8115 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8115
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Minnie A. Nielsen
rr •
OWNER of property located at Holly Lane, . Assembly Point Street,Road or Ave.
O
in the Town of Queensbury,To Construct or place a Dock repair
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.
ID
1. OWNER'S Address is
2 Sutherland Drive
Scotia, New York 12302
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
•
same H
H
4. ARCHITECT'S Name
A.,
(D
5. ARCHITECT'S Address
•
CT'
6. TYPE of Construction—(Please indicate by X) I•<
( )Wood Frame ( ) Masonry ( )Steel ( ) 0
7. PLANS and Specifications Cf
repair and replace dock damaged by ice and
No. weather per plot plan and application
submitted.
8. Proposed Use -
Dock
0
0
$15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date.)
F,.
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Dated at the Town of Queensbury this 21 st Day of Sept ember 1983
SIGNED BY /rl C. ,��u-, for the Town of Queensbury
Building and Zoning Inspector '{2./
•
TOWN OF QUEENSBURY - BUILDING DFPARTMENT
R. D. *1 BAY P`:D EAVILAND ROADS
GLFNS FALLS, NFW YORK
Phone 792-5832
DATE: / /91
TO:
E3()-ju-
Our records indicate that you were issued a building permit
number 2//s on
for the construction of Lcr
Our files show that the required inspections• are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact -ss so we can take your card out of the active file.
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
QUEENSBURY BUILDING DFPARTMENT
TOWN OF QUEENSBURY (Space inside block to Ix filled in be
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
Pp Permit Issued 19.
' BUILDING AND ZONING PERMIT Permit Expires. I!I.
%unin District
\ ollic n1 work$ t,•
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\i'I" '" I"• r �,
showing the actual dimensions of the lot to be built Iten�arKs" j
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
�^ 1 TOWN OF IUEENSBURY
r V '3 - y r acy l 2 3 DATE 1A. EVE (�U �\1d .EfA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK5(:.F 2 01Y83
ANSWER ALL OF THE FOLLOWING. o� e- - "
The undersigned hereby applies-for-a permit.:to do .the following work 7lg1g110)11)12)1)2)3)41516
which will be done in accordance with the:description, plans and specifi- ■. '
cations, and such special conditions as may be indicated on the permit. . . .
The owner of this property is: ,� t' Lt• ,
. . ,yf.�:k.:t.�:t.t1. .-r�.'.'.G,t.�= <;�.i.r'v' }-, t:.,,,..r.,`•�c�.: �-rr.l. . �.�'L) . . . . . . . .�-:3G�
(NA.E) (P 0.ADDRESS) J --.
The person responsible for •supervision"of the work insofar as the Building Code and the Zoning
ning Ordinan''ce apply is:
. . .N)2 de:/!1-:'ri:4(�. �- -. .; �.=�t4-!2L'./1'G' .o:..�.vc_:�-,%l.c•/{:�'�s„-t�G. c . % . . . . .
(NAME) (P 0.ADDRESS)
t_ t 1 G !!t:1 1:(%'. „� ;
Name of Builder. . ./%'-�.. t::, . .✓�c.=.: a.f'--_, e- Address . . ...;1 i1•rv->:.-C! tL-g-- ec=t '-sK__.,
Name of Plumber Address .
Name of Mason Address 4 -
Lot Number Unit . i2.,'y4., • E mated value of proposed wprk 3 > >.5 .�':•.I ... t'`•:0. . . . . . . . . . . . . .
Name of Village ! g.J...t..xi:1 '"■� J. Ck_•.1-e !y: . . �z_:::'��,... .<:�.-, T7r/
`.'�1 .Guf r:\e�.r.... Side of street: north ❑, east ❑, south ❑. west ❑
Name of Street . . . . . . . . . .d• : •
Nearest Cross Street iDistance from this cross street Ft.
' Property is north 0,south ❑,east [1, west. 0 from Cross Street
If on Corner, which'Corner, northeast '❑, northwest ❑, southeast ❑, southwest
(Designate by:marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Buittiing
. One-family dwelling ❑
CI Addition to,a building.. ❑
❑ Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building ' ❑
-car attached-garage ❑
V Other:
• Accessory Building
/ . One-car detached garage ❑
❑ Other:work. Describe:. 'tom.-.!%a ea-'� Gi.--rie: • . • • Two car detached garage Cl
f'.j' r Private chicken house ' ❑
/� 4 i'1 Private storage building
E�i L' .-C—-- ../.1. i.z .t:... -J---:c.-c..-,- &!C.:,• Other:
t?
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-
posed buildings, and the location of all existing buildings.
. NORTH Show "proposed building(s) in dotted line and existing
building(s) in solid line.
Size of property 1 ft. x ft.
Size and use of existing buildings, if any
F
y 0 .
s W 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 on 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.?. . . . . .- • • • • • • • • • • • • •• • • • • • • • • • • . . . . . . • • • • • • • •
Will any second-hand lumber be used? If so, for what
Material of foundation walls - -z-c- r 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.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finishof 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 chimney 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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt, bard of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.;. lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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. u F z7 a /'
Sworn to before me this Signature ....7 ��t^-nc.
•- ,-l'...�,:/..../:'..G..-L.6 '
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By . •
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TOWN OF QUEENSBURY
Building Department Inspectors Report Date /4�4 3.f/
8'�9'
Name A-,15
Location y= ,� •`- : �'�,
Permit No. A7 !e 5 Weather
1 -7A1(4 Remarks
Excavation
Footing Forms
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
'Ceiling
4,
Building Inspector
REMARKS
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