8328 BUILDING PERMIT
TOWN OF QUEENSBURY
• No. 8328 p'
WARREN COUNTY, NEW YORK
PC)
PERMISSION is hereby granted to David Prol
OWNER of property located at __Route 9L and on Lake- George Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Crib Dock
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.
• . o
1. OWNER'S Address is G
33 Harrison Road rt
. Kinnelon, New .Jersey 07405 fD
2. CONTRACTOR or BUILDER'S Name Sv
Joe Roulier
0
3. CONTRACTOR or BUILDER'S Address t
Box 301 p'
Cleverdale, New York 12820 m
4. ARCHITECT'S Name O
(D
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications .
U—shaped crib dock per plot plan and
No. - application submitted. n
Imo•
8. Proposed Use •
Dock d
•
a
- x
$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 19 84
(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 21st Day of February 19 84
SIGNED BY • Liiittel g for the Town of Queensbury
Building and Zoning Inspector -
TOWN OF QUEENSBURY (Space inside block to be filled in by •
WARREN COUNTY, NEW YORK • Building Inspector)
Application for ,Application No.
t'p Permit Issued I4_
BUILDING AND ZONING PERMIT • Permit Expires. 19.
Zoning District
. \,aloe nt Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale A1)1 "`" 1"•
showing the actual dimensions of the lot to be built ► t•m;irk.5"
upon, The exact size, end location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. -
TGWN OF QUEENSBURY
a �. a t i718 DATE RECIEDVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �/.-. Feb l.�ll 'it
ANSWER ALL OF THE FOLLOWING. ��'0 b f
The undersigned herebyapplies7d for a permit. to do the following work i3 1,g13J.L 0i121,3��Igi6
which will be done in accordance with the description, plans and specifi- ' ' g . I
cations, end such special conditions as may be indicated on the permit. L
The owner of this ra y is: . `// / �+ yy
4,o✓.C/p• .® ‹ . . . . . . . . . . . .4,:?-4''!T '1�. .�o o ,. zfl . . 9 < . . . <'n.'ls. . re..$C
(NA'AE) IP.O.ADDRESS)
The person responsiblefor supervision of the work insofar as theem Buildin Code and the Zoning Ordinance apply is:
�- c, /�o�vle. /Se.r 3°/ G it.ee lei r✓. Y /t.pz d
(NAME) (P 0.ADDRESS) •
Name of Builder---- . �ti err Address -1'"'''''C
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S e-4-s--,
Name of Village --
Name of Street /rr_ '. Side of street: north 0, east 0, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south 0,east IT],west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest - ❑, southeast Q. southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK •OCCUPANCY •
. El Construction of a new building. Main Building
❑ Addition to a building. • : . . . One-family dwelling CI
El Alteration to a building. . Two-family dwelling El
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
_ Accessory Building
• • One-car detached garage ❑
0 Other work. Describe. " .Co"' S�i� ..� Two-car detached garage ❑
/s/ c/ e�;€ �`/( Private chicken house ❑
"� S Private storage building . El
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
N. lee..r S/,,,;e.c s size of the property, the location, site and setbacks of pro
i
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in•dotted line and existing
r-r— 574 l�uilding(s) in solid line. ��
Size of property ��� ft. x - "'� ft.
'�- Size and use of existing buildings, if any "'`�' V 3`
/ /.�:!/
LI Pt, m Size of proposed/building ft.x 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: All distances are net, as measured from street. side
line to nearest part of building. •
(OVER) •
Lt
7-73-N .
-,....
•
(cont'd.)
BUILDING SPECIFICATIONS., - '
Kind of construction: Wood frame, fire safe, etc. �� �r ` ewe 2
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
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 budding 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 AFFIDAVYT
County of Warren
State of New York •
I swear,that to tt•be-,of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.h.•lete statement of all proposed work to be done on the described premises and that an provisions of the BUILD-
ING CODE,THE ZONINU 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.
