2005-689 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050689 Application Number: A20050689
Tax Map No: 523400-239-007-0001-034-000-0000
Permission is hereby granted to: STF,VF,N CARDONA
For property located at: 175 ASSEMBLY PT. 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: STEVEN CARDONA Dock $20,000.00
397 ANTHONY St Total Value $20,000.00
SCHENECTADY, NY 12308-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SHAWN CALLAHAN
BOX 137
KATTSKILL BAY_ NY 12844
Plans&Specifications
2005-689
DOCK REPLACEMENT
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 04, 2006
(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 of Qu sb ry; uesday, October 04, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
0'�
Permit No. v )-PO 5—6
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid `Q
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensbury,et
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,4"11- .
etc. (not necessar4y limited to the list below). Refer to attached Informational Brochure No. 3 x. i
Instructions: A permit must be obtained before beginning construction. No inspections will be made untirthe
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder 'J 4 c�,Q C< 1 k �5 Owner: ��ve- cc. G'--
Address: B .x 13 7 Address: i 75 !—c,Y, l✓�
Home Phone: Home Phone: 51� 6 93 tS
Email Address: Email Address:
Cell Phone: 51 Q 75 d Cell Phone:
FAX Phone: FAX Phone: S i g 3 7
Person responsible for supervision of work with respect to building and codes compliance:
Name: S wn (-,q ) I4
Address: B(�t 137 Kr, r 11 i Phone Sil/ 79-
�75'��
Location of proposed construction: Lot No. Legal Address: ��
Tax Map Number: a--�'9,7, — ) "— Subdivision Name:
Estimated Cost of Construction: $ 261 y d
Does an accessory structure currently exist on the property? Y Yes / _No
If YES, list all existing accessory structures: �k�J� ins C,1^e/,weC ig-d
Proposed Construction 1,'floor 21d floor Total Proposed Height
sq.ft. sq.ft. Sq. ft ft.&in.
Open Porch
Covered or Enclose5l Porch
(considered floor area&must comply to FAR [Floor Area Ratio]
requirements If the structure is located in the Waterfront
Residential zone.
3-season porch is considered an enclosed porch.
Deck
Boathouse
Boathouse with sun ck
DOCK
Shed 6^1 n�f P__e e,It
Pole Barn •.� �-- �•
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
'he Building and Codes Office will allow commencement of your proposed project only after
ssuance of your permit.
)eclaration: Please sign below after you have carefully read the statement:
o the best of my knowledge, the statements contained in the application, together with the plans and
pecificafions submitted, are a true and complete statement of all proposed work to be done on the described
)remises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
Doposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
:urther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
)eing issued, as requested by the Zoning Administrator or Director of Building and Co an As-Built Survey by a
censed surveyor, drawn to scale, showing actual location of all new corrpu cti
)ate: 6 -00-05 Applicant/Builder Signature: N., 1r
'he application of dated is hereby approved and
)ermission granted for the construction, reconstruction or alteration of as building/and or accessory structure as set
orth above. Date: �---
�-'1 � Authorized Signature:c
\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04
STATE OF NEW YORK
S LAKE GEORGE PARK COMMISSION
PO Box 749, 75 Fort George Rd TOWN OF QUEENSOURY
I Lake George NY 12845 COMMUNITY DEVELOPMENT
tel (518) 668-9347 fax (518)668-5001 RECEIVED
UILL www.lgpc.state.ny.us info@Igpc.state.ny.us
SEP 9- 2005
NOTICE OF AVAILABILITY FOR REVIE�c ZONING
NOTICE OF COMPLETE APPLICATION&c PLANNING
EXEC.LAIR,
Date: September 08, 2005 Application: 5234-17-05
Applicant: Type: DM Minor
Steve Cardona
175 Assembly Point Rd
Lake George, NY 12845
Project Location: Assembly Point Parcel#: 239.07-1-34
Project Description: Town of Queensbury
Remove an existing dock and construct a new 40' long, 28' wide, U-shaped wharf with an
open-sided boatcover/sundeck and construction of open-sided, rock-filled timber cribs to be
used as support for wharfs in accordance with plans attached
SEQR Lead Agency: None Designated
SEQR Determination: 1 - Type II Action, no further review under SEQR
TO INTERESTED PARTIES: Comments Due: September 23, 2005
This notice is being sent to allow you an opportunity to comment on the proposed project.
