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1985-493 BUILDING PERMIT TOWN OF QUEENSBURY No. 85_ 493 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to 1 CA 0 OWNER of property located at nt igininei Street. Road or Ave. in the Town of Oueensbury, To Construct or place a Dock, 0 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. r 1 . OWNERS Address is RD 5 , Gifford Church Road � w Schenectady, New "York 12306 2. CONTRACTOR or BUI LDER`SS' Name to N 3. CONTRACTOR or BUILDERS Address. 9 C3 F—' �r3 0 4_ ARCHITECT'S Name N- Q 5. ARCHITECT'S Address � 6. TYPE of Construction — (Please indicate by XI (D G7 ( 3 Wood Frame i t Masonry f 1 Steel f I fp C7 CI 7. PLANS and Specifications 684 sqo ft _ u- shaped dock - stone crib and bridge ' No- construction per plot and application su1xna.tted . 8. Proposed Use Dock t:j 0 c 7s' $ ism 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 19 86 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Chmensbury before the expiration date.) Dated at the Town of Queensbury this 5th Day of _ September 198 5 SIGNED BY for the Town of Queensbury Building and Zoning I nspector TOWN OF +QUEENSBURY (Space inside block to Ix• Idled i„ b% WARREN COUNTY, NEW YORK Bttildinll InspeciiFwf Application for Pk';l1-1111 A ls YI, ti {l. BUILDING AND ZONING PERMIT 1 F %pires %t311111� 1)i.lrie l "-� THREE 131 Copies of a PLOT PLAN, Drawn to scale - - showingg the actual dimensions of +he lot to be built upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, 7 - 'YCiWN Or QUEEN'3813RY Re G E I V F D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK n P ANSWER ALL OF THE FOLLOWING. jr' ,gt;' The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- 718gV *" cations, and such special conditions as may be indicated on the permit. + , 'j ' +t The owner of this property is: . .L� 2�. R # l I . . . . . . . . . . �..•-', . �. t'awi 1Gc ' b . G' [ �1�4k1 . ' tom : . . . `1� rFi �rGt}'- p�{ . � .I� l ► �Ic 12 3c E~ (NA- :5) IP O. ADDRESS$ The person responsible for supervision of the work insofar as the Building Code and the zoning Ordinance apply is-. . . 4 d . - (NAME} ' " " . . - . IP O ADORES$} , Nameof Builder . . . . . . . . . . . . . . . . . . . . . . . " " . . . . . . . . . . " . " . Address . . . . . . . . " " . . . , . . . . . . . . . Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . " . . . . . . . . . . . . . . Nameof Mason . . . . . . . . . . . . . . . . . " . . . . , . . . . _ Address . . " . . . . . . . . . . . . . . . . . " , " . . 11 . . " . . . " Lot Number . . . . . . . . Unit Estimated value of proposed work f . ( ? l C)CX--. . . . . . . . . . . . . . . . . Name of Village . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . �'l � ]. '" . . . Side of street : north ❑, east ❑ , south @west ❑ Nearest Cross Street�.r. �° . -�1 . ;-�• . . . . . . . Distance from this cross street . . . . r/ #?tl .� . . . . , " 1 t . Property is north 121 , south 0 , east i► , west ❑ 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 0 Construction of a new building. Main Btti ding 0 Addition to a building. One-family dwelling 0 C] Alteration to a building. -Two-family dwelling d EJ Demolition of a building. family apartment pause Cl Score building Cl -car attached garage 0 Other; . . , . . . . . , . . . . . Accessory Building One-car detached garage Ci ❑ Other work. Describe: .tom' . -tom Two-car detached garage 0 Private chicken house 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, site and setbacks of pro- posed buildings, and the location of all existing building's_ NORTH Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . ? G. k : . 