91-119 - _. ERTIFICATE OF COMPLIANCE
TOWN OVOUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 91-119
has been completed.
This structure may be occupied as a Boathouse
I xwation Pulver Road
Owner Mary M. Ball
By Order Town Board
TOWN OF QUEENSBURY
CD'
Director of Bldg. & Code Enforcement
BUILDING PERMIT
X
TOWN OF QUEENSBURY
No. 91-119 ,
WARREN COUNTY, NEW YORK
CO
PERMISSION is hereby granted to Mary M. Ball
OWNER of property located at Pulver Road Street, Road or Ave. a
in the Town of Queensbury,To Construct or place a Boathouse
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
CD
z
2. CONTRACTOR or BUILDER'S Name
James Moffett `L
0
3. CONTRACTOR or BUILDER'S Address
PO Box 27 °c
Lake George, NY 12845 fD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) s,
7. PLANS and Specifications
No. 960 sq ft Boathouse as per plot plan specifications and
application
8. Proposed Use
Boathouse
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 4, 19 92
(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 4th Day of April 19 91
SIGNED BY ` for the Town of Queensbury
Building and Zoning Inspeet
FEE PAID 'c.50On
APPLICATION FOR .
ESTIMATED VALUE
PORCHES - DECKS OF CONS UCTION$
DOCKS do BOATHOUSES
A PERMIT MUST BE OBTAINED BEFORE "BEGINNING CONSTRUCTION. ANSWER ALL
OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description; plans and specifications submitted, and,such
special conditions as may be indicated on the permit. - -
The Owner of this property is: 'i\- c R 'CAA-LL
P.O. -
Address: STAi2 . 5�ov,'Te 1A-fTS I 1_1_
Property Location: 1�k Lv e�R rP D :
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING . -
CODES: •1 4 kvi Pao Ff=e Tl
Address: O 14e &coy-9 c N LI I ZEeL-S` Tel. 6c�6 '-'? IJ?
BUILDING SPECIFIC;;
Type of work to be done: Porch Deck Do Boatho - (circle one)
Size of structure to be built (square footage = 0
Foundation Material Width fat Thickness cx 6. Cr.,g(�iu 'Ti'118ER
Depth of footing below grade "-i-o (PRE ex,isTfva
Size of posts or studs x 6 x . S Long
Size of floor joist x x I Span
Decking or flooring material 3/4 " " LE tvooD(ToP occe) Qx8 Asa DocK Levet_
How will porch or deck be fastened to building? Ai
IF ROOF WILL BE INSTALLED ANSWER QUESTIONS BELOW:
Size of posts or studs C, x 6 " x 2 Long
Roof Rafters 1..' x 1 o Spacing I( Span 1
Roof Trusses Pre-Engineered spacing)
Span
Type of Roof - Cie-a)- Flat - Shed - Other
Material of Roof uoveio-AL' ovea2 3/y'" PLIdwooD
Type of siding (if any)
***********s*************************************************************ss****s
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,, drawn reasonably to scale
and attached hereto, 'showing clearly and distinctly all buildings, whether existing or
proposed,and indicate all set back dimensions from property lines. Give street and number
or lot number and indicate whether interior or corner lot. Show location.of water supply
and location and configuration of septic disposal area.
COMPLETE INFORMATION'REQUIRED BELOW: TOWN OF QUEENSBIIft'
Size of property ft. x " ft. . RECEIVED
Existing buildings) Size o ft. x • 1 G, ft.
•
Existing building(s) use Doc"t< MAR 2 71991
Proposed building, distance from property line. , BLDG. & CODE DEPT.
Front yard ft. Rear yard - ft..
Side yards ,ft. and ft.
If on corner setback from side street ft. .
- DECLARATION
To the best of my knowledge and belief the statements contained in this
application, together with the plans and specifications submitted, are a true and complete
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:
er, wner s gen , rc itect Contractor
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New York State .Departaent of • REGISTRATION OF CISTOG rraARE 1,57
ental Conservation _ ________ Registration Number
ii --rensburg, NTew York 12885 / ,
This registration fors is to be used only for wharfs in existence on Lake George prior to
the effective date of the Lake George Recreation Zone Regulation `6 iYCRR Part 646).
,.
1. ..Nane of Applicant: ni'9 it..Y sig. 0/9 L L ;
2. Applicant is a/an: / /, Individual I / Corporat or: .// Association / /MMunicipal ty
3. �� - • 'T e-Le
;`lumber:.
r►anaa —. AlA R yY Iy: g r t i.= • .
•5 7rA re 'R o cJ TE ' Hose: GSG- 9y7�
i:
Address: '
Post Off ice 'IclewsA L 5- A)•7•1, l2.pd Busanes3:. '�-
Y.. Project Location: - - Include a location sketch of site, a sketch
City or ViLlage TS;tlitc Aro, • • • of wharf on site and a photograph of e.x_ist: o
4e,tosS Fao .Zoe Wu Y ,00/w'f structured (Include dimensions-an.m d dista3c_s
. TownejuEENS/d dR y.. County Gvsi/l,EN ' to adjoining properties.) ,
5. •.:vas a DEC Protection of Waters permit-•CAItitle 15, Title 5) required?.0 yes ?/ / No
If yes, what was permit number: 6 .-// -4 9 '.(If yes,informa.tion ted in
4 is'noe required)ire •eaNS lit derid a,c'Aer-eXI,STiiv MaeK4-(4./3i0 r riS eiy,esY 19Zo
ci l
6. Date wharf was.constructed or first install e3 - /9 7 Q_ c�Eeo.os rye dcrEzby
7. Has am O.G.S. Grant of ,Easement been issued.? a' ,Yes ? /7 No •
S.sc'
�FE�S
If yes, what..is.O.G.S. Easement NTt+soer?tonE a,—du/ Yo,ex 6rorz- Vol... '9 "044 /3 •TraEs =
8. Is wharf removed from* the.*.meter. annually? /-'7 Yes f No.
9- Certification:. . - ^' .
•
_ I hereby aff ins that.the information. Provided on this form and al
act-me-meats eats submitted herewith is true;to the best of ay 1_ -edge and _belief. _
i - -- • 'As a condition to .the issuance of a-per...i.t, the applicant accepts -
full legal responsibility for all damage, direct or indirect, of whatever nature, and
by whomever suffered, arising out Q • the project described. herein and agrees to indemni=y'.
and save harmless the State from. suits, actions, damages and costs of every name and
description resulting from the said project. ;
4.-1-/C4-4 -1_ 4 ; f?rt k
Dat ' V 474.4A14.1(nature . .
I. - V For Department Use Only• - .
. CERTIT IGATE OF Z. GISTR.IIIONi -
The wharf described herein, nests the requirements of qualifying as _a pre-�xistirg -
structure and no perrit is required to re-install or maintain the existing structure.
A registration marker provided with this certification shall-be attached to the wharf
in a conspicuous location easily visible from the lake and per=.:,aaently maintained. . A
new aer-..i tts-.r chaired for any_►.fork_ that alters _the size, shape or location of the
whack. --..,--.0.e.-t--1.--:-.....ev ,fr-..e. ei,,, 4•PdP e vcr. 2 0 1982 . . .
1 _. Reaiorna1 PP,' e.�-;.;,.,:__-__ :fi - - ,. .. • • .
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