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AST-0580-2019Office Use Only ACCESSORY STRUCTURE Permit #:_Pest +=201)PERMIT APPLICATION Town of Queens it Fee:-Be eraser PermitFee:$/PO- P:518-761-8256 www.queensbury.net Invoice #:__'YE Project Location:12 Shore Acres Rd.(Cleverdale) Tax Map ID #:227.17-1-11 Subdivision Name:N/A CONTACT INFORMATION:E c E 0 Vv E ©Applicant:H Name(s):Ovmers | AUG 27 2019 Ww Mailing Address,C/S/2:OWNOFQGEERSSURYCellPhone:_()land Line:_(BUILDING &COE Email: ¢Primary Owner(s): Name(s):Dan &Meghan Frazier Mailing Address,C/S/Z:8 Connors Way,Saratoga Springs,NY 12866 Cell Phone:_(__518_)857-0351 inane } Email:megfrazier25@gmail.com O Check if all work will be performed by homeowner only e Contractor(s):Workers’Comp documentation must be submitted with this application Contractor Name(s):Adirondack Mountain idge Estates,LLC Contractor Trade:Dock builder Mailing Address,C/S/Z:136 Stone Schoolhouse Rd.,Lake George,NY 12845 Cell Phone:_()Land Line:(518 _)668-3159 Email:_adirondocksig@gmail.com **List all additional contractors on the back of this form °Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address,C/S/Z: Cell Phone:_()Land Line:_() Email: Contact Person for Building &Code Compliance:Gary Zervas Cell Phone:_(__518_)361-8624 Land Line:_(_518 Email:adirondocksig@gmail.com ccessory Structure Applicaton Revised February 2019 PROJECT INFORMATION: ‘TYPE:_____Commercial X___Residential WORK CLASS: __Deck,Open Porch ___Solar Panels (w/o rafter upgrades)__Carport __Cell Tower Shed __Pavilion,Pole Barn,Canopy X_Dock Gazebo Detached Garage ___Boathouse (with or w/o sundeck)___3-Season Porch Other (description:) SQUARE FOOTAGE OF STRUCTURE: Ast floor: 2"floor: Total square feet:1020 ADDITIONAL PROJECT INFORMATIO! 1.Estimated Cost of Construction:$__10,000 2.If Commercial project,what is the proposed use: 3,Are there any structures not shown onthe plot plan?YES NO.Explain:NO 4,Are there any easements on the property?Yes=XNO DECLARATION: 1 |acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2.Ifthework is not completed by the 1 year expiration date the permit may be renewed,subject to fees and department approval. 3.|certify that the application,plans and supporting materials are a true and complete statement and/or description of the work proposed,that all work will be performed in accordance with the NYS Building Codes,local building laws and ordinances,and in conformance with local zoning regulations 4,|acknowledge that prior to occupying the facilities proposed |,or my agents,will obtain a certificate of occupancy. 5.lalso understand that (ve are required to provide an as-built survey by alicensed land surveyor of all newly constructed facilities prior to issuance of acertificate of occupancy. |have read and agree to the above: PRINT NAME:Meghan M Frazier SIGNATURI ezessory tucture Appleation Laieiy vare._8/27/19 Revised February 2018, NEWYORK|Lake George ECEIVESrateor“aE Park Commission AUG 27 2019 BRUCE E.YOUNG DAVE WICK TOWN OF QUEENSBURYChairmanExecutiveDirectorBUILDING&CODES August 22,2019.,Nee .Meghan &Daniel Frazier Dod oN L| 8 Connors Way Saratoga Springs,NY 12866, Permit #:5234-25-19 &5234-26-19 Wharf ModificationParcel:227.17-1-11,Town of Queensbury Project:Remove two existing wharfs and construct a 43'ong,63'wide two dock complex with aclosed.sided boatcover/sundeck,and open-sided,rock-filed timber cribs in accordance wtih plans attached PERMIT MODIFICATION In accordance with your written request the above referenced permit is hereby modified to authorize the installation of 2 un-canopied boats in accordance with the attached,revised Schedule A, pages 4,4a and 7a of 7. All other terms and conditions remain as written in the original permit.Please attach this modification to thefrontofyourorginalpermit.Ifyou have any questions please contact the undersigned Sincerely,Guilt,HM,5 GAY Molly Gallagher é Deputy Permit Administrator ci Town of Queensbury 7 ENG Besar 7DevinDickinsonBasedonoumedexamination,compliance Warren County Code Enforcement (boathouses oniy)Indostngthepans and octets se 1 {ul compliance wit he Bulging Codes ofTOWNOFQUEENSBURYNewYorkState, BUILDING &CODES DEPT. Reviewed By: _¢ Date:ribet — 75 Fort George Road,P.O.Box 749,Lake George,NY 12845 |516 668.9947 Fax.616.668.5001 |www lgpe state ny us info@lgpe state ny us 24,0" 39.2" DOCK 43 DOCK 42 _W 4O! OFFSET Area = 580+ sf Area = 440+ sf a 6.0’ F 6.04 —#40f- a ——————— ca 22 : ae So re} a 12.0' a 2 8 i 5 . 