Written comments must be received by the "comments due" date above and should detail
specific reasons for your interest, support or opposition. If you have no comments you do
not need to return this form.
Return this form and any comments to: Molly Gallagher, ext. 17.
LGPC, Box 749, Lake George, NY 12845. Phone: (518) 668-9347.
Reviewer Comments: 0 No Comments 0 Comments below or attached
cc:
Town of Queensbury
J. Gardner& Martha Harris Prepared by:
Peter, Mary& Jeffrey Thomas Address:
Telephone: O Date:
r
STATE OF NEW YORK FFSEP
75 Fort George Road, P.O. Box 749 Lj ) — O 20D�
n Lake George, New York 12845 I)
TEL(518) 668-9347 FAX (518) 668-5001
j r� .lgpc.state.ny.us permits@lgpc.state.ny.us
LAKE GEORGE PARK COMMISSION
APPLI ATION FOR PERMIT FOR DOCKS, WHARFS AND MOORINGS
THIS APPLICATION IS FOR THE:
R Construction of a New Dock or Wharf ($200) ❑Placement of a Mooring ($100)
❑Modification to an Existing Dock or Wharf($50) ❑Modification to an Existing Mooring($50)
❑Article 15 Excavation/fill(Repair, replacement or installation of cribbing as part of wharf construction)-No Fee
APPLICATION FEE ENCLOSED: (check or money order only)
1. OWNER IFS INDIVIDUAL ❑PARTNERSHIP ❑ASSOCIATION ❑CORPORATION ❑MUNICIPALITY ❑AGENCY
NAME �- i/ �a r��n PHONE
MAILING ADDRESS S C,.t•,10 --
CITY Q --7STATE (�j_y ZIP CODE /Z4
If this is an association or if o er parties have deeded or contractual access to this lakefront,please provide names and mailing addresses of
all involved parties on a separate sheet.
2. AGENT ❑SAME AS OWNER ❑PRESIDENT OR CEO LP(CONTRACTOR ❑ATTORNEY ❑CONSULTANT ❑CONTACT
PERSON
NAME 5 �.-�✓1 1G 4 PHONE ?q- S- 795
MAILING ADDRESS .,3Q k 3 7
CITY jC,:z— k, / STATE /i�.4Jj ZIP CODE /ZQ
3. PROJECT LOCATION /?S 4:5s t/h c} P�r �►
TOWN ❑TICONDEROGA ❑DRESDEN SECTION 23c1 TB LOCK LOT❑FFORTANN ❑HAGUE `11
E ZQUEENSBU Y ❑BOLTON STREET , 1�� /�ssc��) �Ut✓�T � ,
LAKE FRONTAGE 100 feet NUMBER OF WHARFS AND MOORINGS CURRENTLY ON PROPERTY
according to V'Tax Map ❑Survey(attach copy) f DOCKS MOORINGS
4. PROJECT DESCRIPTION
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PROJECT 30 r'Crn a Vlf C'SC d �jdc�`Llays 2 �1v� �Gt�
a •1�e L--) I d s `f`• l l V ' s-L
r-n CC--� wi a Gn b oa A.a,_35
TYPE OF CONSTRUCTION ❑STAKE SUPPORTED 5�/CRIB ❑OTHER
PROPOSED USE ®'RESIDENTIAL ❑COMMERCIAL ❑ASSOCIATION ❑ PUBLIC
PROPOSED STARTING DATES 0 S PROPOSED COMPLETION DATE �Ss
IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?
Yes lo?�No (if yes, please explain)
IF COMMERCIAL, IS THE FACILITY AND ITS ASSOCIATED LAND USES IN COMPLIANCE WITH APPLICABLE
PROVISIONS OF STATE AND LOCAL LAWS, ORDINANCES, RULES AND REGULATIONS?
