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1989-104
CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as show by Permit N $ g — � � � s~ has been completed. This structure may be occupied as a - " Temporary Deck L ovation _. 0 'T 0%mcr By Order Town Board TOWN OF QUEEN58URY Director of k3ldg. & Cade Enforcement BUILDING PERMIT TOWN OF QUEENSBURY � No. 89 - 104 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to LAKE GEORGE PLAZA OWNER of property located at ROUTE 9 Street, Road or Ave. I In the Town of Queensbury, To Construct or place a TEMPORARY DECK 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 DR . & MRS SHIMON SHALIT 701 WESTCHESTER AVENUE White plainst n . y . 10604 c 2. CONTRACTOR or BUI LDE R'S Name 's CrJ RHEIN VOGEL JR . PE WOODEN INDIAN � to 3. CONTRACTOR or BUILDER'S Address P . O . BOX 727 RR# 1 Box 1115 LATHAM , N . Y . 12110 Manchester Center , VT . 4. ARCHITECT'S Name ca 5_ ARCHITECT'S Address (D C1 6. TYPE of Construction — (Please indicate by X) y lam? I ) Wood Frame i I Masonry I I Steel 7. PLANS and Specifications No. 156 sq . ft . temporary deck as per plans in permit # 89 - 103 and application . 8. Proposed Use �-3 TEMPORARY DECK b O 10 , 00 c/c $ � 20 _ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES OCTOBER 1 19 89 C I I f a conger period is required an application for an extension must be made to the Building and Zoning inspector of the t:7 town of Queensbury before the expiration date.) ri �71 Dated at the Town of Queensbury this 22nd Day of March 19 89 SIGNED BY 4l J_[,��',r� 14 i� Q� for the Town of Queensbury Buildi nd Zoning Inspector "I'D (JI= �UEENSBUItY APPI. TCATTON FOR BUTLDIHO AND ZONING PERMIT �']�� F.eC.ieV Cr Xoviw IMF ` ''` Rev.t �r /n c�- Ri sSUPI r ' Fee pat - 989 WILDING AND CODES U1 :PARTl+Vr Date 7e aued 11A y and IIAVXLA141D ROADS RD 1 BOX 9a C/o 0 EP)^ 0UEENSBVRr, NR1i YORK 12804 PeAunx.t No TiLQ . f5la) 792-5832 Ext -204 .• .w ar # • # : s# * � It # # f i x # w w ■ w # a w r w # w w w # w ■ w ■ w a a A PERMIT MUST R4 OBTAINED BEFORE BEGINNING CONSTftLICTION . NO INSPECTIONS - WILL BE AIADE4 UNTIL APPLICANT I-IAS RECLIVED A VALID BUI LDINC PERMIT . All applicable spaces on this application must be completed and the sh -itivaaturA of * the * applic•apt *must xI'p car * on she Texerse sidexof this * s ect * The owner of this property i s : pgZ., ti MrzS_ Si+ IAA04 S14A.L.I / M &A&*T P . O . Address _ ?2& i T c r. . 4'1 I if- 4)4-q - rao 30 Property location FgSaja- AI0r27H ��3iJV1M OF ROnIA 144q TAX MAP N O . 3 4a / ! / T 7. 2 tsas there been any split of this property since October 1 , 1988 ? /. X - yes 1160 If yes , planning Board Review is necessary . suaDIVTSION NAML , IF P6PPLICAnLE LOT NO . The ',person responsible for S��PS� V of work as regards Building Codes is ; V-440 0rj 1 c&e L- . Jtz rr- ?woo Z4 7 t4AorrN-lrwn u`� I2r ► v t S[*�s? ?� 5- c�?