8106 BUILDING PERMIT
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TOWN OF QUEENSBURY No 8106
WARREN COUNTY, NEW YORK • .d
II
PERMISSION is hereby granted to Dr. Richard Hughes
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OWNER of property located at Swan Road,- Glen Lake Street, Road or Ave. phi
I-I
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.
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1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
William Caprood
3. CONTRACTOR or BUILDER'S Address
R.D. #1
Schuylerville, New York
4. ARCHITECT'S Name
H
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
Dock and seawall repair per plot plan and application
No. submitted.
8. Proposed Use
t7
Dock 0
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$15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
ri
Dated at the Town of Queensbury this 19th Day of September 19 83
• SIGNED BY a, L). for the Town of Queensbury
Building and Zoning Inspecto
TOWN OF QUEFNSBURY - BUILDING DFPARTMENT
R. D. f l BAY AND Y_AVILAND ROADS
GLFNS FALLS, NFW YORK
Phone 792-5832
DATE: /p/5/
TO: aD/U /%//�[f
.4
7 0,1-c e
Our records indicate that you were issued a building permit
number 9/ ec, on
for the construction of Cv9-_e- �1 —
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact -.is so we can take your card out of the active file.
Next required inspection A� �crJz�
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEFNSBURY BUILDING DFPARTMENT
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Applicationon
Permit Issued 19
BUILDING AND ZONING PERMIT Permit Expires. 19.
Y.onin� District 1
. \ aim. oI Work$
\ > /��// ) %�
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THREE (3) Copies of a PLOT PLAN, Drawn to scale 1 1mixeelby .✓e- pi !" r
showing the actual dimensions of the lot to be built Itcnial'KI
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
TOWN OF QUEE ISr;U1�Y
�U I ' 1 I �T DATE . H E V E 1 W L D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
SEN �� 9 i9�:
ANSWER ALL OF THE FOLLOWING. ps ,� t2f,,l;-2
The undersigned hereby applies for a permit to do ;the following work, �'
which will be done in accordance with the description, plans ands ecifi- 7I8I9`1(111I1211I2I31441'I6
cations, and such special conditions as may be indicated on the permit. •
` .
The owner of this property is: . fib aH&-4
.1.CAt af). . / U .1=)5'. . 1;u 1:J=:5. . Ri-?. .,!-/4- .Lip K./-
(NA'.4E)• • • (P.O.• ADDRESSI
The person responsible for 'supervision of the work insof r as the Building Code and the Zoning Ordinance apply is:
. . . . k)/�///.W1. C)(NAME°" A0:00 d 0 /7-4 / 5ebvg1I0 ADDRESS).l. 91q `
Name of Builder �--�4',/?0 o ) eogi c r Address a n 4' / S e 4a /�6'i t/'i `71 7/
' Name of Plumber . Address /
Narne of Mason Address
Lot Number Unit Estimated value of proposed work I
Name of Village
Name of Street Side of street: north 0, east 0, south 0. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east i 1, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast Q. southwest
• (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Buittling
❑ Addition to a building. ' . One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. -family apartment house ❑
_a p e ( dote / 1``,/,// Store building ❑
-car attached garage ❑
. Other:
• Accessory Building
C S/ �� [1/)L I One car detached garage O.
O Other work. Describe: //r, .O (�` Two-car detached garage ❑
i Private chicken house ❑
Private storage building ❑
Other:
4tk�)0 ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
�� � �!�//;/J f 3 the location and
Indicate on the plot plan street names,
1size of the property, the location, size and setbacks of pro-
f fit')i�0 posed buildings,and the location of all existing buildings.
• V' NORTH Show proposed building(s) in dotted line and existing
1 huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
W `5.. <
a 111 Size of proposed building ft.x ft.
Height (from grade to ridge) ft.
,1�-04 U
6-fFront.yard ft.
Side yards . - ft. and ft.
G//Iota )Z 0 0 _ 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
(cont'd.)
BUILDING SPECIFICATIONS.,
Ati
Kind of construction: Wood frame, fire safe, etc.?. 4.i v 2-. • • ...'R . .
• "
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what
Material of foundation walls C.� ra`T 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 buUding 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 b j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.e.•lete statement of all proposed work to be.11done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertainitig to e pro sed ork shall be complied with,whether specified or not,
and that such work is authorized by the owner. , �j y
Sworn to before me this Signatures , `...v•�R
ER, WNER'S AGENT,AR ITECT,CONTRACTOR
�°�.. . .. day of 19
........:.
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
14-12-2 (7/82) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION c l �'
NOTIFICATION OF AVAILABILITY FOR REVIEW 11
Pf _,..
INITIATING UNIT: ✓ ". d20 Contact:
o/d's, ‘ C / '. /,
OTHER# DATE ISSUED 0,4:3
OTHER# DATE DUE . /6//#(i0 n / l
l�
OTHER# C�DEC ' U U�
�/l-C •� �+#- c5-(/�''�1 /> oiyz--
PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: Ctc .
APPLICANT: (JC ,4tL 'L PING ®k_
PROJECT NA /DESCRIPTION: _ -2, ' --Z,I7 AU--- --f,ti-Z-Q-a
0, V(--e- f --i-Wje-tr .