4.77. . . . ft, x . . ?. - . . . ft. Size and use of existing buildings, if any . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . s 1° Size of proposed building . . . . . . . . , , ft. x ft. Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . .r . . . . ft. t Side yards . . . _ .I. C,'"' , . . . . . . ft. and . . . C. +l': . . . . . , it. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH if on corner, setback from side street • . • • • • . . . • ft. Noce: All distances are melt as measured from street side line to nearest part of building. iOV£Rl 7-73-M (cont'd. ) BUILDING SPECIFICA,TION'S , Kind of construction. Wood frame, fire safe, etc.? . . . . , . . . . _ . . Will any second-hand lumber be used? . . . . ".0. . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . , , . . . . . . A71No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . , , . . . . . Depth of foundation walls below grade - - . &-'JOv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . I . . . . . . . . ..ox., span . . . . . . , . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . " x _ . . . . . . . . . . . . . '". spacing _ . . . . , . . . . . - .,o.c., span . . . . . . . . . . . . . . ft_ Site, roof rafters or beams . . . . . . . . . . . . " x . . . . , . . ", spacing , - - • - - . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. Exterior finish . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . With what material? - . . Finish of interior walls . . . . . . . . . . . . . . . . . . . - - w . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buiJQing 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dddd . , . . . . . . . . . , . I . I . . . . . . . . . . . . . . . . . . . . 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, cieanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to w i kj i of my knowledge and belief the statememe contained in this application, together with the plans and specifications sub- mitted, are a true and co.,. lete statement of all proposed work to be done on the deerribed pretnirsa and drat all �a of the BUILD- ING CODIK, THE ZONING ORDINANCE, and Al other Iowa pertaining to the pm work aha be oo `ed witTs wh6 h speeiCed or not, and that such work is authorised by the owner. Sworn to before me this Signature .. . . . . . . S . - r { NER. R'9WNES GENT, i C CQNTRAC7QR dayof. . .. .. . . .. . . . . . .. .. . ... . . .. 19. . . . . NOTARY PUBUIC, WARREN COUra7Y, N, Y. SPECIAL CONDITIONS OF THE PERMIT: By _._ _. .. _.., .. _ ....... _. __ . . . ... . ...... . .._..----. .. .. .,_. __.. ., _- 14-12.2 (7f621 NEW PORK STATE DEPART,NSENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF AVAILABILITY FOR REVIEW INITIATING UNIT: Lw� Contact_ a OTHER * DATE ISSUED CtTHER # DATE DUE CITHER # DEC # � PURPOSE FOR NOTIFICATIONl REV IEW AUTHORITY_ Loil l APPLICANT: _ __, s �-� _. vt- PROJECT NAMEIDESCRIPTICIN : --*'""�'� PROJECT LOCATION : �± CitylV±llageff Town- County_ ,C USGS +Quad : (Attach a location map) REMARKS: DISTRIBUTION : no comments comments attached ❑ RESPONDING UNIT: BY: (namelunitldate) 14-19 5R;, i9i8t) NEW yORri STATE ©EPARTi�'IENT C)F ENVtRf 7N uENTAL CCa F'RY14�ICk _f LI;^,r 'I ,t,J +�._-, ! F l WARRENSI3 LlRG, NF'r'd YORK 12585 - l� APPLICATION FOR PERMIT A C fa onstructioIT cr Insta{latin of }v'dharfs in lake Geogr e- 'C,ier�t},ate _€ •3 , � t s --- head instrucllons on back before cornpiating this Application,Please type or print Clearly In ink-use separate addand:a and qxhiblts to prayids elf required —1 data and aYpianatlons for �a.hlrh space on Rho Form is inadequAte� D�--yArHcle 9, Tille 1 {Lake C,eorge Recreation Zone Regu:ationsl !C_onstruction of tvhaf; Pursuant to 5 NYC" ?art 54a; Article l5: Title S (PrutYctinn Of Waters) - see note below (Construction of wharf pursuent to b `vYCRR Pan 6t!F3f 1 , NA.ME OF APPL[CANT: 2- APYLICANI IS AfAN [—I - r--1 lLi IndivirRual © PartnershipAssvclati.an ❑ Cnrpnr,ician ^.lunic:pa+ity '�- LJ- G+3sernn:entai Agency 3, NA1ulE OF hPPLICAtir SIGNING APYI.tCAT ION; � 16NE - streer or ?.C). Gorr: F7 state Zip C.�Ie Post 0rfice 4. NA.'vtE AND ADDRESS OF C?WNER (if not applicant'- PHONE � _ .ic.,Yr�—'k"' " -- -'�--'- •----._ ---- •w.�J 154 .�-.� !`j 37 fir=. r' t' •rCyi ww� stre�-e-sty or PC- Sox; �• r -� Stale: ,Zip Code Past Oiflce � 5. PROJECT LC]CATIC}N: ` City or village 'f E : —._! .1 F'._S._Z �1 E s c • } ?`� . ' ; �� Article 15 box must he chi cited and appropriate applica- Town ���' s'�-.irk=. a� . ' _ titan fee must be inc_fud e if County a) Wharf invaiv5 the excavation of material or the placement of fill such as stone, sand, gravel, 6. PRr)PC)SFD LJSEL concrete of similar material below the mean 0 Private 0 Pub!lc OCom nercial high 'water level (elevation 320.2 feet above 3- PROPC35FD STARTI.•1C. raAr �. E 8. APYf2C)?{I�tii.�TE COMPLETIONCOMPLETIONDATETE mean sea level) or, ) Wharf is built on floats, columns, open- - - timber, piles or similar open -work supports 9. FEE EiNCLOSED and is larger than 20€7 square feet and is not removed in the fail (by September 11 ) (Required only for Article R j, Title 5 applications) 1 r1- NAME-A.ND ADDRESS OP: CaFFICAL NEWSPAPER OF LOCALITY N/HERE P'<OF'C55ED WORKS ARE ECG.C•'3.rFt.`- ,cam=-3L.:.3 - �:.�,..;C, It 17 . 15 ANY ?C)Rri(7N 6F THIS ACTIVITY FOR WH1Cf-i PER45: r 15 SOUGHT NOW IiEC UN OR CC7N`P'.ET"-) Ll Ycs r li "yes'", expl.iin in aCttlnnda, s;iving reasons and dated. and show cristinv work orl c3rawirtv-,5 or rn.sp.� ` _ �V 12- CERili:3CAriC7N: I herehy affirm that the information provir!r,] on this Form and all .itt.ichrn(rnls suhmittrd herr-with is :n_e to the 'L<.q of my kr,O•.vtecfgs and he!ie F. r � fnr all d.trr.age, discs :rT inCh.ect. Or svhntev--r n.l.ure, art1 by As .a condition to fife issuance of a perm i;, the a{aplica r-C 3t:cn;'•!s ul+ Ie k',41 rrsponse�.l�.'Y v."m.,ver s4afered, +risi n.g out of the rrroil r.t de:.._;i!r•xl hert-in and agrees to irClevin;Fy anrt 4ave harlrrlt,ss the Srate fr_m sw s, ac;ivns, and ;Octs ce every name' and CleicniY!L'ln from the sard proiect- t .9 �._- r)aic Si+gndl urea/• w �� � C , fb m4T, 76 -" PI�v.1P1.-T- s+ G71v't711 JR1Z�! N.9 � S i • s3 r LI�W �VAtTrEs2� �+ �yy P' lttrC�ra 40 00 -,y '�� Lp�C, 8 -nM�ti✓r2S Y SEA EaeGk 'a I u�s�: TZ>Me Vkiw A6Vprrs7x . . . 'PfZDXEC�I[ati.l L ►� k7tiSYD►n - " 4 cxV L :Ui 4 lap PURPOSE : M1ddTFL VVIeWiM& 'rACI'UW �; ADJA�CENT PROPERTY CWHERS: iH Q4Y�_ky Wj&-Vo" .. AT -TDtVI�A CJt< _. COUNTY OF EVls.F2.FZ.'�4.3� STATE 1APLW%VVCP 2 APPL I CAT I ON SY , j©4��FP14 W4A,1i[tL5,,,1 i SHEET' L L: OF 1 DATE P. a_ 5 , GIF cal T) SC11LNL-C € AIiZ `, "` 1 ;W VCr € : € 1 .73E G I'�'0-'�:� .s'f s%r •�'s , ram► ,-�irrxJ �. Siam%