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1989-273 r t a CERTIFICATE OR pOMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 13 19 90 This is to certify that work requested to be done as shown by Permit No. 89-273 has been completed. This structure may be occupied as a Dock w/ reparrs Location 187A Reardon Road Owner Thomas & Carolyn Clary By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement T BUILDING PERMIT TOWN OF QUEENSBURY No. 89273 . WARREN COUNTY, NEW YORK w 1 PERMISSION is hereby granted to Thomas & Carolyn Clary v� OWNER of property located at 187A Reardon Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Repair existing dock 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. 1. OWNER'S Address is n RR#5 Box 187A Reardon Road a -C 2. CONTRACTOR or BUILDER'S Name p SELF Q• 3. CONTRACTOR or BUILDER'S Address a SAME -c 4. ARCHITECT'S Name Neal 5. ARCHITECT'S Address f.a CO V 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) QZ 7. PLANS and Specifications v No. Repair existing dock as per plot plan, specifications, and application. 8. Proposed Use Dock w/ repairs c/c incl. ^' $ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 89 1,4 (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.) 171 1-1 Dated at the Town of Queensbury this Day of May 19 89 SIGNED BY for the Town of Queensbury ov Building and Zoning I ector C! 7(5WN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT Reci.ev i TOWN OF QUEENSBURY Rev.t% ed I inI RECEIVED ' =..z. F� 1989 J, Fee Paid $ MAY 5© -°2— BUILDING AND CODES ul:l'ARDIENf Date Iacued BLDG. & CODE DEPT. IY and IAVILAND ROADS RD 1 Box 98 .l)UEENSBURY,NEW YO/K 12804 Pe un t No. _ Tel . (518) 792-5832 Ext -209 _ .. .a * * a * * 'a * t * * a * * * * a * * * a * a * * * * * a * * * * a` * a * A PERMIT MUST BII OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS )FILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT. All applicable spaces on this application must be completed and the sinature of the applicant must appear on the reverse side of this sheet . * * * * x * * * * * * .1: * * * * * * * * * * * * * * * * * * * * * * * * * l'he owner of this property is : /\©111CX.S c r' a�0L9n 0 (k)�y wolk, ; :' .O. Address b�'R 5 60X t8n h Qclaw .11� C1 . TEL. hci34aa1' `��!'1s'�1 Property location ( Lao12AY)s bf V , lake TAX MAP NO. '5 / 3 / j-r Has there been any split of thisthnroperty ince October 1, 1988? /` yes no if yes , Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE LOT NO. the person responsible for supervision of work as regards Building Codes is : S--.�� (/ NAME P .O. ADDRESS TEL. NO. ;}'" --_, _ dame of builder 21-c- Address ",. ; r~ Tel `i 3' ` -> dame of Plumber Address Tel game of Mason Address Tel ATLRE OF PROPOSED WORK: • ZONING INFORMATION (Office use only) Construction of a new building • ZONING DESIGNATION OF PROPERTY _Addition to a building + PERMITTED PRINCIPAL PERMITTED ACCESSORY 4A1.ter:,tion may,_ ry, • , •"""" REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Tno c!►.u«�to exterior dimension "— Ot ier work (describe) * SITE FLAN REVIEW #_ 'PROVED DATE p : K055--� A -- " - • VARIANCE TAPPROV :D DATE ROSS AREA OP PRC. POSED, STRUCTURE - st Floor _sq ft . * Remarks:_ _ nd Floor sq f t . * COMPLL•'r1 IFtpOL:MATION REQUIRED BELOW. )then Floors sq ft . * Size of property ,..5-7 ft X 3/K ft. ;not cellar or basement) • Existing building(::) Sipe ft: X ft. s OTAL FLOOR AREA sq f t • • Existing building (s) Use :ize of new structure ft X ft ` o sdation-pier/slat/crawl/partial/full ` Nroposed building, distance from property line * (circle one) , Front yard ft Rear yard ft dv. of stories (habitable space) tc leighc (grade to ridge) ft. ,, Side yards �� ft and `-�C� , If on corner, setback from side street tc If residential, no.,, of families do. of roons(excluding baths) * OCCUPANCY 1NFORMATICN do. of bedrooms s PRIMARY BUILDING - vo. of bathroom:: , -'( One family dwelling Lirimary heating sy::cem • Two family dwelling Pylau of fuel Multiple dwelling / Number of units uo. of fireplaces to be i stalled _ • �Peruan :nt occupancy Mill a wood stove be be insta led. Transient occupancy Lentral Air conditioning? ` , Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial K:auch Contemporary Log cabin * Ocher • If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Uungulow * Cape Cod Cottage Ocher * ACCESSORY BUILDING- Colonial hew Town House * Letached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) s Attached garagu/one car/ two car/ • caL. I a a * a a a a a * * * Private storage buildin ✓� ESTIMATED MARKET VALUE OF • --Ocher 0 ' 1<- e--X3T 1\ v CONSTRUCTION $ Ara-DO.` . INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form DPA 20/88 vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material e -j 'tj L_M I t / Thickness Depth of foundation below grade (to bottom of footing) W' •- - be a cellar? H Pluur 'q. footage si.-ft Will ther_ be a basement? Will any portion be used as liv' ig space? (If so, wha portion? sq.ft. pe of use? Type of roof - sloped/flat/s ed/othe Type ial of roof ize, wood stu•s "X spacing "o.•. length ft. aists(floor be.. ) 1st. flo. "X spacing "o.c. sp. ft. Joi ts (floor beam.) 2nd. floo, "X ' " spacing "o.c. span ft. Overl: s(ceiling b=.ms) "X " -•aci a "o.c. span ft. Roof ra ters if " spacing o.c. .pan ft. Roof trus es (pre-engi eered) s•,cing "o... span ft. Exterior wa 1 finish Of wha material? Interior wall finish f a garage is o be at - ed, descr .e materials to be use. or FIRE SE''RATION: Is here to be an ..ening be een garage and dwellin, If so will a . ire-rated door, enclosur., an. elf-clos g device b- provi. -.? Will a lue fined chim'ey be ins alled? 'eight - .ove roof ft. Depth o . himney foundation below trade Depth of fi.eplace hearth ft. n. Water supply Municipal or private =1l SEPTIC SYSTEM _ Distance from AN .riva e well(including adjoining properties ft. (A separate appl'cation is necessary for any repair or new installation of septic systei DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of' the BUILDING 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. Signature ,.7?"' >#-, Owner, owner's agent, architect, c ractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: .. 1 4,15 A9 ou CoNTIcs4ei /S / ft, RikPA 1 1 oP 1.5-x isrt.44 coc . 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