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2013-218 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 y Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20130218 Date Issued: Wednesday, July 30, 2014 This is to certify that work requested to be done as shown by Permit Number P20130218 has been completed. Tax Map Number: 523400-227-017-0001-045-000-0000 Location: 97 SEELYE Rd Owner: JAMES & ELIZABETH WHITE Applicant: JAMES & ELIZABETH WHITE This structure may be occupied as a: Dock By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (----- vP property owner of the responsibility for compliance with Site Plan, G Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY AOiesk 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130218 Application Number: a20130218 Tax Map No: 523400-227-017-0001-045-000-0000 Permission is hereby granted to: JAMES & ELIZABETH WHITE For property located at: 97 SEELYE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JAMES &ELIZABETH WHITE Dock $4,000.00 104 SEELYE Rd Total Value $4,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency ADIRONDOCKS GARY ZERVAS 668-3159 136 STONE SCHOOL HOUSE Rd LAKE GEORGE NY 12845-0000 Plans&Specifications 2013-218 DOCK replacement $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 21,2014 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town f Quee bury /Tu•. t .y i a 21,2013 Il 4 SIGNED BY � for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY � 11 MA": 0 2013 TAX MAP NO.AOI). 1 !' G �4 PERMIT N0. [ —a 8 i. amp FEE PAID BLDG. & CODES APPROVAL , ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION Use this application for any structure other than the Principal Structure (house) to include, but not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures- Sheds/Fences. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. OWNER: -,I 4I,4C5 %, £%'>/2 INSTALLER/BUILDER: 64-)- vICS ADDRESS: 70471 ( L-7 ADDRESS: PHONE NOS. CSG PHONE NOS. LOCATION.OF PROPERTY: /6V- 5:62e-/I) ? SUBDIVISION NAME: • LOCATION OF PROPOSED CONSTRUCTIONAD/OR INSTALLATION: HAS.THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL: ESTIMATED COST OF CONSTRUCTION: $ l� ('ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? IF YES,PLEASE LIST: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ND PROPOSED PROPOSED CONSTRUCTION 16-`FLOOR 2 FLOOR TOTAL HEIGHT SQ.FT. SQ.FT. SQ.FT. FT.&IN. OPEN PORCH DECK 3 SEASON,COVERED OR ENCLOSED PORCH* BOATHOUSE BOATHOUSE WITH SUNDECK • c DOCK) SHED POLE BARN DETACHED GARAGE(NO.OF CARS: ) OTHER ACCESSORY STRUCTURE: *CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIOJ.REQUIREMENTS IF THE STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE. To the best of my knowledge, the statements contained in the 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 Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that l/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction. QUESTIONS? CALL 761-8256 OR EMAIL. codeseaueensburv.net I have read and agree to the a = VISIT OUR WEBSITE FOR MORE INFORMATION , rape www.aueensburv.net Signed if Dated: 0/0 1 • Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 S S -0 Queensbury Building & Code Enforcement - Residential Final Inspectio ti Office No. (518) 761-8256 Arrive: am/pm Depart: - _ am/pm Date Inspection request received: Inspector's Initials: NAME: ,^ �rlt+� A PER IT#: /3--4:a�Ig LOCATION: /©y 3 1 t�co 4A DATE: '7- -j TYPE OF STRUCTURE: ,per,i4 Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent throtgh root minim 18 inches Roof Complet ,/-E terior`Finish Corn Platform at alicrtlo Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim I doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batters backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating .\-)At< 6(4\111714—(2-- Low water shut-off boiler $..)1/1XEnliefclo Vaed Stair installed/Heat Trap/Water Temp G v �.Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker ‘./ Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/0(Temporary/Permanent] L:1Building&Codes Forms1Building&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: Ail am/pm Depart: am/pm Date Inspection request received: 1. Inspector's Initials: NAME: '5 QM S UY V-1 PERMIT#: / 3 I LOCATION: ? .5 G I e DATE: .5 / �A TYPE OF STRUCTURE: O G K Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade ' Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing I Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim 1 doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor 1 Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed I Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure 4)Ai,4 Final Electrical; Energy Saving Light Bulbs 50% J/M Final Survey Plot Plan l / d� J%4 i - Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 4.) 