6xi2" CRIB & § 2 3 8 a 6000 LB. HYDRAULIC . du -33 wo 31.5’ w 3hh’ & li BOAT LIFT (2) 3sz 39.5' 3 0 5 aes 0 a A | MEASURED & x 8 S| SWIM STAIRS 4/18/2019 N 6'WX3S'LIN FILL Cor W/ woop ?ER SURVEY EXISTING 4' X 30'+ RAMP TO BE REPLACED Pontoon Rail Kits Solar Panel Extended Hoses Guides NC Charger Bow Guide Canopy Vinyl Bunks Motor Stop Poly Tires ‘Wood Bunks Canopy Legs Page 7of 7 Permit #5234-25-19 &5234-26-19 z 5 E Deep Water Braces Extended Legs ] NEWYORK|Lake Georgestareor“~s ™™|Park Commission BRUCE E.YOUNG DAVE WICK‘Chairman Executive Director July 29,2019 Meghan &Daniel Frazier 8 Connors Way Saratoga Springs,NY 12866 Permit #:5234-25-19 &5234-26-19 ‘Wharf ModificationParoel#:227.17-1-11,Town of Queensbury Project:Remove two existing wharfs and construct a 43'long,63'wide two dock complex with aClosed-sided boatcoverisundeck,and open-sided,rock-filed timber cribs in accordance wtih plans attached PERMIT MODIFICATION In accordance with your written request the above referenced permit is hereby modified to incorporate swim steps and minor dimensional changes to the approved docks in accordance with the attached,revised Schedule A,pages 4 and 4a of7 Al other terms and conditions remain as written in the original permit.Please attach this modification to thefrontofyouroriginalpermit.if you have any questions please contact the undersigned. Sincerely,tile Molly Gallagher Deputy Permit Administrator cc:Town of Queensbury Devin Dickinson Warren County Code Enforcement (boathouses only) 78 Fort George Road,P.O.Box 749,Lake George,NY 12845 |518.668.9947 Fax.518.668.5001 |www igpe.state ny us info@lope stale ny us cs 28, am 3.08920867 COE >33 & is ® 48 Foz01 = Schedule covis4.(4gPage4of7me Permit #5234-25-19 &5234-26-19 | RECEIVED \ 24.0 39.2’ AO DOCK #3 DOCK #2 1-99 2019 40' OFFSET\ Area = 580+ sf \Area = 440+ sf , 25.0" , ° —teof __ tse t ES keep a | : - 12.0'|—4 . N ] & x x i 6xl2' CRIB : : He 8 4 ns = | <3g w 31.5’ wo) ais He 0 37s | 30! igE 395" l Bs : lL? | MEASURED 6 x g x Swim STAIRS 4/18/2019 I\N OW x 3'L MLW °ER SURVEY EXISTING 4' X 30'+ RAMP TO BE REPLACED NEWYORK|Lake Georgegrromun.|Park Commission BRUCE E.YOUNG DAVE WICK ‘Chairman Executive Director June 06,2019 Meghan &Daniel Frazier 8 Connors Way Saratoga Springs,NY 12866 Permit #5234-25-19 Wharf Construction/Modification Parcel #227.17-1-11 5234-26-19 Excavation/Fill Activity Town of Queensbury Dear Mr.&Mrs,Frazier: Enclosed is your permit which 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,The Article 15 approval was issued under a special delegation agreement with the Department of Environmental Conservation who normally issues these approvals.This eliminates the need for separate application forms and fees which would otherwise apply to this project. Please note thatitis the responsibilty ofthe permittee and the permittee's agent to comply with all permit conditions. Further,the permit is valid only forthe activity expressly authorized.Work beyond the scope of the permit shall be considered as work without a permit.The notice enclosed with the permit must be displayed in a conspicuous place near the project site during the entire period of construction and must be suitable protected from the elements.