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87-033
BUILDING PERMIT TOWN OF QUEENSBURY No. 87-33 WARREN COUNTY, NEW YORK CD PERMISSION is herebMichael and Susan Kajdasz granted to N OWNER of property located at Seelye Road, Rockhurst Street,Road or Ave. a in the Town of Queensbury,To Construct or place a Dock/Boathouse G 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. • w 1. OWNER'S Address is Seelye Road Cleverdale, NY m N 2. CONTRACTOR or BUILDER'S Name John A. Mason 3. CONTRACTOR or BUILDER'S Address P. 0. Box 86 Cleverdale, NY CD 4. ARCHITECT'S Name 0 a 5. ARCHITECT'S Address n P 0 n CD rt 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications crib dock and 2 slip boathouse per specifications, plot and No. application submitted. remove 5'x40' stake dock. 8. Proposed Use Dock and Boathouse o ro rt 0 0 CD $ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Sept. 1 19 87 (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 18th Day of February 19 87 SIGNED BY Q for the Town of Queensbury Building and Zoning Inspector • _l TO BE COMPLETED BY BLDG. DEPT. c� // Application No. Down of Queeniburty Permit Issued 19 . 1 ;:;I7 BUILDING and ZONING DEPARTMENT -T1� �� D � �� _ P;,', Permit Expires 19 �, e Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation / y //t I [ji (i2 L.,1 „ ig • Oueensbury, New York 12801 Variance No. _ ,Y/4 Site Plan Review FEB 13 No._ j,� 1987 • /(J - / 3o,/ Approved by ad = F- � ct'/C`/ APPLICATION FOR. . B. ILDING & CODE DEPT. • • BUILDING AND ZONINGPERMIT * * * * * * * -* * .,* * * * * * * * * .4• * * *.* * * * .t• -*. * * * * **** * :..*— A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. 1 The undersigned hereby applies for a Building Permit to do the following work which will he done in accordance with the description, plans and specifications submitted, and such special conditions 'as -may be indicated on the Permit. . The owner of this property is: Michael A. and Susan P. Kajdasz - P.O. Address Seelye Road - Rockhurst • Te1.656-3621 _ Property Location: Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES. IS : JohnA. Mason P.O. Box 86 Cleverdale 656-9956 Name P.O. Address Tel. No. Name of builder --- Address Tel . Name of plumber - Address — - Tel . Name of mason - Address Tel . NATURE OF PROPOSED WORK: * ZONING INFORMATION: _Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, _Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all X OtYier work-- (desbribe) construction * set-back dimensions from property lines. Give of a dock and boathouse * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * • • * COMPLETE INFORMATION REQUIRED BE OW. * Size of property -t 'ft:- * Existing buil ng s Size ft X ft. PROPOSED BUILDING AND USE: * Existing Ltd]. q (s) U e — sk.S_ • Size of new structure ft X 2t * _ _-- ` Foundation-pier/slab/crawl/par i 1. /full Proposed ]niildiciy, d' stz nc.c. from property line * (circle one) * Front yard ft Rear yard ff.No. of stories (habitable sc * Side yards t and �� I.P. Height (grade t ri ge) ft. * If on corner, • tack from side street f'l If residential n of f mi es — - . No. of rooms exc udings) * OCCUPAN INFORMATION No, of bedri"m : ckkj * PRIMARY BUILDING - I. No. of t ..h : ms ex * One family dwelling Primarya ng •sy Two family dwelling Type -off. , • * No, of fireplaces to be installed Multiple dwelling / Number of units Permanent occupancy Will a wood stove be installed? * I y Central Air conditioning? * _ Transient occupancy * Business BUILDING STYLE; PRIMARY STRUCTURE * . Industrial _ *- Other _ ____ _ Ranch Contemporary Log cabin * If addition; what will use be? Raised ranch Mansion Duplex - — -- Split level Old style , Bungalow * --•----- Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car __ • ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $ : 1©�DOO rOO -- --- — --- -------- - . INFORMATION ON BUILDING SPECIFICATIONS, ON hIEVERSE ELDI: OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl • . BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of-!constrdction,• wood •frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If , for what? • Foundation wall material Th.