PROJECT LOCATION: _,4-62-4-"1/4-- G?‘:-16--
,2,zze..._,)1.151
City/Village Town:
7
County: L/t � J "� USGS Quad:
(Attach a location map) •
REMARKS: -
DISTRIBUTION:
L) i'd Li&
it ECE!V
Cfl n2 N (D '` //Vo'v
0 galp-ii ` � ��8
3
no comments ❑ comments attached D
RESPONDING UNIT:
BY:
(name/unit/date)
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NEW Y016:STATE DEf3':1.TMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR PERMIT
ALBANY, NEW YORK 12233
, APPLICATION NO.°Read instructions on back before completing this application. Please type or print clearly in ink. Use separate
addenda and exhibits to provide all required data and explanations for which space on the form is inadequate.
❑AST-fCLE 15, TITLE 3(CONTROL OF AQUATIC INSECTS, WEEDS, OR UNDESIRABLE FISH)
S.WARTICLE 15, TITLE 5(PROTECTION OF WATERS)
❑ For'the-construction,reconstruction, or repair of a DAM or other impoundment structure. -
❑ For the construction,reconstruction, or repair of any permanent DOCK, pier, or wharf;and any dock, pier,or -
w f, built on openwork supports, which has a top surface area of more than 200.square feet.
for the disturbance of a STREAM BED or excavation in or fill of navigable waters. -.
El ARTICLE 15, TITLE 15 0 WATER SUPPLY - 0 LONG ISLAND WELL .
❑ARTICLE 24(FRESHWATER WETLANDS) ❑ Permit = ❑ Letter of Permission .' -
❑ARTICLE 25 (TIDAL WETLANDS)
1. NAME OF APPLICANT: St.::
2. APPLICANT IS_A/AN ❑ Individual 0 artnership -❑ Association -❑.Corporation ❑-Municipality 0 Gov ental Agency -
1
3. NAME&TITLE OF _ _ =
OFFICIAL SIGNING APPLICATIO ' PHONE
STREET ADDRESS �,.,, j
OR P. O,BOX 0 v� X., r3 r f `'POST OFFICE 1t '� ' STATE _ZIP CODE i. , fl f
4. NAME &ADDRESS OF-OWNER r� I�r. , .
J . _
(If not applicant). '� `. i �/ Li/7 / /= 5 PHONE
STREET ADDRESS �� / —y� -
OR P. O,BOX _ �/ t� /r'i ti�Cc �! POST OFFICE STATE ti, ZIP CODE - -
6. WILL PROJECT UTILIZE•
STATE OWNED LAND?
5. PROJECT LOCATION:• �TG•
(.
a) City or Village o� ' �NAME OF STREAM OR OTHER WATER BODY �
- - (If appropriate; if unnamed, show on. 0 Yes aj'No
Town of DU. r�� r d1, ,1t1 map=See Item 5b)
County of (A), 1 r:y✓ }r/ ,.'I I I, r.J
b) Specific project site or area is marked on U.S.G.S.or equivalent map, attached as.Exhibit No. -
7. PROPOSED USE: L�Private 8. PROPOSED STARTING DATE: - - 9. APPROXIMATE COMPLETION DATE 10. FEE OF $ ENCLOSED
❑ Commercial
li/C•% 3 fI ;Lr r??.
11. PROJECT DESCRIPTION:(Feet of rip-rae ew ctt'annel; cubic yards of material to t e�remov d; draining,dredging,
filling, and location of disposal sites; type of structure to be installed;height of dam;size of impoundment;.
/a pace es of proposed water sources;extent of diiv ,stribution system;etc.)/, r0/� ,
t e 7C to Cr 5ec?Lt12./ �-- .
P ` G /T �� 6-i?/ i>f if
12. This project will require the following additional permits,applications for which are the responsibility of others: - _
0 DAM DOCK 0 STREAM DISTURBANCE 0 SPDES/NPDES ❑WATER SUPPLY 0 L. I.WELLS 0 FRESHWATER WETLANDS. 0 TIDAL WETLANDS
13. NAME AND ADDRESS OF OFFICIAL NEWSPAPER OF LOCALITY WHERE.PROPOSED WORKS ARE LOCATED:
('›-7(::‘4") /17i-//c 7/ /17 /C1 i'' -
14..1S ANY PORTION OF-THE ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETE? ❑Yes ell() _
If "YES", explain in addenda, giving reasons and dates, and show existing work on drawings or map.. -
15. CERTIFICATION:
1 hereby affirm under penalty of perjury that information provided on this form and all attachments submitted here-
with is true to the best of my knowledge and belief. False statements made herlein are punishable as a Class A _
misdemeanor pursuant to Section 210.45 of the Penal Law. As a condition to he issuance of a permit, the applicant...
accepts full legal responsibility for all damage, direct or indirect,of whate er nature, and by whomever suffered,
arising out of the project described herein and agrees to indemnify and sav harmless the State from suits, actions,
damages and costs of every name and description resulting from the s 'd: roject.
Wit ,.
DA SIZ'i ATURE
TOWN OF QUEENSBURY
Building DepartmentInspectors 9
Repel Date 71 P j , "
Name -?Localkin / , iC1rr � G
Pert No. 6'/el Weather
Loa �} Remarks
Excaf7ation `�
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Ba ckfi ll
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 I
Chimney
Water Meter Instil
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
G�i�
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