85-014 BUILDING . PERMIT
. 'TOWN OF QUEENSBURY -
No.. - 85-14-
• WARREN COUNTY, NEW YORK
. �,
1-1
PERMISSION is hereby granted to Margaret R. Bleibtrey `R
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OWNER of property located at Route 9L — Lake George Street, Road or Ave. - ri- -
in the Town of Queensbury,To Construct or place a Stake Dock
'at the above location in accordance to application together with plot plans and other information hereto filed and td
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (D
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is
1. OWNER'S Address is RD #2 Box 7 2A V . -
M:Ld3te Road V m
Lake. George, New York - -
. .2. CONTRACTOR or BUILDER'S Name '
- same -
3. CONTRACTOR or BUILDER'S Address -
same .
. - o
4. ARCHITECT'S Name - rt-
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r
5. ARCHITECT'S Address Iv
CD
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. CD
6. TYPE of Construction—(Please indicate by X)
Fi
14
( 1 Wood Frame ( ) Masonry ( 1 Steel ( 1 V . o
7. PLANS and Specifications V .
4 'x50' stake dock per plot plan and application submitted.
No. -
8. Proposed Use
Dock rn
rt-
.
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$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 85 • o
- o
(If a longer.period is required an application for an extension must be made to the Building and Zoning inspector of the X
• town of Queensbury before the expiration date.)-
. -
• . Dated at the Town of Queensbury this 29th Day of January . • 1985•
SIGNED BY - '' l a, ffa ( for the Town of Queensbury -
Building and Zoning Inspector • . .
TOWN OF QUEENSBURY
(Space inside block to lx. filled in by
WARREN COUNTY, NEW YORK • ' • Building Inspector)
Application for application No. •
•
Permit Issued 19. .
BUILDING AND ZONING PERMIT pvi'mit Expires. 19.
%Oning District
0I1R: nt Work It
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\ppil,, (•<1 1w " .
showing the actual dimensions of the lot to be built kemarkf
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
.1 ° — / — lig g1715- nE. ] V E, B ,
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK jail a 8 ) )85
ANSWER ALL OF THE FOLLOWING. A.M. / a, -
The undersigned_hereby applies for a permit•to do .the following work 71 M1,811�.� ii� g ��-� g�
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: h-i i��(' Rc.
o -4
g le/67-lee)/ -61up(Z.A'-
(NA`dc ' 7. !/ . ' . . . . . . . . .
-) (P.O.IPO A DRESS)
The rson responsible for . supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
oxfiRies
(NAME) - (P.O ADDRESS)
Name of Builder CARS/e S 8/e/e)77e5y - Address /}?lb.) 1 e GQ.A L k e0 '''e
Name of Plumber Address
Name of Mason . . . Address
Lot Number Unit Estimated value of proposed work$
Name of Village I\-Sf(' IL . .e f�I .,
Name of Street . f T G/Z, Side of street: north 0, east 0, south 0. west El--
Nearest Cross Street r/1--41 T /0 de, k-- Distance from this cross street . . . ic7C. Ft.
Property is north ❑,south 0,east ,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
El Addition to a building. . . One-family dwelling ❑
El Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building: -family apartment house D.
Store building El -
. -car attached garage ❑
. Other:'
- . Accessory Building •
_ .- b 0 c. l< . , . One-car detached garage El
(!d Other work. DescribeTwo car. detached garage ❑
/q[Le • - Private,chicken house •
• _ Private storage building ❑
• 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 buildings) in`dotted line and existing
huilding(s) in solid line. . ' '
-Size of property ft. x ft. •
•
I- •
I-
Size and use of existing buildings, if any
w < 4/5G
Size of proposed-hail-ding . . . .7. . . . . ft.x Sd 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: Al! distances are net, as measured from street side
' - line to nearest part of building. •
(OVER) - - -
7-73-M
-- - 2
(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 L
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 ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish With what material?
Finishof interior walls
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 between garage and building?
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 tre bar of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and coa.•lete 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,w er specified or not,
and that such work is authorized by the owner. 0
Sworn to before me this Signature .. .
0 ER.OW ER'S AGENT,ARCHITECT ON CTOR
day of 19 •
NOTARY PUBLIC. WARREN COUNTY.'N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
. By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ?iaj7e
LOCATION leL FL
DATE /j PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR .
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/Pea,/0-e (2-/ 917 /
ARRIVE iinQ •
DEPART //yr
INS ECTOR
14-12-2 (7/82) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF AVAILABILITY FOR REVIEW
INITIATING UNIT: P�4 L 1 + 4- Ps tP—� Contact: �`' r� .
OTHER# DATE ISSUED 1'-°--
OTHER# DATE DUE Ic:9__-
OTHER# A DEC# D (L
PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: -OR_( c-- -e- �(.._�
APPLICANT: MA-94EG+ g _ ) 1-e-i•L+re_y
•
PROJECT NAME/DESCRIPTION: Oc9'K-3-4is-0,(- 7 Y 6 --ITTW-� 10)1' -t°•
PROJECT LOCATION: 1Ami,e
c6,3,61 i
City/Village Town: L.9_QP/U40 � ,
County: A-ie ew , USGS Quad:
(Attach a location map)
w } S /J e
REMARKS.: •_ ,Q�- --x.
