1988-727 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-727
WARREN COUNTY, NEW YORK a
PERMISSION is hereby granted to John Salvador Jr.
r.,
OWNER of property located at Lake George,DunbAns Bay Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Dock Repair
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
RR 1 BOY 1179
Lake George,N.Y. 12845
2. CONTRACTOR or BUILDER'S Name O
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
as
6. TYPE of Construction—(Please indicate by X) 0
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( )Wood Frame ( I Masonry ( )Steel ( 1
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7. PLANS and Specifications
No.Repair Dock Cribc,as per plot plan and application.
to
8. Proposed Use
B $ Boat Docks
$ 15..00 PERMIT FEE PAID —THIS PERMIT EXPIRES 1.-Say 1 19 S9
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7
town of Queensbury before the expiration date.) O
Dated at the Town of Queensbury this 13th Day of October 19 08
SIGNED BY t. for the Town of Queensbury
Building and Zoning Inspector
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TOOK chi- (-! '8:r:.i� ..:_ .
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BUILDING and ZONING DEPAf1TrvILNT •
Bay and Haviland Road, R.D. 1 Box 98 SEP 2Z19 8
Queensbury, New York 12801
/— // BUILDING & CODE.DEPT
/ Approftd by: '
APPLICATION FOR ,014 _ ,'' •
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BUILDING AND 7.0NING PERMIT Ilk / -( 4"XS
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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:,A/c_cl4,,L,f/A.be7 1:T . 4-
67742..c— .4. c...-.14LVADG1;
P.O. Address ,-R. j �ox //?? LAk 65:=62 j A/.1; !Z 34 Tel.4S7 -9,..4i
Property Location: LAICG adPG'r ,-i._pti// 1Nt5 v -;' eh, Tax Map No. q / / / 17(
Street number 'Or building lot number •
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No. •
Name of builder,_/n I.1 11/yeb Address ,r.l, Tel. F3Ma'
Nam` of plumber t161•t\.!2' Address Tel.
Name of mason tf4iNaa7 Address • Tel.
NATURE OF PROPOSED WORK: ,� ZONING INFORMATION:
'; TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,CoriStruction of a new building
_Addition to a building is. drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions)" * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
F. or )oc_l., C i.js * street and number or lot number and indicate
FOR DLrIOLI`1'ION PERt4I'1', S'1'Ii�PI: SIZE AND ** whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED, of water supply and location and configuration
of septic disposal area.
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* COMPLETE INFORMATION REQUIRED BELOW.
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* Size of property ft X ft.
* Existing building(s) Size ft X ft.
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PROPOSED BUILDING AND USE:
* Existing building (s) Use
Size of new structure ft X ft ' *
I?oandation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) , 'Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards ft and ft
I (grade to ridge) ft. • If on corner, setback from side street ft
Iff residential, no. of families
No. of roolns(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms . *
No, of bathrooms * PRIMARY BUILDING Primary -
heatingsystem
* One family dwelling
Two familydwelling •
Type of fuel c *• • Multiple dwelling ./ Number of units
No, of fireplaces to be installed
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* Permanent occupancy
Will a wood stove be installed?
* 'Permanent occupancy
Central Air conditioning?
. __Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Other ' dam s ��GS
Raised ranch Mansion Duplex
* If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial ' Row Town House *' - Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * - Attached garage/one car/ two car/ car
* * * * * * * * * * * *, * * * * * • * _Private storage building
ESTIMATED. MARKET VALUE• OF . * Other
CONSTRUCTION " �— *
$�>r7 006y G o
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: .
, Form BPA 4/86 and-vl ,
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BUILDING PERMIT APPLICATION CONTINUED - •
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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 Thickness
Depth of foundation below grade (to bottom 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 space?
(If so, what portion? sq.ft. - -.Type of use?
Type of roof - sloped/flat/shed/other Material. of roof
Size, wood studs "X " spacing • "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c, span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing . "o.c. span ft.
Exterior wall finish Of what material? •
Interior wall finish
If a 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 below grade ft. •
Depth of fireplace hearth ft. in.
