96-040 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 17 19 97
96040
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be used as a DOCK AND BOATHOUSE
Location 8 2 CLEVERDALE RD
Owner SKINNER, JOHN & DEBORAH
By Order of Town Board
TAX HAP NO. 14 . -1-7. 2 TOWN OF QUEENSBURY
Aril/
3:6
Director of Building & Code Enforcement
_ _
BUILDING PERMIT
VALUE $ 12000 TOWN OF QUEENSBURY 96040
TAX MAP NO. 14. -1-7. 2 No.
WARREN COUNTY, NEW YORK
SKINNER, JOHN & DEBORAH
PERMISSION is hereby granted to
82 CLEVERDALE RD.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DOCK AND BOATHOUSE
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
P.O. BOX 82
CLEVERDALE, NY 12820
2. CONTRACTOR or BUILDER'S Name
MATTHEWS, JOHN
3. CONTRACTOR or BUILDER'S Address
BOX 1154 RD 1
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
BOATHOUSE
( 1 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
560 Se.. FT. DOCK AND BOATHOUSE (SPR 65-95) AS PER PLOT PLAN AND
SPECIFICATIONS.
8. Proposed Use
DOCK AND BOATHOUSE
$ 50 98
PERMIT FEE PAID —THIS PERMIT EXPIRES February 28 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 28 Day of February 19 96
SIGNED BY J for the Town of Queensbury
wilding and Zoning In or
On TOWN OF QUEENSBURY - (--i,r LP( e Paid _ - ,
BUILDING & CODES DEPARTMENT Permit # l 9 Q/Q
It_ J7
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost iLOdd -
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE 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. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: Ja,,,, t- b&dor<.*N SK,,vMea
P.O. Address /, ol,,, az e&e 4 Phone #
Property Location atedie,a �� Tax Map # /y -/- 7. 2.
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: fKu MAiritivi5 de,,airittr4? Address ,gip( 44(ce e ke- Phone# Gb'"Y '1
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Doc. Boathouse (Circle one)
Size of Structure to be built (square footage) : 5 o ci,
Foundation Material : Width G 4, 77,116e/( Thickness
Depth of Footing, below grade: 4444 A—rywi
Size of Posts or Studs: er x 4, x g Long
Size of Floor Joists: Z x / x /474 Span
Decking or Flooring Material : 74€ -14q
Now will Porch or Deck be fastened to building? Ø4.
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Fl - Shed Other (Circle one)
Material of Roof: /111, .6,id o:/-� UP ,lay/.
ZONING INFORMATION: 0
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all build ngs, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) : w -
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
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.
DATE: 01A/q4,, SIGNATURE 1//4/ 7.4e,--
,
wn Own s Agenc , Ar hit' t, Contractor
O REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 2 ‘ SIGNATURE , ,C�
(518) 761-8256
TOWN OF QUEENSBURY010
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR4 1/O DEPART IN�
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION
DATE `' PERMIT I 5112:12-1(1—
TYPE OF STRUiTURE:
RECHECK AP2ROVED
N f A YES , NQ
FOOTINGS/PIERS 1`
MONOLITHIC POUR FORM e
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPONSIBLE FOR :I
PROVIDING PROTE T ON FROM FREEZING
FOR 48 HOURS FOLL.' ING THE PLACE—,
MENT OF THE CONCR'° E.
MATERIALS FOR THIS •URPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA E
FOUNDATION/DAMPPROOFJ G
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN`PLAIt
ROUGH PLUMBING
PLUMBING UNDER SLAB ek _
FRAMING:
JACK STUDS/HEAD S.
BRACING/BRIDGIN ``:
JOIST HANGERS r
JACK POSTS/MAI% BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R— •
1
R -
TOWN OF QUEENSBURY
ffiliPik 1 BUILDING & CODE ENFORCEMENT
` 742 BAY ROAD12
QUEENSBURY NY 12804
`, (518) 761-8256
ARRIVE: /V DEPART: INSP: e/
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: ! 411 7
NAME '--3Y.1--\ -- . 1 c _
9\f\--�
LOCATION T
V
DATE `( PE LT I N
TYPE OF STi UCTURE )c. 'Ja ``-k (1012.
FOOTINGS '` FOUNDATION BACKFIL,L FRAMING _
ROUGH PLUMBING _ SEPTIC INSULATION -
FINAL ELECTRICAL _ WOODSTOVE OIL FIREPLACE
t N/A YES NO
CHIMNEY HEIGI /B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINIS
DECK/PORCH/STEP /RAILINGS i
RELIEF VALVES /
FURNACE/HOT WATE OPERATIRG
F.
INTERIOR TRIM/PRIACY DOOMS
FINISH FLOORS:
BATH/KITCHEN WATLtTIGIT
OTHER FLOORS 'SWEEP2IBI40
•
_ OTHER FLOORS CARPETED! ,
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS 2
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PL
OK TO ISSUE C/0 Q C/C
TOWN OF QUEENSBURY
I; j BUILDINGQENFORCEMENT
UEENSBUBAYNROAD804
0 (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: / -2_?
-q 7
NAME F 1 h h e Y `__ k
LOCATION ! Ai+ t ��
DATE _ PERMIT # ri ' 0-0?- C
TYPE OF STRUCTURE • ) T zhttte
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A ' YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT _
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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LGPC Permits 5234-27-95 & 5234-29-95 Page 5 of 5
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LAKE GEORGE PARK COMMISSION rb yo
PO BOX 749, FORT GEORGE RD
,4.1 LAKE GEORGE, NEW YORK 12845
518-668-9347
PERMIT
FOR THE INSTALLATION OF WHARFS & MOORINGS AND
FOR EXCAVATION OR FILL ACTIVITIES
ON THE WATERS OF LAKE GEORGE
PURSUANT TO 6 NYCRR 646 AND ARTICLE 15 OF THE ECL
LGPC Permit Numbers: 5234-27-95 Construction of Wharfs and/or Moorings
5234-29-95 Excavation/Fill
Effective Date: January 2, 1996 This Permit Expires: January 2, 1997
Permit Issued to: John Skinner III
PO Box 82
Cleverdale NY 12820
Facility: Private Lakefront
Facility Location: Cleverdale
County: Warren Town: Queensbury Parcel Number: 14-1-7.2
AUTHORIZED ACTIVITY
Replacement of an existing U-shaped wharf and boathouse with a U-shaped wharf and open-sided
boathouse and sundeck, and the construction of open-sided, rock-filled timber cribs to be used for
the support of wharfs, as shown on the plans attached as Schedule A and made part of this permit.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict
compliance with the ECL, the Navigation Law, all applicable regulations, the General Conditions
specified, and any Special Conditions included as a part of this permit(see attachments).
Permit Administrator: Michael P. White
Authorized Signature: Date /-C21
LGPC Permits 5234-27-95 & 5234-29-95 Page 1 of 5
LAKE GEORGE PARK COMMISSION
PO BOX 749, FORT GEORGE RD
r {� LAKE GEORGE, NEW YORK 12845
�°► v "' 518-668-9347
•
CARL R. DE SANTIS MICHAEL P. WHITE
Chairman Executive Director
January 2, 1996
John Skinner III
PO Box 82
Cleverdale NY 12820
RE: Wharf Construction Permit #5234-27-95
Excavation/Fill Permit #5234-29-95
Dear Mr. Skinner:
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 Article 15 of the Environmental Conservation
Law relating to excavation and/or placement of fill. 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.
Yours Truly, �J /
Michael White
Permit Administrator
Enclosure
cc: LGPC Law Enforcement John Matthews
Town Supervisor