❑Yes ❑ No (if no, please explain)
M:\User\moliyl\forms\application forms\wharf mooring application.wpd 3/18102 Page 1 Of 2
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5. ADJOINING LAKEFRONT PROPERTY OWNERS
NAME NAME
TAX MAP# TAX MAP#
MAILING MAILING
ADDRESS ADDRESS
6. SITE INSPECTION
During the processing of this application Lake George Park Commission (LGPC) personnel may need to visit this site
for the purpose of inspecting, measuring and/or photographing any existing docks, cribs, moorings, property lines, or
other in-lake structures on the site. ,,//
I authorize Commission staff to conduct such a site inspection Vyes ❑ no
I wish to be contacted prior to any site inspection ❑ yes kh"o
7. CERTIFICATION
I hereby affirm that the information 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 and indirect, or 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.
SIGNATU E�PW (N title ' gning for a corporation or association) DATE
SIGNATURE OF AGENT(Both signatures needed only if agent will act for owner) DATE
INCLUDE WITH THIS FORM:
❑ Application fee
❑ Site location map
❑ Project plans on 8 '/z X 11 size paper
❑ Names and legal mailing addresses of all co-owners and parties with deeded or
contractual access to this lakefront
❑ Short Environmental Assessment Form if needed
The construction of a single residential dock, wharf or mooring and construction which alters,
modifies, enlarges or expands an existing dock, wharf or mooring, provided that the structure is
not located in a wetland, fish spawning area, an area of significant wildlife habitat, or an area of
unique scenic, historic or natural significance does not generally require this form.
Failure to include any one of the required items will result in an incomplete notice and delay in
processing your application.
M:\User\mollyl\forms\application forms\wharf mooring application.wpci 3/18/02 Page 2 of 2
pECE ] WE
SEP - 8 2005 _
LAKE'GEORGE PARK COMMISSION
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S E P S 2005
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--- LAKE GEORGEPARK COMMISSION
STATE OF NEW Y ORK
LAKE GEORGE PARK COMMISSION
C
PO Box 749, 75 Fort George Rd
Lake George NY 12845
tel (518) 668-9347 fax (518) 668-5001
www.lgpc.state.ny.us info@lgpc.state.ny.us
Bruce E. Young Michael P. White
Chair Executive Director
September 27, 2005
Steve Cardona
175 Assembly Point Rd
Lake George, NY 12845
Permit#5234-17-05 Wharf Construction Parcel #239.07-1-34
5234-18-05 Excavation/Fill Activity Town of Queensbury
Dear Mr. Cardona:
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 that it is the responsibility of the permittee and the permittee's agent to
comply with all permit conditions. Further, the permit is valid only for the 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 George is greatly appreciated by the Commission.
Sincerely,
e Molly a2gi r4
cc: Law Enforcement Deputy Permit Administrator
Town of Queensbury
Shawn Callahan
LGPC Permit Number State of New York Effective Date
5234-17-05 DM LAKE GEORGE PARK COMMISSION 09/27/2005
5234-18-05 EF Modification or Renewal Date
Type of Permit Expiration Date
® New '� e�Eu,o_¢�--
09/27/2006
❑ Renewal PERMIT
❑ Modification
❑ Variance Under the Environmental Conservation Law
❑ Article 43, Title 1, 6NYCRR 646-1.1 Z
Article 15, Title 5, 6NYCRR 608.5
X Construction and Modification of Wharfs 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 646-1.4
and certain other boats, barges and vessels restricted, Stormwater Management
6 NYCRR 608
Water Quality Certification
Permit Issued to Telephone Number
Steve Cardona 656-9315
Address of Permittee
175 Assembly Point Rd
Lake George, NY 12845
Contact Person (if not permittee) Telephone Number
Shawn Callahan 761-1272
Facility Name
Private Lakefront
County Warren Town Queensbury Parcel# 239.07-1-34
AUTHORIZED ACTIVITY
Remove an existing dock and construct a new 40' long, 28' wide, U-shaped wharf with an open-sided
boatcover/sundeck and open-sided, rock-filled timber cribs to be used as support for wharfs in accordance
with plans attached as Schedule A and made part of -ttiu s Kr ncv.