Water supply• - Municipal or private well •
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT 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 r not, and t, at such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature__ __
0 r, ow er's agent,arcn ect,contractor
dayof 5— 19ggi
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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By
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/ eg-72:7
INTERIM BUILDING PERMIT
PERMIT APPLICANT :1y .tiad I t l"
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CONSTRUCTION LOCATION:DIAKIjww6 IRON toiew,
EFFECTIVE DATE ke
APPROVED BYs •
SPECIAL CONDITIONS :
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This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction. per plans submitted . It is the
responsibility of the applicant to obtain the Permit •
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A GiNSPICUO S LOCATION ! !
Bu ' ldi . g & Codes Department
OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
I PERMIT NO.
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
5-5234-00094/00001-1(R)
' PERMIT •
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UNDER THE ENVIRONMENTAL CONSERVATION LAW . -
X ARTICLE 15,(Protection of Water) • ARTICLE 25,(Tidal Wetlands) .
B ARTICLE 24,(Freshwater Wetlands) 8 ARTICLE 36,(Construction in Flood Hazard Areas)
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PERMIT ISSUED TO
Tlnnham s Ray Tnc9gP
ADDRESS OF PERMITTEE •
• R.R.41 Box 1179, Take George, New York 17845
LOCATION OF PROJECT(Section of stream, tidal wetland,dam, building)
Dunham's Bay Iadcxe boat dock located_on Lake George
DESCRIPTION OF PROJECT
RPpai r exi st-i ng rri hs s»ppnrt-i ng walkway to lmt sl i ps damaged by ire-
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COMMUNITY NAME(City,Town, Village) .• • TOWN•.• -•
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Dieensbury .. .
COUNTY FIA COMMUNITY NO. _ •• • .DAM NO. PERMIT PERMIT EXPIRATION DATE
Warren December 31,1988
_ GENERAL CONDITIONS
1. The permittee shall file in the office of the appropriate Regional 8. That the State of New York shall In no case be liable for any damage
Permit Administrator, a notice of intention to commence work at least 48 .or injury to the structure or work herein authorized which may be caused by or
hours in advance of the time of commencement and shall also notify him .result from future operations undertaken by the State for the conservation or
promptly in writing of the completion of the work. Improvement of navigation, or for other purposes, and no claim or right to
2. The permitted work shall be subject to Inspection by an authorized compensation shall accrue from any such damage.
representative of the Department of Environmental Conservation who may 9. --That if the display of lights and signals on any work hereby authorized
order the work suspended if the public interest so requires:. is not otherwise provided for by law, such lights and signals as may be pre-
3. As a condition of the issuance of this permit, the applicant has ac- scribed by the United States Coast Guard shall be installed and maintained
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cepted expressly, by the execution of the application, the full legal respon- by and at the expense of the owner.'
sibility for all damages, direct or indirect, of whatever nature,•and by whom- ' 10. All work carried out under this permit shall be performed in accor-
ever suffered, arising out of the project described herein and has agreed to -.dance with established engineering practice and in a workmanlike manner.
indemnify and save harmless the State'from suits, actions, damages and
costs of every name and description resulting from the said project. _ 11. If granted under Articles 24 or 25, the Department reserves the right
to reconsider this approval at any time and after due notice and hearing to
4. Any material dredged in the prosecution of the work herein permitted continue, rescind or modify this permit In such a manner as may be found to
shall be removed evenly, without leaving large refuse piles, ridges across the be just and equitable. If upon the expiration or revocation of this permit, the
bed of the waterway or flood plain or deep holes that may have a tendency to .modification of the wetland hereby authorized has not been completed, the
cause injury to navigable channels or to the banks of the waterway. applicant shall, without expense to the State, and to such extent and in such
time and manner as the Department of Environmental Conservation may require,
5. Any material to be deposited or dumped under this permit, either in
the waterway or on shore above high-water mark,shall be depositedor dumped siterem to all or.anyportion of the uncompletedim shall
structuremeagainst fill and Statereetofe the
at the locality shown on the drawing hereto attached, and, if so prescribed ron its account canyisuchn.removalN claimmsalt be made the of New
York of any such or alteration.
