6452 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6452
• WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael DiPalma
OWNER of property located at Route 9L Street, Road or Ave.
N.
in the Town of Queensbury,To Construct or place a Stake Dock
at the above location in accordance to application together with plot plans and other information hereto filed and W
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
C7
1. OWNER'S Address is ,Kitchell Road •
Denville, N. J. 07834
5
pi
2. CONTRACTOR or BUILDER'S Name
•
Bill Simmons
3. CONTRACTOR or BUILDER'S Address
Diamond Point, N. Y.
4. ARCHITECT'S Name 0
r1
•
tD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
3 'x60' stake dock per plot plan and application rfr
No. submitted p
m
8. Proposed Use O
Dock c
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nov. 1 19 8 C
(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 llth Day of July 19 80
SIGNED BY A)—a_A-1.? ' � for the Town of Queensbury
ng and Zoning Inspector i
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A lication for Application No.
Pp Permit Issued 19. •
BUILDING AND ZONING 'PERMIT -r..,-n,it }spires. 19..
/.iiuin;; Di"strict
Value 001 \1'Otk i
THREE (31 Copies of a PLOT PLAN, Drawn to scale. 'Ai'p""%(II h}.
showing the actual dimensions of the lot to be built itemarKf•
,,upon, The exact size, end location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . .
7/7 ift
TOWN OF QUEENSBUR
cg O -- d — 0 DATE REQUIVE
.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL 979�0
ANSWER ALL OF THE FOLLOWING. do
The undersigned hereby applies for a permit to do the following wok . A.M. tit IO` P.M.
which will be done in accordance with the description, plans and specifi 71819110111112111213141516
cations, and such special conditions as may .be indicated' on the permit.
The owner of this property is: t 1 b CX trn ck
Mi'd)cr.e j. . . .1�1:�y� rya . . . . . . .j�(. 1( R�. �etiv,lle , u,.�� . . . d787i
(NA':E) ) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building:COde and the Zoning Ordinance apply is:
� 'e-/
(NAME) • (P.O ADDnnRESS►`
Name of Builder. . . -a-it .�rrn(?OA Address.,1.4610 4�.ki . .11/4.2 r iZS14S.
Name of Plumber Address
Name of Mason Address
Lot Number.• Unit Estimated value of proposed work s -O//lam
Name Of Village �� -
.5 �'
Name of Street • •f tL' ` /c z Side of:cireet: north 0, east. 0, south G. west .er.-----
Nearest Cross Street Distance from this -ross street Ft.
Property is north 0,south CI,east i,,west 0 from Cross Street•
If on Corner,which corner, northeast ❑,northwest 0, southeast C southwest
(Designate by marking with an"X" in the'correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY
0 �'Main BuildingConstruction of a new building. One family dwelling
0 Addition to a building. Two-family dwelling �
❑ Alteration to a building. . . . . . •
. .-family apartment house El
Demolition of a building. Store building 0
-car attached garage 0
Other: '
Accessory Building
``�� // One-car.detached garage 0
U Other work. Describe:. ..�✓•Q.C..K\ Two-car detached garage 0
Private chicken house 0
Private storage building
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,sire and sebacks of pro-
posed buildings,and the location of all existing buildings.
NORTH , Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
i m Size of proposed building ft.x ft.
Height'(from grade to ridge) . ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If up corner,setback from side street ft..
•.
Note: All distances are net, as measured from street side
line to nearest part of building.:
(OVER)
7-73—M • .
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.. • • • ' • • If so, for what?
Will any second-hand lumber be used? Thickness
Material of foundation walls
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.
x ", spacing , . ."o.c., span ft.
Size, floor beams, 2nd floor
Size, ceiling beams
It x ", spacing "o.c., span ft.
Site, 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 chimney be provided? . Depth of chiirhty 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 Queenshury
County of Warren
State of New York
I swear that to tr bard my knowledge and belief the statements contained in this application,together with the plans and-Specifications sub-
mitted, are a true and co.,. lets statement of all proposed work to be done on the described premises and tha ■ll ions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed wor shall mg specified or not,
and that such work is authorized by the owner. - —7"e'
Sworn to before me this Signature OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19..
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
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