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1986-830 BUILDING PERMIT TOWN OF QUEENSBURY No 86-830 WARREN COUNTY, NEW YORK )1 Lena Hall PERMISSION is herety grarSted to rip OWNER of property located at Rockhurst Road and on Lake George Street, Road or Ave. in the Town of Queensbury,To Construct or place a Dock Repair I~— 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. 1. OWNER'S Address is Star Route Glens Falls, NY 2. CONTRACTOR or BUILDER'S Name Ridgeside Contracting C) 3. CONTRACTOR or BUILDER'S Address P. 0. BOX 137 Kattskill Bay NY 12844 rt 0 w 4. ARCHITECT'S Name a' 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) C) 7. PLANS and Specifications m No. repair to dock per plot and application submitted. 8. Proposed Use Dock $ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 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 �j� , 4th Day of December 1g 86 SIGNED BY //'!G a4) for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. 1 O F QUE NSBU:_' C-�/7 Application No. j �'��f(49 ' ✓ wn Ol Queen.itury Permit Issued 19 " LE Ec! -'� BUILDING and ZONING DEPARTMENT Permit Expires 19 f iP) Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation v _ Queensbury, New York 12801 Variance No. tk.4, 41 Site Plan Review No. V!,, <� f 4; " ram Approved b c }} APPLICATION FOR f, BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. 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: 1—e704 4- (-^\%j P.O. Address '"CPrPL 12u 1Zf / c /622/S l 1 15 /(�' fAted4 Tel. Property Location: �r�e/a�t+e3 r kb ( / J 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: Name P.O. Address ' Tel. No. Name of builder &z rn-r rw7)Z. i L4, Address-' /G4-i5-4(i/ �i� A22,4 Tel. �i- PTO / 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 Other work (describe) )4:70 . 2 ?Jf[.c_. * set-back dimensions from property lines. Give * 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 BELOW. • * Size of property ft X ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ft X ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * No. of stories (habitable space) * Front yard " ft Rear yard ft Height (grade to ridge) ft. * Side yards ft and ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * No. of bathrooms * PRIMARY BUILDING - Primary heating system . . One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE . . Industrial Ranch Contemporary Log cabin * Other " Raised ranch Mansion - Duplex If addition, what will use be? 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 r iZI - CONSTRUCTION $ * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED — BUILDING SPECIFICATIONS: ��' L}PPL[GR(3LE Type of construction, wood frame, fire safe,etc. tAits0 Will any second-hand or ungraded lumber be used? If so, for what? /U © 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 ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material, of roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "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(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren 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 donelon the described 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 specified or not, and that such work is authorized by the owner. ` /, Signature c�-. �f ' Owner, owner's agent,arcriitect,contractor day of 19 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By • yTyYT};,3 i • New York State Department of Environmental Conservation Regulatory Affairs Box 220 • Warrensburg, New York 12885 Telephone: (518)623-3671 or 668-5441 Henry G.Williams Commissioner October 23, 1986 John De Marco Warner Bay Dockage, Inc. P.O. Box 215 Lake George, New York 12845 Re: Existing wharfs at Warner Bay Dockage, Inc. Dear Mr. De Marco: This will acknowledge receipt of your letter of October 7, 1986 and the attached survey of docks at Warner Bay. The survey closely conforms with plans on file with the Department of Environmental Conservation wharfs registration for:the subject facility. No permit fran the Department of Environmental Conservation is required to repair registered wharfs provided that the repairs do not change the size,. shapeor location of the wharfs or require excavationor fill in Lake George. . Your cooperation is appreciated. If you have any questions,, please feel free to. contact me. Cordially,47///ss.,%••W/ 7/r/le.17--C---- Nh.chael P. White Sr. Environmental Analyst MPW/n I -. 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