Sworn to before me this Signature
OWNER.OWNE S AGENT,ARCHITE T,CONTRACTOR
/•7 day of c 19 er
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
14-12-2 (7/82) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF AVAILABILITY FOR REVIEW • • /// -
INITIATING UNIT: &fa/9-7152er 1/5--Aes— . Contact:. /. � % /' /
OTHER# DATE ISSUED ��/Z
OTHER# DATE.DUE / d�f
OTHER# DEC# d6-<e7
PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: 474t /e-----
APPLICANT: LJ d eo U/ eG fra g- can"4/1e, ,A'/
PROJECT NAME/DESCRIPTION: �/?6f&-' /2-2 / ' C', r
Cr, -74reG,e _7areil dj ? `x CJ /
Coexe
PROJECT LOCATION:
City/Village . Town: 9,
County: � USGS Quad:
(Attach a location map)
REMARKS:
DISTRIBUTION: 7 �le/eS �•�'�<
, (74-7-1e4", -ps i. 4-ezi/7"
ad;
2ence _
* 4e,47ews-;
no comments ❑ comments attached ❑
RESPONDING UNIT:
BY:
(name/unit/date)
• lip
FEB-2 4 1984 J
14-19-5R5(9/81) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATI I' 1 t F�1 lLiizf UNIT
t
WARRENSBURG, NEW YORK 12885 l�iz LL77
FcGIC� N 5
APPLICATION FOR PERMIT WARR' i� ;b�. y.
Construction or Installation of Wharfs in Lake George Recreation.Zone
Read Instructions on back bef ore 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. •
❑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:
Joe Roulier '
2. APPLICANT IS A/AN
E Individual ❑ Partnership ❑ Association ❑ Corporation ❑ Municipality ❑ Governmental Agency. .
3. NAME OF APPLICANT SIGNING APPLICATION: PHONE
Joe Roulier - • 518-6566-3544
•
• Street or P.O. Box:
Box 301
Post Office State _ Zip Code
Cleverdale, NY • 12820 •
4. NAME AND ADDRESS OF OWNER(if not applicant): PHONE
David Prol •
• Street or P.O. Box: •
Lockhart Loop
Post Office State: Zip Code
Lake George, 12845
5. PROJECT LOCATION:
City or Village •
NOTE:
Town Article 15 box must be checked and appropriate applica-
Town of Queensbury tion fee must be included if:
County a) Wharf involves the excavation of material or the
Warren County placement of fill such as stone, sand, gravel,
6. PROPOSED USE: concrete or similar material below the mean
rid Private ❑ Public ❑Commercial high water level (elevation 320.2 feet above
7. PROPOSED STARTING DATE 8. APPROXIMATE COMPLETION DATE mean sea level) or,
March 1984 March 1984 b) Wharf is built on floats, columns, open-
timber," piles Or similar open-work supports
9. FEE ENCLOSED and is larger than 200 square feet and is not
10 .0 0 removed in the fall (by September 21)
(Required only for Article 15,Title 5 applications)
10. NAME AND ADDRESS OF OFFICAL NEWSPAPER OF LOCALITY WHERE PROPOSED WORKS ARE LOCATED:
Glens Falls Post Star
Lake George Warrensburg News
11. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED �T�l'*
El Yes "L_` 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. •
—<./.50.7"
Date Signature
1 h ,c ts( Z..7 r c ••,'• o ... _,^
LAKF GEORGE Vicinity Map
•c• , 43 29 M N Lat. ,
(
73. 38 M W Long.
, ....._
IC .3G' >I , Project •
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-.. 644 '<....- ..,,,A•r.
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1 ,3 A
.4) ..
/fivi a)
• a) Ms. Eileen P. Grande
b) Dr. William Doetzer
Proposed David Prol private docking and swimming
facility, Lake George, New York, Lockhart Loop area, Rt. 9L,
Town of Queensbury, Warren County, New York.
Applied for by Joe Roulier.
Datum - Map base F 1966 .
U.S. Geological Survey 7.5 Min. Quad.
1