94-059 CERTIFICATE OF COMPLIANCE,
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date cw.tohr r 17 19 99 _
This is to certify that work requested to be done as shown by Permit No. 94059
has been completed.
This structure may be used as a t klUUat
Location
Owner ►
By Order of Town Board
TAX HAP NO. 12--3 -34 . " TOWN OF QUEENSBURY
Director of Building & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY No 94-059SP
WARREN COUNTY, NEW YORK N
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STUART TOMKIN
PERMISSION is hereby granted to W
Hillman Road
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,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. 1-3
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1. OWNER'S Address is 'x
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3070 Windsor Place -
Boco Raton FL
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2. CONTRACTOR or BUILDER'S Name
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Joseph Roulier 1-1
3. CONTRACTOR or BUILDER'S Address
Cleverdale NY
4. ARCHITECT'S Name
H
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5. ARCHITECT'S Address phi
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
700 sq ft Boathouse as per plot plan, specifications
No. and application and in compliance with Site Plan Approval
#6-94 _
8. Proposed Use
Boathouse
0
$ 50 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 2 19 95 rt
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2 Da of - May 19 94
r\ /
SIGNED BY for the Town of Queensbury
Building and Zoning In ctor
4 - TOWN OF QUEENSBURY Fee Paid 4
. 'i BUILDING & CODES DEPARTMENT .
,r{k 1r =" Permit # a-g
meµ,*��r� � APPLICATION FOR: • PORCHES-DECKS- � ----s
;'•` DOCKS & BOATHOUSES • Est. Cost P500
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF TFIF FOLLOWING:
2Q Z122 :
The undersigned hereby applies for a Building Permit to do the followin; ti�Vv�bZrk which be
done in accordance with the description, plans and specifications subm'IAted, and s�ch s* ial
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL BANS AI .pE SUB TTED
WITH THIS APPLICATION. @Ce �1 J
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Owner of Property: //,% .S -� —X%^• °ems �'� mow,
P. Address ...3.170 s0� o« ®sq ,�,. , Phone 47 sz y,
Property Location /''„2,Q... 47/ �g�-,.r-at‘L, r✓. K' /,tet a Tax Map #/..0-3 --Sy. Z.
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: ,�e_ 4:4!,, Address Za,„GA ti Phone#e',-'.3;-yy
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock oat e (Circle one)
Size of Structure to be built (square footage) : '0o s, , /-7--- /o1P6 ,erin4)
Foundation Material : Width .��,� Thickness nfi,4a fey /gyp
Depth of Footing, below grade: /,
Size of Posts or Studs: G "' x d x Long t
Size of Floor Joists: x /.2 x =26 / ate^ I/ f N
Decking or Flooring Material : -5A , 1 /lr << /In4-7 2 X it �G '� C .
How will Porch or Deck be fastened to building? ^/A►
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 lat Shed Other (Circle one)
Material of Roof: /zLed/ /5 .#' — golf
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: /ys-- ft. x /," ft.
Existing building(s) : Size+-74 ' ft. xa- yo ft.
Size ft. x ft.
Use of Existing building s) : s,7�e. ,e.7 ".
vs/ / ,ice q<
Proposed structure, di tance from property line:
Front yard / 1"2 ft. Rear yard .,,/A ft.
Side yards a9 ft. and .375 ft.
If on corner, setback from side street: ft.
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TOWN OF QUEENSBURY F,6'
BUILDING & CODE ENFORCEMENT +^ ,
531 BAY RD. , QUEENSBURY NY 12804•
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INSPECTOR'S REPORT: AR., � DEPART INT�&
REQUEST FOR INSPECTION� RECEIVED: I O-/
NAME 1 C3y"! '[1� i S-1-tk,,Lc,
LOCATION (�(���` �'
DATE F �VPPE-RRMM`IT 9 0 `05 /
TYPE OF STRUCTURE:
RECHECK 1� APPROVED
7�1 S �I Le�'>� '/A Y E S NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
1
THE CONTRACTOR IS RESPONSIBLE FO
PROVIDING PROTE TIONFROM FREEZ NG
FOR 48 HOURS FOLLOWING THE PLA-E-
MENT OF THE CONCRETE.I.
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALLPOUR y
REINFORCEMENT IN PLACE k,
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL _
PLUMBING VENT/VENTS IN /LACE1
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HE DERS
BRACING/BRIDG, NG A
JOIST HANGERS '?