thereon, within or behind a good and substantial bulkhead or bulkheads, such
as will prevent escape of the material into the•waterway. 12. This permit shall not be construed as conveying to the applicant any
6. There shall be•no unreasonable interference with navigation.by the right to trespass upon the lands or interfere with the riparian rights of others
work herein authorized, •
to perform the permitted work or as authorizing the impairment of any rights,
title or interest in real or personal property held or vested in a person not a
7. That if future operations by the Slate of New York require an alteration party to the permit.
In the position of the structure or work herein authorized, or if, In the opinion ' 13. The permittee is responsible for obtaining any other permits, ap-•
of the Department of Environmental Conservation it shall cause unreasonable provals, lands, easements and rights-of-way which may be required for this
obstruction to the free navigation of said waters or flood flows or endanger project.
i the health, safety or welfare of the people of the State, or loss or destruction
of the natural resources of the State,the owner may be ordered by the Depart- 14. If granted under Article 36, this permit Is granted solely on the basis
ment to remove or alter the structural work, obstructions, or hazards caused of the requirements of Article 36 of the Environmental Conservation Law and
thereby without expense to the State; and if, upon the expiration or revocation Part 500 of 6 NYCRR,(Construction in Flood Plain Areas having Special Flood
of this permit, the structure, fill, excavation, or other modification of the Hazards — Building Permits) and in no way signifies that the project will be
watercourse• hereby authorized shall not be completed, the owners shall, free from flooding.
without expense to the State, and to such extent and In such time and manner 15. By acceptance of this permit the permittee agrees that the permit
as.the-Department of Environmental Conservation may require, remove all or
any portion.of the uncompleted structure or fill and restore to its former is contingent upon strict compliance with the special conditions on the
condition the navigable and flood capacity of the watercourse. No claim shall reverse side.
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be made against the State of New York on account of any such removal or
alteratiod. '
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95-20-4(9/75) (SEE REVERSE SIDE) '
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SPECIAL CONDITIONS
16. Authorized work is only for repairs to an existing structure which does'not .ioclude
expansion or extension of the original structure.
17. No petroleum products or other pollutants nor avoidable amounts of silt shall be allowed
to enter the stream or lake.
18. A' silt screen curtain (maximum opening size of U. S. Sieve Number 20) weighted across the
bottom and suspended on floats shall be positioned to surround the work site before com-
mencing dredging or excavation. The curtain -shall' remain in place for at least twelve
(12) hours after termination of dredging or excavation.
19. Heavy equipment, including bulldozers,: backhoesy: payloaders, etc., shall not be driven
in the water.
20. Any debris or excess materials from construction of this project shall be immediately
and completely removed from the bed 'and 'banks' of 'all water areas to an appropriate
upland area for disposal . •
21. All necessary precautions shall be taken ta prevent the entrance of fresh concrete into
the waters of New York .State. . Only .water-tight or waterproof forms shall be used, and
wet concrete;shall not be .poured. to .displace water within the forms. Equipment, tools,
and trucks used in this project shall be cleaned in such a manner as to prevent wash
water from entering any stream or lake. ' Wet 'concrete' is •highly toxic to fish.
22. Stone used for filling must be clean and •shall .not be less than six (6) inches in
diameter. Completed cribs shall be of the "open-sided" •type construction •and provide
for at least 40% unboarded water contact .area..to the rock fill .
23. A DEC permit sign is to be conspicuously. posted .at;the work site, protected from the
weather, for the duration of:the .project. ,
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24. The permittee:shall require that any contractor, project engineer, or other person
responsible for_the .overall supervision of:thi's project reads, understands, and complies
with this permit, including all special conditions to prevent environmental degradation.
25. The Fire Control. Office noted on the letter. .attached to this permit shall be contacted
at least 48 hours prior to commencement of activities- authorized by this permit.
Notification must be made on weekdays' (excluding holidays) between 8: 30 a.m. and 4: 30 p.m.
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Deputy .Regional
PERMIT ISSUE DATE PERMI ADMINISTRATOR ADDRESS
A,QY l\ % 1 !Q) 11 tkIv - Box 220, Warrensburg, NY 12885
" 'Lomas W. Hall
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