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8744
B IL DING PERMIT TOWN OF QUEENSBURY No. 8744 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to �ark Bay Association OWNER of property located at of f Route 9L Dark Bay, Lake Geo. Street,Road or Ave. in the Town of Queensbury,To Construct or place a Dock at the above Nation in accordance to application together with plot plans and other information hereto filed and X approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is John Behrens 5.1 Midland Ave. rn ark Ridge, N. J. o 0 2. CONTRACTOR or BUI LDERS Name rt John L. Mason o 3. CONTRACTOR or BUILDERS Address 0. BOX 86 leverdale, New York 4. ARCHITECT'S Name phi I0h f'i I-h 7S' WO W 0 5. ARCHITECTS Address N wr x m 6. TYPE of Construction—(Please indicate by X) (D ( )Wood Frame ( 1 Masonry) 1 )Steel ( ► 0 10 7. PLANS and Specifications fD removal of 4'x40' stake dock - convert existing No. 6'x30' crib dock to u-shaped crib dock approx. 332 sq. ft. per plot plan and application submitted 8. Proposed Use Dock C7 O n $ 15. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1985 (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.) Dated at the Town of Queensbury this 10th Day of September 1984 SIGNED BY (.t for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY ' . (Space inside block to lx filled lill in by WARREN COUNTY, NEW YORK Buildinglnspec•tor) 1 RRlicatianfor . .. . • Application No. Permit Issu(ed 19•.: `• BUILDING AND ZONING PERMIT ' P, rinit Expnes . /(.ill;lIL. 1)istrt(t -'—�" 'THREE (3) Copies of a PLOT PLAN, Drawn to scale • ' showing the actual dimensions of the lot to be built n R in.u'l(s` upctn, 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 �L]EEI+ISDURY .:: �"'�.y Aug. 17, 19 8 4 R E C . E 0 �1 E (5� _"� �^ �© DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING. WORK 5F t'. 1 19 i4 ANSWER ALL OF THE FOLLOWING. •. . . i�.�1: ` � . • The undersigned hereby applies for a permit to do the following work I 191101,412111213141516" s , , E m a o which will be done in accordance with.the description, plans and.spocifi- - • 7 - cations, and such special conditions as may.be indicated on the permit. The owner of this•property is: ' . ' .Daxk.: Jay. .Ass o.con' c/o . John • Behrens •15.1 •Mic)44 E ve•: :Bark ' Ridge','.•N..•3:- la— Mon person responsible for :supervision of the work insofar as the Building;Code and the Zoning Ordinance apply is: • John: A. Mason. •P'.Q, : Box .86 Cl.everdale.,. :.N.Y... . .;: .1282.0 (N E)AM IP 0-ADDRESS) . . s Name of Builder John A. Mason •• " Address .P...0... .Box. .86. . .C.leverdal•e,N..Y..• • . Name of Plumber Address • Name of Mason Address • Lot Number Unit Estimated value of proposed work$ Name of Village j Name of Street 6 fff /`"0' C4T '9/. Side of street: north 0,east ®; south O. west Nearest Cross Street Distance from this cross street Ft. Property is north 0,south 0,east i 1, west , 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast D.. southwest (Designate by marking with an "X" in the correct space.) NATURE OF•PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Building ❑ Addition to a building; One-family dwelling El El Alteration to a building. • Two-family •dwelling 0 El Demolition of a building. • • • • • . •-family apartment heuee ❑ Store building : • •• ❑ • -car attached garage . : 0 ' Other: . . . . - - '•Accessory Building . One car detached garage ❑ Other work. Describe:. Removal • of• •a Two=car detached garage • • ❑ 4 '.x40 ' stake dock. Convert existing Private chicken house _ ❑ • 6 ' x30 ' , crib dock to u-shaped crib dock' Private storage building ❑ • of' ipprox; ' 332 s . f. 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line_ and existing building(:) in solid line.r - • - • Size of property- ft. x ft. Size and use oLexisting buildings, if any • 1- • y SEE. .ENCL.OSED - W Size of proposed building' , ft.x ' ft. Height(from grade to ridge) : ft. ' Front yard ft. •Side yards ft.and. ft. . • 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) t ' 7-73—M (cont'd,) BUILDING SPECIFICATIONS.,' • • Kind of construction: Wood frame, fire safe,etc. Will any second-hand lumber•be used?. If so,for what? Material of foundation walls 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 ", spaci "o.c., span ft. ' Size, ceiling beams • " "' sp. "o.c., span ft.. Site, roof rafters or beams ' ss a i "o.c., span ft. Exterior finish 0 V th what material? Finish of interior walls. .. . . . . If garage is to be attache , of wh t terial is all we garage and main budding to be constructed? • Is there to be an openin tween ga and ilding? 