JACK POSTS/MI N BEAM X
AIR INFILTRATION BAR IER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN ERIOR R-
FOUNDATION WALLS EX' ERIOR R- t -
FLOORS R-
WALLS
R- -
CEILING R-
DUCT WORK OR PIPING IN --
UNHEATED SPACES R- •
� ( Of\c 3 � ;
TOWN Of QUf ENJ3IJRY
+. HUILI)]MG !; COJE ENFORCEMENT
.`s 742 HAY ROAD
• �,. QUEENSHURY NY 12804
(5]'R)145- 4447
ARRIVE: -/ 4 DEPART: 2-f 9' INSPs
FINAL INSPECTION REPORT - RESIDENTI 1
DATE INSPECTION REQUEST
- RECEIVED: .
NAME 1 /M /' � gra/t /��,�� f'
LOCATION f 401,rl /,, ` anti{' Odd-f---
DATE \ PPERMIT H r er/ I io
®�("�J,l--TYPE OF STRUCTURE !4-476/67 ;
FOOTINGS FOUNDA ON BACKFILL I FRAMING
ROUGH PLUMBING _ EPTIC INSULATi1ON •
FINAL ELECTRICAL _ WOODSTOVE OR FIRFEPLACE
NII/A YES NO
CHIMNEY HEIGHT/B VENT/iiEIGHT
PLUMBING VENT
ROOFING \ 7
EXTERIOR FINISH r�
DECK/PORCH/STEPS/RAILINGS 6/
RELIEF VALVES
1
FURNACE/HOT WATER OPERATING '
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: I
BATH/KITCHEN WATERTIGHT i ,
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED i ''‘.\\
STAIR CLEARANCE/RAILINGS i
SMOKE DETECTORS `•;'
BATHROOM FANS zl, ..
PLUMBING FIXTURES Ll 711
FOUNDATION INSULATION ;I __
GARAGE FIRE PROOFING . i
DOOR CLOSERSi '
. — S
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT 't.,t.N - i ,,'
OK TO ISSUE C/O OR11
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TOWN6� �" °t TOWN OF QUEENSBURY BUILDING DEPARTME '.� S f
Based on our limited examination,: MAY
BU LD NG _, c' ' D .' -x..EP.Tia Ile 1 a
+ compliance with our comments shall ellCeiVed
not be construed as indicating the d - _ er
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BOX 301,CLEVERDALE,N.Y.12820
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REVIEW NEEDED
/� Application
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MAR 2 8 1994
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BOX 301,CLEVERDALE,N.Y.12820
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Box 749
LAKE GEORGE,NEW YORK 1284 Pi ,
Tel. 518-668-9347 FAX 518-668-5 i 1 R '%. ' ,
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CARL R.DE SANTIS Est ad°p�o4 N CHAEI .WHITE
Chairman . c' pe Execu i Director
03/28/94
M. STUART TEMKIN
c/o JOE ROULIER
BOX 301
CLEVERDALE , NY 12820
RE: Permit # 5234-3-94
Dear Mr. Temkin:
•
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 Environmental Conservation
law. Please review the geneial and special conditions included
on the permit; these are intended to minimize any environmental
disturbances associated with your 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 suitably
protected from the elements. Any failure, to comply with these terms
may be treated as a violation of Environmental Conservation .law.
Questions regarding the terms of the permit should be directed to
David Finlayson of this office, telephone ( 518 ) 668-9347.
Should your plans change, you must contact this office to
determine whether modifications to the permit are required.
Your interest in maintaining the environmental quality of
the Lake George Park is greatly appreciated by the Park Commission.,
Sinc rely,
Davd .J. layson
Deputy Per it Admini rator
Enclosure
cc: LGPC Dir. Law Enforcement
Town Supervisor
• ,�{, LAKE GEORGE PARK COMMISSION
V � ' BOX 749
1 -; LAKE GEORGE,NEW YORK 12845.
11.1 ►s4 518-668-9347
PERMIT
FOR THE INSTALLATION & USE OF WHARVES & MOORINGS :
ON THE WATERS OF LAKE GEORGE
PURSUANT TO 6 NYCRR 646
Permit No: 5234-3-94 Effective Date: 03/28/94
THIS PERMIT INVALID IF CONSTRUCTION NOT COMPLETED BY: 03/28/95
Permit Issued To: M. STUART TEMKIN -
Address of Permittee: 3070 WINDSOR PLACE , BOCA RATON, FL 33434
Agent for Permittee: JOE. ROULIER
BOX 301 , CLEVERDALE , NY 12820
Name of Facility: TEMKIN PRIVATE LAKEFRONT
Project Location: HARRIS BAY SIDE OF ASSEMBLY POINT_
County: WARREN Town: QUEENSBURY Lot *: 12-3-34. 2
AUTHORIZED ACTIVITY:
CONSTRUCT A BOATHOUSE/SUNDECK OVER AN EXISTING
U-SHAPED WHARF AS DEPICTED IN THE ATTACHED PLANS
MARKED APPENDIX_ A AND HEREBY MADE A PART OF THIS
PERMIT
GENERAL CONDITIONS •
1. All activities authorized by this permit must be in strict conformance with
approved plans submitted by the permittee or the permittee's agent as part of
the permit application.
