98-125 BUILDING PERMIT
VALUE $ 2900TOWN OF QUEENSBURY No. 98125
TAX MAP NO. 13. -1-10 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HODGKINS, DOROTHY
OWNER of property located at 75 MASON ROAD - Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a REPLACE EXISTING DOCK DUE TO ICE DAMAGE
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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
CLEVERDALE ROAD
CLEVERDALE, NY
2. CONTRACTOR or BUILDERS Name •
CAPROOD, WILLIAM
3. CONTRACTOR or BUILDERS Address
4 EAST WASHINGTON ST
GLENS FALLS, NY 12801
4. ARCHITECT'S Name
5. ARCHITECTS Address .
6. TYPE of Construction—(Please indicate by X)
DOCKS:.
( )Wood Frame ( I Masonry ( I Steel I I .
7. PLANS and Specifications
4��.. SQ. FT DOCK AS PER.. PLOT. PLAN SPECIFICATIONS
8. Proposed Use
REPLACE EXISTING DOCK DUE TO ICE DAMAGE
30 April 13 2000
$ 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 Oueensbury before the expiration date.)
1.3 April 19-
Dated at the Town of llueensbury this Day of 19
•
SIGNED BY • IR. for the.Town of Gueensbury
Building and Zoning Inspector
OD
TOWN OF QUEENSBURY Fee Paid
*Igo BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est: Cost J9 O O
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE 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. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: g2v7I cQ 7 eiv '
P.O. Address A pA) kin Phone # 6/pl��
Property Location °.Li 6e�/iZ Dig :/ 2/d4'F_ GEo6 2Y Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: 6)r�t.411 7, CA?Root) Address -ST 6415hr, �iov Sl. Gf Phone# �h3�cly'6
BUILDING SPECIFICATIONS: pe to
Type of work to be done: Porch Deck Doc Boathouse Circle one)
Size of Structure to be built (square footage): ti/Q4'4--
Foundation Material : Width 4;2(6, nip Th+ctness O_>C6 P/'cf(
Depth of Footing, below grade: APAeaS `
Size of Posts or Studs: /1. 4—• x x ;. —z.., Long
—
Size of Floor Joists: ./�Q x Span R
Decking or Flooring Material : X
How will Porch or Deck be fastened to building? APR 0 81998
If Roof Wil1 .Be Installed, Answer Following Questions:
Size of Posts or Studs: x `�—_x _ ��r— Long
Roof Rafters x �� Spacing Span
Roof Trusses (pre-engineered spacing) : ,il�c__ Span few`
Type of. Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: /?6 , Iy ft. x //Z fig' ft.
Existing building(s) : Size ft. x ft.
Size ft. A ft.
_ Use of Existing building(s): ,lo G ,
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
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 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 not, and that such work is authorized by the
owner.
DATE: 77/2/91SIGNATURE
Owne , Own s AggCor-gi.0
Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE SIGNATURE
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