$ 1
&9 ?-,j:Le-'. - -- ,,, ''---fra 7 _414
DISTRIBUTION: 7' -A41-20-P4 . _ tid4 I1677--- ((.9 pdc?c), vl2 l0LOA) OF 6000it' Je"`(
j A,
ge 6
(a_ __Scow' )
no comments ❑ comments attached ❑
RESPONDING UNIT: 7
te-7W c_,,-eiffZit---r--?_,;7___,
BY:
(name/unit/date)
, BIE -
G L-1-1 Vo ---.7, I.'-
NOV
14 1y'-SRS(9/81) NEW YORK STATE DEPARTMENTOENVIRONMENTAL CONSERVATIO •
WARRENSBURG, YORK12885 '
'APPLICATION FOR PERMIT :tfiteri(:rUipv!,1:t.:5r4:AG:tilli.°1:NT:ZG51j. NNIT: .
Construction or Installation of Wharfs in Lake George Recreation Zone - . - -
Read instructions on back before completing this application.Please type or print clearly In Ink.Use separate addenda and exhibits to provide all required-
data and explanations for which space on the form is inadequate. - - . _ .
Q�JArticle 9,Title 1 (Lake George Recreation Zone Regulations)(Construction of wharf pursuant to 6 NYCRR Part 646) ' - ;_ ' .
DArticle 15,Title 5(Protection of Waters)-see note below(Construction of wharf pursuant to 6 NYCRR Part 608) -- -
1.. NAME OF APPLICANT: pp � r l
2. APPLICANT IS NAN ,/ . _
Lam'Individual _ ❑ Partnership • 0 Association. ❑ Corporation: 0 Municipality: ❑ Governmental'Agency.
3. NAME OF APPLICANT SIGNING APPLICATION: -'•1' PHONE
�ti\A�G �1�-r 1�: L I ;_ dry �(P� - �1 � .
Street or P.O.Box: _ - - • •� - -
P-9 � : . too u r .'s. - . - .. _ .
-
• Post Office • • :-: State. •- Zip Code " .
4.- NAME AND ADDRESS OF OWNER(if not applicant): ; ' ' - _ - PHONE
Street or P.O..Box:
Post Office tat . - Zip Co
5. PROJECT LOCATION:
".City or Village
Article'.15 box must be checked and appropriate applica-. ;- . .
: tion fee must be included if: • -='' - H. •.
County . vi A;R .Ei� _ _ . _ a) .Wharf`involves the excavation of material or the -
- . "- placement of fill •such as .stone;: gravel, . .
6: `PROPOSED USE • ,; - concrete or similar material below- the mean. -
- Private- ❑,Public ❑Commercial: . high water level.,(elevation 320.2 feet`_ above.
7. PROPOSED STARTING DATE 8. APPROXIMATE COMPLETION DATE _. _ mean sea.level) or,.. - : ° __r;- "
_ •' I 15 - % �j : _ " _7_- I £ - G . ".-: b).Wharf---is rf�is built••;"on floats;. columns, :open-
_ ---- -- - - --- - = _ _ timber-,: Piles=-or-similar ":.open-work supports
9. FEE•ENCI. • • :__..:and is- larger'than.200--sure feet and is not- •
_ ti _ removed-in the'fall'(by September 21) .: : _ _ -
_ _ = _ -Title applications) - -
�f r A icle 15 t 5 -R u ired onl o rt eq - _
10: NAME AND ADDRESS OF OFFICAL NEWSPAPER OF LOCALITY WHERE PROPOSED:WORKS ARE LOCATED: "• _- -- _ - - - -
-.
-
T : -- _ _ _ _- _ - _ -
`�� PLl~• -�. ��v�e,Et
.. 5 J ll '� ' .. - - _ -
1 i. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED -
- ❑ Yes -
If"yes",explain in addenda;giving reasons and dates,and show existing work on drawings or map.: ._ .. ;-
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 a permit, the applicant accepts full legal responsibility for all damage, direct or indirect, of whatever nature, and 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. . -
•
=_t\-3,6 ='64 - -` ( wrut, t. � ctur - :
. Date — - -- -- -Signature -
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FR�i:,IrG SMITH
11 r•labm1 Grant - made for { •
TOWN OF QUea nsbury `.Jarran —`COUNTY,N.Y
1`y • DATE. Nov.16. 1qY$
• •
SCALE: I" 30'
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G1a
1:7, LAND SURVEYORS,GLENS FALL9�N.Y, �
�° ! 1 P S • IRON PIPE SEET •
• • No1a Thh mop�• a'blw up of a P LP F,• IRON PIPE FOUND �. •
• '•' •t Mr h•4%6urv•yd 4.napp,4 for mab.il
Grant .n VW/ ...or Is taco}•o(4 •f-,•p of
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