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96-201 CERTIFICATE OF 'COMPLIANCE j TOWN Of,QUEENSBURY . WARREN COUNTY,_NEW YORK` Date - Janitilt'gr ,23 19 97 . . . 96201- , ` This is to certify .that work requested to be done as shown by Permit No. _ • has been. completed. ` - This. structure may be used`a's'_a �' CK _� Location SEELEY RDV. • " . . . Owner WHITE, ., JAHES & 'NANO' TAXiP No. LG. �� �7 By Order of Town Boar d ' OWN 'OF QUEEN BURY Director of Building &:Code Enforcement • ' BUILDING PERMIT VALUE $ 3000 TOWN OF QUEENSBURY No. 96201 TAX MAP NO. 16. -1-27 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to WHITE, JAMES & NANCY OWNER of property located at SEELEY RD. Street, Road or Ave. in the Town of Queensbury,To Construct or place a 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. 1. OWNER'S Address is P.O. BOX 124 CLEVERDALE - NY 12820 2. CONTRACTOR or BUILDERS Name MATTHEWS, JOHN 3. CONTRACTOR or BUILDER'S Address BOX 1154• RD 1 LAKE GEORGE, NY. .:•.1284 5 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) DOCKS ( I Wood Frame ( ) Masonry ( I Steel ( 7. PLANS and Specifications DOCKNAS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use DOCK..a.,',,,} _• 30;:v,,. ,.,,:,.;. :.r - May 16 $ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 98 (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 Qu sbury this 1'6. _- Day Or May 19 96 SIGNED BY for the Town of Queensbury Building a oning Inspector , � TORN f OF Qi1EENSBUitY MAY �D8. . I Fee BUILDING & CODES DEPARIMCNT. 2� APPLICATION FOR: i ORCIICS DECKS1 Fermi • # J1 DOCKS & O/CTITOU"SES 1 Est. C z757V1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL F •iHIE 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. iWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITIEI WITH THIS APPLICATION. LC-94, i,e,6 Ir Owner of Property: \J(cv. Li f irl° . P.O. Address Sm-rL q Phone # Property Location swe1 ect/w-) • . Tax Map # Subdivision Name .(If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: V, 4/ /44 T7-tiyf Address 72( �� LC Phone#��4-.576 • BUILDING SPECIFICATIONS: • Type of work to be done: Porch Deck Dock Boathouse (Circle one) Size of Structure to be built (square foo ' 511- k' . 5 1 ,( Foundation Material : Width Thickness �C� � `°ws? v6 Depth of Footing, below grade: IxrS TP 1 �6k_ Size of, Pos is or Studs: x x Long '°E-e 6 7 Size of Floor Joists: x x Span Decking or Flooring Material : 2 TA'A- . How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: - _ x x Long . Roof Rafters: x Spacing Span Roof Trusses (pre-engineered spacing) : Span Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: 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. Show location of water supply and location and configuration of septic disposal area. ,Size of Property: ft. x e ft. Existing building(s) : Size ft. x ft. Size ft. x ft.- Use of Existing building(s) : Proposed structure, distance from property line: Front yard ft. . Rear yard ft. Side yards ft. and ft. ' If on corner, setback from side street: ft. DECLAiATION 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. DATE: � SIGNATURE , / / iOw i:ttr, Owne s Agenc , hi LraE otcREVIEWED BY CODE ENFORCEMENT OFFICER, DATE 6-1N V SIGNATURE CLAS t;; TO N OF QUEENSBURY .. 1111. . BUILDING & CODE ENFORCEMENT � _�3� 742 BAY ROAD ��rr�� ^ QUEENSBURY NY 12804 C/ 0` ( (518) 761-8256 Se ARRIVE: 6/ 4) DEPART: INSP: FINAL INSPECTION REPORT - RESI ENTIAL DATE INSPECCTIyOON REQUEST RECEIVED: (1. 