7361 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7361
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Malcolm and Helen Mitchell
OWNER of property located at Route 9L — Lake George Street,Road or Ave.
a
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 5
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p�
I. OWNER'S Address is R. D. #1
Glens Falls, New York
m
2. CONTRACTOR or BUILDER'S Name
John P. Matthews rt.
co
3. CONTRACTOR or BUILDER'S Address
F-'
R. D. #1
Lake George, New York
4. ARCHITECT'S Name
O
5. ARCHITECT'S Address
rt
m
IJ
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( )Steel ( 1
CD
7. PLANS and Specifications G�
U shape crib dock 32 'x 40' per plot plan.
No, and application submitted.
4
m
8. Proposed Use
Dock
.T my i , ' 3
1-1
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1982 D1-6
(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.) d
0
0
Dated at the Town of Queensbury this 25th Day of May 1982
SIGNED BY 5, • c for the Town of Queensbury
B (ding and Zoning Inspect
f
TOWN OF QUEENSBURY t (Space inside block to ix. tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
•
A lication for Application
Pp Permit Issued 19. .
BUILDING AND ZONING PERMIT l"tnii( Expires. Ig
Y.,,iiin;.:. District
i e7m40
THREE (3) Copies of a PLOT PLAN, Drawn to scale ‘i'1"."%i'i 1 by
showingthe actual dimensions of the lot to be built lt,,n►;fKf'
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.-, I — 1 6 Ja Lt/2-t___ RECE VE b
TOWN GFllEElBUr' `
DALE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Q Y 2 4 19^
ANSWER ALL OF THE FOLLOWING. .I;.7^ ;<t `'i.
The undersigned hereby applies for a permit to do the following wodc 7 81 is j1. 11:2)1 `� i i i t r;�i ,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:M e
� c >� filrcr-�a � 1/i c!/_�cr /� lU1j1 1 '}:.7. .url, Pik 1 �` `�i
(NA'E) (P.D.ADDRESS)
The person responsible for supervision of the work insofar as the Buildipg.Code and the Zoning Ordinance apply is:
(NAME) (P.O ADDRESS)'
Name of Builder •. --'r,t-:1-- Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$
Name of Village . . 4 ; ?1(;-)0?v:::7 .,
Name of Street /C T `.?4- Side of.etreet: north tg;east ❑, south 0. west ❑
s
Nearest Cross Street . . lG,k•' .)-i ass'' Distance from this -Toss street . . . .0 'Via Ft.
Property is north ❑,south ,east i i,west 0 from Cross Street.
If on Corner,which corner, northeast 0, northwest ❑, southeast 0 southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One-family dwelling 0
Q Addition to a building. Two-family dwelling �
❑ Alteration to a building. . . . -family apartment house ❑
❑ Demolition of a building. Store building 0
;>4. k . . . . -car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe: Two-car detached garage 0
Private chicken house 0
Private storage building
Other:
ZO, ING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
/c` f°r; „r`" -ii Indicate on the plot plan street names,the location and
OR `', .L;�/( size of the property, the location,size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NoaTM l Show proposed building(s) in dotted line and existing
`, ---tuilding(slis1-solid line.
Size of property . '/)� t;,w'/3:f�-. ft. x ft.
1` I-CxS. f Fez
Size and use o existing buildings, if any
tn
~ �i c i!.
W W ` - ft.x Y. ft.
� Size of proposed banding .
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH If op 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—N
(coned.)
BUILDING SPECIFICATIONS 4
Kind of construction: Wood frame, fire safe,etc.?. . . . . . . . .4.14:r.7.k.6: . . . . .
Will any 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 11,x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor "x ",spacing "o.c.,span ft.
Size, floor beams,2nd floor 11 x ",spacing "o.c.,span ft.
Size,ceiling beams "x ", spacing "o.c.,span ft.
Site, 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 chithney 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?
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to it earof my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and that an • • of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining 51770.ed wolaU be complied ' whether specified or not,
and that such work is authorised by the owner. /11
Sworn to before me this Signature t, 4/ i ,
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
1,-3, day of -...f,0,‘,/ 19 61`:,
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
Building Department
inspectors Date /O/Q/ ,fL
Name Gf f/�"GG !!
