1997-394 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 11 19 97
97394
This is to certify that work requested to be done as shown by Permit No.
has been completed.
BOATHOUSE
This structure may be used as a
218 CLEVERDALE RD.
Location
TAYLOR, JEAN
Owner
TAX HAP NO. 14 . -2-10 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building& Code Enforcement
BUILDING PERMIT
VALUE $ 11000 TOWN OF QUEENSBURY No.
97394
TAX MAP NO. 14 . -2-10 WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to TAYLOR. JEAN
OWNER of property located at 218 CLEVERDALE Rn_ Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a 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. OWNERS Address is
CLEVERDALE ROAD
QUEENSBURY, NY
2. CONTRACTOR or BUILDERS Name
CALLAHAN, SHAWN
3. CONTRACTOR or BUILDERS Address
BOX 137
KATTSKILL BAY, NY 12844
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
BOATHOUSE
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
435 9'Q. FT BOATHOUSE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
BOATHOUSE
50 PERMIT FEE PAID —THIS PERMIT EXPIRES August 20 19 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
19 97
Dated at the Town of Queensbury this 20 Day of August
SIGNED BY for the Town of Queensbury
Bui ing and Zoning Inspector
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: 1//6/9 7 SIGNATURE
wl • r, Owners Agency i t • r Cor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
/� TOWN OF QUEENSBURY
„t�3 BUILDING & CODE ENFORCEMENT
p � 7421BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: /�' i'S DEPART: C� 'i. v INSP. �
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTIQN�R9EQQUEST RECEIVED:
NAME 7 G00
LOCATION (IWA;A3/P'6.-
DATE y////97 PERMIT M [ " 3q."-/
TYPE OF STRUCTURE ,a /-/"3
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 FI SH
DECK/PORCH/STEPS/ ILINGSV/
RELIEF VALVES
FURNACE/HOT WATER OPERATING 4
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS I
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
V/I i
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O 0'9
47- ►3/
GEORGE PARK COMMISSION
' -, FORT GEORGE ROAD, PO BOX 749
L. E GEORGE, NEW YORK 12845-0749
'e t r uLMAR 3 I 1997 !, 518-668-9347
.::........:..::
-:. :..:.:.....:::.�.. ?:vii.}:::::L3ay.t•.:•.::::.x:.:.itv.::;.v}:.::...:.:yu:3y::.:.v:v:••.
I
LA,: C:-: TIOFOR PERMIT> O DOCKS, ARE AN . I
THIS APPLICATION IS FOR THE:
® Construction of a New Wharf S200
( ) 0 Placement of a Mooring (SI00)
0 Modification to an Existing Wharf(S50) 0 Modification to an
)
21 Article 15 Excavation/Fill (work below mean high water Ievel as part of Wharf
gn��C-no fee
APPLICATION FEE ENCLOSED: aC7C) (check or money order only) 1v J
1. NAME OF APPLICANT: 5 l,,s,,,,,, C s I ( c L
APPLICANT IS A/AN: ESI Individual 0 Partnershi
0 Corporation ❑Municipality 0 Agency
gAe As•
sociation
Street/PO Box: 13 a.c 13 7 City: iC g ifs k,'I 1 8-,
State: N.`i,
Zip Code: l 2 k 4# Phone: 514) 7'5— 7 g 5 d
2. NAME OF OWNER (if not applicant): ( E c.v., C. T�y I a r
Street/PO Box: 13 ok. .2 1
City: te•YerCCct�e.
