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8386 BUILDING PERMIT TOWN OF QUEENSBURY No. 8386 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Wm. Gorman OWNER of property located at Brayton Road and on Lake George Street, Road or Ave. in the Town of Queensbury,To Construct or place a Repair and construct docks 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 1 Ridge Terrace Burnt Hills, N. Y. 12027 0 0 n 2. CONTRACTOR or BUILDER'S Name Percy Denton 3. CONTRACTOR or BUILDER'S Address Star Route Glens Falls, New York 4. ARCHITECT'S Name ttl Sv rt 5. ARCHITECT'S Address 0 sL 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ►Masonry ( )Steel ( ► 7. PLANS and Specifications repair existing rock filled crib pier and No. install additional rock filled pier connected for U-shaped wharf per application and plot submitted. 8. Proposed Use Sv N. Dock ci $ 1 S_ 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 1 1984 n (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.) cn rt fi Dated at the Town of Queensbury this 9 f-h Day of, April 19 8 4 n rt SIGNED BY I` v a flt for the Town of Queensbury 1ai Building and Zoning Inspector o rr' fn TOWN OF QUEENSBURY (Space inside block to lx. filled in be WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. . Yc'rn(it IS'tled 19. BUILDING AND ZONING PERMIT i',.r(uit Expires. 19. 74niintT District \ aloe o1 Work _ THREE (3) Copies of a PLOT PLAN, Drawn to scale \l)lir(r‘c(l by showing the actual dimensions of the lot to be built Rci„arks" upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 0'1411/ J — /J TOWN OR QUEENSBURY �! — / ! � DATE RUE 0 67 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK El ANSWER ALL OF THE FOLLOWING. Hi 9 1984 The undersigned hereby applies for a permit to do the following work A.M. ! �co P•IUI. which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. 71819)1 , 12)3)41516 The 9wner of this pr errty is: s�it 1/4-1./1' /14 J G-c t e'fi')/l" ileD6E. 1 '/iiM e. " &//E'1kr 14L S Af- /7-0 2 7 (NA-Vic) (P_0 ADDRESS( The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME -�,... �D ADDRESS) /� /> �� / Name of Builder. . . . Address .,/!l'Q. R&,./7 `'' 1 /4 i' . .A). /A. O( of Plumber Address Name �� Name of Mason Address Lot Number Unit Estimated value of proposed work$ Name of Village Name of Street . . . P.1'ai 0. • h. . • •<L• . • • • • . • • • . • • • . Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north ❑,south ❑,east i i, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest (Designate by marking with an "X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Building 0 Addition to a building. One-family dwelling 0 ❑ Alteration to a building. Two-family dwelling El El Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage ❑ Other: Accessory Building One-car detached garage El ,Other work. Describe- 5-16)41/ `f' Two-car detached garage Ce,N 5M OCT- 1,C' c- . Private chicken house ❑ 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 size of the property, the location, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing tuilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any i in in i 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) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. • • • • • • • • • • . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . • 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 "x ", spacing "o.c., length Size,wood studs ft. Size, floor beams, 1st floor ,1 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? Finish of interior walls If garage is to be attached, of what material is wall between garage and main building 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p Will there be a fireplace? Depth of fireplace hearth Willa 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? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tr, ,ne r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and c o.,.�lete statement of all proposed work to be done on the described a 'that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to th wor 1�.'plied with,whether specified or not, and that such work is authorized by the owner. � �, Sworn to before me this Signature ... .... OWNER• R'S ENT.ARCHITECT,CO TRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY, N.Y. SPECIAL CONDITIONS OF THE PERMIT: • By • 1 e1 • t R h ..- -- . U' 71 • `4wt 1,r ;tiy t / LP/ ? Ttl � � — m � ''l ad o MHO 'r � ,c�,yl• . 1 �,�a "n �� �k .l'14-mo �� o, c 1. ...� ;, 4 r - 7 . ::`-. liproZ .....,-Z4''111-71711: „,20 •`sue ?c,,c y fl rn e m Z'� . lip, te a -„ o r. VI 4) ti s ' ► sD ?D o; ... k: �� - , 44, ,,' -.. ,- , -,.,4,„,,,..T,it k".9.-t..'..,,4,:i:.;,1'..'._.<.,:,,..-,';',''.,.,.,.'-,_.„...s,‘x,,,,,„-. x ,' - ,ate t . '. € , . r ' 'k. 4,x� - ziFa.. va, ) g.= ` :rr &`a,: `4, A . ',.,.,, •z (..,............