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6589 BUILDING PERMIT TOWN OF QUEENSBURY No.6589 WARREN COUNTY, NEW YORK Henry Hurwitz PERMISSION is hereby granted to OWNER of property located at Cleverdale, Harris Bay on Lake Geo. 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 827 Jamaica Road Schenectady, N. Y. 12309 x n 2. CONTRACTOR or BUILDER'S Name John A. Mason rt N 3. CONTRACTOR or BUILDER'S Address P O Box 86 Cleverdale, New York 4. ARCHITECT'S Name t'] F-' N 5. ARCHITECT'S Address (D ft Iv H (D 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) Fj II 7. PLANS and Specifications crib dock per plot plan and application submitted. bd No. O 8. Proposed Use Dock w m $ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Jan.. 1 19 81 (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 Dated at the Town of Queensbury this 17th Day of Sept. 19 8 0/ SIGNED BY ✓e► �' V for the Town of Queensbury Building and Zoning Inspector ��G C1 0 O >. 3 TOWN OF QUEENSBURY ' )Space inside block to ix tilled in by Jr WARREN COUNTY. NEW YORK Building Inspector) Application for t N1)I,lieat 011 _I� ; ecn,it Issued BUILDING AND ZONING PERMIT Permit Expires. . 19 i.,,nin. District • • \ aloe of Work i \l,tn•„�ecl ht• THREE I3) Copies of a PLOT PLAN. Drawn to scale I\ppros e " showing the actual dimensions of the lot to be built upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSEUrc i -c)-• - -3 - , . . . . . .9.1. 1.7./. g.P H, GEivEin A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP 11 1980 1� ANSWER ALL OF THE FOLLOWING. , . 1O' F - NCI. the followingwork 91 1121 2I314Ij6 The undersigned hereby applies for a permit to do ?� .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. F The owner of this property is: Mr. . &.Mrs.• .Henry. .Hurwitz . . .827. .Jamaica .Road, Schenectady, NY. . .12309. . . • • • INA'.E) 0,F V)DAES The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: John A. Mason P.O. Box 86 Cleverdale,. .NX . . .].2a2O. . . . . (NAME) IP o ACDir€SSI John A . Mason - Address P,0, .Box .8.6 . C.leverdale,. .NY . 12820 Name of Builder Name of Plumber JOhn,A.. _.. MasoYl . . . . . . . . . . . . . . . . . . Address P.O. . Box .8.6 .Clever:dale, NY 12820 Name of Mason John A. Mason AddressP.O. Box 86C.lever�dale, NY 12820 Lot Number Unit Estimated value of proposed work S Name of Village C1everd.ale • Name of Street Side of street: u•nth ©, east 0, south O. west 0 Nearest Cross Street Distance frc:')+ this; 'Toss street Ft. 1 Property is north ❑,south 0,east El,west ❑from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast 0 seut!Iw•rst (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main BuildingConstruction of a new building. ;),),,.family dwellingC.J Addition to a building. family dwelling C.)G Alteration to a building. family apartment house �] ❑ Demolition of a building. Store building n . . . . -car attached garage 0 Other; Accessory Building . One-car :detached garage Li ® Other work. Describe: To construct a dock.. -I a.o-car detached garage r7 • Private chicken house El Private storage building • 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 huilding(s) in solid line. . Size of property ft. x ft. Size and use of existing buildings, if any ,. See attached plan. N a m Size of proposed building ft.x . .: . . ..• • • • ft. Height (from grade to ridge) ft. Front yard It. 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.) 1 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 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? 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 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 AFFIDAVIT County of Warren State of New York I swear that to tr. j, r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mined, are a true and co.a.