State: Q ...1). Zip Code: IDS 2 0 Phone: CS 14) 65 b -
NAMES OF PREVIOUS OWNERS (since 1981):
c
3. NAME OF CONTRACTOR (if known): tp,c & s;d.Z C,4..�C r--,c.4"(4. t,
Stree/PO Box: e 0 Y I 7 City: kg 1-b kt 1 l (3s
State: IV J),
Zip Code: ill`1'`(' Phone: 61$ 7*S- 75 S
4. PROJECT LOCATION: SECTION 1 '4 BLOCK 2 LOT /
(parcel tax map number)
STREET: C i.a,rr-d.l t ed. VILLAGE: �'�'el1
TOWN: Ck�e-e,5
i. ZONEkNG CLASSIFICATION:
i. NUMBER OF WHARFS OR MOORLYGS CURRENTLY ON PROPERTY: N "—e
Permit, Registration or Account Number(s):
. TOTAL LAKE FRONTAGE: <a S i according to 2 Tax Map Q Survey (attach copy)
0 Other (specify)
I
PROJECT DESCRIPTION: L c' (o✓i I d n e--,..) 0 s ks r e d d a c „ - -j-�-i-04,4)
/,
-.s 4-Yrei -f-
Page I of 2
LMS:WHARFMoo. 2P 1L94 A
9. PROPOSED USE IS: fit Residential ❑Commercial 0 Association 0 Public
10. IF COMMERCIAL, IS THE FACILITY AND ITS ASSOCIATED LAND USES IN COMPLIANCE
WITH APPLICABLE PROVISIONS OF STATE AND LOCAL LAWS, ORDINANCES, RULES AND
REGULATIONS. 0 YES 0 NO, EXPLAIN
11. PROPOSED STARTING DATE: `i7? 7 PROPOSED COMPLETION DATE: q 7
12. IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR
COMPLETED? 0 Yes El No (if yes, please explain)
13. ADJOINING LAKEFRONT PROPERTY OWNERS:
Tax Parcel #: i I Tax-Parcel #: �!
(ne-z -Qrres
Name: � rf� Glnri} aT � �/o G-e �
�- c fi\ n P&ter Name: rr t S jb o k 1 X
sw-
Mailing Address: C!'e v-e.f-d c e.- N . Mailing Address: C i o.� d 1 .L K)Y.
i 2y2O 21,
14. 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 Iegal 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.
3/2 p/ 7
Signature of applicant l
Date
15. AGENT AUTHORIZATION: (if applicant is not the owner of the property) I hereby authorize the above
applicant to act on my behalf as my agent to obtain all necessary permits or approvals for the above project to
be constructed on my property.
Signature of owner —
Date
16. 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 Iines, or other in-lake structures on the site. Please sign below to authorize LGPC members and/or
staff to conduct such a site visit.
atfAl/
Signature of owner D
Do you wish to be contacted prior to the visit? o yes 14 no
Comments
THIS FORM MUST BE ACCOMPANIED BY SITE LOCATION MAP, PROJECT PLANS AND ANY
OTHER REQUIRED INFORMATION (SEE APPLICATION INSTRUCTIONS)
Page 2 of 2
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"`0c - ____..- TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 5 1 8-761-8201
QUEENSBURY PLANNING BOARD - RECORD OF RESOLUTION
SITE PLAN REVIEW
Robert Paling Catherine LaBombard
Chairman Secretary
29 Cedar Court 30 Honey Hollow Road
Queensbury, New York 12804 Queensbury, New York
TO: Jean Taylor RE: Site Plan No. 25-97
Box 218 Jean Taylor
Cleverdale, NY 12820
DATE: August 19, 1997
RESOLVED: MOTION TO APPROVE SITE PLAN NO. 25-97 JEAN TAYLO1 ,
Introduced by Roger Ruel who moved for its adoption, seconded by
George Stark:
As written, with two conditions . One, that you receive the
pending Lake George Park Commission approval, and, Two, that
the total height of the structure will be 14 feet or under.
Duly adopted this 19th day of August, 1997, by the following
vote:
AYES : Mr. Ruel, Mr. Ringer, Mr. MacEwan, Mr. Stark, Mrs.
