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1987-169 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-169 WARREN COUNTY, NEW YORK Mrs . Charles Mein PERMISSION is hereby granted to uo OWNER of property located at Assembly Point /Lake George "Road in the Town of Queensbury, To Construct or place a Boathouse "1 its at the above location in accordance to application together with plot plans and other information hereto filed and v, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, x M m r i . OwNER'S Address is 48 Green Meadows Lane Loudonville , N . Y . 12211 2. CONTRACTOR or BUILDER'S Name John A . Mason 3. CONTRACTOR or BUILDER'S Address P . 0 . Box 86 m Cleverdale , New York � I� �c 4. ARCHITECT'S Name C t+- rt to w 5. ARCHITECT'S Address m M ru 0 W 6. TYPE of Construction — (please indicate by X1 fa ( ) Wood Frame ( ) Masonry I I Steel { ) 7. PLANS and Specifications reconstruction of 201x42 ' boathouse damaged by ice per No. plot , specifications and application 4 Ps S. proposed Use rt 4 Boathouse c �77 [9 $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Nov . 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 Oueensbury before the axpiration date.) Dated at the Town of CtueensburY this 16th Day of April 19 87 SIGNED BY � for the Town of Queensbury Building and Zoning Inspect + - TO BE COMPLETED BY BLDG . DEP'I'. flown No . flown O/ Q" eenjiury Permit Issued _19-.. _- T WN OF QUEi-Ncl fr'i. kY BUkLk7kAkCa and ZONING DEPARTMENT Permit Expire s� _. 13 Say and Haviland Road, R.D. 1 Box 98 Zoning Designation aueensbury, New York 12801 Variance No . p Site Plan Review No . 1 .5 19$7 uJ Approve y : BU DING �& ©DE E� dPT. Y APPLICATION FOR. Ill I DING AND-ZONING PERMIT 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 -away be indicated on the Permit . _-�-------_____ � The owner-ofrthis property is : Mrs . Charles Klein P. O. Address 48 Green Meadows Lane. Loudonville- F NY 12211 Tel . 482 - 8963 Property Location : AssemblyPoiwe ' nt , Lake Geor a Tax Map No . Street number or building lot number Subdivision name (if applicable) THEPERSON RESPONSIBLE FOR SUPERVISION 6F WORK AS REGARDS BUILDING CODES ISI John Mason P . O . Box 86 Cleverdale NY 656 - 9956 Name P. O. Address 'Tel . No . Name of builder John A . Mason AddressP O . Sox 8 £i , Cleverdale Tel . 656 - 9956 Name of plumberww�Address Name of mason Address Tel . r NATURE OF PROPOSED WORK : * ZONING INFORMATION : * Construction of a new building A PLOT PLAN MUSS` BE PREPARED AND SUBMITTED , _ * Addition to a building * drawn reasonably to scale and attached hereto , Alteration to a buildings showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all _Other work (describe) rw(� nf+nct3:ijgt.1on * set-back dimensions from property lines . Give street and nwaber or lot number and indicate amagqe is win er whether interior or corner lot . Show location FOR DEFlOLITION PERMITS STATE SIZE AND * of water supply and Location and configuration LOCATION OF - STRUCTUREs AFFECTED . * of septic di:.;posal area . d ' boat 35e - * CQMPLETE INFQFiMATIQN REQUIRED BELOW , Size of property ft X £t . * Existing buildings) Size ft X ft . * PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure 20 wwwwwww�wf t X 4 2 f t Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one) * Front yard ft Rear yard ft Now of stories (habitable space) * Sick yards ft and fr Height (grade to ridge) ft' • * If on corner , setback from side street ft Sf-re tde.3rti-a s: -no-.-- of families OCCUPANCY INFORMATION Now of rooms (excluding baths) Now of bedrooms * PRIMARY BUTLDING - No . of bathrooms * One family dwelling Primary . 'heating system Two family dwelling Type of fuel * Multiple dwelling / Number of units Now of fireplaces to be installed Permanent Occupancy will a wood stove be Installed?. Transient occupancy * Central. Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial ww�ww* Other —•-.------•-- Ranch . Contemporary Log cabin if addition , what will use be, Raised ranch Mansion Duplex * . -- split level Old style Bungalow Cape Cod Cottage other * ACCESSORY BUILDING- car Town House Detached garage/one car/ two cars` Colonial Row * cal ( CIRCLE ONE PLEASE ) Attaclxed garage/one car/ two cart * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * X other boathouse CONSTRUCTION $ same as old INFORMATION ON BUILDING SP'ECIFICAT'IONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED [ Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what ? Foundation wall material d "Thickness Depth of foundation below grade ( to bottorn of footing ) Will there be a cellar? Heated or unheated? Floor sq , footage -sq ft Will there be a basement? Will any portion be used as living ::;pace. ( If so, what portion? sq , ft . - - Type of use ? - Type of roof - sloped/flat/shed/other Mater.tal of roof Size , wood studs "X IF spacing "o . c , length ft , Joists ( floor beams) lst , floor "X It spacing "o . c . span £ t , Joists (floor beams) 2nd . floor "X spacing "o . c . span ft , Ouer3ays (ceiling beams ) "X spacing "o . c . Span ft . Roof rafters "X spacing o , c . spaxx ft . Roof trusses (pre-engineered) spacing "o . c . span ft . Exterior wall finish Of what material ? Interior wall. finish If Fa garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure , and self—closing device be provided? Will a flue-lined chimney be installed' Height above roof ft . Depth of chimney foundation blow grade ft , Depth of fireplace hearth ft . lino Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well ( incl.iadinq ad ' r3ining properties _ft , (A separate application is necessary for any repair or new installation of septic system) Coupof f Warren A F F I D A V I T . STATE OF' NEW YORK County of Warren I swear that 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, �Q SWORN TO BEFORE ME THIS signature __ owner ' s agent , arcniiect, contractor lhth day of April lg 87 Notary Public, Warren County , N . Y . • r r * * # It At * r r r ,r * * * * * r * * * * * * * * • * # r r * * * * * r SPECIAL CONDITIONS OF THE PERMIT : By I VIEW LOCATION SHMMCH PROFILE peaker Heck Is . Sy Harris Bay KL E 'N Apt' L �ham ` s Bay O 0 1p00 2000sca a in fe tle in feet m : L. . Power � uadron 19�i 0 PLAN VIEW scale in feet PURPOSE : ❑AruN , N Lake George ADJACENT PROPERTY OTMVERS : AADOuNTY orwarren STATE NY T Assembly Point (D��� APPLICATION BY.7ohn A . Mason SHEET OF I DATE 0- 3 TOWN OF QUEENSBURY 14 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEFNSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED _„�f NAME _� +'l�'GL•1 LKf /! + LOCATION DATE _ ,/I / ERMIT # APPROVED _ YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDA TIONIDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING". ELECTRICA ROUGH-IN INSULATIO FOUNDATI FLOORS WALLS EILING INAL INSPECT N: CHIMNEY HEIG ROOFING SIDING EXTERNAL Po CHE TEP STAIRS-CLEARANCE RAILS PLUMBING FIXTUR S/ LIEF VALVE INTERIOR TRIM/ IVAC DOORS FINISHED FLOO GARAGE FIREPR FIND .DOOR CLOSER ( } SMOKE DETEC RS FINAL ELECTR AL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED? 0 RTIFICA TE OF OCCUPANCY MUST BE OBTAINED }'FROM THE BUILDING DEPARTMENT ;BEFORE THESE PREMISES ARE OCCUPIEDD yf REMARKS: INSPECTOR