104.1/ `° l Flex Gas Pipe Bonding F As Built Septic System/Sewer Dept. Inspection Sticker U, '� Site Plan /Variance required -%/ Flood Plain Certification, if required / of � Okay to issue C/C or C/0[Temporary/Permanent] V L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 STATE OF NEW YORK LAKE GEORGE PARK COMMISSIONIP (7 Art PO Box 749, 75 Fort George Rd p ( I; Lake George NY 12845• a - - '� tel (518) 668-9347 fax(518) 668-5001 ek s-,0" www.lgpc.state.ny.us info@Igpc.state.ny.us Bruce E. Young David Wick Chair Executive Director May 17, 2013 _lameC White P 0 Box 124 'qop\Cleverdale, NY 12820 $'I I,u . tl Mi' 0 2U13 Permit# 5234-9-13 Standard Activity Permit Parcel # 227.17-1-45, Town of Queensbury Dear Mr. White: Enclosed is your permit for work below the mean high water level on supporting structures of existing wharfs. This permit does not approve any modifications to the size, shape or location of the existing wharf. 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. Please review the general and special conditions included in the permit; these are intended to minimize any environmental disturbance associated with the authorized activity. Please note that it is the responsibility of the permittee to comply with all permit conditions. Any failure to comply with the terms of the permit may be treated as a violation of the Environmental Conservation Law. Questions regarding this permit should be directed to Molly Gallagher of this office. Should any aspect of the project change, you must contact this office to determine whether a modification to the permit is required prior to initiating any change. Please note the expiration date of the permit and request renewal of the permit prior to this date. Your interest in maintaining the environmental quality of Lake George is greatly appreciated by the Commission. Sincerely, • / (, Molly Gallagher Deputy Permit Administrator cc: Law Enforcement Town of Queensbury Gary Zervas • LGP C Permit Number State of New York Effective Date 5234-9-13 EFG LAKE GEORGE PARK COMMISSION 05/17/2013 Standard Activity Permit Modification or Renewal Date ,(0#4 Type of Permit `-ter. Expiration Date ® New .'r��� - 05/17/2014 ❑ Renewal PERMIT ❑ Modification Under the Environmental Conservation Law ❑ Variance Article 43, Title 1, 6NYCRR 646-1.1 Article 15, Title 5, 6NYCRR 608.5 Construction and Modification of Wharfs X Excavation and Placement of Fill in Navigable Waters Article 43, Title 1, 6NYCRR 646-1.1 Article 43, Title 1, 6NYCRR 646-1.2 Placement of Moorings Operation and Modification of Class A Marinas Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1.4 Recreational Use- New Recreational Use- Parasail Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1:4 Recreational Use-Seaplanes Recreational Use-Tour Boat Article 43, Title 1, Section 43-0117 Operation of ferries Article 43, Title 1, 6NYCRR 646-4 and certain other boats, barges and vessels restricted. Stormwater Management X 6 NYCRR Part 608 Water Quality Certification Permit Issued to Telephone Number James White 656-9536 Address of Permittee P 0 Box 124 Cleverdale, NY 12820 Contact Person (if not permittee) Telephone Number Gary Zervas 668-3159 Facility Name • Private Lakefront County Warren Town Queensbury Parcel# 227.17-1-45 AUTHORIZED ACTIVITY Repair of cribs, piles or other structures for legally existing wharfs on Lake George as shown on the plans attached as Schedule A and made part of this permit. No change in size, shape or location of existing wharf(s) is authorized. By the acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the Environmental Conservation Law, the Navigation Law, all applicable regulations, and the General and Special Conditions included as part of this permit. Deputy Permit Administrator: Molly Gallagher Lake George Park Commission, PO Box 749, Lake George NY 12845, 518-668-9347 Authorized Signatur Date � -7 7 5/17 /13 Pagel of 4 • GENERAL CONDITIONS 1. All activities authorized by this permit must be in strict 10. The permittee has accepted expressly, by the conformance with the plans attached as Schedule A and execution of the application,the full legal responsibility of made part of this permit. Modifications to the project all damages, direct or indirect, or whatever nature, and by require prior approval in writing from the Commission. whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless 2. The permittee and any contractor, project engineer, or the State from suits, actions, damages and costs of every other person responsible for the overall supervision of this name and description resulting