LaBombard, Mr. Paling
NOES : None
ABSENT: Mr. Brewer
Sincerely,
,A i
Robert Paling, Chairman
RP/pw
cc: Shawn Callahan
"HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE"
SETTLED 1763
' LAKE GEORGE PARK COMMISSION z ,.
PO BOX 749, FORT GEORGE RD cc cc
u,, , { LAKE GEORGE, NEW YORK 12845 ii"/ -9 7�
L' P'•' 518-668-9347
.: -
CARL R. DE SANTIS MICHAEL P. WHITE
Chairman Executive Director
April 17, 1997
Jean Taylor, Trustee
PO Box 218
Cleverdale NY 12820
RE: Wharf Construction Permit #5234-8-97
Excavation/Fill Permit #5234-9-97
Dear Ms. Taylor:
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.
Sincerely,
14e1/(/ a-64"/:1—
Molly Gallagher
Deputy Permit Administrator
Enclosure
cc: LGPC Law Enforcement Town Supervisor Shawn Callahan
' LAKE GEORGE PARK COMMISSION
PO BOX 749, FORT GEORGE RD
{ LAKE GEORGE, NEW YORK 12845
518-668-9347
•
=O ,
cacsma
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: 5234-8-97 Construction of Wharfs and/or Moorings
5234-9-97 Excavation/Fill
Effective Date: April 17, 1997 This Permit Expires: April 17, 1998
Permit Issued to: Jean Taylor
PO Box 218
Cleverdale NY 12820
Facility: Private Lakefront
Facility Location: Cleverdale
County: Warren Town: Queensbury Parcel Number: 14-2-10
AUTHORIZED ACTIVITY
Construction of a new 25' wide, 46' long u-shaped wharf with an open sided boatcover 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).
Deputy Permit Administrator: Molly Gallagher
Authorized Signature: ` /Pic Vc Date y/( )/j
LGPC Permits 5234-8-97 & 5234-9-97 Page 1 of 6
GENERAL CONDITIONS
1. All activities authorized by this permit must be 9. This permit shall not be construed as conveying
in strict conformance with the plans attached as Schedule to the permittee any right to trespass upon the lands or
A and made part of this permit. Modifications to the interfere with the riparian rights of others in order to
project require prior approval in writing from the perform the permitted work or as authorizing the
Commission. impairment of any rights, title or interest in real or
personal property held or vested in a person not a party
2. The permittee and any contractor, project to the permit.
engineer, or other person responsible for the overall
supervision of this project shall read, understand and 10. Granting of this permit does not relieve the
comply with this permit, including all special conditions permittee of the responsibility of obtaining any other
to prevent environmental degradation. permission, consent, permit, or approval from the US
Army Corps of Engineers, US Coast Guard, NYS Office
Inspections of General Services, NYS Department of Environmental
Conservation, NYS Department of Health, Adirondack
3. The Commission and/or the Department of Park Agency, or local government which may be
Environmental Conservation (the Department) may required.
conduct such on-site surveys, investigations,
examinations, and evaluations from time-to-time as it 11. The permittee has accepted expressly, by the
deems necessary to ensure compliance with the terms and execution of the application, the full legal responsibility
conditions of this permit. of all damages, direct or indirect, or whatever nature,
and by whomever suffered, arising out of the project
4. A copy of this permit must be available at all described herein and has agreed to indemnify and save
times at the project site during performance of the harmless the State from suits, actions, damages and costs
authorized activities. Failure to produce a copy of the of every name and description resulting from the said
permit upon request by a Commission or a Department project.
representative is a violation of this permit.
12. The State of New York shall in no case be liable
Permit Modifications & Renewals for any damage or injury to the structure or work herein
authorized which may be caused by or result from future
5. The permittee is responsible for keeping the operations undertaken by the State for the conservation
permit active by submitting a renewal application, or improvement of navigation, or for other purposes, and
including any forms, fees or supplemental information no claim or right to compensation shall accrue from any
which may be required by the Commission, no later than such damage.