� NAJtjC P . O . ADDRESS TEL . NO * tlame of builder WA IN 1NA(AW Address- sus s 11i5 M� +ce sC 2 CxCR. VT Tel (goz) '34r'A - e#G4d6 r4aeaa of Plumber 1.ddress Tel Naive of K"son Address Tel 14ATURE Or PROPOSI.:D WORK : a ZONING INVORHATION ( Office use onlu ) Con::t rue ciota of a srL_w building } ZONING DESIGNATION OF PROPERTY Addition CO ;, buil+.liltg * PERMITTED PRINCIPAL PERMITTED ACCESSORY Al twr:.L S:. iorl to :a l:uilding ` ( Ito C1L:kltqu to .:xc .Trior csi1nensions) . • REVIEW REQUIRED — PLANNINC UOARD ZONING BOARD 0014: r work {dancrib.:l SITE PLAN REVIEW # APPROVED DATE GROSS AREA OF PROPO-SCO, :+ TrcUCTUFiE ; VARIANCE I APPROVED GATE 1st Floor /.� {sq f t `"�h" Remarks r ? nd Floor s q f to COstk� r.l 1'L . Ipll'OJ:raA'PLON kl:QU I1sk:I1 u1:1.ULl . Other Floors sq f t . Slz%.: of projlwcty 2?2.& /3ta& Cc x ��rt . [ not cellar or ba ; om,� ntl Lx.i�tra„J 1uuilLli� �) i :: ) Si ::a: q t-` t x 10o ft . ,r TOTAL FLOOR AREA_ —sq f c • ' s:xi::ti,yg nuilcsinLJ ;:: 1 Us+= of new :itructurw ft vaawidution- pier/slat+/crawl/partial/ full ' vxQj-)aced Luiluing , dit; canau iroru pruiaurty line (Circle orsL ) r Front yard ft near yard f t N.aa of wtarie� (h;sl�it:.b1L; �lyaccy fc sr.aighc (shade to vidgw ) ft . + Side yards ec and If ra sidLxntial, noo of fautilias . Ii on earn%=r , :;urb"ok from side :; cretc r' r klo4 of rooluslaxcluding l?<xthal OCCUPA"CY INFO MATICN slo . of budroa,n:; W04 pR• ZY LUILDINC - - No . of b:achroowz; Ono S' aaLLily duelling s`riuury huaciavj :.:YLMi ut Two fG-Alfaly dwullinc3 tysa.: of f "al Kultipla dwellinq / Number of units Noo of fi.rulxlace:: to ba irr::tallecl i3crrn;►nCnt oc4uparLcy will a wood suovu; law i.r4m: k:114o:d? Air godowww'", 'r 'i'rwn :iurss: o4culiarrcy L`.antr:al Air Cor+LiitiuriirLLJ.' y_Jiu:.inc::s BUILDING STYLC, PRIMARY STRUCTURE „ ' Indus,:rial J: .rkch CG1r1Ca:wy:GriLY y LC.n cabin ' It .addiciW i„ � wx�ll u t�.rt'l _ s:., i::wd ranch m ansio� r Dupl.:x :4pL is lwva:l Old 5tyla UU1LU" 1QW . '" , ..—•�'. Catsu Cod coct"ajJ. Or.lwr # ACci:SSQRY ►3UTLGINC- Col Ott ial Uow 6J.'Gwl7 IJouse kv 13Lscached 4rj"rago/on4 _ cwr/ two c:# rJ czar { cIRCLu aii PLEhAO ~ I '" Accaznua g ariagw/ana car/ two r calf cu ►' w # w # # w s a •a w w a x w �` + Nrivat4 aLOr"aja: b"ilaing L w •s' ieiA7`1: D MAR1: E`•,' VAI. Ilti oi' ' �Ochwr INr•'Orl•sJuTTON ON nUT NC S S ON TX- VERSE SIDE OF Tors !:M-!ET, TO ac COKP .ETC01 Form DPA 10/88 v1 SUILDPNG PERMIT APPLICATION CONTINUED - 1 BUILDING SPECIFICATIONS : ( csgx, J+�'"+�.+u�l"'5 ) Type of cc>nstruction , wood frame , fire sa£e , etc . Will any .; eUond-hand or ungraded lumber be used? If so , for what ? Foundation , wall material c`.iG ►1CreA_eLo Thickness �2 �� Depth of inundation 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 , whar, portion? sq . ft . - - Type of use? Type of roof - sloped/flat/sued/other Material of roof Size , wood studs '"X It 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 raftHr. s "X of Spacing o . c . span ft . Roof trus�; es (pre-engineered) spacing "o . c . span ft . Exterior wall finish of what material ? Interior wall finish If a garacle is to be attached , describe materials to be used for FIRE SEPARATION : Is there