2004-116 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040116 Date Issued: Friday, November 19, 2004
This is to certify that work requested to be done as shown by Permit Number P20040116
has been completed.
Tax Map Number: 523400-226-015-0001-001-000-0000
Location: 174 LAKE Pky
Owner: JANE & BERNARD MANN
Applicant: JANE & BERNARD MANN
This structure may be occupied as a:
By Order of Town Board
Boathouse TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040116 Application Number: A20040116
Tax Map No: 523400-226-015-0001-001-000-0000
Permission is hereby granted to: JANF,&BERNARD MANN
For property located at: 174 LAKE Pky
in the Town of Queensbury,to constructor 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.
i'', Tyke of Construction Value
Owner Address: JANE&BERNARD MANN
14 HUGHES St Boathouse $15,000.00
Total Value $15,000.00
ROCKVILLE CENTER, NY 1157
Contractor or Builder's Name /Address Electrical Inspection Agency
FRANK DENARDO
656-9674
NY
Plans&Specifications
2004-116
900 SQ FT BOATHOUSE
f
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 31, 2005
(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.)
P
Dated at the T ueens a esday,March 31, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
1
1
J
V�
TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DEC
DOCKS & BOA 0lE ��� Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTI(�jN. �PI�EA�WNSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building PerTO%Wftf, hg following work which will be
done in accordance with the description, plans an �fic� t P)§ubmitted, and such special
conditions as may be indicated on the permit. TWO SETS-OF SRU ORAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: Jane Niann
P.O. Address 14 Hughes street Rockville N.Y. 11570 Phone # 516-53�'--r/?V1
Property Location 74 Lake parkway d Tax Map #226. 15-1 -1
Subdivision Name ( f applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: .ran DPNarcin Address S-4 Barthel lane Q B Phone#
N.y. 12804 656-36�2
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse '(Circle one)
Size of Structure to be built (square footage) : g00s a.
Foundation Material : Width Thickness
Depth of Footing, below grade: .
Size of Posts or Studs: _ -- 8-in x 8in x 8ft Long
Size of Floor Joists: x x Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: 8in x 8i.n -X 8ft Long
Roof Rafters: tin X 1 Oin Spacing 16in Span 12ft
Roof Trusses (pre-engineered spacing) : Span-
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof: 3/4 cdx plywood / rubber r&gfina
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, 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) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft:
Side yards ft. andN , /, 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: Y C3 "� SIGNATURE
0W el Ow r%s Agenc A jec Con ractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATES ��' SIGNATURE
STATE OF NEW YORK
~� LAKE OEOROE PARK COMMISSIONk.
PO Box 749, 75 Fort George Rd
Lake George NY 12845
tel (518 668-9347 fax (518 668-5001 d
�- > >�
ea�E=6t°" www.lgpc.state.ny.us info@lgpc.state.ny.usPICO
�a
NOTICE OF AVAILABILITY FOR REVIEW
NOTICE OF COMPLETE APPLICATION
Date:* June 1-3, 2007 Application: 5234-17-07
Applicant: Type: MN Minor
Jane Mann
14 Hughes Street
Rockville Centre, NY 11570
Project Location: Assembly Point Parcel#: 226.15-1-1
Project Description: Town of Queensbury
Install one mooring as shown on the plans attached
SEQR Lead Agency: None Designated
SEQR Determination: 1 .- Type II Action,, no further review under SEQR
TO INTERESTED PARTIES: Comments Due: June 28, 2007
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 11 Comments below or attached
cc:
Town of Queensbury
Dan & Billie Sue Jensen Prepared by:
Robert Ervien
Address: .
Warren Co. Sheriff
Telephone: ( ) Date:
M
STATE OF NEW YORKHI':...'t'; mr
LAKE GEORG E PA RK COMMISSION
3 i 1K ..... .••. ,f f i
75 Fort George Road, P.O. Box 749 �3r1 i ;!
_ Lake George, New York 12845 ,�,, 6.
•`SaTEIbi00. TEL(518)668-9347 FAX(518)668-5001 y i�'�.,�Qa
www.lgpc.state.ny.us permits@Igpc.state.n .us t ��/�� • - `�� "
APPLICATION FOR PERMIT FOR DOCKS, WHARFS AND MOORINGS
THIS APPLICATION IS FOR THE:
0 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
P
APPLICATION FEE ENCLOSED: /(?L_,60 (check or money order only)
1. OWNER In INDIVIDUAL ❑PARTNERSHIP ❑ ASSOCIATION ❑ CORPORATION 0. MUNICIPALITY .❑ AGENCY
❑Mr. ❑ Dr.. ❑ Mrs. ❑ Ms.
NAME (Y lf1 �% PHONE /L/
MAILING ADDRESS , V 5
CITY C I `' STATE ;' FZI CODE 7V
If this is an association or if other parties have deeded or contrac ual access to this lakefront, please complete Addendum A
2. AGENT 'SAME AS OWNER ❑ PRESIDENT_OR CEO ❑CONTRACTOR -❑ATTORNEY ❑C,ONSULTANT '❑CONTACT PERSON _
NAME PHONE
MAILING ADDRESS
CITY STATE ZIP CODE
3. PROJECT_LO.CATION
TOWN OGA El DRESDEN SECTION BLOCK f LOT
❑ FORTANN El HAGUE I
❑ LAKE GEORGE ❑ PUTNAM STREET
QUEENSBURY ❑ BOLTON T1,
LAKE FRONTAGEfeet NUMBER F WHARFS AND MOORINGS CURB NTL.Y ON PROPERTY
according to 1CTax Map ❑ Survey(attach copy) DOCKS MOORINGS
4. PROJECT DESCRIPTION
PROJECT
TYPE OF CONSTRUCTION ❑STAKE ❑ CRIB ❑ARTICULATING OTHER
PROPOSED USE RESIDENTIAL ❑ COMMERCIAL ❑ ASSOCIATION ❑ PUBLIC
PROPOSED STARTING DATE f V PROPOSED COMPLETION DATE ^ G,,
IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?
