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1985-373 BUILDING PERMIT TOWN OF +QUEENSBURY No. 85- 373 WARREN COUNTY, NEW YOR K } 22 1 A � `, . 12 r) PERMISSION is hereby granted to Thomas and Susan Sargent OWNER of property located at Rockhurst Road/Lake George Street, Road or Ave. g,, m in the Town of Queensbury, To Constructor place a Replace and extend dock W at the above location in aroordance to application together with plot plans and other information hereto filed and p, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, m G 1 , OWNER'S Address is ED 28 Cedarwood Drive Ballston bake , New York K 2. CONTRACTOR or BUILDER'S Name CD same �:s 3. CONTRACTOR or BUILDER'S Address sam e 0 4, ARCHITECT'S Name fn f+ 5. ARCHITECT'S Address W i� 133 B. TYPE of Construction — [Please indicate by X) iV { ) wood Frame [ ) Masonry i ) Steel { ) G7 ro 0 7. PLANS and Specifications ti replace existing dock - extend from 181 to 281 No. Per plot plan and application submitted . M B. Proposed Use Dock rp r✓ $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 19 86 m (lf 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.) 1�+ Dated at the Town of Queensbury this 1 9 th Day of duly 1985 r+ SIGNED BY for the Town of Queensbury ¢ Building and Zoning Inspect O a 7C TOWN OF +QUEENSSURY SSpace inside black to 1w fille(l itt b4_ WARREN COIUNTY, NEW YORK Building Enspec•tor) ppli` ` litm No.APplice#ion for 1}(.1 11111 l s'NmA 19 BUILDING AND ZONING PERMIT lit-Il11il F ,pires 19 , :rllu , .I '11`(lrl. THREE 13 ) Copies of a PLOT PLAN, Drawn to scale (A V sltowi T the actual dimensions of the lot to be built upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MiTTED WITH THIS APPLICATION. 1 .5� � X .711 7,/g� TOWN (v� o►a�l*rf]+I�js�.rl,�r T c-tctE.stzsi / Hale , F. 6 IE R k! La A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 1i ` _ .{ '!� .I `ID � The undersigned hereby applies for a permit to do the following work A.M. ��,y cri Pion laps and ecifi- 7 S T � �� I.F b which will be done in accordance with the des p , p p . i' . a 1 . 1 , ) . , cations, and such special conditions as may be indicated on the permit. The owner of this property is. 7 HolX A -S . 1 . .sVS�� 5. . . . � .t,. ./` . , - - - � � r1+,a •Er IP o anoAEss1 The person responsihie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply it: Name of Builder . .'7`N,.cx.s^S . - - - -! ,Rie4ea r Zvi . . . . . . . . . . . . . Address . . See . . . . . . . . . . . . . . . . . . . . . - Name of Plumber . . .a' r . . . . . . . d d d Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason - - Address . . - . . - - . . . . . . Lot Number . . . . . . . - Emit . . . _ . . . . . . . . Estimated value of proposed work S . . . . . . . . . . . . . . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . - . . . . . . Name of Street . .4� Q' 7—.tbe H up-S.T-. . .� C) jr) � , . . . . . . , Side of street: north a . east ❑ . south C3 4 west Nearest Gross Street . . oRoqto . . . . . . . . . . . . . . . . . . Distance from this ^rosy street t t . Property is north [3 , south © , east ' 1 . west 0 from Cross Street If on Corner, .which corner, northeast UJ , northwest I] , southeast 0 - southwest (Designate by marking with an 4'X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY © Construction of a new building. Main Budding One-family dwelling Addition to a building_ Alteration to a building. Two-family dwelling Demolition of a building. -family apartment house Store building . . . . . . . . -car attached garage C� Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage Other work. Describe: - / / '�� ! ) S?%A Two-car detached garage Private chicken house ,. Private storage building L 14,0 . . 1 . 17..Y4� . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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, site and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . . . . . . . . . . . • €t. x . . . . . . . . . . . ft. Size and use of existing buildings, if any • . . Size of proposed building . . . . . . . . . . it. x . . , . . . . . . ft_ Height ( from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft_ Front yard . . . . . . . .' . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . - . . . . . . . . . . . . ft. and ft. Rearyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fu SOUTH If an corner, setback from side street • . - ft_ Note : Alt distances are net, as measured from street side line to nearest Part of building. !ov e041 ?7 3� IMI (con t'd.) 13UILDING SPECIFICATIONS4 Kind of construction : Wood frame, fire safe, etc. ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . Will any second- and lumber be used? . , . . . . . . . r - . . . - If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foun tion wails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . Depth of foundatio walls below grade . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . Will there be a cells If so, material of cellar floor . . . . . . . . . . . . . . . . Type of roof: Sloped o flat? . . _ . . . . . - . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . . ."o.C., length . . . . . . . . . . . . . ft. Size, floor beams, Ist 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. Side, roof rafters or beams . . . . . . . . . . . . "' x . . . . , , . r, '` ", spacing . . . . . . . . . . . . . ` o.c_ span . Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,..- . . With what material ? - . . . . . . . . . . . . . . . . . � . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what in erial is w tween garage and main building to be constructed? Is there to be an opening between garag building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . ­ . . . . . Oil burner or coal ? . , - . , Will a flue-lined chimney be provide _ . . . - Depth of chimney foundation below grade Height of chimney above roof . . . . . . . . . . . . . . 1 . . . . . . . . . _ . . . . . . . . . I . . . . . . Will there be a fireplace? , - . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . , . . . . . Will a kitchen sink be inst ed and connected to wat supply? . . . . . . . . . . . . . . . . . Water supply ( public w r supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . Distance of cesspool f any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage cyst be provided with required traps, clean ts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York 1 swear that w u: ibrF.0 of my knowledge and belief the statement@ contained in this application, to4ether with she plans and specifications sub- mitted, are a true and ec..i.a lete statement of all proposed work to be done on the described promise* and that n:I ions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied wish'Wh d and that such work is authorized by the owner. wed or not,Nc Sworn to before me this Signature OWN 0WNER-S AGENT, ARC AIVE CY• CONTRACY .. . . . . say of I9 NOTARY pue -IC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: 13y . . . .. . . .... .. .. ... . . . . .... . . .. .. . . . . .. . . . . . . . . . . . .. . . .. .... . . . ... .. . ... . . . . .. . .. . .. 7 "x ' ' DF� Ae w IL � l r 2 � X 8 / oor I wfor 6 �cFcNvaps r PIN (nSls - `l996 "lA'puellnH luo16mlmg pue :. ._.. .. 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