6619 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6619
WARREN COUNTY, NEW YORK
- N
PERMISSION is hereby granted to Walter J. Englert
OWNER of property located at west side Assembly Point, Lake Geo. 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 `C)
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CD
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1. OWNER'S Address is 20 Worden Road
Scotia, N. Y. 12302
2. CONTRACTOR or BUILDER'S Name
John A. Mason tn
3. CONTRACTOR or BUILDER'S Address p,
(D (D
P. O. Box 86
Cleverdale, N. Y. • `a w
cn
4. ARCHITECT'S Name • CD
»
IT/5. ARCHITECT'S Address I
N•
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications amendment of dock design from a 6 'x33 ' section to. a
No. 8 'x33 ' section perplot plan and application
submitted.
8. Proposed Use
Dock
0
a
$ 10. 00 - PERMIT FEE PAID —THIS PERMIT EXPIRES January 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 26th Day of September 19 80 .
SIGNED BY - e for the Town of Queensbury
• Building and Zoning Inspector
TOWN OF QUEENSBURY • (Space inside block*, lie filled in by
' WARREN COUNTY. NEW YORK Building; Inspeclrn•) rr
An lication:for �,►,�lication No.
Fop I,.-„,it Is.ur•(I I9..•\
- -BUILDING AND ZONING PERMIT Il,criuit Expire.: lg. :. ::
i:,�nin District
... \ Ail' , I \foil.
THREE (3) Copies of a PLOT PLAN, Drawn to Scale•
C,�lnci(1 !)Y
showing the actual dimensions of the lot to be built . Kcitu i KS"
upon, The exact size, and location on the lot of the
building to be erected or'altered MUST BE SUB- :
MITTED WITH
THIS APPLICATION. :
C TOWN
dititIcisis—,,_,:_ /� s/��•'• • •n.n•Tf• . . . .
A PERMIT MUST BE-OBTAINED BEFORE BEGINNING WORK SEP_.G
ANSWER ALL OF THE FOLLOWING.. o� j i �.
b .� c-e �M.
The undersigned hereby applies for a permit to do the following work .' 7I13I9�1 ig-)1:::467 6)
which will be done in accordance with the description, plant and specifi- -� .:
cations, end.such special conditions as may be indicated on the permit. . - ,r' - -•
The owner of this property is: .
Walter J. Englert 20 'Worden' Road Scotia, NY 12302,:, =
(NA'4E) I (F O.A;)l'ESS,)'
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
John A. Mason P. O. Box_ 86 C1everdale,. .NY. : . 128:20 . . . . . -
(NAME) • • IF O ADDRESS) •
Name of Builder John A. Mason •
` Address P. O. . .Box '.8.6 . C.lever:dale,. .NY... 12820
Name of Pltimber John A A. ' Mason ' Address P• 0. Box 86 Cleverdale,. .NY . . •12820
John A. Mason
Name of 114ason ,Arlrlrr„5P. 0-..: Box 86 C.1overd.ale,. .NY . . 12820
.
Lot Number ' Unit Estimated v altie of proposed wort:3 ,
Name'of Village •
Name of Street Side of street,: wr th ❑, east ❑, south ❑. west 0
Nearest Cross Street , Distance• frc:r;' thi:•; ••russ street Ft.
Property is north 0,south ❑,east i 1,west 0 from'Cross Street.
If on Corner, which corner, northeast: V, nOrthWest ❑, souiheast D. mutl:N«a
- - • ..,(Designate by marking with an "X" in the correct space:) • ,
NATURE OF PROPOSED WORK :OCCUPANCY • •
Main Buiftling, •
O Construction of a new building. ;Icrr,..f�,ti;(� dwelling , _
U Addition to a building. Two-family dweiling U
El Alteration to a building. family apartment house
Li
U Demolition of a building: Story building E7
. . . . .'.-car attached garage - (in
.. : Othcr: 1
,lccessciry Building
•
One-car detached garage .
12 Other work. Describe: dock
. . . . . ;:. . . . . . . 7-wo-car.detached garage ' �j
Private i:hicken house L
: Private storage building 0.
• • Other:
ZONING SPECIFICATIONS. Fill in for new building, addition to csisting building, or a change of occupancy. ,I
g or• i
• Indii-ale on the plot plan street names; the location and ,
• size of the property, the location, size and:setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
Ituilding(s) in solid line. •
_ - Size of ro arty : . ... . . . . . ..... . .. ftx_ _ft,
P P .. .-
Sizf and Use Of existing buildings,if any
Size, itoor oeams, cnu uvt,. . as , 9-ms-^ •r, •t"..
Size, ceiling beams 1 x ", spacing "o.c., span ft.
Siie, roof rafters or beams "x spacing 'b.c.,span ft.
Exterior finish With what material? ,
Finish of interior walls i
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?
Kind of heating system Oil burner or coal?
,Will a flue-lined chimney be provided? ' Depth of chimney 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?
Town of Queenshury AFFIDAVIT
County of Warren
State of New York '
I swear that to tt; & of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.Mete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not, '
and,that such work is authorized by the owner.
Sworn to before me this Signature Ye.--`
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19. v
-- NOTARY PUBLIC, WARREN COUNTY, N. Y. •
1 SPECIAL CONDITIONS OF THE PERMIT: .
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PROFILE VIEW 'i I LOCATION SKETCH 1
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PURPOSE:. C100-14, . . I
LA-) \l-Te__7" E,.-)rn1- .
• DATUM . I •
ADJACENT PROPERTY OWNERS: IN L-42,r--:- Ger-)t-cce__
0 ..- icAr\c),r--. C:i , kena- fr . AT FAssexci
• COUNTY ciF .-. -1--e rA STATE N...,‘.1/
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• APPLICATION BYoky•-\ A,1-,-Ai. s orA
. . • SHEET I OF i. DATE ( --,74::,-Y•Fl.)
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