from the said project. project shall read, understand and comply with this permit, including all special conditions to prevent environmental 11. The State of New York shall in no case be liable for degradation. any damage or injury to the structure or work herein authorized which may be caused by or result from future Inspections operations undertaken by the State for the conservation or 3. The Commission and/or the Department of improvement of navigation, or for other purposes, and no Environmental Conservation (the Department) may claim or right to compensation shall accrue from any such conduct such on-site surveys, investigations, damage. examinations, and evaluations from time-to-time as it deems necessary to ensure compliance with the terms 12. Regulatory fees are due April 1 of each year for and conditions of this permit. docks,wharfs and moorings. 4. A copy of this permit must be available at all times at 13. Wharfs and moorings authorized herein are for the project site during performance of the authorized residential use only and shall not be used for commercial, activities. Failure to produce a copy of the permit upon association or marina purposes. request by a Commission or a Department representative is a violation of this permit. Environmental Protection 14. Disturbance to the bed and banks of Lake George Permit Modifications& Renewals shall be kept to the minimum necessary to complete the 5. The permittee is responsible for keeping the permit project. active by submitting a renewal application, including any forms, fees or supplemental information which may be 15. All necessary precautions shall be taken to preclude required by the Commission, no later than 30 days prior to contamination of any wetland or waterway by suspended the expiration of this permit. solids, sediment, fuels, solvents, lubricants,epoxy coatings, paint, concrete, leachate or any other 6. Any change or modification in any of the activities environmentally deleterious materials associated with the authorized by this permit is subject to prior review and project. approval by the Commission. Any modification of this permit granted by the Commission must be in writing and 16. Heavy equipment, including bulldozers, backhoes, attached hereto. payloaders, etc., shall not be driven in the water. 7. The permittee is responsible for obtaining any other 17. Any material dredged in the prosecution of the work permits, approvals, land easements, and rights-of-way herein permitted shall be removed evenly, without leaving which may be required for this activity. large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to Other Legal Obligations of Permittee cause damage to navigable channels or to the banks of a 8. Granting of this permit does not relieve the permittee waterway. of the responsibility of obtaining any other permission, consent, permit, or approval from the US Army Corps of 18. Any debris or excess materials from construction of Engineers, US Coast Guard, NYS Office of General this project shall be immediately and completely removed Services, NYS Department of Environmental from the bed and banks of all water areas to an Conservation, NYS Department of Health,Adirondack appropriate upland area for disposal. Park Agency, or local government which may be required. 19. There shall be no unreasonable interference with 9. This permit shall not be construed as conveying to the navigation by the work herein authorized. permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the 20. Wood treated with Creosote, Pentachlorophenol or permitted work or as authorizing the impairment of any CCA(Chromated Copper Arsenate)is prohibited for rights, title or interest in real or personal property held or in water and above-water use. vested in a person not a party to the permit. LGPC Permit#: 5234-9-13 Page 2 of 4 • GENERAL CONDITIONS 20. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the permittee shall,without expense to the State, and to such extent and in such time and manner as the Commission or the Department may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 21. If future operations by the State of New York require an alteration in the position or the structure or work herein authorized, or if, in the opinion of the Commission or the Department, it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Commission or the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State. Water Quality Certification 22. If granted under 6NYCRR Part 608, the Lake George Park Commission hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. Crib Work 23. Stone used for filling shall be clean (not contain any material than can pass through a No. 8 sieve). The stone shall not be less than six(6) inches in diameter. 