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, bis,rof my knowledge and belief the statements contained in this application,together with the lans and specifications sub- mitted, are a true and co.,,i.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 pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. � �� Sworn to before me this Signature `' r' 1< OWNER.OWNEAGENT,ARCHITECT,CONTRACTOR-- day of A4F!I 1ii 19. 'J - NOTARY PUBLIC, WARREN COUNTY, N. Y. . " • 0 0 SPECIAL.CONDITIONS OF THE PERMIT: • • . E • • o • By - TOWN OF QUEENSBURY 14-12-2(6/81) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION n E ( E 11 E (� NOTIFICATION OF AVAILABILITY FOR REVIE 'till` SEP 2 61984 INITIATING UNIT: 'C,t).1n}z-fc6 I1u-,i14 Contact: MI Ve.\1\/ni P,M. 121 OTHER# U DATE ISSUED `- Ii!?1$`911A141 112 3141I j OTHER# DATE DUE 101 L, I°' F Li7 OTHER# DEC# -`3'y'_C450 PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: ArhCin_ 15 fCi— APPLICANT: -1,..,hn Mo-sor\ c; r is c `R-t71-y n<> Dctrk Bac) �S c ictfion •P.(• ;r �; G:1 v : i.e; Nit 3 PROJECT NAME/DESCRIPTION: G_G C an 1-',shr, De_ n -': Y'1 1� C CI{ PROJECT LOCATION: — City/Village 1--)0.r1- Town: ht,tr(j County: \t\iroc r'e›-n USGS Quad: (Attach a location map) REMARKS: S.k po..,-V) Ica r F(milt S A"Ca.1-re'_r F. h. Cj c:r�;� �7i r �i St�l l C F I'e'c;�c�.e�- 1 lrF, l .bndj J LLB T C10 t l ;� � �LLc ;ins - ` _�1.ti�fi )�ta,�il�ni:c1 J 0 Cy� I )S A-r ruc((r; DISTRIBUTION: ---- ----- no comments ❑ comments attached ❑ RESPONDING UNIT: BY: (name/unit/date) 4J14-19.5R5(9(at) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION WARRENSBURG, NEW YORK 128i35 gg P't q; r Pr( ,-.I FOR R F/F ! Registration Number • YOUL fLSL /�dJ v�i 54�za �ltatru. • • Construction or Installation of Wharfs in Lake George Recreation Zone Read in..truetions on back beforocompleting this a;:piicaMiori.Pleaso typo or print cloarly in Ink.Use ne arole csdtien Ss and exhibits to proi2irb❑;i rec aired data and explanations for which space on tho fern Ia itsada,data. • f❑Article 9,Title 1 (Lake George Recreation Zone Regulations)(Construction of wharf pursuant to 6 NYCRR Part 646) i 51Article 15,Title.5(Protection of Waters)-see note below(Construction of wharf pursuant to 5 NYCRR Part GOB) • 1. NAME OF APPLICANT: • John A. Mason 2. APPLICANT IS'VAN 0 Individual ❑ Partnership ❑ Association ❑ Corporation ❑ Municipality ❑ Governmental Agency 3. NAME OF APPLICANT SIGNING APPLICATION: PHONE . John A. Mason - ( 518 ) 656-9956 - Street or P.O. Box: P.O. Box 86 • Post Office State Zip Code Cleverdale, N.Y . 12820 4. NAME AND ADDRESS OF OWNER(if not applicant): PHONE Dark Bay Association ( 518 ) 668-2930 Street or P.U. Box: c/o John Behrens 151 Midland Avenue Post Office State: Zip Code Park Rid ae N. J . 07656 . • 5. PROJECT LOCATION: City or Village NOTE: Rte . 9.L Dark Bay Town Article 15 box must be checked and appropriate applica- Queensbury _ tion fee must be included if: County • a) Wharf involves the excavation of material or the LA7a-en placement of fill such as stone, sand, gravel, 6. PROPOSED USE: concrete or similar material below the mean m Private ❑ Public ❑Comercial I 32 high water level (elevation �L0.2 feet above 7. PROPOSED STARTING DATE 8. APPROXIMATE COMPLETION DATE mean sea level) or, 8/17/84 1 8/17/8 5 b) Wharf is built on floats, columns, open- 9. FEE ENCLOSED • timber, piles or similar open-work supports • - and is larger than 200 square feet and is not _ 00 removed in the fall (by September 21) . (Required only for Article 15,Title 5 applications) fl ii II :• 10. NAME AND ADDRESS OF OFFICAL NEWSPAPER OFLOCALITY WHERE PROPOSED WORKS ARE LOCATED: �' i) 1i \.',} P"'=' r~ �-J • The Post Star • t i_ ).��;i Lawrence & Cooper Sts . �, -r1F; ` try • • Glens Falls , N.Y_ 12801 x-: `,' icy i • 11. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED - -�-tt ❑ Yes t:J.No If"yes",explain in•addenda,giving reasons and dates,and show existing work on drawings or rnap- 12. CERTIFICATION: I hereby affirm that the information.provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. - As a condition to the issuance of e permit, the applicant accepts full legal responsibility for all damage, direct or indirect, of whatever nature, aecl by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. ' 81 17J 84 Date • Signature •r✓ is—` . . . . . .. • . . .. . . . . . . . • . . . . . . • . . . . 4 fi4-1:-A1:0:-..'r : -(714 71/49 ........_ ,.......-___------ .• . . • . 1 _I N S pRo F1 LTT..._..... vi..—Ew I__ ___I______,OCATIOKETCH .. . . . • •V()a'1,\I FPcpril &PST: - .• • • ofw,k1r-itz-Y . • -pp tlfal tkiA i, (2_. . ----.--'1 '. . q.cr..5' - , - K'I;' (--• • , . . • 2' ''t. 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