30 days prior to the expiration of this permit.
Environmental Protection
6. Any change or modification in any of the
activities authorized by this permit is subject to prior 13. Disturbance to the bed and banks of Lake George
review and approval by the Commission. Any shall be kept to the minimum necessary to complete the
modification of this permit granted by the Commission project.
must be in writing and attached hereto.
14. All necessary precautions shall be taken to
7. The permittee is responsible for obtaining any preclude contamination of any wetland or waterway by
other permits, approvals, land easements, and suspended solids, sediment, fuels, solvents, lubricants,
rights-of-way which may be required for this activity. epoxy coatings, paint, concrete, leachate or any other
environmentally deleterious materials associated with the
Other Legal Obligations of Permittee project.
8. No commercial use, as defined in 6 NYCRR 15. Heavy equipment, including bulldozers,
645-2.1(i), of the permitted dock, wharf or mooring is backhoes, payloaders, etc., shall not be driven in the
herein authorized. water.
LGPC Permits 5234-8-97 & 5234-9-97 Page 2 of 6
r GENERAL CONDITIONS
(continued)
16. Any material dredged in the prosecution of the 23. Stone used for filling shall be clean (not contain
work herein permitted shall be removed evenly, without any material than can pass e
leaving large refuse piles, ridges across the bed of a stone shall not be less than six (6) inches in diameter.
waterway or floodplain or deep holes that may have a Completed cribs shall be of the "open-sided" tft
tendency to cause damage to navigable channels or to the construction and provide for at lead 40% unboarde l
banks of a waterway. water contact area to the rock fill. 4
17. Any debris or excess materials from construction 24. No rocks for use in construction are to come.
of this project shall be immediately and completely from the lake bed.
removed from the bed and banks of all water areas to an
appropriate upland area for disposal: Wharf Construction Specifications
The following conditions apply to all newly constructed
18. There shall be no unreasonable interference with wharfs which have not received a variance from any of
navigation by the work herein authorized. these limits:
19. If upon the expiration or revocation of this 25. The location of the mean low water mark must
permit, the project hereby authorized has not been be field verified prior to construction. In no case shall
completed, the permittee shall, without expense to the any part of the wharf extend further than 40' from the
State, and to such extent and in such time and manner as mean low water mark.
the Commission or the Department may require, remove
all or any portion of the uncompleted structure or fill and 26. The maximum surface area of any dock or wharf
restore the site to its former condition. No claim shall shall be seven hundred square feet, including any
be made against the State of New York on account of walkway.
any such removal or alteration.
27. The maximum width of any pier shall be eight
20. If future operations by the State of New York feet and the minimum width of any pier shall be two
require an alteration in the position or the structure or feet.
work herein authorized, or if, in the opinion of the
Commission or the Department, it shall cause 28. The maximum width of any dock or wharf,
unreasonable obstruction to the free navigation of said including all lateral projections, shall be forty feet.
waters or flood flows or endanger the health, safety or
welfare of the people of the State, or cause loss or 29. No structure shall be constructed on a dock,
destruction of the natural resources of the State, the wharf or mooring which exceeds sixteen feet in height
owner may be ordered by the Commission or the above the mean high water mark and which is not in
Department to remove or alter the structural work, compliance with local zoning.
obstructions, or hazards caused thereby without expense
to the State. 30. Every dock or wharf constructed shall have a
minimum setback of twenty feet from the adjacent
Crib Work property line extended into the lake on the same axis as
The following specifications apply to the construction or the property line runs onshore where it meets the lake,
replacement of rock-filled cribs. Existing cribs may be or at a right angle to the mean high-water mark,
repaired. whichever results in the greater setback.
21. The size of any individual crib shall not exceed
8 feet by 12 feet.
22. Spacing between cribs shall not be less than 8
feet.
LGPC Permits 5234-8-97 & 5234-9-97 Page 3 of 6
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