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 the undersigned. ‘Should your plans change,you must contact this office to determine whether a modification to the permit is required prior to initiating construction.Please note the expiration date of the permit.If further time is required to complete the project,you must request renewal of the permit prior to this date.Your interest in maintaining the environmental quality ‘of Lake GeorgeisgreatlyappreciatedbytheCommission. Sincerely, LZLA.Z Molly Lo 2 Deputy Permit Administrator ce:Town of Queensbury Warren County Code Enforcement (boathouses only) Devin Dickinson "75 Fort George Road,P.O.Box 749,Lake George,NY 12845 |518.668.9947 Fax.918.688.5001 |ww igpe.state.ny.us info@lgpe.state.ny.us LGPC Permit Number Effective Date 5234-25-19 DM 06/06/2019 poe eee Tewyork|Lake G Modification or Renewal Datetr:|Park Commission ‘Type of Permit Expiration Date Ne 06/05/2020 fenewal O Modification FRNA Undor the Environmental Conservation LawOVariance X|Attcle 43,Title 1,BNYCRR 646-1.1 X|Atticle 16,Title 6,6NYCRR 608.5 Construction and Modification of Wharts Excavation and Placement of Fill in Navigable Waters[—]Article 43,Title 1,NYCRR 646-1.1 Article 43,Title 1,BNYCRR 648-1.2 L_J Placement of Moorings Operation and Modification of Class A Marinas[—]Atticle 43,Title 1,6NYCRR 646-1.4 Article 43,Title 1,6NYCRR 646-1.4 L_]Recreational Use -New Recreational Use -Parasail [—_]Atticle 43,Title 1,6NYCRR 646-1.4 Article 43,Title 1,6NYCRR 645-1.4 LJ Recreational Use -Seaplanes Recreational Use -Tour Boat[—]Aiticle 43,Title 1,Section 43-0117 Operation of ferries i NYCRR 646-4sieteraneanbanatmteesreatce,[|ditess,Te,vonn 4e [x]SNYORR Part 608 L2}Water Quality Certification Permit Issued to|Telephone Number Meghan &Daniel Frazier 518-580-9730 Address of Permittee 8 Connors Way Saratoga Springs,NY 12866 Contact Person (if not permittee)‘Telephone Number Devin Dickinson 518-339-7451 Facility Name Facility Address Private Lakefront 12 Shore Acres Rd County Warren Town Queensbury Parcel #227.17-1-11 AUTHORIZED ACTIVITY Remove 2 existing wharfs and construct a 43'long,63'wide 2 dock complex with a closed-sided boatcover/sundeck,and open-sided,rock-filed timber cribs in accordance wtih plans attached as Schedule A and made part of this permit. 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 Signat.DatePULL.fil,e/eht9 Page 1 of 7 GENERAL CONDITIONS 1.All activities authorized by this permit must be in strict ‘conformance with the plans attached as Schedule A and made part of this permit.Modifications to the project require prior approval in writing from the Commission. 2.The permittee and any contractor,project engineer,or other person responsible for the overall supervision of this project shall read,understand and comply with this permit, including all conditions to prevent environmental degradation. 3.The Commission and/or the Department of Environmental Conservation (the Department)may conduct such on-site surveys,investigations, examinations,and evaluations from time-to-time as it deems necessary to ensure compliance with the terms and conditions of this permit,and may conduct a final inspection at any time after construction to determine ‘compliance with the permit. 4.Acopy of this permit must be available at all times at the project site during performance ofthe authorized activities.Failure to produce a copy of the permit upon request by a Commission or a Department representative is violation of this permit. 5.The permittee is responsible for keeping the permit active by submitting a renewal application,including any forms,fees or supplemental information which may be required by the Commission,no later than 30 days prior to the expiration of this permit. 6.Any change or modification in any of the activities authorized by this permit is subject to prior review and approval by the Commission.Any modification of this permit granted by the Commission must be in writing and attached hereto. 7.The permittee is responsible for obtaining any other Permits,approvals,land easements,and rights-of-way Which may be required for this activity. 8.Granting of this permit does not relieve the permittee of the responsibility of obtaining any other permission, consent,permit,or approval from the US Army Corps of Engineers,US Coast Guard,NYS Office of General Services,NYS Department of Environmental Conservation,NYS Department of Health,Adirondack Park Agency,or local government which may be required. 9.This permit shall not be construed as conveying to the Permittee any right to trespass upon the lands or interfere with the riparian rights of others in order 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 party to the permit. 