1987-168 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-168
jq � WARREN COUNTY, NEW YOR K ]]
PERMISSION is hereby granted to Mrs Charles Klein
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OWNER of property located at _ Assembly Point /Lake George Street, Road or Ave.
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in the Town of Queensbury, To IShcl>E:li441 t or place a Demolition boathouse ro
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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.
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1 . OWNER'S Address is 48 Green Meadows Lane
Loudonville , NY 12211
2. CONTRACTOR or BUt LDE R S Name
John A . Mason
3. CONTRACTOR or SUILpER'S Address 5"
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P . O . Sox 86 (n
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Cleverdale , NY 12820 v
4. ARCHITECT'S Name b
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5. ARCHITECT'S Address Pro
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6. TYPE of Construction — (Please indicate by XI �
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( ) Wood Frame i ) Masonry [ ) Steel i }
7. PLANS and Specifications
No. demolition 20 ' x42 ' boathouse damaged by lee .
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8. Proposed Use 01 iD W
Demolition boathouse m r
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$ 10 ` 00 PERMIT FEE PAID - THIS PERMIT EXPIRES Nov . 1 19 $ 7 '*
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(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Ousensbury before the expiration date.)
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16th April 19 87
Dated at the Town of Queensbury this Day of
SIGNED BY [ tC ftC+ , for the Town of Queensbury
Building and Zoning Inspector
To BE COMPLETED BY BLDG . DEPT .
/ Application No .
5faiv � b/ Q"ei 'I;� 3+buryl Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19.
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Bayand HasrlNand Road. A.D. y Sox 98 zoning Designation
Queensbury, New York 12801 variance No.
Site Plan Review No . APR 151987
Cf � ' ] - ;t, � Approved by
UILDING & CODE DEFT.
PPLICAT' ON FOR /' �'r `
SUIiDING_ AND Z. N-ING PERMIT "*40
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOL"OWING .
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 .
The owner -of this property is : Mrs . Charles Klein
P. O. Address 48 Green Meadows Laney Loudonviliel NY 12211 Tel 482 - 8963
Property Location: Assembly Point , Lake George Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION 6F WORK AS REGARDS BUILDING CODES IS :
John Mason F . O . Box 86 Cleverdale NY 656- 9956
Name P. O. Address Tel . No .
Name of builder John A . Mason AddressP O BOX 86 Cleverdale Tel . 656 -- 9956
Neese of plumber mmmmmm,Address Tel .
Name of mason Address Tel . T
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NATURE OF PROPOSED WORK : ZONING INFORMATION :
^'; Construction of a new building A PLOT PLAN MUST SE PREPARED AND ,SUBMITTED ,
7"TAdditior� to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
(ad change to exterior dimensions) * whether existing or proposed and indicate all
'��O"er'' work (deacribe) ?wnnnna'truct ion " set- back dimensions from property lines . Give
i 4tbotlaa Clue tD..jX,6
street and number or lot number and indicate
ama qqe is winter whether interior or corner lot . Show location
FOR DEMOLITION PERMIT, . STATE SIZE AND * of water supply and location and configuration
LOCATION of " STRxiC'TURES AFFECTED 9 * of septic disposal area .
��_ +� ' fir_42 ' hQathoLse
* COMPLETE: INFORMATION REQUIRED BELOW ,
Size of property ft X ft •
*
Existing buildings ) Size ft X ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new structure 20 ft x 4 2 f t
Foundation-pier/slab/crawl/partial/full *- Proposed building , distance from property line
(circle one) "
* Front yard f t Rear yard ft
Noe of stories (habitable space) ,� Side yards ft and ft
Height (grade to ridge) ft . If on corner , setback from side street ft
2f -ressi'3enCiaY; txcra of - families
Noe of rooms (excluding baths) * ocCUPANCY INFORMATION
Noe of bedrooms * PRIMARY BUILDING
Now of bathrooms One family dwelling
Primary heating system
* Two family dwelling
Type of fuel Multiple dwelling / Number of units _ _
No* of fireplaces to be installed * Permanent occupancy
will a wood stove be installed'? Transient occupancy
Central Air conditioning? "
* 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 Cool Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) " Attached garage/cone car/ two car/ car
Private storage 1�uilding
ESTIMATED MARKET VALUE OF * X Other boathouse
CONSTRUCTION
S same as old
IN.PORMATION ON BUILDING: SPECIFICATIONS , ON REVERSE SIDES' OF THIS SHEET, TO BE COMPLETED !
Form SPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED ,-
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc ,
will any second-hand or ungraded lumber be used? If So , for whet ?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? Heated or unheated? Floor sq . footage sq ftWill there be a basement? Will any portion be used c.s living space ?
( If so , what portion? sq , ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size , wood studs D"}i to spacing "o . c . length t t .
Joists ( floor beams ) lst . floor ""X "" spacing "Dole . span ft .
Joists ( floor beams) 2nd . floor '"X " spacerxg "'o . c . spare ft .
dverlayrs (ceiling beams ) 'DX spacing "a . c . span ft .
Roof rafters "DX "" spacing c . c . span f t .
Roof trusses (pre-engineered) spacing DDa . 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 sea will a Piro-rated
door , enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed2l' Height alxxve roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth fte in .
water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( iircl.uding adjoining properties _ft .
(A separate application is necessary for any repair or new installation of septic system )
Town of Queensbury Y 1 �tr^
County of Warren A , F F 1 D A I 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 descri-bed premises and that all,
provisions of the BUILDING CODE , THE ZONING . ORDINANCE , and . all other. laws pertaining to
the proposed work shall be complied with, whether specifloid or not , and that such work is
authorized by the owner_
SWORN INO BEFORE ME THIS Signature _- _ ....
O er , owner ' s agent , arcnx.zect , contractor
14th day of Apri-1 19 87
Notary public , Warren. County, N . Y .
w s s a : * * t ■ * r * * rr * ,t : : * x IN a * * * * * r * * * * * r yr * * * ON
SPECIAL CONDITIONS OF THE PERMIT :
PROFILE VIEW LOCATION SKETCH
peaker Heck is .
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0 0qe#
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Dunham ` s Say
20 n 10 - 20 2000 0 1000 2000
scale in feet Taken from .* .6.Piweregtuadron 1971
30 + 7_ K 10 PLAN VIEW
scale in feet
PURPOSE :
DATUM
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ADJACENT PROPERTY OIINERS : IN Lake George
AT Assembly Po-int
2
COUNTY OFWarren STATE NY
APPLICATION BY.7ohn A . Mason
SHEET 1 OF I CATS 4 / 14 / 137
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