99-611 BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 5000 Building Permit No. 99611
TAX MAP NO. 3 . -1-7
Permission is hereby granted to MACKEY, CHARLES & KAREN
Owner of property located at 15 WILD TURKEY LANE
in the Town of Queensbury,to construct or place a 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
40 DOUGLAS RD.
DELMAR, NY 12054
Contractor or Builder's Name:
CREEDE, JOHN
Contractor or Builder's Address:
PRO-BUILT DOCKS PO BOX 182
KATTSKILL BAY, NY 12844 0182
Electrical Inspection Agency:
Type of Construction:
DOCKS
Plans and Specifications:
RESURFACE EXISTING DOCK AS PER APPLICATION
Proposed Use:
DOCK
30 October 4 2001
$ PERMIT FIDE PAID—THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
4 October 1999
Dated at the Town of Queensbury this Day of
SIGNED BY t: ._ for the Town of Queensbury
Code Enforcement Officer
4.11.1A TOWN OF QUEENSBURY Fee Paid `
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES E t . Cost JC'UC7_
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PL „=: ,WEFT: ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: C 11 r S LccC k
P.O. Address 3Y3 6 rcczc(tutu/ t}7-/- tf t Phone #
�,, 3"f3`�-7700 Lxt
Property Location .5`t"-±° ?" 5Ir'' ' /i '• tX'EE- Tax Map # .2.ve
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: ,57'4; l- Cr'ecr(e./� 6-,�144' EAAddress 'tI & < <'/l %u4,/, x, Phone#
BUILDING SPECIFICATIONS: 1 ki-oic Z--3GIC
Type of work to be done: Porch Deck ock Boathouse (Circle one)
Size of Structure to be built (square footage): -- Re5u, ce_ ,r js), li'/'
Foundation Material : Width Thickness /S r CA relit ,/` J
Depth of Footing, below grade: _
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span '4 �` t
Decking or Flooring Material :
How will Porch or Deck be fastened to building? SEA 2 199�
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: _ x x Long
Roof Rafters: x _._. Spacing Span
Roof Trusses (pre-engineered spacing): Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s): Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) : !—
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
r To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted .re a true and complete statement
of all proposed work to be done on the described else and that all provisions of the
'Building Code, the Zoning Ordinance, and all of -r aw. p-rtaining to the proposed work
4. shall be complied with, whether specified or n. , .nd ' h,t such work is authorized by the
i, owner.
DATE: SIGNATURE •er
405500iwner s Agenc , rc .c ntractor
' REVIEWED BY CODE ENFORCEMENT OFFICER, DATE i1�iiJ / SIGNATURE
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