AST-0011-2022 i
f , . Office Use Only
1 ACCESSORY STRUCTURE Permit#: b4-5 I - 0 ail
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Town of Queensbut}, PERMIT APPLICATION Permit Fee: $ I G U
742 Bay Road,Queensbury, NY 12804 E C E 0 V 0 nice#: 'YJ Y�
P:518-761-8256 www.gueensbury.net D
o d Zone? Y N Reviewed By:
E 12 2022
TOWN OF GUEENSBUSRY
Project Location: I'-►Z �'�— Cam►-'
Tax Map ID#: ��� �� — I Z Subdivision Name:
PROJECT INFORMATION:
TYPE: V Residential ❑ Commercial, Proposed Use:
STRUCTURE:
Boathouse (with (w/o sundec ) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck
❑ Detached Garage (>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: i(,�c Z Z
2nd floor:
Total square feet: - - - \ L-HR
Brief description of scope of project:
Accessory Structure Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 19 , (o
2. Are there any structures not shown on the plot plan? DYES ONO Explain:
3. Are there any easements on the property? YES " NO
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior'to the-issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of amended plans, additional reviews and re-approval.
2. If, for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of
Queensbury. After 1 year from the initial application date, 100%of the fee is retained.
3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application, plans and supporting materials are a true and a complete statement and/or description
of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws
and ordinances, and in conformance with local zoning regulations.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATURE: DATE: l2 Z
Accessory Structure Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s):
Mailing Address, C/S/Z: 'I
Cell Phone6,j Land Line:
Email:
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• Primary Owner(s):
N a m e(s): PtAY! L t1�-' '`�•'—�
Mailing Address, C/S/Z:
Cell Phone�S3�Za-fA-Coq3 I Land Line:
Email:
❑ Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s): b,,- -45c--
Contractor Trade:
Mailing Address, C/S/Z: --1
Cell Phone.-St Land Line:
Email: �j��g►-��y ��S �GL.�
"Workers' Comp documentation must be submitted with this application"
• Arch itect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for any questions regarding this project:
Cell Phone: Land Line:
Email:
Accessory Structure Application Revised January 2021
1/IM/ ,1;15 PM, View.File
NEW ". Lake Geor e 2
STATE. :-Park Commission; C E .V
D
BRUCE EXCIUNG DAVE.WICK.
Chairman:'. Executive Director. . JAN--� 2 2Q22
E0
1/1 0 0/2022_ TOWN OF QUEENSBURY
Crooked Tree Point LLC:
2302 Cayuga Rd: -
BUILDING& CODES
Niskayuria;NY 12309 ..
Permit#:. DWM22-000002
Parcel#:: 239.16-1A2,,Town of Queensbury
Dear:Mr. Handelman,:.
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.
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 displaye'd.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 tote undbrsigned.
Should your plans change,you must;contact this-office:to determine whether a modification to the permit is.required
prior to initiating constructiom'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, .
Joe Thouin
Deputy Permit Administrator
cc:, Town of Queensbury, Bryce.'Gurney
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
- (� �_ Q�.QUEE�ISBURY Based on ourlimited examination;compliance
EPT, - with our comments.sha11 not be construed as
f
13ULLDING & CODES indicatq the.plans and s eclficatl:Codesons are m
wl the s o
full compliance th uilding Codes
reviewed B' New York State.
Date:
F I L C.0
ffj
75 Fort George Road,P.O.Boz 749,Lake George,NY 12845 1518.668.9347 Fax:518.668.5001 1 www.lgpc.state.ny.us ihfo@Igpc.state.ny.us
239.15-1-12 AST-0011-2022
Crooked Tree Point LLC
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3142 State Rte 9L
Boathouse 44:9 s_f_
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LGPC Permit Number NEW Lake.Geor @ Issue Date
DWM22-000002 YORK g- 01/10%2022
STATE Park Commission
Type of Permit' PERMIT Expiration Date
Modification'..' -Under the Environmental Conservation 01/10/2023
Law
FArticle'43,*Title A, 6NYCRR 646-1.1 Article 15, Title 5, 6NYCRR 608.5 Excavation and
Construction_and.Modification.of.Wharfs Placement of Fill in Navigable Waters
Article 43,Title 1, 6NYCRR 646-1.1 Article 43,.Title 1, 6NYCRR 64&1.2 .
Placement of Moorings Operation/Modification of Class A Marina
❑ Article 43, Title 1, 6NYCRR 646-1:4 Article 43,Title 1, 6NYCRR 646--1.4
. Recreational Use-New Recreational Use-Parasail
EArticle 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 43-0117 Operation'of ferries and Article 43,Title 1, 6NYCRR 646-4 Stormwater
certain other boats,,barges and vessels restricted. Management
6 NYCRR Part 608.
Water Quality Certification
Permit Issued To : Telephone Number
Crooked Tree Point LLC 518-209-0931 .
