6435 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6435
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WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Middleton - .
• OWNER of property located at Seeley Road - 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 N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (11
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1. OWNER'S Address is 2746 Hamburg St.
Schenectady, N. Y. •
2. CONTRACTOR or BUILDER'S Name •
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same
3. CONTRACTOR or BUILDER'S Address
Cl)
same •
I✓
• 4. ARCHITECT'S Name
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5. ARCHITECT'S Address -
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( 1 Steel ( )
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7. PLANS and Specifications d
No. 4 'x40' dock per application and plot plan • a,
submitted.
8. Proposed Use
Dock •
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES ,Tan 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 Day of July 19 R 0
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SIGNED BY t� for the Town of Queensbury.
Building and Zoning Inspector
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Non; c'e SePiT /L/Ps/�j
- TOWN OF QUEENSBURY (Space inside block to ix. filled in b,
WARREN COUNTY. NEW YORK - ' . - • Building Inspector) -
Application for .application No.
ermit Issued lQ,
t
BUILDING AND 'ZONING PERMIT h,'n nil Expires.
%ui'iinm District
N Mile,rt t%url;i ' •
- THREE (3) 'Copies of a PLOT PLAN, Drawn to scale, - \i'!"',,v'l Iw
showing the aettiel dimensions of the lot to be built., koiuu-Kr
upon, The exact size, and location on the lot of the_
building'to be erected'or altered MUST T BE SUB- i : ,
MITTED WITH. THIS APPLICATION. : - - . -
(0. - — . 1 . 3a . 3 • 6 b4./ea. . . .: TWN OF Q�aUUNS� a�,�(A
GA i li/ 0
A PERMIT MUST BE OBTAINED BEFORE'BEGINNING WORK °�'
• ANSWER ALL OF THE FOLLOWING.. •
�� t 19�
The undersigned hereby applies for a permit. to do the following work. -
which will be done in accordance with the description, plans and'specifi A.M. P.M. "
_ cations, and such special conditions-as.maybe indicated on the p rmit: S �71 8'9'1s0�11�ri s i 1 314I5 6„
The owner of this property is: � � ��
- . . -,r o ,,d,W..� sue,,. ,J' ,„eel .ejp,z
• (NA''E) (P.O.ADDRRSS) '
The person responsible for •supervision'of the work insofar as the Buildij�g:Code�nd the Zoning Ordinance apply is: -
(NAME) • (P.O AOORESSY
Name of Builder - . Address .
Name of Plumber . . Address
, Name of Mason Address '
Lot Nui}tber. . - ..: . - : Unit • Estimated value of proposed work$
Name of Village . . VV - •, ,
Name of Street - . . . -. : / �'7 • Stde of:street: north .0, east•,it,south' O. west ❑.. .
Nearest Cross Street, '.`Gi 4 - rAt- Distance from this 4oss street• . . " Ft:
. Property is north [],.south CI,east ri,west 0 from Cross Street, .
If on.Corner,which corner,northeast Or,northwest ❑.southeast C southwest
' - ` " - (Designate by marking with an "X",in the-correct space.)
NATURE OF PROPOSED WORK OCCUPANCY _ •
❑ Construction of a new building. Main Building
Cl Addition to a building. One-family dwelling - . . Cl
0 : Alteration to a building. . Two-family dwelling - ❑
0 Demolition of.a building. • . . . . . family apartment house , • 0
Store building ❑
. . -car attached garage ❑
.- - Other: . .
Accessory Building
One-car detached garage ' . . . ❑:
0 Other work: Describe_• Two-car detached garage - Cl
Private chicken house Cl
/ Private storage building. 0
• 7 / ® Di,. .„..,,. ..:
���� 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,size and setbacks of pro-
NORTH . posed buildings,and the location of all existing buildings:.
Show proposed building(i) in dotted line and existing
. . • - huilding(s) in,solid line.-
Size of property . /.d.z-- ft. x ,1 - ft.-
,
Size and use of existing buildings,if any.
•
e idSize of proposed `. . . . ft.x . . �. . . it.
• : , Height'(from grade to ridge) . . : ..: - ft. '
Front yard '" '
ft.
- - Side yards . - . -3 a).1. . . - - "ft. and .lo,8' 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..: ,
(OVERT
7-73-4'
(coned.) •
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame,fire safe,etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . .. . . . . . ... . .. . ... . .
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
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.
Siie, roof rafters or beams "x ",spacing "o.c.,span • ft.
Exterior finish With what material?
Finish of 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?
Kind of heating system Oil burner or coal?'
Will a flue-lined chiinney'be provided? Depth of chitiiney 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tz barof my know,ledips and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.uplete statement of all proposed work to )se. done on the described premises and•that-411_provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain the pro work\shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature 2'‘./
OWNER,OWNER'S G .ARCHITECT.CONTRACTOR
day of 19
• NOTARY PUBLIC,WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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