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 Signature / Date
Page 1 of 5
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
fioodplain 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
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.
LGPC Permit#: 5234-17-05 &5234-18-05 Page 2 of 5
GENERAL CONDITIONS
20. If upon the expiration or revocation of this permit, the 29. No rocks for use in construction are to come from the
project hereby authorized has not been completed, the lake bed.
permittee shall, without expense to the State, and to such
extent and in such time and manner as the Commission The following specifications apply to the construction or
or the Department may require, remove all or any portion replacement of rock-filled cribs. Existing cribs may be
of the uncompleted structure or fill and restore the site to repaired.
its former condition. No claim shall be made against the
State of New York on account of any such removal or 30. The size of any individual crib shall not exceed 8 feet
alteration. by 12 feet.
21. If future operations by the State of New York require 31. Spacing between cribs shall not be less than 8 feet. A
an alteration in the position or the structure or work herein minimum of 6 feet of open water shall be maintained
authorized, or if, in the opinion of the Commission or the between the shoreline and the first crib to allow for free
Department, it shall cause unreasonable obstruction to circulation of water,
the free navigation of said waters or flood flows or
endanger the health, safety or welfare of the people of the 32. Completed cribs shall be of the"open-sided"type
State, or cause loss or destruction of the natural construction and provide for at least 40% unboarded
resources of the State, the owner may be ordered by the water contact area to the rock fill.
Commission or the Department to remove or alter the
structural work, obstructions, or hazards caused thereby 33. If granted under 6NYCRR Part 608, the Lake George
without expense to the State. Park Commission hereby certifies that the subject project
will not contravene effluent limitations or other limitations
Wharf Construction Specifications or standards under Sections 301, 302, 303, 306 and 307
The following conditions apply to all newly constructed of the Clean Water Act of 1977 (PL 95-217) provided that
wharfs which have not received a variance from any of all of the conditions listed herein are met.
these limits:
Moorings
22. The location of the mean low water mark must be The following conditions apply to all new moorings which
field verified prior to construction. In no case shall any have not received a variance from any of these limits.
part of the wharf extend further than 40' from the mean 34. Moorings shall be placed so that vessels moored to
low water mark. them, at the full swing of their mooring or anchor line, will
be no closer than twenty feet to the projection of the
23. The maximum surface area of any dock or wharf shall property lines extended into the lake along the axis of the
be seven hundred square feet, including any walkway. property lines as they intersect the lake, or a line extended
at a right angle to the mean high-water mark, whichever
24. The maximum width of any pier shall be eight feet and results in the greater setback.
the minimum width of any pier shall be two feet.
35. Moorings shall not be placed so that the full swing of
25. The maximum width of any dock or wharf, including the vessel extends more than one hundred feet offshore
all lateral projections, shall be forty feet. from the mean high-water mark.
26. No structure shall be constructed on a dock, wharf or 36. Moorings must meet the following minimum
mooring which exceeds sixteen feet in height above the specifications: At least one cubic foot of buoy is to be
mean high water mark and which is not in compliance above the waterline; a one inch strip of reflector tape is to
with local zoning. be placed around the upper part of the buoy; the buoy
shall be all white with a one inch blue strip placed
27. Every dock or wharf constructed shall have a horizontally around the circumference above the water
minimum setback of twenty feet from the adjacent line.
property line extended into the lake on the same axis as
the property line 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
28. 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.
LGPC Permit#: 5234-17-05&5234-18-05 Page 3 of 5
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SEP - 8 2005
LAKEGEORGE PARK COMMISSION;
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Schedule A
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Page 4 of 5 ,
Permit#5234-17-05 & 5234-18-05
Schedule A
- - Page 5 of 5
Permit #5234-17-05 & 5234-18-05
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