Address of Permittee Email Address
2302 Cayuga Rd - handelmb@gmail.com
Niskayuna NY 12309 . .
Contact Person'(if not permitted) Telephone Number
Facility Name, Facility Address
Private Lakefront : 3142 State Route 9L
.County Town Parcel#
Warren County Queensbury 239.15-1-12
AUTHORIZED ACTIVITY
Construct a covered, open-sided boathouse on an existing U-shaped dock in accordance with plans attached.
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.
Joe Thouin
Deputy Permit Administrator
Lake George Park Commission, P.O. Box 749, Lake George, NY 12845 1518.668.9347
Authorized Signature Date
Page 1 of 6,
771
January 10, 2022
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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,director 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 indernhify and save harmless the
2:The permittee and any contractor, project engineer, or. 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 conditions to prevent.environmental -1-1.The State of New.York shall in no.case:be liable for any,
.degradation. damage or.injury to the structure or work herein authorized.
which may.be caused.by or resultfrom future operations
3:The Commission and/or the Department of undertaken by.the State for the conservation or.
Environmental Conservation (the'Departmont) may inlprovenlent of navigation_, or for other purposes, and no
conduct such on-site surveys, investigations,. claim or right to.compensation shall accrue from.any such
examinations, and evaluations from.time-to=time as it -damage:
deems necessary,to ensure.compliance with the terms and
conditions of this permit;and may,conduct a ,final 12. Regulatory fees are due April 1 of each year for
inspection at anytime after construction to determine docks.wha.fs and moorings..
compliance with the permit.
13. Wharfs and moorings authorized herein are for,
.4.A copy of this permit must be available at all times at the: residential use only and shall not be used-for commercial,
project-site during performance of the.authorized activities. , association.or marina purposes:
Failure to produce a copy of the permit upon request by a
Commission or a De partment.representative.is a violation 14. Disturbance to the bed and banks of Lake George shall.
of this.permit. _ be kept to-the minimum necessary to complete the project.;
5.The permittee is responsible for,keeping.the permit 15.All necessary precautions:shall betaken to.preclude
adtive.by submitting a renewal application,.including any contamination:of any wetland or waterway by suspended -
forms,fees or supplemental information which may be.' solids, sediment, fuels, solvents, lubricants, epoxy
rbouired-by the Commission, no,later than 30 days prior to coatings,.paint, concrete, leachate orany.other
the expiration of this permit." : environmentally.deleterious materials associated with'the
project.
6.Any change or-modification in ariy of the activities
authorized by this permit is subject to prior review and 16. Heavy equipment, including bulldozers, backhoes,
approval by the Commission.Any modification of this payloaders, etc:, shall not be driven in the water.
:permit granted.by the Commission must be in writing and
attached hereto. 17.Any material dredged in the prosecution of the work
herein permitted shall be removed evenly;without leaving =
7..The permittee is responsible for obtaining any other large refuse piles, ridges across the bed oft waterway or
permits, approvals, land easements, and rights-of-way floodplain.or deep holes that may have a tendency to
which may be required for this activity. cause damage to navigable channels.or to the banks of a
waterway.
8. Granting of this permit does.hot relieve the permittee of
the responsibility of obtaining any other-permission,- Environmental.Protection .
consent, permit,.or approval from the US Army Corps.of _ 18,-Any debris or excess materials from construction.of this
Engineers, US Coast Guard, NYS Office of General project shall be immediately and completely removed from
Services, NYS Department of.Environmental Conservation,, the bed and banks of all water areas to an appropriate-
NYS Department of Health,Adirondack Park Agency, or upland area for disposal.
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 20. Wood treated with Creosote, Pentachlorophenol or
permitted work or as authorizing the impairment of any CCA(Chromated Copper.Arsenate)is prohibited for in-
-rights,title or interest in real or personal-property held or water and-above-water use.
vested in a person not a party to the permit.
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GENERAL CONDITIONS
21. If upon.the expiration or revocation of this permit, the 3.0. 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 or The following specifications apply to the construction or
the Department may require, remove all or any portion of replacement of rock-filled cribs. Existing cribs may be
the uncompleted structure or fill and restore the site to its . repaired.
former condition. No claim shall be made against the State
of New York on-account of any such removal or alteration. 31. The size of any individual crib shall not exceed 8 feet
by 12 feet.
22. If future operations-by the-State of New York require an
alteration.in the position or.the structure or work herein 32. Spacing between,cribs shall not be less than 8 feet.A
authorized, or if, in the opinion of the Commission or the minimum of 6 feet of open water shall be maintained.
