - Distance €rorrt this -rosy street /, d_ . . . . . . t't . Property is north Q , south 0 , east .�; west ❑ from Cross Street If on Corner, which corner, northeast 0j , northwest ❑ , southeast ❑ . 4qs1uthwe:t ( Designate by marking with an "X" in the correct space. I NATURI? OF PROPOSED WORK OCCUPANCY E:::3 Construction of a new building. Main BuRding TW Addition to a building. Tw family do-family dwweellll dwelling Alteration to a building. Iwing [� Demolition of a building. family apartment house Store building � -car attached garage I . . . . . . Accessory Building � / One-car detached garage L i 0 Other work. Describe. d -1" .".pp+)t) < .�!u. ' '- ` !�! • - Two-car detached garage � �►y►� Private chicken house t-A Private storage bctilding 0 rl4l.S e . . 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 1` size of the property, the location, mile and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed buildings) in dotted line and existing i (2( huilding(s) in solid line. Size of property . . . . . .3.&- . . . . _ tit. x . . �.• . fir' . . . _ f1, Size and use of existing buildings, it anyC f114 T,. . . . . . . . . . . . . . . . . . . . i s's Size of proposed building ft. x . . . ft. Height ( from grade to ridge) . . . . . . . . . . . . . . . . . . . . . t_ 1' Front yard . . . . . . . . . . . . . . . . . . . . . . tit. Side yards ft, and % T ft, No, 'tit�%c) j 1 vetl'k-cC Rear yard . . . . . . . . . . . . . . tit. SOUTH If on corner. setback from side street d 7 F Note : AIt distaxces are is et, as snstastered from sheer side litre to nearest }part of building. tavIERI ? — ?3 _m �1 (cont'd-) BUILDING SPECIFICA.'TIQNS., Kind of construction : Wood frame, fire safe, etc.? . . . . . . t '. . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . - . . . . If so, for what? . . . . . . . . . t . , . . . . . . , . _ . . . Material of foundation wails . . . . . . .� t? *.'.t! F E?y . . . . . . . _ . . . . . Thickness . ` . . . . . . . . . . . . . . . . Depth of foundation wails below grade . . . . . -. 0 . . - . . . Continuous foundation? . '`f +E-'? . . Will there be a cellar% . . . . . . . . . . If so, material of cellar floor . . . . . . . . . . . - f Type of roof: Sloped or flat? . . . '. ?-?��'f 1 ? . . . _ Material of roof . . . e TZU R. a EN7 . . . . Size, wood studs . . . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . , spacing . . . . . . . . . . . , . '•o.c_, length . . . . . . . .. . . . . . ft. Size, floor beams, I st floor . . . . . . . . . . . - " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . '"o,c., span . . . . . . . . . . . . . .. . . Ft. Size, floor beams, 2nd floor . . . . . . . . . . . " x spacing . . . . . . . . . . . . . . "o.cu, span ft- Size, ceiling beams . . . . . . . . . . . . . . . . . . ' x . . . ", spacing "o.c., span . . . . ft . Site, roof rafters or beams . - - - - - . . , . " x spacing . - - I fc- , . . . . . . ""n.c., span t`c r ? Exterior finish . . . . . . . . . . . . . . f`', . . . . . . . . . . . . With what material . . . . . . . Finish of interior wails . . . . j . l. ( : S . . . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - If garage is to be attached, of what material is wail between garage and main building to be constructed? . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . - . . .-!� ' !-1- A-) .477. . . . . . . . . . . . . . . (Jil burner or coal? . . . . . , . . m . Will a flue-lined chimney be provided? . . . . . . - . . - . . Depth of chimney foundation below grade . . . . . . . . Iieightofchimney 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? . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . 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 1 swear that to a bca'roj my knowledge and belles the statersenta zmzined in application. r with a pia wpaeirMattsons iuh- mitted, are w true and cu.,. late statement of all proposed work to be done on a described pre is iota o! the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work a ed �whetfror apecified or not, and that such work is authorised by the owner. Sworn to before me this Signature _ fVV'N, r A C OWNER, UWNF.R'S AGES A7 R�7ECT CONTRACTOR day of 19 . -. NOTARY PURL-IC. WARREN (COUNTY, N. y, SPECIAL CONDITIONS OF THE PERMIT, By . . ... . . .. . ... .. .. . . .. . .. . . . . . ... .Jow►t o� �uee►x�bctrr� QUEENSDURY TOWN OFFICE BUILDING E, AY AND NAVILAND ROA05. R. O. 1 . BOX 99 . GLENS FALLS. NEMr YORK . 12Ma1 TEL EP"ONE 15191 792-5692 Tnw" CLE"K 792 - 5813 " IG " W ^Y DSPT . 793-7771 December 23 , 1985 Papa Gino ' s of America , Inc . 600 Providence Highway Dedham , MA 02026 Attention : Paul Donahue , Project Manager Kindly complete and sign the reverse side of the building permit application . Also , we need the electrical application completed ( form enclosed ) . Very truly yours , lk31 ue r,4 ex ,a, Mack A . Dean Building & Zoning Administrator 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 _ VILLAGE1. ' .. i__ , ;: ._ iJ b- TOWNSHIP COUNTY i STREET AND NO. OR _ ROAD AND POLE NO I-s ti�/ Ih A I ',l y ) `) POLE NO. BETWEEN WHAT TWO _ _ CROSS STREETS IS f T ,x ' p �,=} PREMISES LOCATED? � 1( tri l �Lf/ i�"•1 \ I '-T 'SECTION BLOCK LOT OCCUPANT'S _ BUILDING NAME i i , '�i"' _. /yf OCCUPANCY OWNER'S NAME :_ t r ` � TEL. # AND ADDRESS . : ) : � f}U.' . � li r�FdlCURR +� .� r Z {SUPPL€IEED FROM THEIR OFFICE y SY N BUILDING � '^�y WORK DEFECTS '-CIS NEW © OLL�!�1 is NEW ❑ ADDITIONALog}aImo. REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Futures & MOTORS HEATERS CIp NCIR OFFICE USE NUMBER OF OUTLETS Lamp Receptacles ONLY Lacs- tion Side Attach 4t H.P. Watts A_W_G_ Calling Wa11 Recap'le Switch Pendant Bracket No. TYM Ee,� No. Eeclt No. paw INSPECTION Out- side Sub- basis Bass- meat lot FI. 2nd Ft. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OD NOT USE THIS SPACE. This application it intended to corer the above-listed equipment to be inspected but it at time of inspection there is found additional equipment not above listad, you are authorized to make the inspection and adyust the fee to covet 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 INUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS Of SIGN BUILDINGS INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIV ING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME AND ADDRESS rf NAME OF j .. �. APPLI CATION APPLICANT - i STREET ADDRESS .'A ! % -- ''/ ;G1I'/ f" TELEPHONE #' !`" '/ !F :E • d CITY OR ZIP LICENSE NO. POST OFFICE / r ° CODE WHEN APPLICABLE 4 EL (REV. YJea) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING