1986-356 BUILDING PERMIT
TOWN
WN OF QUEENSBURY
No. 86-356
Cv ``(\ 1 �� WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Joan Moyn h n
OWNER of property located at .ad, Cleverdale Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Stake Dock
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Cleverdale, NY 12820
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2. CONTRACTOR or BUILDER'S Name
Adirondack Contracting
3. CONTRACTOR or BUILDER'S Address
Box 159
CD
Star Route
Glens Falls, New York 1-1
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
w
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6. TYPE of Construction— (Please indicate by X) W
a.
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
4'x24' stake type dock per plot plan and application
No. submitted.
8. Proposed Use Cl)
Dock
t7
$ 19.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 87
(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 26th Day of- ' June 19 86
SIGNED BY M /v or the Town of Queensbury
Building and Zoning Inspector ��
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW_ YORK • Building Inspector)
Application for Application No.
pP Permit Issued I9. . .
BUILDING AND ZONING PERMIT Pei•mit Expires. • 19.
%c,ning. District
• \ ;illic cc1 \Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\I'I"-"c c'cl by � ��
showing the actual dimensions of the lot to be built. 1tcmai f 0/e`
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
1Wr:a ,r,F row. 71.1\,
70
DATE „<d': s 1.�( C� ll l� '„_ t
, ' l 1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK !3 L � s . `i
ANSWER ALL OF THE FOLLOWING. pi 9 i's+'%
The undersigned hereby applies for a permit:to do .the following work A.M. P.M.
which will be done in accordance with the .description, plans and specifi- s C./9°�e�+ 111 1)21.3)41516
cations, and such special conditions as may be indicated on the permit.
The owner of,this property is: .
. . ./Yie. .Joa, .. (7 .� .,Ac. : . . . . . . . . . . . . Cl yd�6-... ./1 /zez
vaLGt . .
4 A'E) / (P.O.ADDRESS)
Theperson responsil ie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
oy-l. C.(\) OG—s _ -50X /5-7 5/z+.r delie. G6,...-7 --lls A/ /zSoi
/� (NAME) ' _(P O.ADDRESS)/
Name of Builder. .✓.7+0(��iVVl9Ce 4.-n ffiVCrfIVG Address t ./5.7 A. -44- 64..7 #C14 4 /46gt'
Name of Plumber • Address
Name of Mason Address _
Lot Number ` Unit Estimated value of proposed work S /ZOO
if/ t1
Name of Village . . .Cief).ei—d G' -jf
Name of Street �1/Maci'-- / ` Side of street: north 0, east ❑i south awest EV
Nearest Cross Street . .dt��euei-4'[.�i,Cna. a Distance from this cross street . . . .r�. .tki. . . . . . . Ft.
Property is north ❑,south ❑,east i i, west Neom Cross Street
If on Corner, which corner, northeast ❑, northwest El, southeast Ei , southwest
• (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. • Main Building
❑ Addition to a building. One-family dwelling ❑
❑ Alteration to a building. . Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building . ❑
-car attached garage ❑
• Other:
• Accessory Building
A One-car detached garage Ei
"Other work. Describe: ant-sirac`t�/On 0-P a— ❑
• ` Two-car detached garage
�t 1 7 (X 1-r1 / .7 4 �'7 Kam. Private chicken house •
❑
n Private storage building ❑
. t�f' 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
i ,. titeoact,,s2ize of the property, the location, size and setbacks of pro-
w� � a. posed buildings,and the location of all existing buildings.
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�� ���`' Show proposed building(s) in dotted line and existing
�44,�\ Deo. G luilding(s) in solid line. .
Size of property �f�U/ ft. x / " ft.
Size and use of existing buildings, if any
) lieoe , `'. A' '
•
Size of proposed hulloing -1 ft.x . . . ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
,� i C(.Atelevee Rear •yard . ft.
(P tw,►+ 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.)
BUILDING SPECIFICATIONS., Q /
Kind of construction: Wood frame, fire safe, etc. � �� � �a""`��
Will any second-hand lumber be used? 4/0 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?