10.The permittee has accepted expressly,by the execution of the application,the full legal responsibilty of all damages,direct or indirect,or whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and description resulting from the said project. 11.The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes,and no claim or right to compensation shall acorue from any such damage. 12.Regulatory fees are due April 1 of each year for docks,wharfs and moorings. 13.Wharfs and moorings authorized herein are for residential use only and shall not be used for commercial, association or marina purposes. Environmental Protection 14.Disturbance to the bed and banks of Lake George shall be kept to the minimum necessary to complete the project 16.All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids,sediment,fuels,solvents,lubricants,epoxy coatings,paint,concrete,leachate or any other environmentally deleterious materials associated with the Project. 16.Heavy equipment,including bulldozers,backhoes, payloaders,etc.,shall not be driven in the water. 17.Any material dredged in the prosecution of the work herein permitted shall be removed evenly,without leaving large refuse piles,ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 18.Any debris or excess materials from construction of this project shall be immediately and completely removed from the bed and banks ofall water areas to an appropriate upland area for disposal. 19.There shall be no unreasonable interference with navigation by the work herein authorized. 20.Wood treated with Creosote,Pentachlorophenol or CCA (Chromated Copper Arsenate)is prohibited for in-water and above-water use. LGPC Permit #:5234-25-19 &5234-26-19 Page 2 of 7 GENERAL CONDITIONS 21.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 fil 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. 22.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 ofthe 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. Wharf Construction Specifications The following conditions apply to all newly constructed \wharfs which have not received a variance from any of these limits: 23.The location of the mean low water mark must be field verified prior to construction.In no case shall any part of the wharf extend further than 40'from the mean, low water mark. 24,The maximum surface area of any dock or wharf shall be seven hundred square feet,including any walkway. 25.The maximum width of any pier shall be eight feet and the minimum width of any pier shall be two feet. 26.The maximum width of any dock or wharf,including all lateral projections,shall be forty feet. 27.No structure shall be constructed on a dock,wharf or ‘mooring which exceeds sixteen feet in height above the ‘mean high water mark and which is not in compliance with local zoning, 28.Every dock or wharf constructed shall have a minimum setback of twenty feet from the adjacent property line extended into the lake on the same axis as the property ine runs onshore where it meets the lake,or at a right angle to the mean high-water mark,whichever results in the greater setback. Crib Work 29.Stone used for fling 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. 30.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, 31.The size of any individual crib shall not exceed 8 feet by 12 feet 32.Spacing between cribs shall not be less than 8 feet.A minimum of6 feet of open water shall be maintained between the shoreline and the first crib to allow for free circulation of water. 33.Completed cribs shall be of the “open-sided”type construction and provide for at least 40%unboarded water contact area to the rock fill. 34,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. Moorings 35.Moorings must meet the following minimum specifications:the buoy shall be all white with @ one inch biue strip placed horizontally around the circumference above the water line and a one inch strip of reflector tape placed around the upper part of the buoy;at least one cubic foot of buoy is to be above the waterline The following conditions apply to all new moorings which have not received a variance from any of these limits: 36.Moorings shalll be placed so that vessels moored to them,at the full swing of their mooring or anchor line,will be no closer than twenty feet to the projection of the property lines extended into the lake along the axis of the property ines as they intersect the lake,or a line extended ata right angle to the mean high-water mark,whichever results in the greater setback. 