7 NAME a es`"PNav\cW e, LOCATION ` / e_c L DATE 41L-a...3-- 9 { ERMIT # �DD TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGH /B VDNT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINIS DECK/PORCH/STE•S/• 'ILINGS RELIEF VALVES FURNACE/HOT ATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE . OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES • FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. / FINAL SURVEY PLOT P N` //f OK TO ISSUE C/O 0 C/C r r - t �ts !\ , LAKE GEORGE PAM COMMISSION ' ,. i Box 749 I. LAKE GEORGE,NEW YORK 12845 Tel.518-668-9347 FAX 518-668-5001 CARL R.DE SANTIS MICHAEL P.WHITE Chairman . Executive Director April 23, 1.996 • JAMES WHITE STAR RT BOX 219A QUEENSBURY, . NY 12804 • RE : Permit #5234-15-96 Standard Activity Permit • Dear JAMES WHITE: . Enclosed is your permit for the repair or replacement of your existing wharf( s) as proposed in your written application. This permit was issued in accordance with the applicable provisions of the Park Commission's rules and regulations ( 6 NYCRR 645 & 646) and the Environmental Conservation law. The permit is valid only for the repair or replacement of legally existing wharfs and their supporting structures with no change in size, shape or location. Please review the general and special conditions included on the permit; these are intended to minimize any environmental disturbance associated with the authorized activity. This is a standard activity permit issued based on a riparian owner' s written request for the repair or replacement of wharf structures. Should you have any questions regarding this permit, please contact me at this office. Your interest in maintaining the environmental quality of Lake George is greatly appreciated by the Commission. Yours truly, Michael P. White -. Permit Administrator . Enclosure 0 cc : Town Supervisor • JOHN MATTHEWS - PO BOX 749, FORT GEORGE ROAD �w° , � -} LAKE GEORGE, NEW YORK 12845 " • Tel. 518-668-9347 Fax 518-668-5001 STANDARD ACTIVITY PERMIT for Construction of Rock Filled Timber Cribs for the Support of Docks • Pursuant to the Environmental Conservation Law, Article 15, Title 5 Protection of Water - • • • GPC Permit Number: 5234-15-96 • ffective Date.: April 23, 1996 This Permit -Expires:April 23, 1997. ermit Issued to: JAMES WHITE STAR RT BOX 219A - QUEENSBURY, NY 12804 • ounty: WARREN' Town: QUEENSBURY Parcel #: 16-1-27 • • AUTHORIZED ACTIVITY PLACE CRIBBING FOR AN EXISTING 10' WIDE , 59 ' LONG L-SHAPED WHARF AS SHOWN' ON ANS MARKED SCHEDULE A AND MADE PART OF THIS PERMIT. - By acceptance of this permit, the permittee agrees that the _ permit is contingent upon strict compliance with the ECL, :the . . Navigation Law, and all applicable regulations, the General Condi- tions specified, and any Special Conditions included- as a part • of this- permit ( see attachments) • rmit Administrator: Michael P. White Address:P.O. Box'749 ' Lake George;'-NY 12845 uthorized Signature: - Date` - :y Zd, VP-age-1 of -6 SCHEDULE A ...-- . . i,,,,•:.,..."Zji .... . -. _.,.. . II ;'••••, '": '.' ,,' ".• :7-•'' / / . i ji TOWN OF QUEENSBURY BUILDING DEPARTMENT f-se4 Based on our limited examination, compliance with our comments shall i /7 U TEE Nsrt3U ._Y ; not be construed as indicating the kOWA4.° plans and specifications are in full 1 compliance with the code. t ,f • C''''',--' Eg DPT- 1 I _ .... _ ._ i . . 1,1K113Gy 'ATE App:ica non b By.EUv li EL! .__ I . . •s-,, r N"110% ...".• . • A P l'e IR Ate . E D ...., , (2, eit: I IviAY 1 6 1996 Zoning Administrator TOWN OF QUEENSBURY ' X /I/ / I lo' Lir to • ...: , . • , . 1 G— 1 —22Z- • .!,:,:,.! ,, .--.,..:t; -, ,, tkNte, , te-t-27 . " : F .- '. ' .:,-44:•:"-, ••• , . . „• , • : „ • :"."•-'•kf• ?:'• " ' ... '' , -4.=•:,'"':' ':''-. •1-2" -," , • , :: ....: ..:::::!•-'.,:.,..,"1'. ' ' ' 1, ,,, ' LGPC PERMIT# 6- - s-y_ /...: . . , , ,--- 7PAGE .5 0 . 6