BuildingPermit005-01-24 122930TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 2024-0197
Tax Map No: 239.12-2-35.1
Permission is hereby granted to: HG Dickinson Fine Home Building
For property located at: 10 POLK DR
In the Town of Queensbury, to construct or place at the above location in accordance with application together with
plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building
Codes and the Queensbury Zoning Ordinance.
Owner Name:
Owner Address:
Rockhurst LLC
1712 Route 9 Suite 103
Clifton Park, NY 12065
Scope of Work
E-shaped dock w/open-sided boathouse 1116 s.f. LGPC Permit #: DWM23-000096
Estimated Cost of Construction: $150,000.00
$165 PERMIT FEE PAID THIS PERMIT EXPIRES: 05/01/2025
(If a longer period is required, an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury: 05/01/2024
SIGNED BY: ________________________________ for the Town of Queensbury.
Director of Building & Code Enforcement
Contractor or Builder's Name / Address
HG Dickinson Fine Home Building
818 Tryesdale Hill Road
Lake George, NY 12845