Finishof 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. A j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.p lete 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 pertainipg to the ro work shall be complied with,whether specified or not,
and that such work is authorized by the owner. ti\1�tX()_
Sworn to before me this Signature L. _
OWNER.0 NEWS AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT: - - — —
•
•
By
14-12-:g.(7/82) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF AVAILABILITY FOR REVIEW
1
INITIATING UNIT: POI U I h -"1 5/ Contact: l 11 1A d (o��Y1 �•
OTHER# DATE ISSUED trLe.
OTHER# DATE DUE // 1 -5-/1-
OTHER# DEC# ,--&C� —
PURPOSE FOR NOTIFICATION/REVIEW AUTHORITY: 4,0.74,„/„.
QUlS IrYLvseIJ F,�
�J _ 3 1986
APPLICANT: 6 /% /
-/ l - `1/el ?JI i G'j 4 .
?18/911 4 x,2 P.M.
,r �, g .1, ) 151p
PROJECT NAME/DESCRIPTION: �/U C�/�-I/ X � dui /�r
PIA -A1
PROJECT LOCATION: (/tf e"/C4V2-e4/
City/Village Town: ��-eefre-"C.:411'2-
County: USGS Quad:
(Attach a location map)
REMARKS:
DISTRIBUTION: 2& M-e-S' Ui- L / 8#Z,, Zen(/sT/2( �1;e1
no comments ❑ comments attached ❑
RESPONDING UNIT:
BY:
(name/unit/date)
14-19.5R5(9/81) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
WARRENSBURG,NEW YORK 12885
APPLICATION FOR PERMIT Registration Number
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 lhd exhlbl s to p 10e alr'roquired
data and explanations for which space on the form Is Inadequate. L)) h Lf _
1 11 r •
®Article 9,Title 1 (Lake George Recreation Zone Regulations)(Construction of wharf pursuant to 6 NYCRR Part 646) L I L
❑Article 15,Title 5(Protection of Waters)-see note below(Construction of wharf pursuant to 6 NYCRR Part 608)
1. NAME OF APPLICANT:
Mrs . Joan M. Moynihan ~ • , •
2. APPLICANT IS A/AN
Individual ❑ Partnership ❑ Association ❑ Corporation ❑ Municipality ❑ Governmental Agency •
3. NAME OF APPLICANT SIGNING APPLICATION: PHONE
Mrs . Joan M. Moynihan 518 656--g005
Street or P.O. Box:
Post Office State Zip Code
Cleverdale N.Y. 12820
4. NAME AND ADDRESS OF OWNER(if not applicant): PHONE
Street or P.O. Box:
Post Office State: Zip Code
5. PROJECT LOCATION: Hillman Rd.
City or Village Cleverdale NOTE:
Town Article 15 box must be checked and appropriate applica-
Queensbury tion fee must be included if:
unt a) Wharf involves the excavation of material or the
azYren placement of fill such as stone, sand, gravel,
6. PROPOSED USE: concrete or similar material below the mean
13 Private ❑ Public ❑Commercial high water level (elevation 320.2 feet above
7. PROPOSED STARTING DATE 8. APPROXIMATE COMPLETION DATE mean sea level) or,
July 1 , 1986 JUly 8 , 1986 b) Wharf is built on floats, columns, open-
9. FEE ENCLOSED timber, piles or similar open-work supports
and is larger than 200 square feet and is not
removed in the fall (by September 21)
(Required only for Article 15,Title 5 applications)
10. NAME AND ADDRESS OF OFFICAL NEWSPAPER OF LOCALITY WHERE PROPOSED WORKS ARE LOCATED:
The Post Star
Lawrence and Cooper Streets
Glens Falls , N.Y. 12801
11. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED
❑ 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 attachments submitted herewith is true to the best of my knowledge and belief.
As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct or 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.
z,gLt/Se Ae /gtg 9'64.)Date) " nature
PERMIT ADMINISTRATOR
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