6851 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6851
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William Bodnar
OWNER of property located at Bay Parkway, Assembly Point Street,Road or Ave.
5
in the Town of Queensbury,To Construct or place a Dock bd
at the above location in accordance to application together with plot plans and other information hereto filed and O
s�
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is R. D. #1 Box 212
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Same tv
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3. CONTRACTOR or BUILDER'S Address [A
rog
su tr
Same
4. ARCHITECT'S Name W ro
"C O
Imo.
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5. ARCHITECT'S Address
6. TYPE of Construction-(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( 1 Steel ( 1
7. PLANS and Specifications
new post dock and sail boat ramp
No. per plot plan and application submitted.
8. Proposed Use
n
Dock
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 19 81
(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 4th Day of May 1981
�J SIGNED BY z � '�`� for the Town of Queensbury
Building nZ'b and inglnspee�
TOWN OF QUEENSBURY ` (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building inspector)
Application for ..pplicatioii No.
PP I'ertnit issued 19.
BUILDING AND ZONING PERMIT 1'..i n,it Expires lq
/.,ilium District
%aAut.'wt Work,%
THREE (31 Copies of a PLOT PLAN, Drawn to scale 'i'P "`'d 11•
showingthe actual dimensions of the lot to be built Itemill Kr
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
/1(4.y.—. /. . ./. .k./. . . 51 E e El
9 — /— 021,1 V E 0
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY 41981
ANSWER ALL OF THE FOLLOWING. A.M. l 0°_ ���. Pe �'•6
The undersigned hereby applies for a permit to do the following week 71gl9%1(414141121314M5�
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. it
The owner of this property is:
(NA''E) (P.0.ADDRESS)
The person responsible for supervision of the work insofar as the Building:Ctxle and the Zoning Ordinance apply is:
1 LL.i 1/.ii )bAJ/}.... . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
(NAME) � � � � � � IP.O ADDRESS.)
Name of Builder 1. i L t.119/1/ 3t')e4 it Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S
Name of Village ,
Name of Street is { •1 Ssde of.etreet: north ❑. east O. sotith O. west ❑
Nearest Cross Street Distance from this ^rocs street Ft.
Property is north ❑,south ❑,east 5,west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0 southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling 0
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. . . . . -family apartment house 0
Store building ❑
. . . . .-car attached garage 0
Other:
Accessory Building
One-car detached garage ❑
Other work. Describe: bki t= fefr tt Two-car detached garage
fi 0 flkL ZOAT k a i f f' Private chicken house 0
Private storage building 0
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
l uilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
F y
0 W Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If op corner,setback from side street ft.. .
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame,fire safe,etc.?. . . ... ..... . : forIhs<<�,�:
Will any second-hand lumber be used? thicknessMaterial of foundation walls Continuous foundation?
Depth of foundation walls below grade
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "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 ", spacing "o.c.,span ft.
Site, roof rafters or beams 'x ", spacing "o.c.,span ft.
Exterior finish With what material?
Finish off interior walls. . . . . . . . . . . . . . . . . . . . . . . .
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? Oil burner or coal?
Kind of heating system
Will a flue-lined chimney be provided? .Depth of chit'hney 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?
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?
l AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to ur, »ea r of my knowledge and belief the statements contained in this application,together with the plans and specifications sob.
mined, area true and co.uplete statement of all proposed work to be done on the prermses and flat all fflovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain to the pro work shall be compliedwtt6 whether specified or riot,
and that such work is authorized by the owner. ''�jC !• %IC ��
Sworn to before me this $tgrta19. >' J" O�NER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of
19��
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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