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING 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. �� Sworn to before me this Signature (r� `� R'S AGENT,ARCHITECT,CONTRACTOR ((.96. day of - €0-_ WNER:OWNE 19 g° NOTARY PUBLIC.WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: 4 • • • By . ,_. I 1 # ! PROFILE VIEW i LOCATION SKETCH 1 _ \iie_,,, -c re-',\ t•.w1.7-4‘.'N ----c..---- '5-- (.-- --- , ti,60 i.,ple.r_ C6C\1 1 1)0C.1)\ -10 be t9Pro)C. ig`l 0 -1 --(0 c , INt-pcoe Irv\t'Ac 1.1 4 i 0 C...(--,),'C '/ \ ) •• Taken from:L. G.Power Squadron 1971 , 1 L PLAN VIEW (rz,.. )- .soct ry-k 5 0 Yir A 1.--(A. i2,e_ ) ›. 1, crib (°CO'Gr\- 6ecove-EL. \ i,k 0 Go , (9 14 Q.) ,--1 i IS E-14-4 Al N'i it IIM I...------- I I / \ I ' LAYNA 5 PURPOSE: 0,0C2it--\ 1 V—..a0 —_. i ), i . 04 DATUM 4-P;a-t\‘-‘-`1 V-1,,,,ruoiTI- / ADJACENT PROPERTY OWNERS: j IN 0 RA\p\-\ Sc‘-\oer‘l.‘ery- AT C.\V-Ve...r8 cl le_ ® COUNTY OFLOPsi STATE N%y APPLICATION BY Zokr\ SHEET 1 OF 1 DATE ct-a-sc:) B-3 - PROJECT # 557-03-0392-80 x_ APPLICANT: John Mason (Herwitz) RETURN TO NOTIFICATION ISSUER: Wit iam A. Mueirmann Reguea,torLy Aggavtis, Region 5 Nudbon SPLea Externs ion Walvc.e'to bLag, New Wilda t2 88 TOWN 'O QUEENSBUR ",`0.0 LATER TH: tt: October 10, 1980 I ll V E D Trrtene6t/addttcona,2 petunct orc appnova.PA idenaged ocr 4 � 1g30 No add tionat pe am.i ts -iden .i.g ied A.M. P.M. 7181911(111141110141516 No .intieh.eist Comments: (Attach .sheet .ig moM. apace .us nequ tea) S.i gnabe Tate Date AGENCY RESPONDING: (T) Oueensbury DEC PROJECT NO. i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION L ENVIRONMENTAL ANALYSIS—PERMIT CLEARINGHOUSE 7_ e-6).c y NOTIFICATION OF AVAILABILITY FOR REVIEW DEADLINE FOR REVIEW COMMENTS(Comments received after this date will not be considered) . / yv PRINT IN INK OR TYPE This notice is to inform you that the Department is now reviewing the project described below.If your unit has any comments,please take appropriate action. I. NOTIFICATION ISSUED BY DATE ISSUED '' G Office of Environmental Analysis r Regulation Unit, Unit �7 uJ ❑ :Sc�T.-.75 [] I I. PURPOSE FOR NOTIFICATION—Specify type ❑ Information Only 0 Environmental Review 0 Department Regulatory Permit ❑Corps of Engineers Project ❑Other Other This application is subject to Department Permit Clearinghouse review procedures. The Office of Environmental Analysis will coordinate the review of this project The unit which wilt issue the permit is and provide the Department response. I. OTHER IDENTIFICATION NUMBERS I. APPLICANT(Include contact person if appropriate) c /& An //& 017 ( NrwTz) ao go k fcCe C/w e r4a/e AA • /2 Town or City County BRIEF PROJECT DESCRIPTION cia f t ` i CICUA?.....r— 4441— ‘ — ri7e,..0eC.:1-er— , F ,v 6e i.,DETAILED PROJECT LOCATION" 14,4*1...4t, i%2:ii Xet"...21L-4" '''...b..1.4*- 7 Town or Cit County r Copy of project description is attached - ❑Project information is available for review in Permit Clearinghouse El I. DISTRIBUTION � ❑x Office of Environmental Analysis ❑ 4 C�/o f �c1 l( G � Qx Regulation Unit,Region 0 C. (t Ic-- , 0 7/5 le,rtt ❑ (r) 6' If 14-12-2(12/76) =ormerly EA-4 v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR PERMIT __ ALBANY, NEW YORK 12233 APPLICATION NO. 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. jalll ARTICLE 15, TITLE 3(CONTROL OF AQUATIC INSECTS, WEEDS, OR UNDESIRABLE FISH) Ale ARTICLE 15, TITLE 5(PROTECTION OF WATERS) ❑ For the construction, reconstruction, or repair of a DAM or other impoundment structure. --''\ ? I __ in , For the construction, reconstruction,or repair of any permanent DOCK, pier,or wharf;and any dock, pier;or 4 wharf, built on openwork supports, which has a top surface area of more than 200 square feet. I _ ❑ For the disturbance of a STREAM BED or excavation in or fill of navigable waters. I_+ _ •.,^: `( ` ❑ARTICLE 15, TITLE 15 ❑WATER SUPPLY ❑ LONG ISLAND WELL ❑ARTICLE 24(FRESHWATER WETLANDS) ❑ Permit ❑ Letter of Permission -- T= .y, 3 =' ❑ARTICLE 25 (TIDAL WETLANDS) Ci-... _ tr v. N . - . 