7802 (Permit Withdrawn) BUILDING PERMIT
TOWN OF QUEENSBURY
No. . • 7 8 02
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Walter Dombek
H
rt
OWNER of property located at Quaker Road Street, Road or Ave. -
in the Town of Queensbury,To ISt or place a Move building (office building)
O
at the above location in accordance to application together with plot plans and other information hereto filed and 5
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O
1. OWNER'S Address is P. 0. Box 649
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Rickard Const. Co. Inc.
3. CONTRACTOR or BUILDER'S Address
122 Circular St.
Saratoga Springs, New York •
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4. ARCHITECT'S Name r'
N
fi
15 b1
u i Ir1t 14 4 De r "[-
5. ARCHITECT'S Address v ct CUM .J /-�ej ) fr4.I (cq
by /7(7- SB/,' ?
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( ). •
7. PLANS and Specifications
24 'x24 ' office building moved to Pinewood Road
No. per application submitted.
(See. permit 7803)
8. Proposed Use O
Move office building 0
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 1 1983
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F tQ
town of Queensbury before the expiration date.) N Ifi
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• Dated at the Town of Queensbury this 21st Day of. April 19 83 •0
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SIGNED BY —C-V ,,—t4. N- G�✓� for the Town of Queensbury W 13)
Building and Zoning Inspector fZ (D
TOWN OF QUEENSB.URY • (Space inside block to Ix• filled in by
WARREN COUNTY, NEW YORK Building inspector) •
A lication for • pplication No.
PP Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. • lg. . •
/.(,I im:. District " .
\";Ilse nl \Cork%
THREE (3) Copies of a PLOT PLAN, Drawn to scale. '"\1'l ill by
showing the actual dimensions of the lot to be built ltem,srkr
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 QUEENSBURY
DATE • RECE11 \IE D .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 19
ANSWER ALL OF THE FOLLOWING. ,e' ,s•
The undersigned hereby applies for a permit to do the following.:woek. A.M. �� P.M.
which will be done in accordance with the description, plans and specifi- a 7 p 8a a a - ,9101112),1 I ,2 l 3a , a45 I6
,
cations, and such special conditions as may .be indicated" on the permit.
The owner of this p operty i :
(NA•4E) (P.O.ADDRESS)
The_person responsi a for •supervision of the work insofar as the Buildi;lg.C.ode and the Zoning Ordinance appl is:
6-e--�- �- CGL ) Izz Cfr� 4 3-1, . . .J. .,(144/4. �. 7 F�/
((NA'M{�) • (P.O ADDRESS) /
Name of Builder. . , l LJ`�rc' 14' ' 6 G Address-. . . S O3.
' At-/
Name of Plumber. . • • • • • • •r • • Address �j
Name of Mason. . . . (C.-�14.,.�6�C _ Address LL C)'^ c cd_ (Cot-el-AL-
Lot Number Unit Estimat d value of proposed work S IZ67gU
Name of Village 1 -Ts- Pi-:V-S. . . t . . . . . . . . .
Name of Street . .. Gu-'.'< " l "� Side ol.etreet: north 0, east- , south D. west 0
Nearest Cross Street P. •J---6 Distance from this -ross street ja2-71 Ft.
Property is north 0,south ,east i ,west 0 from Cross Street. -
If on Corner,which corner,northeast 0, 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
0 Addition to a building. One-family dwelling ❑
❑ Alteration to a building.
Two-family dwelling • ❑
Demolition of a building. • • • • . • family apartment house ❑
Store building ❑
-car attached garage ❑
Other: •
Accessory Building
i'2 .t� f 6�r One-car"detached garage . ❑
Other work. Describe Two-car detached garage
�: ❑
e ezl,r�, Private chicken house
' y Private storage building ❑
O� ( C -e-- R u_', :)1 , sl k( Y.(`p(y 'Other:
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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 4 Show firoposed buildings) in dotted line and existing .
^—'--�- u-•. buildings).in solid line.
a., Size of property -2 1 ft. x 'Li ft.
R,,,pcsJ tii-en•J'Jz J iv • Size and use of existing buildings, if any
it J� \ W Size of proposed building ft.x ft.
s Iieight'(from grade to ridge) ft.
Front yard ft.
•
Side yards ft. and ft.
Cor I e (L 114.4 , lac . Rear yard ft.
7 SOUT H If op 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.,
Kind of construction: Wood frame, fire safe,etc.? ":(-6:b. . . ... . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what)
Material of foundation walls o(19-c-ksA4)Co,-(,v,a,,. 'thickness 8 (c
Depth of foundation walls below grade (-(2. " Co_ptinuous foundation? . . .1.?-.5.-. . .
Will there be a cellar? •:f....... floor p jso, material of cellar (.-0-,.(Ar:R.-Akr i,/
Type of roof: Sloped or flat? 5-tu Material of roof . .I.P.--:k5.5?--.92 . . .1:‘P.t---K.,4\ .5 4.4.."-; •
"x "1
Size,wood studs 2— ",spacing 1(,- "o.c., length $ • ft.
Size, floor beams, 1st floor 1...._ .,x vo ,
",spacing . . , . ./ (-• "o.c.,span I ?..___ ft.
Size, floor beams, 2nd floor ,, ", spacing "o.c.,span . ft.
Size, ceiling beams z--- '9 x c-i ", spacing . . . .-sir "o.c.,span / taiic, 1(( ft.
Site, roof rafters or beams 2.-- "x Cl ",spacing 2-(4 "o.c.,span 13'4 5545 r ft.
Exterior finish Lcsof:sli , , /With what material? 7 i - ti
Finish of interior walls. . . . . . .ne1-1.4....A. ...04-.-y.--. . s-. -0:re.).(e,-5_14: .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 betweerdarar and building?
Kind of heating system " .c.,c.A--ir.“.- Oil burner or coal?
Will a flue-lined chimney be provided? 014" . Depth of chibiney foundation below grade
Height of chimney above roof
Will there be a fireplace? — 6'0 Depth of fireplace hearth
. .
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?i c-t-e--,
Water supply(public water supply or pump) i
(n (
Distance of cesspool from any private well feet
,
Will drainage system be provided with required traps,cleanouts,and vents? /e.$
Town of Queenshury AFFIDAVIT/
County of Warren
State of New York
I swear that to it ii,-,..rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.plete 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 pertainig1he proposed work s, I complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature 24- A
. .. . . day of 4/r7( 19(17 OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By