„. ,gym x n .v `-: - x - ../ 4orci LSt :-": «+ '"qk:,.i 1. ,:� .ta ', i:e.... ,:H Co, 1:3w'I1. k _. ,. ,_ a y Box 22C) 6 , t. 4 Warressihurg, new York le le, ur . (J E$)el_ 2 -,I r ! ,f CCr t March 1 , 1984 Mr. William Gorman EMT 1 Ridge Terrace Burnt Hills, NY 12027 Re; DEC Permit # 50-84-0088 Town of Queensbury County of Warren Dear Mr. Gorman: Enclosed is your permit for construction as proposed in your application for permit under Environmental Conservation Lawn, Article 15, Title 5 (Protection of Water) . Please note the special conditions included on the back of the permit. If you have any questions , please feel free to contact i`i chael P. White of the Regulatory Affairs Office in Warrensburg. Also enclosed is a sign which you are to post in a conspicuous location on the work site and adequately protect from the weather. It is also a condition of this permit that you are required to notify the Forest Ranger at least two days in advance of starting work on your project. Work done under this permi t is subject to inspection by Forest Rangers and Environmental Conservation Officers. Very truly yours, Z..e_zre; f.iael P. White, te, Ai ternate Regional Permit Administrator ;c Encl : ECU v 4 Now York State Dep Arta unt of Envhr, rirn:nt;_= Cone t 'lor! Lake George Perk Comrrc:ssior Box 220 '! arrensburg, Mew York 1288, N :;i . March 1 , 1984 Mr. William Gorman 1 Ridge Terrace Burnt Hills, MY 12027 Dear Mr. Gorman: Based upon a review of your Feb. 25, 1984 request for water quality certification pursuant to Section 401 (a) (1 ) of the Clean Waters Act of 1977 (PL 95-217) (The Act) , the Department hereby certifies that any discharges into the navigable waters of the United States caused by the project will comply with the applicable Federal effluent limitations or other limitations or standards under Sections 301 , 302, 306 and 307 of the Act, provided that: (1 ) There are no future changes in any of the following that would result in non-compliance with Sections 301 , 302, 306 and 307 of the Act: (a) The project as described in the application (b) The water quality criteria applicable to such waters , or (c) Applicable effluent limitations or other require- ments; and (2) The applicable provisions of State law and regulation are complied with. Very truly yours, 1 1 i a P. i`h i to, Alternate Regional Permit Administrator MPW/n cc: U.S. Army Corps of Engineers New York State Jepariment of Environmental Conservation 0:4114' tIr Aitt,, AA • 4 ).te it " 1/4, 11 The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted on this site. For further informa- tion regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Alternate Regional Permit Administr or Permit No. 50-84-0088 Expirafion Date March 31, 1985 95 20 (11/82) NOTE: This notice is not a permit r•tK:v,ti NU. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 50-84--0088 nCRIIT 9 �i � ENV!f .t,zlrr:iAI CONS t.,k t r�'I.t. L I ARTICLE 15, (Protection of Water) t 1 4 ARTICLE 25, (Tidal Wetlands) ARTICLE' es.r?vatwr z.a urE.-�st ,n rPER.M1T IS .LE D TO William J. GorruaT3 ? Ridge Terrace, Burnt zi li , NY 12027 LOCATION OF PROJECT ,Sr.tion of stream, tidal „,.Bann(, darn, building) Harris Bay, Lake George DESCRIPTION OF PROJECT Repair existing rock filled crib pier and install additional rock filled €pier connected for U-shaped wharf. COMMUNITY NAME(City,Town, Village) !TOWN Cleverdale Qttonsbur,y COUNTY • I HA COMMUNITY NO. I DAM NO. PERMIT EXPIRATION DATE WarrenMarch 31, 1�'i GENERAL CONDITIONS 1. The perrnittee shall file in the office of the appropriate Regional 8. That the State of New York shall in no case be liable for any damage Permit Administrator, a notice of intention to commence work at least 48 or injury to the structure or work herein authorized which-may be caused by or hours in advance of the time of commencement and shall also notify him result from future operations undertaken by the State for the conservation or promptly in writing of the completion of the work. improvement of navigation, or for other purposes, and no claim or right to a compensation shall accrue from any such damage. 