88-645 BUILDING PERMIT
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TOWN OF QUEENSBURY No. 88-645 0
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to John & Rita Flynn
OWNER of property located at Swan Rd. — Glen Lake Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Dock
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. 0
1. OWNER'S Address is qy
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7 Maplewood Drive rr
Glens Falls, N.Y. 12801 1,1
2. CONTRACTOR or BUILDER'S Name
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Dan Frasier
3. CONTRACTOR or BUILDER'S Address
Same Cl)
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4. ARCHITECT'S Name •
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( I Masonry ( 1 Steel (
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7. PLANS and Specifications n
No. 30' X 4' as per plot plan, drawings and application
8. Proposed Use
Stake Dock
$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89
(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.)
Dated at the Town of Queensbury this 25th Day of August 19 88
(2 SIGNED BYc7AS for the Town of Queensbury
Building and Zoning Inspector
1,/.- ap4
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INTERIM BUILDING PL t
AUG 2 51988
BUILDING & CODE DEPT.
PERMIT APPLICANT 3JM .Lj 4 RITA FLYNAr
CONSTRUCTION LOCATION 1 ilh he my
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EFFECTIVE DATE g/zsJ
at ( cLew
jinAPPROVED BY
SPECIAL CONDITIONS :
ThCo5J .r' S1 , E bcci P‘it
Plus Scincht .
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A Cr SPI OUS . 00 ION ! !
41.
. _ _415111
Building & Cod: Department
TOWN OF QUEENSBURY
lUN OF L1il' _
�Ull/II 01 Q IUllP1l •
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98 AUG 25 1983
Queensbury, New York 12801 BUILDING & CODE DEPT.
0O k. Rinfrtir'- APPr ed. 1 5 r&t-, A-0
APPLICATION FOR • ,V,O /milV
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.
The owner of this property is: 9�Q `d : \-- '\ 4`1 G�
P.O. Address 1 4w1P(4)06 Y, Tel.193 3Qg3
Property Location: \ S WALK if L,4 "±• cf.3 Tax Map No /47,t 143
Street number or building lot number
Subdivision name (if applicable)
TIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder 1:),„4ti v-(�.S,'v Address 7 h'C¢p)e 4)043 6 Tel. 7 93-32 qJ
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED MARK: * ZONING INFORMATION:
_Construction of a new building .* TWO PLOT PLANS 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
X Other work (describe) 4 p Clc * 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
LOCATI OP STRUC`l'U12ES AL FECT �- * of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
--____ * Size of property /06 X 0,— - � ft3X ft.
* Existing building(s) Size „\, ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use +ti-t,
Size of new structure 30 ft X 9 ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) ,,�� K S�aC-$'f—
* Fror rq a ft Rear yard 2.-s6 ft
No. of stories (habitable space) Sideyards ft and ft
Height (grade to ridge) aZ/ ft. * s 3 S
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 fireplaces to be installed * Multiple dwelling ./ Number of units
* Permanent occupancy
Will a wood stove be installed?
Transient occupancy
Central Air conditioning? *
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial_ s
' Other
Ranch Contemporary Log cabin If addition, what will use be?
Raised ranch Mansion Duplex *
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 A,,00, .4.
CONSTRUCTION *
$ ..3# IUD
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form BPA 4/86 md-vl
GUILDING PERMIT'APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, od fr ` e fire safe,etc. •
Will any second-hand or un a ed 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 sq. 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 " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " 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. in.
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 STATE OF NEW YORtC
�ounty of Warren 1 �1
I 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 stat ent of all proposed work to be done 'on the described premises and that all
provisions o ; the : ILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the props-ed sha 1 be complied with, whether specified or not, and that such work is
authoriz d •, the own •r.
SWORN TO :, ARE THIS Signature
Owner, owner's agent,' cnrtect,contractor
day •f 19
Notary Pliir , Warren County, N.Y.
* * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * x * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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