2. The permitee has accepted expressly, by the execution of the application, the
the full legal responsibility of all damages, direct or. indirect, of 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.
3. 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 construction authorization.
4. The permittee is responsible for obtaining any,other permits, approvals, land
easements, and rights-of-way which may be required for this operation.
5. This permit shall not be construed as conveying,to the applicant 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.
PERMIT ISSUANCE DATE Deputy Permit Administrator ADDRESS
03/28/94 David J. Finlayson Lake George, NY
AU OR ZED S NAT
PAGE 1 OF 7
•
•
ADDITIONAL GENERAL CONDITIONS
6. Any'modification of this permit granted by the Commission must be in writing and
attached hereto.
7. That 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
operation undertaken by the State for conservation or improvement of navigation,
other purposes, and no claim or right to compensation shall accrue from any such
damage.
8. Granting of this permit does not relieve the applicant of the responsibility of
obtaining any other permission, consent or approval from the U.S. Army Corps of
Engineers, U.S. Coast Guard, N.Y.S. Office of General Services, N.Y.S.. Department
of Environmental Conservation, Adirondack Park Agency or local government which
may be required.
9. 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.
10. There shall be no unreasonable interference with navigation by the work herein
authorized.
11. All scrap or unused construction materials shall be removed from the ice and/or
waters of Lake George.
12. Disturbance to the bed and banks of Lake George shall be kept to the minimum
necessary to complete the project.
13. The Commission may conduct such on-site investigations, examinations, and
evaluations from time-to-time as it deems necessary to ensure compliance with
the terms and conditions of this permit.
SPECIAL CONDITIONS
1. No .commercial use, as defined in _6 NYCRR 645-2.1 (8) & (9) , of the permitted dock,
wharf or mooring is authorized. No marina use is authorized.
2. No part of any dock or wharf shall extend more than 40 ft from the mean low water
mark. No part of the dock may extend more than 100 ft from the mean high water mark.
3. Every dock or wharf constructed shall have a minimum setback of 20 ft from the
adjacent property line extended into the lake in 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.
•
PERMIT NO: 5234-3-94 PAGE 2 OF 7
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. . " . APPENDIX A . ..
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1516)656-3544
. . OULIER, INC. -
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LGPC PERMIT #5234-3-94 . PAGE 3 OF 7
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.- i• ' APPENDIX A . .
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OU. LIER, INC. (518)656-3544
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LGPC PERMIT 1523473-94
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APPENDIX A
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ROULIER, INC. (518)656-3544
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LGPC PERMIT #5234-3-94 PAGE 5 OF 7
APPENDIX A -
LGPC PERMIT #5234-3-94N •
PAGE 6 OF 7 '
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LGPC PERMIT #5234-3-94
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PAGE 7 OF 7
. . -ThAik-.111/i'e.,...1,....,.........-?,...---n.d.-ou ...,..:i lion
Rd
State of evv York
LAKE GEORGE PARK COMMISSION
Notice : A Permit . Has Been Issued For
Wharf or Mooring Placement at This
Site . For Further Information ,
Contact Michael White , Lake George
Park Commission , P . O . Box 749 , Lake
George , NY 12845 .
Phone : ( 518 ) 668 - 9347 .
This Notice Must Be Posted In A
Conspicuous Place & Protected From
The Elements During The Period of
Construction .
Permit I D : LGPC PERMIT #5234-3-94
P e r m i t t e e : M. STUART TEMKIN
Expiration Date of Authorization : MARCH 28, 1995
. FOLD , STAPLE AND RETURN UPON THE COMPLETION OF THE PROJECT
•
•
•
FOLD #2
M . STUART TEMKIN PLACE
3070 WINDSOR PLACE STAMP
BOCA RATONI , FL 33434 HERE
•
•
LAKE GEORGE PARK COMMISSION
P . O .- BOX 749
LAKE GEORGE , NY 12845 •
FOLD #1
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR PERMIT # 5234-3-94 ISSUED ON 03/28/94
•
I hereby certify that the project authorized in the above noted
permit was completed on in full compliance with
•
(DATE )
all conditions and in accordance with all drawings made a part of
the above mentioned permit . •
NOTICE : In a written statement, any person who knowingly makes' a
false statement which such person does not believe to be true has
'committed a crime under the laws of the State of New York punishable
as a class A misdemeanor . (PL SEC . 210 . 45 )
X
OWNER ' S SIGNATURE DATE