2 The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation who may 9. That if the display of lights and signals on any work hereby authorized order the work suspended if the public Merest so requires. is not otherwise provided for by law, such lights and signals as may be pre- 3. As a condition of the issuance of this permit, the applicant has ac- scribed by the United States Coast Guard shall be installed and maintained by and at the expense of the owner. cepted expressly, by the execution of the application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- 10. All work carried out under this permit shall be performed in accor- ever suffered, arising out of the project described herein and has agreed to dance with established engineering practice and in a workmanlike manner. indemnify and save harmless the State from suits, actions, damages and 11. If granted under Articles 24 or 25, the Department reserves the right costs of every name and description resulting from the said project. to reconsider this approval at any time and after due notice and hearing to 4. Any material dredged in the prosecution of the work herein permitted continue, rescind or modify this permit in such a manner as may be found to shall be removed evenly, without leaving large refuse piles, ridges across the be just and equitable. If upon the expiration or revocation of this permit, the bed of the waterway or flood plain or deep holes that may have a tendency to modification of the wetland hereby authorized has not been completed, the cause injury to navigable channels or to the banks of the waterway. applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, 5. Any material to be deposited or dumped under this permit, either in remove all or any portion of the uncompleted structure or fill and restore the the waterway or on shore above high-water mark, shall be deposited or dumped site to its former condition. No claim shall be made against the State of New at the locality shown on the drawing hereto attached, and, if so prescribed York on account of any such removal or alteration. thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others 6. There shall be no unreasonable interference with navigation by the to perform the permitted work or as authorizing the impairment of any rights, work herein authorized. title or interest in real or personal property held or vested in a person not a 7. That if :dire ei2eration bythe State '.f New Yorkrequire an alteration Rart Vyjp the permit. in the position or the str,izture o' work herein au hoc zed, or if, in the opinion \ 13. he perrnittee is responsible fur obtaining any other permits, ap- of the Department of Environmental Conservation it shall cause unreasonable prova s, lands, easements and rights-of-way which may be required for this obstruction to the free navigation of said waters or flood flows or endanger project. the health, safety or welfare of the people of the State, or loss or destruction of the natural resources of the State, the owner may be ordered by the Depart- 14. If granted under Article 36, this permit is granted solely on the basis mein to rcri.o'.e or alter the stttettural work, obstructions, or hazards caused of the requirements of Article 36 of the Environmental Conservation Law and thereby without expense to the State; and if, upon the expiration or revocation Part 500 of 6 NYCRR(Construction in Flood Plain Areas having Special Flood of this permit, the structure, fill, excavation, or other modification of the Hazards — Building Permits) and in no way signifies that the project will be watercourse hereby authorized shall rot be completed, the owners shall, free from flooding. without expense to the State, and to such extent and in such time and manner 15. Byacceptance this permit the a as the Department of Environmental Conservation may require, remove ail or pance ofRermittee agrees that the permit xny portion of the uncompleted structure or fill and restore to its former is contingent upon strict compliance with the special conditions on the condition the navigable and flood capacity of the watercourse. No claim shall reverse side. be made against the State of New York on account of any such removal or alteration. 95-20-4(9/75) (SEE REVERSE SIDE) SPECIAL CONDITIONS [ 16. All scrap ( -- ur,-2E, ': cor, 4 ( ct:on late ,: Ts L%3.1 1)c. f,-. ,-ed and/or waters of T.--.1<e Geol ,le. 17. The Eutire structue shal3 be construcL: ,-; ?east 30 foot frt"%m lins OrEvn , perperdicular to tht.,:. shcyreline at the p ,-_ ,; where 1,c rwner's property rr,,e's ',._he Fh7Jr.,,Iir_r,. T-11 , tT.a..bhd hecr '- ', be cerd ',-11''b '-.1 _, specified lines. t 18. This permit is conditional on permittee obtaining, if appropriate, a grant of easement through the °Trice of GenstL Scrvices toY iands under the waters of Lake Geoige. 19. Cribs shall he of the 'open sided" type construction rather than the "closed sided" or solid type and provide for at : east 40% unboarded water contact area to the rock fill. 20. Docks shall be constructed with spaced or.il,s only. The distance between cribs shall be at least equal tothe length of the rock filled crib. 21. Forest Ranger George Stec, telephone 518-792-5267, shall be contacted at least 48 hours prior to commencement of activities authorized by this permit. cc: ECO T. Callahan F.R. G. Stec Corps OGS Town of Queensburyt,' Alternate Regional PERMIT ISSU ,DAT PAM_ _,,IT DMINI 147 ,-;2/ e __7:::_k____ ADDRESS Hudson St. , Warrensburg, NY 12885