24. No rocks for use in construction are to come from the lake bed. The following specifications apply to the construction or replacement of rock-filled cribs. Existing cribs may be repaired. 25. The size of any individual crib shall not exceed 8 feet by 12 feet. 26. Spacing between cribs shall not be less than 8 feet. A minimum of 6 feet of open water shall be maintained between the shoreline and the first crib to allow for free circulation of water. 27. Completed cribs shall be of the"open-sided"type construction and provide for at least 40% unboarded water contact area to the rock fill. • 28. Wood treated with Creosote, Pentachlorophenol or CCA(Chromated Copper Arsenate)is prohibited for in-water and above-water use. LGPC Permit#: 5234-9-13 Page 3 of 4 � Iv f 1‘17-71' I i2' /2l vo J/!J 6s . 11.111111111111111111111111 1 ... �� f/ to Lecce dock ,)S ti-t. 1G - l -' 2Z Schedule A Page 4 of 4 Permit #5234-9-13 To the permittee: Please sign, fold, tape shut and return upon completion of the project. FOLD #2 Place James White Stamp P O Box 124 Here Cleverdale, NY 12820 Molly Gallagher Lake George Park Commission PO Box 749 Lake George NY 12845 FOLD #1 Certification of Completion of Work Authorized By Permit# 5234-9-13 issued on May 17, 2013 Parcel # 227.17-1-45, Town of Queensbury Project: Repair of cribs, piles or other structures for legally existing wharfs on Lake George as shown on the plans attached as Schedule A and made part of this permit. No change in size, shape or location of existing wharf(s) is authorized. I hereby certify that the project authorized by the above referenced permit was completed on / / in full compliance with all conditions and in accordance with all drawings made a part of the above mentioned permit. Notice: in a written statement, any person who knowingly makes a false statement which such person does not believe to be true has committed a crime under the laws of the State of New York punishable as a Class A misdemeanor (PL Sec. 210.45). X Owner's Signature Date 1 ager * tat10p STATE OF NEW YORK LAKE GEORGE PARK COMMISSION NOTICE: A permit has been issued for wharf repair, modification or construction at this site. For further information, contact the Lake George Park Commission at PO Box 749, Lake George NY, 12845, 518-668-9347 Permit ID: 5234-9-13 Permittee: James White Expiration Date of Authorization: May 17, 2014 This notice must be posted in a conspicuous place & protected from the elements during the period of construction. New Yo"k State Department of REGISTRATION OF EXISTING WHARF �5 Environmental Conservation 1 Registration Number Warrensburg, New York 12885 This registration form is to be used only for wharfs in existence on Lake George prior :o the effective date of the Lake George Recreation Zone Regulation (6 NYCRR Part 646) . rQ. ,. r1 .j/7 • , y. Il. Name of Applicant: -Uj -14. L2. Applicant is a/an: i Individual / / Corporation / / Association / /Municipal±:-: I 3. t� * T elephone Number: Name: f Address: w_ ,�...._.._�. Home:___—mow ^r a'.�rz � - 'fe, Post Office ,f - Business: L. Project Location: / ! Include a location sketch of site, a sketch 1 City or Village Location: , of wharf on site and a photograph of existing structure. (Include dimensions and distances I Town ( e .�, u q County to adjoining properties.) 5, Was a DEC Protection of Waters permit (Article 15, Title 5) required? / / Yes / 1 If yes, what was permit number: (If yes,information listed in; #4 is not required) 6. Date wharf was constructed or first installed ! Ro Kat 7. Has an O.G.S. Grant of Easement been issued? / [Yes / / No + If yes, what is O.G.S. Easement Number? 8. Is wharf removed from the water annually? /7 Yes' No 9. Certification: • • I hereby affirm that the information provided on this form and all attachments submitted herewith is true to the best of my knowlede 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 inde-nnif_.. and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. . Amer Date Signature 91L.44,/a- 6 moi, a- • For Department Use Only J"� � CERTIFICATE OF REGISTRATION The wharf described herein meets the requirements of qualifying as a pre-existing structure and no permit is required to re-install or maintain the existing structure. A registration marker provided with this certification shall be attached to the wharf in a conspicuous location easily visible from the lake and permanently maintained. A new permit is required for an work that alters the size, shape or location of the wharf. T L. 1 , ..avwA...r•Nrmasw...mwwma.ommmp........----. . . . ....., .•,..".. 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