37.Moorings shall not be placed so thatthe full swing of the vessel extends more than one hundred feet offshore from the mean high-water mark. Articulating Docks 38.Articulating docks must remain in the lowered position at all times between May 15 and November 1.Boat lifts ‘and canopy frames shall be removed prior to lifting docks into the winter position, LGPC Permit #:5234-25-19 &5234-26-19 Page 3 of 7 Schedule A Page 4 of 7 Permit #5234-25-19 & 5234-26-19 PROPOSED DOCKS Map Reference Sheet 2 of 5 0cAREA Existing Dock 2 & 3 = 12254 sf Proposed Dock 2 & 3 = 11204 sf Dan &Meghan Frazier Queensbury ~Worren County ‘Proposed dock leyout for WEST ELEVATION Sheet 3 of 5 ey TT Dote:9 Apr 2018 Saw = Schedule A Page 5 of 7 Permit #5234-25-19 & 5234-26-19 Dan &Meghan Frazier Proposed dock &boathouse Tor NORTH ELEVATION |MAY 14 2019 Tey TTT Schedule A Page 6 of 7 Permit #5234-25-19 & 5234-26-19 Dan &Meghan Frazier Queensbury ~Warren County Proposed dock &boathouse Tor PRoposeD New BOATHOUSE SUNDECK PLAN W/ SUNDECK ABOVE = ©) ‘SUNDECK: SI’ x 34° 4 MLW 40" oFFser RooF: 37° x 40" MLW MEASURED 4/18/2019 AU rt EXISTING 4' X 30" RAMP TO BE REPLACED Permit #5234-25-19 &5234-26-19 Page 7 of 7 MHW PER SURVEY ‘Schedule A “uojan.jsuod Jo poed ay} Buyinp sjueweje ey} wio4y pej2e}01d 9 aoe/d snonzjdsuod e uJ pa}sod aq Jsnu/ e2HOU SIyL 0z0z ‘So eunf :uOHeZOU;NY Jo e}eq UOHesIdxy 4e|ze14 jalueg gy ueyBay :eeyIULledg 6L-9Z-VETS BGL-SZ-VETS :C| WUE, LVE6-899-81S ‘S/8ZL ‘AN 851095 eye7 ‘6yZ XOg Od Je UOISSIWIWOD 412g 8610285 aye] 9Y} }9B}U0D ‘UOI}EULIOJU! JOYyLN] JO4 “OPS SIY} }e UOT}ONI}SUOD JO UOHeOyIPOW ‘inedod JeyM JOJ panssi useq sey yiwed y :AOILLON NOISSININOS WeVd ADYOAS AMV To the permittee: Please sign,fold,tape shut and return upon completion of the project. FOLD #2 Place Meghan &Daniel Frazier Stamp 8 Connors Way Here Saratoga Springs,NY 12866 Lake George Park Commission PO Box 749 Lake George NY 12845 FOLD #1 Certification of Completion of Work Authorized By Permit #5234-25-19 issued on June 06,2019 Parcel #227.17-1-11,Town of Queensbury Project:Remove2existingwharfsandconstructa43'long,63'wide 2 dock complex with a closed-sided boatcover/sundeck,and open-sided,rock-flled timber cribs in accordance wtih plans attached as Schedule A and made part of this permit. The project authorized by the above referenced permit was completed on |.The dock was installed/constructed by x. Owner's Signature Date An inspection will be made once this form is received.The permit must be kept active during construction. NEWYORK|Lake Geot“aE Park Comission 76 Fort George Road,P.O.Bor 749,Lake George,NY 12648 |516.568 9047 Fax:166855001 [wan lgpe sate nyus Ifo@lupe state nye June 06,2019 NOTICE Owner:Meghan &Daniel Frazier Faclity:Private Lakefront ‘Address:12 Shore Acres Rd Parcel #:227.17-1-11,Town of Queensbury Lakefront:228,00 Account#:621 The enclosed permit authorizes ___new mooring(s),new wharf(s),_new boal/PWC lift.and/ordockmodification,_mooring modification and —Xbupercedes Existing Wharf or Mooring # andlorParmit#coc LE-O8G-|6 ‘Once the permitted project is complete your annual registration fee will be: For residential properties: mooring(s)_0X $50.00 =$0.00 New Account wharf(s)_3X$50.00=$150.00 (J No Change For Commercial or Association properties,fees may need to be redetermined. PROPOSED DOCKS Map Reference Mop of. LRD, Le By Von Dusen & Steves Date: 17 uly 2017 Revised: 5 December 2017 D ockAREA Existing Dock 2 & 3 = 125% sf Proposed Dock 2 & 3 = 10204 sf BUILDING &CODES TOWN OF QUEENSBURY ee tory 227.17-1-114 AST-0580-2019 Frazier, Dan & Meghan 12 Shore Acres Rd Dock, boathouse & sundeck 1020 s.f. Sheet 2 of 5 Tey ETTRevised:25 aay 2018 Seas T=30) Date:9 April 2019 Proposed dock layout Tor Dan &Meghan Frazier Queensbury ~Warren County i