1. NAME OF APPLICANT: John A . 'Mason 2. APPLICANT IS A/AN ® Individual ❑ Partnership ❑Association ❑ Corporation 0 Municipality ❑Governmental Agency 3. NAME &TITLE OF 1$ 6 6- 86 OFFICIAL SIGNING APPLICATION John A Mason PHONE 5 5 99 STREET ADDRESS P.O. Box 86 Cleverdale NY 12820 OR P. O.80X POST OFFICE STATE ZIP CODE 4. NAME &ADDRESS OF OWNER(If not applicant) Mr• & mrs. Henry Hurwitz PHONE 518' 377-1183 STREET ADDRESS 82,7 Jamaica Road POST OFFICE OR P.O.BOX Schenectady STATE NY ZIP CODE 12309 6. WILL PROJECT UTILIZE 5. PROJECT LOCATION: STATE OWNED LAND? a) City or Village of Cleverdale NAME OF STREAM OR OTHER WATER BODY: (If appropriate; if un-named, show on Yes ❑ No Town of Queensbury map-See Item 5b) County of Warren Lake George b) Specific project site or area is marked on U.S.G.S.or equivalent map, attached as Exhibit No. 7. PROPOSED USE: OS Private 8. PROPOSED STARTING DATE: 9. APPROXIMATE COMPLETION DATE 10. FEE OF S-I- 5 ENCLOSED ❑ Public 0 Commercial 9/2/80 9/2/81 11. PROJECT DESCRIPTION: (Feet of rip-rap new channel;cubic yards of material to be removed;draining,dredging, filling, and location of disposal sites;type of structure to be installed; height of dam; size of impoundment; capacities of proposed water sources;extent of distribution system; etc.) To construct an L-shaped crib and bridge dock 8' x 60' with a 14' x 12' ear. Approximately 40 cu. yds. of stone to be used filling cribs. 12. This project will require the following additional permits,applications for which are the responsibility of others: ❑DAM 0 DOCK ❑ STREAM DISTURBANCE ❑ SPDES/NPDES ❑WATER SUPPLY ❑ L. I.WELLS 0 FRESHWATER WETLANDS 0 TIDAL WETLANDS 13. NAME AND ADDRESS OF OFFICIAL NEWSPAPER OF LOCALITY WHERE PROPOSED WORKS ARE LOCATED: The Post Star Warrensburg-Lake George News Lawrence & cooper Sts. , Glens Falls, NY 159 Main St. , Warrensburg, NY 14. IS ANY PORTION OF THE ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETE? ❑Yes MI No If "YES", explain in addenda, giving reasons and dates, and show existing work on drawings or map. 15. CERTIFICATION: I hereby affirm under penalty of perjury that information provided on this form and all attachments submitted here- with is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. As a condition to the issuance of a permit,the applicant accepts full legal responsibility for all damage,director 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. j//c a2 DATE SIGNATURE 95-19-2 (4/80) —SEE REVERSE SIDE— PERMIT ADMINISTRATOR i j . Location Sketch: . -____________, -.... lire ,. 1 . I _ • • 1 .. . ._ , Ii .,z . . 1 . , _ . J t Hi . ; i ,.< . O .<5 . . • C/ V st v s' v • c} • _ _' — p v�f f `j �--- 'F CiP_ n jE{.)? _� S ',sc. i . • r • . . .• . • -,-..„ --- r; I , o,t; -, 17-_-, '1 - ..:d .J. ( .? , , t.:.'\''7 : . i• ._ 1 „",, 1' : .1 L C I OCATION SKETH I PROFILE VIEW ' , I ••• \reo-4, 1 I • V t1/21r1)1TX.r \....6) . . — ,...„.„—c.t.s cNtc) v- . r 1'OH t-PirE- I • 1-r 1.1 ft- _ • -.....„--..... 1)0CA—to be.. appro . tgal 051 oi ./0 c__,]-43,c_ ,..Lis . '. c-k L..‘.a, sc ,.o rc,, ,...,• --, — ,, , _ • Taken from:L.G.Power Squadron 1971 PLAN VIEW I ---- (A).., sou_r,-.k t 1-435 k h "ce-ell 1 A Lage_ M.-_- crib oCaf'Or`- ,\ 46.,OrrAe_. A / , G° r4 6) A . 0 I , <-1'44 16:13 _— i Co i it 19: AilL - 1 I 1 f 1 9 , i c------ -------- ?:* % I c ---------aq . PURPOSE: clor__141V-\S 1 kr ----), DATUM -1‘.‘*1 / ADJACENT PROPERTY OWNERS: j IN 1.-Al2‹._. Georse.„ 0 RPAp\-‘ 56-\0e3-‘1,ery- AT C-ke-Ve.-Nr A e)le_ COUNTY OF U.../Arre_sy STATE NY 0 trvc, 1--e—c...••igArvr.c_\-1 APPLICATION BY Zol,-0, A. yv.Asor SHEET 1 OF1 DATE B-3