Department, it shall cause unreasonable obstruction to the between the shoreline and the frst crib to allow for free
free navigation of said waters or flood flows or endanger circulation of water.
the health, safety or welfare.of the people of the State, or
cause loss or destruction of the natural resources of the 33. Completed cribs shall be of the'open-sided"type
State,the owner may be ordered by the Commission or the construction.and provide for at least 40% unboarded water
Department to remove or alter the structural work, contact area to the rock fill.,
obstructions;or hazards caused thereby without expense
to the State. 34. If granted.under 6NYCRR Part 608,the Lake George,
Park Commission hereby certifies that the subject project
Wharf Construction Specifications will not contravene effluent limitations or other limitations or
The following conditions apply to all newly constructed standards under Sections 301, 302; 303, 306 and 307 of
wharfs which have not received a variance from any of the Clean Water Act of 1977(PL 95-217)provided that all
these limits: of the conditions listed herein are met.
23.The location of the mean low water mark must be field Moorings
verified prior to construction:In no case shall any part of 35. Moorings must meet the following minimum
the wharf extend further than 40 feet from the mean low specifications: the buoy shall be all white.with a one inch .
water mark. blue strip.placed horizontally around the circumference
above the water line and a one inch strip-of reflector tape
24. The maximum surface area of any dock or wharf shall placed around the upper part of the buoy; at least one
be seven hundred square feet, including any walkway. cubic foot of buoy is to be above the waterline.
25. The maximum width of any pier shall be eight feet and The following conditions apply to all new moorings which
the minimum width of any pier shall be two feet. have not received a variance from any of these limits:
26. The maximum width of any dock or wharf, including all 36. Moorings shall be placed so that vessels moored to
lateral projections, shall be forty feet. them, at the full swing of their mooring or anchor line,will
be no closer than twenty feet to the projection of the
27. No structure shall be constructed on a dock,wharf or property lines extended into the lake along the axis of the
mooring which exceeds sixteen feet in height above the property lines as they intersect the lake, or a line extended
mean high water mark and which is not in:compliance with at a right angle to the mean high-water mark, whichever
local zoning. results in the greater setback.
28. Every dock or wharf constructed shall have a minimum 37. Moorings shall not be placed so that the full swing of
setback of twenty feet from the adjacent property line the vessel extends more than one hundred.feet offshore
extended into the lake on the same axis as the property from the mean high-water mark.
line runs onshore where it meets the lake, or at_a right Articulating Docks
angle to the mean high-water mark,whichever results in
the greater setback. 38.Articulating docks must remain in the lowered position
at all times between May 15 and November 1..Boat lifts
Crib Work. and canopy frames shall be removed prior to lifting docks
29. Stone used for filling shall be clean(not contain any into the winter.position.
material than can pass through a No. 8 sieve),The stone
shall not be less than six(6)inches in diameter.
LGPC Permit#DWM22-000002 Page 3 of 6
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NEW YORK
STATE OF.
OPPORTUNITY
;LAKE GEORGE PARK- COMMISSION
NOTICE :A permit has been issued for wharf. repair,
modfication 'orconstruction at this site. For further
information, contact the .Lake George, Park Commission at
PO. Box 749, Lake George NY, 128455 518-668-9347
Permit ID: DWM22-.000002
Permitted: .Crooked Tree Point LLC
Expiration ,Date of Authorization: 01/10/2023.
This notice must be posted in a conspicuous place &protected from the elements during the period of construction.
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To the permittee:
Please sign,fold, tape shut and return upon completion of the project.
FOLD#2
Crooked Tree.Pbint,LLC
2302 Cayuga Rd,
N'iskayuna.NY 12309: .
Lake George-Park.Commission
PO Box 749
Lake George NY 12845
FOLD#1.".
Certification of Completion of.Work Authorized by Permit.#DWM22=000002
.Issued on 01/10/2022 Parcel#239.15-1=12,--,Town-of Queensbury
Project: Construct a covered;open-sided boathouse.on an existing U.-shaped dock in.accordance with plans attached.
The project authorized:by the above referenced permit was completed on
The dock was 'installed/constructed by .
X
Owners Signature Date
An inspection.will be made once form is received. The permit must be.kept active during construction. .
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NTE K: Lake George
STATE .JPark Commission
75 Fort George Road,P.O.Box 749,Lake George,NY 12845 1518,668,934.7 Fax:518.668.5001 1 www.lgpc.state.ny.iis info@Igpc:state.ny.us
01/10/2022
NOTICE
Owner: Crooked Tree Point LLC
Facility: Private Lakefront
Address: 3142 State Route 9L
-Parcel M 239.15-1-12, Queensbury
Lakefront: 225 Account#: 1786
The enclosed permit#DWM22-000002
Once the permitted project is complete your annual registration fee will be: unchanged.
For Commercial or Association properties, fees may need to.be redetermined.
hftps://www3.cifizenservEi.com/Admin/Perm!tCohtroller 717