❑ Yes XNo (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\molly\forms\application forms\wharf mooring application.wpd 1/24/06 Page 1 Of 2
Ilk
5. ADJOINING LAKEFRONT PROPERTY OWNERS (available from your town or county real property dept.)
NAME ILtoca L NAME DOV) i`_e p�vt 1
TAX MAP# �,�. �C1— 1 � TAX MAP #
MAILING I�� MAILING '7
ADDRESS I _ (hv�l�vi L_ _ ADDRESS _1 l ��_�� 1� rc,`Jn(,JL
h
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 yes ❑ no
I wish to be contacted prior to any site inspection ❑ yes 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.
SIGNATURE OF OWNER (Note tt if signing for a corporation or association) DATE
SIGNATURE/OF AGENT (Both signatures needed only if agent will act for owner) DATE
INCLUDE WITH THIS--FORM
PAPplication fee
Site,location map
rofect plans_on 8.% X 11 size paper
`❑`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, spawning area, an area f.of significant wildlife habitat,.or.an area o unique scenic, historic or
natural significance does not generally require this form.
❑ Adden_dum_A Co-owner Signature Page (if lakefront is jointly or commonly owned)
o Add endum.B Parties with deeded or contractual access tothis lakefront
❑ Addendum C Statement of Intended Use of Residential Structures (if requested by.agency)
❑ Addendum D Association Inform ation,(fo.rAssociation owned parcels requesting a variance)
Failure to include any one of the required items will result in an incomplete notice and delay in
processing your application. - -
M:\User\moIly\farms\application forms\wharf mooring application.wpd 1/24/06 Page 2 of 2
p EcE ] wE
- J U N 1 2 2007
LAKE GEORGE PARK COMMISSION
48'-011
i
MOORING PROJECT PLAN
PROPOSED
MOORING �` o PROPERTY OWNER: JANE MANN
' o DATE: 6-1 1 -07
. En _
N Y SCALE: 1 ' = 20'-0"
BASE MAP: TAX MAP 226.15-1 -1
TOWN OF QUEENSBURY
174 LAKE PARKWAY
LAKE GEORGE, NY 12845
301
EXISTING .
DOCK
- Queensbury Building & Code Enforcement - Residential Final Inspec ' n
Office No.(518)761-8256 Arrive: a -p , e rt: (/ a pm
Date Inspection request received: _ _ Inspector's Initials:
NAME: L _ PERMIT#:
LOCATION: (- 12►<( �— DATE: (�
TYPE OF STRUCTURE:
Y N N/A Comments
� C
ChimneyHt./"B"Vent/Direct Vent Location U LD
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)stairs,decks,patios
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft. /V
Handrail.Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110 �� ®V'/�(
Interior privacy/trim/doors/main entrance 36 in. U
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector _
Bathroom Fans, if.no.window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in,(ht,)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft,150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forrns\Res.Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ ni Depart: pm
Date Inspection request received: f� 0 — Inspector's Initials:
NAME: A . PERMIT#: (�
LOCATION: DATE: ! 0
TYPE OF STRUCTURE:
6� Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
E Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:TamWTuilding&Codes\Insvection FormslRes. Final Inst). form 2.docLast printed 2/12/04 /
M NIA
roup, Inc.
May 23, 2005
Building Official
Lake George, New York
Re: Mann Residence
Dear Sir:
Please be advised of the following substitution in the above referenced property:
• Due to installation of collar tie beams at the plate line, it is no longer necessary to
have a structural ridge. Therefore, the laminated ridge beam indicated on the
approved plans can be safely substituted with a 1.75x12 microlam ridge board.
If you hav- na y:questions or require further infonnation,please call.
Si cere yours
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Deed Reference
Sigmund Weiss
to
Jane Mann
Book: 828 Page: 307 ` N
Date: 30 July 1991(circa) 3 i -r WN WEE ! j
Map Reference N, 0 D i Area
(Map of) �� �i,�„� % �■ �'j
First Subdivision of Praperty owned ( /
by the Lake George Assembly at
! /
Assamby-Point-orl-Lake-George, If 1
Warren County, N.Y. ( � � If
by: t rnest L. M. Meyer i
date: 5 June 1914
lr Plp�ti\ ` r
pf a 5ury for jl ;
`
e�a�t�,Mann found
51tu ito in .
Town of Queensbv y Cou#y of Warren 3 2,2
State p New York i
5cale: 1"= 20 feat pate: 28 July 2003 33 24 325
4
TOWN.OF QUEENSBURY BUILDING DEPARTMENT
2 G ` tq Fake Shd re
*V Based on our limited examination,
s corn pliance with our comments shall (.ands 3 2 7
plana nnddnsppeecifications1arenm full NiF f art 328
PY � �b
f� compliance with the Building Codes en 137
Map rewsed 5 Jonvary 200,} tQ show propo5e4fjb*Y I`"• -9)
Ma :revised. 10 rebrua 2004 to Show propoged.clock cover,'are s WHWUMLWL.
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'the Lake George Assembly -at: .
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