- n •s Depth of foundation below grade (to bottom of footi g) • Will there be a cellar? . Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be eU as living space? (If so, what portion? sq. ft. - - Typ: of Type of roof - sloped/flat/shed/other Ma e ial of roof Size, wood studs. "X " pacing "o. . length ft. Joists(floor beams) 1st. flo i' "X' " acing "o.c. span ft. Joists (floor beams) 2nd. f 1'..A._ "X " spacing "o.c. span ft. • Overlays(ceiling beams) " s i "o.c. span ft. Roof rafters "X !`,' acing o. . span ft. Roof trusses (pre-engineere ) spec. c "o.c. span _ft. • . Exterior wall finish Of what material? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? _ • Will a flue-lined chimney be installed?' Height above roof ft:. _ Depth of chimney foundation below grade ft. ^� Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(incl.uding adjoining properties ft. (A separate application is necessary for any repair or new installation of septic :. ystem) Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK I swear that 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 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 �_ _ _-��S �1� <� 'woe., owner 's agent,arcnlcect, contractor 10thuay of Feb. 19 87 Notary Public, Warren County, N. Y. * * * * * * * * * * * * * * * * * * * * * * * k * * * * k * A * * * * * * * * * * * * A * * SPECIAL CONDITIONS OF THE PERMIT: • • • • By _ PROFILE VIEW . LOCATION .SKETCH I Proposed• 8"x36 ' section Lake George 25' 6"x32 ' boathouse . leverdale . c1 `'r J`_ • e ckhurst ordinary hig17 "� , water 319 . 93 , I I ordinary low IS i i I I ater 317 . 74 0 16 ' : 8' ; 61 8' 8 ' , - 1 . Kajdasz * t1/43a . d= crib location 0 4 2 it i 1-, 9 1 0. 20 ii 2 0 p 0 , 1=-�c ? 1?0 0 2 0 0 0 scale in feet.. liTaken from:b. .Xowerfbquadron 1971 3 0 t P 1�5 '310 - 1 PLAN VII�1 1 . scale in feet ' LAKE GEORGE N 0 • _ "x (.,-* - -7 ° ,.., b existing 5 ' x40 ' crib locations I. © 8 2 ,r•;Zstake dock (to .b �3 =. soundings in feet 8 it ir removed) I 411 Wii© 4., "3 = 5 'x40 ' stake dock ' -...� (to be removed) . 4 - _ ordinary high i ' 1S` \ # water 319. 93 ' . ; ,/\\ O' ^ �_- ordinary low // •♦,� O • 1 . water 317. 74 / PURPOSE: / �\ docking facility DATUM > ADJACENT PROPERTY MINERS: - ' IN Lake George�- Mr. and Mrs . McCollister AT. Rockhurst -. 1 0 Mr. Robert Middleton COUNTY oFWarren STATE NY I APPLICATION BY John 'A. Mason' SHEET 1 OF 1 DATE-1212 O/8 6 B"3 -"`V-14-123-2 (7/82) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF AVAILABILITY FOR REVIEW Ott gi � . lf ,, / ) ,�l ` ,' 11.0 INITIATING UNIT: Contact: C�h,i_e (�YLt�✓ OTHER# DATE ISSUED A 4 7 '� - OTHER# DATE DUE (.3 d OTHER# f DEC# `c2.43 , et ei 6� • PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: % k ce 4 1ki. kilcidet ? RECEAPPLICANT: % I"-'®� PROJECT NAME/DESCRIPTION: C--167Y1.A4-id- • PROJECT LOCATION. &ILO /Z-� City/Village Town: ✓ee,/,Seskr,-'/ County: WW...ZGO USGS Quad: (Attach a location map) REMARKS: - DISTRIBUTION: FTs k1e6 u.) 2 ✓ _ 4-#414-141- (:)eft), OR—C our no comments ❑ comments attached ❑ RESPONDING UNIT: BY: (name/unit/date) _,i,. is. — ., '4' E EGIEIIV r . • , . . . . - . .. . . 