Location DAAAticLp Y
Permit No. 7.3re r Weather
-poet, kitW�C. Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
v 4,4
own o ueeno wHlit -
QUEENSBURY TOWN OFFICE BUILDING
BAY AND HAVILAND ROADS. R. D. 1
GLENS FALLS. NEW YORK. 12801
BUILDING AND ZONING DEPARTMENT TELEPHONE: (518) 792-5832
POLICE DEPT. 793-2555
HIGHWAY DEPT. 793-7771
January 4, 1982
Mr. Malcolm Mitchell
R. D. #1
Lake George, New York
Dear Mr. Mitchell:
We are in receipt of Notification of Availability
for Review from N. Y. State Department of
Environmental Conservation for a crib dock 32 'x40 °
which you plan to construct at Dark Bay on Lake
George.
Before you start construction you will need a
permit from the Town of Queensbury and we are
enclosing Building Permit Application form and
fee schedule. Check in the amount of $10. 00
should be made payable to the Town of Queensbury
and returned with the completed application.
If you have any questions, kindly contact this
office.
Very truly you,
ou s,
.--114,144--- - 4:t
Stephen F. Lynn
Building Inspector
SFL: eb
encls.
SETTL-.7-0 1763 . . . HOME OF N ^AL BEAUTY . . . A GOOD PLACE TO ' "
1247(6/riii) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF AVAILABILITY FOR REVIEW
INITIATING UNIT: - 7-2 Contact: "siC'J "{ gigv� !/
OTHER# DATE ISSUED A.Z /gi
OTHER# DATE DUE it/77912_
OTHER# DEC# ✓C " '/ G'f' T 4
PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY:
RIEDE [IT
utu 01981
1 7)7I tt
APPLICANT: �Z4tVLl F0Yir-2 ; .,01'
PROJECT NAME/DESCRIPTION: ee (5 2 k 7/2 &,a
eii;3z
Lej
PROJECT LOCATION: V/72-''l (01.-se
City/Village Town: (..":"-e'heLlt.17
County: 4-016,14-1-4- USGS Quad:
(Attach a location map)
REMARKS:
DISTRIBUTION: 1i 1g 2'-� (: (), J r C%• oZ� ,E-Ce) �• ;
ce(-: -
no comments ❑ comments attached ❑
RESPONDING UNIT:
BY:
(name/unit/date)
Ne State Departme► of 11�g1-' n
En. .ental Conservation Registration Number
Warrensourg, New York 12885
Construction or Installation of Wharfs in Lake George Recreation Zone
Read instructions on back before 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) n ILLs V 1 u +J .
Waters) .- see note below lJ j
/ Article 15, Title 5 (Protection of TT ) ,
(Construction of wharfpursuant to 6 NYCRR Part 608 1 1-ul
�
1. Name of Applicant: s r.1O;.i. '
2. Applicant is a/an: Individual / / Partnership / / Assoc a on:'''`}` `
j_j Corporation 1-7 Municipality / j Governmental Agency
3. Name of applicant signing application: 4, fill err i.u-
Street or P.O. Box: T Post Office: ,/ ►- ; (/- ;_,i r-
IState: /U./, Zip Code: ',I-Per Phone: lLt -.i dy
1- Name & address of owner
(if not applicant): /f.=�FN f"flla,4 /Aresir�.� Phone: fia' ,-26/9
• Street or P.O, Box: ,r"p j 400 4e.1 y< /0 . Post Office:
State: Zip Code: • ut1(S
5. Project Location: NOTE: Article 15 box must be checked and
City or Village: 11W 641 appropriate application fee must 'be included
Town Qd f4,d01.,/ County G44,472r? & if: a) Wharf involves the excavation of materia:
or the placement of fill such as stone,
6. Proposed Use: / / Private / j Public sand, gravel, concrete or similar
/ / Commercial material below the mean high water level
7. Proposed Starting J?,vffiti Ii f a (elevation 320.2 feet above mean sea
Date: - - level) or, -
8. approximate 9. Fee Enclosed $ b) Wharf is built on floats, columns, open-
Conpletion (Required only for timber, piles or similar open-work
Date- }� a�i�Y� Article 15,Title 5 supports and is larger than 200 square
feet and is not removed in the fall
- applications) '
(by September 21)
10. Name and address of official newspaper of locality where proposed works are located:
-;:7e t',?S T J lrlig - at,v 64 .; f1l.7.
11. Is any portion of the activity for which a permit is sought now begun or complete?
/ / Yes '/ 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
attach-Lents submitted herewith is true to the best of my knowledge and belief.
As a condition to the issuance of a permit, the applicant accepts ful
legal responsibility for all damage, direct or indirect, of whatever nature, and by
who-,-ever 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.
J /_4!-_X_, ---- ___ 9 __ - ---- ---
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