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98-497 BUILDING PERMIT VALUE $ 0 TOWN" OF QUEENSBURY No. 98497 TAX MAP NO. 13.—1-16 WARREN,COUNTY, NEW YORK PERMISSION is hereby granted to KLALLT s, ANGELA & -ROBERT OWNER of property located at 5 5 MASON RD_ Street,Road or Ave. in the Town of Oueensbury,To Construct or place a RF,T T)lTJ __ ,r r (SEA WALL) 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. 1.'OWNER'S Address is BOX 81 MASON ROAD CLEVERDALE.; NY 12820-- - 2. CONTRACTOR or.BUILDERS Name • KLADIS, ROBERT 3. CONTRACTOR or BUILDER'S Address . 4. ARCHITECT'S Name 5. ARCHITECTS Address 6: TYPE of Construction—(Please indicate by X) 1 1 Wood Frame l 1 Masonry 1 I Steel (" 1" 7. PLANS and Specifiations RETAWING WALL AS PER APPLICATION 8. Proposed Use RETAINING WALL (SEA WALL) " 10 August 19 2000 S PERMIT FEE PAID —THIS PERMIT EXPIRES '19 Of 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.l.: 19 August .• 1998. Dated at the Town of Queensbury this Day of 19 SIGNED BY _ for the Town Of Queensbury Building and Zoning inspector ," Building Permit Application Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 1761-8256/ u 'O BUILDING & CODE. ENFORCEMENT NOTICE Requirements prior to issuance / of this permit: PERMIT FILE NO. 9 - LI ?7 . . A permit must be obtained before O O pibeginning construction. No inspections PERMIT FEE PAID$ ,�4 will be made until applicant has received Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants' spaces on this application MUST be completed and the signature E Planning Board Action REVIEWED BY• of the applicant•must appear on the SPR / Subdivision /Other Building Inspector form. n�E Recreation Fee Payment f Applicant: 1 �/ 1 :AD/ Owner: (2 ‘-( / _6 / /) Address: ; As4,4.) ,o/cl b Address: 51 D'/C Phone # (,'?� ) 656 _ g528 Phone # ( ) - :,,,,, ,,- \ . Property Location: �f-��DAI-6 /t/ �' ,l .•., j f/ Subdivision Name: Tax Map Number 1 3--l_L ection Block Int NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Buil ' ng: CONSTRUCTION: $ �0, 7dece47ercjal nc Addit to ' u ' d ccercial OCCUPANCY INFORMATION: Alter t B it ing: . Primary Building - ide ce ommercial Single Family Dwelling Residence C mme cial Two Family Dwelling no change to exterior size . Family Dwelling----__ _ Office . . —ppheWoskt (descril ) Mercantile t t� t,v� Manufacturing Other AUG/7 '1998 GROSS AREA OF PROPO ED STRUCTURE: :.r If ADDITION, what will se of new addition be? : 1st Floor s . ft. . _ __ ��,u 2nd .Floor. . . q. ft. Other Floor . sq ft. (not unfi,n' h a ell r ' ement) ACCESSORY BUILDINGS: • Detached Garage 1, 2 car TOTAL FLOOR AREA:' - SQ FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Th, Commercial Storage Building • • Other 5'�,'1 C,/,471_ FEET X FEET jAiii/'1}6 l0k� Foundation..Type: Will any second-hand or ungraded ' Number of Stories : lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : feet TYPE OF_ HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person re.6ponsile for suyervision of work as egards to building w‘29 codes is : '©•e96--t i iit7/) 5-0n0Js4►, , gf•656 -ISO Name Addresss ' Phone Builder: . Plumber: Mason: Electrician: DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy-•or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; draw sf- e, showin actual location of project on premises. * z� fSignature: �- (owner, owner's agent, architect, contractor)