14-19-5R5 F EB 1 3 1�is j/ �W YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION.. F Err. A —N 71r. D; -: T WARRENSBURG, NEW YORK 12885 I LC C ' •,z • APPLICATION FOR PERMIT Registration Number WARRENBBURG, N. Y. . . 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 r�data and explanations for which space on the form is Inadequate. Article 9,Title 1 (Lake George Recreation Zone Regulations)(Construction of wharf pursuant to 6 NYCRR Part 646) . ®Article 15,Title 5(Protection of Waters)-see note below(Construction of wharf pursuant to 6 NYCRR Part 608) 1. NAME OF APPLICANT: John A. Mason ' 2. APPLICANT IS A/AN ® Individual ❑ Partnership ❑ Association ❑ Corporation • ❑ Municipality 0 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 NY 12.820 4. NAME AND ADDRESS OF OWNER(Knot applicant): PHONE Michael A. and Susan P.Kajdasz 518-656-3641 Street or P.O.Box: • . Seeley Road. - Rockhurst • • - Post Office t State: Zip Code Cleverdale . . NY 12820 -5. PROJECT LOCATION: . City or Village' NOTE: Cleverdale 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 Warren placement of fill such as stone, sand, gravel, 6. PROPOSED USE: py� concrete or similar material below the mean K Private ' 0 Public 1 ,1Commercial • high water level (elevation 320.2 feet above 7. PROPOSED STARTING DATE 8. APPROXIMATE COMPLETION DATE mean sea level) or, 1/30/87 . 1/30/88 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 - $ 10. 00 ' removed in the fall (by September 21) (kquired only for Article 15,Title 5 applications)^ - - - - _ ______ --- - - 10. NAME AND ADDRESS OF OFFICAL NEWSPAPER OF LOCALITY WHERE PROPOSED WORKS ARE LOCATED: - The Post Star • Lawrence & Cooper Streets Glens Falls , New Yrok 12801 • • . 11. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED ❑ Yes ® No 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. x/t %7 - a `� . Date Signature . • Permit Authorization John Mason is authorized to act as my agent in obtaining permits from the Army. Corps of Engineers and the New York State Department of Environmental Conservation. SICNED: ��• /11/ , " Lt w , n 'JZ . ! Ld • - 64- • La a. : i Cleverdale Road 'd cr. a) U o - a 4 O cn 21 O H E1 a a) a) ,` Q L<j pq 7 . a Z N 4 • � �.. � 1-M . a a W 4 r, . . . __ ,. -. , • . . E. 0 E li w E rril . . r ' `T. Al - ` . tVLC C . WARRENSBURG, N. Y. I.'. PROFILE VIEW I LOCATION SKETCH I Proposed 8"x36' section - Lake George 25' 6"x32 ' boathouse �everdale ►--�►--� \f‘' -'.--. ' Rockhurst I� �� ordinary higti . water 319 . 93 - V 1 ordinary low v 1 , ater 317 . 74 C. 16I I '8 ' -o--6 ', 8I at, . —_ _� _ _______ Kajdasz * fzi= crib location 0 \ . - It) 20 20ss I • III 000 scale in feet . - in e Taken from:I,.c G. sower Squadron 1971 310 I____, Q. l t5 3,0 PION VIEW . I .. scale in feet . LAKE' GEORGE N 7..- - —74N 0 ' existing 5 ' x40 ' © = crib locations 2 p.,Zstake dock ( to bg • 6removed) O = soundings in feet /49 ,, _ "_ = 5 'x40' stake dock ...a V (to be .removed) 4 , - C� - _ ktv4 ' 0•+ r * mrO ordinary high i , . 1 S� . # water 319 .193, •c' ,� \ W / O` 1 _ � ' `.ordinary low // �,� 2O • / water 317 . 74 / . PURPosE:. docking facility /� �. DATUM , ADJACENT PROPERTY OWNERS: IN Lake George ; • © Mr. and Mrs . McCollister ATRockhurst COUNTY oFWarren STATE NY C Mr . Robert Middleton APPLICATION BY John A. Mason • SHEET 1 ' OF 1 DATE 12/2 018 6 r B•3 ` /6-/, L5®. / - ,%3,3 01110. F,1 . TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 •Building & Codes Department • INSPECTOR'S RE ORT • 193, • e_ • PXOPERTY LOCATION . OWNER OR TENANT ' / BUILDING SEWAGE SIGN— OTHER REMARKS: I , (/ (,in (...,&0/0_p_ei. ---...,eye,) 1 1 / t AJ oe I a i I ,y • — N. • • CONTACT THIS OFFICE WITHIN / t I \ . PE aRj • • • . "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE'\ SETTLED 1763 .