t_o 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 c.hLmney foundation below grade ft . Depth of i: ireplace hearth ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separule application is necessary for any repair or new installation of septic system) D E C L A R A T 1 0 N `1'o the lest of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and couaplete 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 the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner. Signature- -- owner, owner's agent , htchitect , contractor W SS IS SPECIAL CONDITIONS OF THE PEPzmlT : ay----------------- --^--___ _----- ...... .. �: * • + YSSUE DATE IMMIDO/Y`/I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER„THIS CERTIFICATE DOES NOT AMENO, W. F4 , Shaw Insurance Agency * Inca EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pe 0. Sax 1067 Manchester Center, VT 05255 COMPANIES AFFORDING COVERAGE COMMA 'Y LETTERThe Standard Fire Insurance CoTpanyCOMPAL+ LETTER NY © INSURED Aetna Casualty & Surety Company Jack , E . Heaton , The Wooden Indian , Inc: , COMPANY C Snowfalls Inc . , dl T. 1I . M„ Inc . it 1-1111 RR Is Sox 1115 rrIMI+ArIY Manchester Center , VT 05255 LEI ILH COMPANY LETTER i T HIS IS TO CERTIFY THAT PQLfCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED TWITHSTANDINO ANY REQUIREMENT TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MATT ISSUED OR MAY PERTAIN, THE INSUFLLNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUDJECT TO ALL THE TERNS, EXCLUSIONS, AND CONDI- NS OF SUCH POLICIES, TYPE OF INSVAANCE PEXICY IFFECIM PUICY EXP6YlNOII PCIUCY NUMBER UAIE PALMVVYT CAR IWMA)OYYI ALL LIMITS IN THOUSANDS NERAL LIABILITY t:OIAMEIiCFAL GENERAI. LIABILITYPIN uk:15 C01010es Ali1i11E GA IE CLAMS W10E ®o«,MnEHa 009ACM 5270798 7/21 /88 7/21/ 89 PIIU.[)NAL i ALhLX115" b1A1HY �1 ►� �— BV4RLR-$ t: COHrRACTORS FRorECthrE sACH fA CUMLLKI. _y JrQ'(] fua I)AMMX IANr salt laxl $, 550 NIUIL:AL EAI•I.N5E IMIY OW P/RSON) $ S AUTOMOBILE LIABILITY - g X ANY LL "NE 009FJ 860903 CCA 7/26/88 7/26/89 $ 500 , + , : + b ,. ALL OWNED AUTOS � 1EIE1 r SCHEDULED AUTOS Iota+rrHxkrr � `3 HNtiO AUTOS aI +Y IXxI.WVNf,DAUIOS GARAGE ��crxur LIABILITY ! PIW"HrY _ — aAuwit $ EXCESS UABSUTY Cal WOO AGS711E4AfE 1 > S 009XS 597560 WCA 7/21 /88 7/2.1 /89 •`��;{ 1Q ,000 , 10 ,D00 , UIIiLR THAN UMBRELLA FDIVM ; sTATUTORr A wQItKERs• COMPENSATION _ AND 09 CB 59616 CPS 7/21 / 88 7/21 /89 Og . U ACH ACCIIILHII EMPLOYERS' LIABILITY $..Y 06 IIILSLASE-POLICY LIWTI OTHER .•. - _ $ 1004 106LASE EACH LUMOYEII ' DESCRIPTION OF OPERATIONSILOCATIONSIVeHICLESIRESTRICT$ONSISPECIALIt EMS __ -- m �3CIS IYISDSEP 1 4 1988 U*1 q [LIABILITY OULD ANY OF THE ABOVE DESCRIBEDPOLICIES BC CANCELLED BEFORE THE EIF- IATION DATE , THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO IL l0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HAIIIED TO THE FT. BUT FAJLURd TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. HOHIZeD REPFIESENTATIVE 3 - I k c4 r�r f 5 1- ,I/', r-.•I +� f y . :.t �t 3r. . -i kR.r cs�ice} � J � ^�1 I