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AST-0651-2022 Office Use Only ACCESSORY STRUCTURE Permit#: h S Town Que b PERMIT APPLICATION Permit Fee:$ H0, 60 742 Bay Road,Queensbury,NY 12804 Invoice#: S 5 �3 P:518-761-8256 www.queensbury.net Flood Zone? N eviewed By:(M\) Project Location: 39 Rockh u rst Tax Map ID#: 227.13-2-22 Subdivision Name: N/A PROJECT INFORMATION: TYPE: ❑ Residential ® Commercial, Proposed Use: Marina STRUCTURE: ❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck ❑ Detached Garage (>300 s.f.) ® Dock ❑ Gazebo ❑ Pavilion El Pole Barn ❑ Porch ❑ Ramp ❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other: SQUARE FOOTAGE OF STRUCTURE: 1st floor: NA 2nd floor: NA Total square feet: NA Brief description of scope of project: Replace existing wood takes docks with new galvanized steel pile docks, as shown. Accessory Structure Application Revised June 2022 ADDITIONAL PROJECT INFORMATION: • 1. Estimated Cost of Construction:$ 0,0 2000 2. Are there any structures not shown on the plot plan? B YES ❑ NO Explain: 3. Are.there any easements on the property? ❑ YES ® NO • DECLARATION:. 1. I 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 `if,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of • Queensbury.After 1 year from the initial application date,100%of the fee.is retained.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. I 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: I acknowledge that prior to 'occupying the facilities proposed I, or my agents,'will obtain a certificate.of occupancy. 6. I 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:, ::::: :_ - _/ e, goG zitae DATE: - O. 2 Accessory Structure Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Boats by George, Inc. Mailing Address, C/S/Z: 18 State Route 149, Lake George, NY 12845 Cell Phone: 518-361-1414 Land Line: Email: george@boatsbygeorge.com • Primary Owner(s): Name(s): same as applicant Mailing Address, C/S/Z: Cell Phone: 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): AdironDock's of Lake George, LLC Contractor Trade: Dock&Boathouse Builder Mailing Address, C/S/Z: 136 Stone Schoolhouse Rd, Lake George, NY 12845 Cell Phone: 518-361-8624 Land Line: Email: adirondockslg@gmail.com **workers' Comp documentation must be submitted with this application** • Architect(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: Gary Zervas Cell Phone: 518-361-8624 Land Line: Email: adirondockslg@gmail.com Accessory Structure Application Revised June 2022 10/13/22,3:33 PM Permit List I Citizenserve 'rrYOR Lake George STATE Park Commission k51-.. o korD1 +10 22 KENNETH W. PARKER DAVE WICK Chairman Executive Director 10/13/2022 Boats By George, Inc. 18 State Route 149 Lake George NY 12845 Permit#: DWM22-000124 dock mod Parcel#: 227.13-2-22, Town of Queensbury Dear Mr. Pensel, 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 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, oe Thouin Deputy Permit Administrator cc: Town of Queensbury, Devin Dickinson 75 Fort George Road,P.O.Box 749,Lake George,NY 12845 1518.668.9347 Fax:518.668.5001 I www.lgpc.state.ny.us info@Igpc.state.ny.us https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 1/7 10/13/22,3:33 PM Permit List I Citizenserve LGPC Permit Number N�K Lake George Issue Date DWM22-000124 STATE Park Commission 10/13/2022 Type of Permit PERMIT Expiration Date Modification Under the Environmental Conservation 10/13/2023 Law UArticle 43, Title 1, 6NYCRR 646-1.1 El 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 ri Article 43, Title 1, 6NYCRR 646-1.2 Placement of Moorings Operation/Modification of Class A Marina nArticle 43, Title 1, 6NYCRR 646-1.4 ❑ Article 43, Title 1, 6NYCRR 646-1.4 Recreational Use- New Recreational Use- Parasail Article 43, Title 1, 6NYCRR 646-1.4 111 Article 43, Title 1, 6NYCRR 646-1.4 Recreational Use-Seaplanes Recreational Use-Tour Boat 111 Article 43, Title 1, 43-0117 Operation of ferries and ri Article 43, Title 1, 6NYCRR 646-4 Stormwater certain other boats, barges and vessels restricted. Management U6 NYCRR Part 608 Water Quality Certification Permit Issued To Telephone Number Boats By George, Inc. 518-361-1414 Address of Permittee Email Address 18 State Route 149 george@boatsbygeorge.com Lake George NY 12845 Contact Person (if not permittee) Telephone Number Facility Name Facility Address Warner Bay Docks 39 Rockhurst Road County Town Parcel# Warren County Queensbury 227.13-2-22 AUTHORIZED ACTIVITY Remove existing wood stake docks &one crib dock& replace with galvanized steel pile docks 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 4 October 13, 2022 https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 2/7 10/13/22,3:33 PM Permit List I Citizenserve 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, direct or 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 indemnify 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 11. 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 result from future operations 3. The Commission and/or the Department of undertaken by the State for the conservation or Environmental Conservation (the Department) may improvement 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 any time after construction to determine docks.wharfs 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 Department 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 j 15. All necessary precautions shall be taken to preclude active 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 required by the Commission, no later than 30 days prior to coatings, paint, concrete, leachate or any other the expiration of this permit. environmentally deleterious materials associated with the project. 6. Any change or modification in any 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 of a 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 not 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. LGPC Permit#DWM22-000124 Page 2 of 4 https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 3/7 10/13/22,3:33 PM Permit List I Citizenserve GENERAL CONDITIONS 21. If upon the expiration or revocation of this permit, the 30. 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 I 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 first 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# DWM22-000124 Page 3 of 4 https://www4.citizenserve.com/Admin/PermitController"?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 4/7 itLOCATION EXISTING PROPOSED INCREASE? <40' from MLW ,RTM AREA 1539± SF 1435± SF NO REMOVE CRIB DOCK LENGTH 483.6'± 483.1'± NO 36.0' INSTALL STEEL PILE DOCK 40' to 100' I I las 26.0• DOC #1 AREA 1324± SF 1254± SF NO + Easy LENGTH 460'± 459.3'± NO - 52.9' I 100'+ 26.4' AREA 768t SF 739t SF NO rra- PROPOSED GALV. STEEL PILE DO LENGTH 285.8'± 285.8'± NO DOCK#2 20.0' 21.0' 11.0' S3.2' �- 22.0' 22.0' DO #2 11.0' • GALV. STEEL PILE DOCK 1 L..... 22.0 f 22.7' / '_ 22.°' I PROPOSED PLAN 26.5' 18.4' 47.4' 3.6' 1 MEAN Low W•TER 40' MLW OFFSET 100' SHORELINE OFFSET Id 0 ai 53.6' I4.6' r. 1 ca -T T 30.0' .R \ 7--- 16.5' Ut I5 22,0' 21.9' 42.4' 0 14 511, �+�....L�1 GALV. STEEL PILE DOCK f6A' 16.0' �'�"' T DOCK#4 22.0' 22.0' 22.0' t"'-'24.0' 4 27.0' .T i24.0'Low WAT R I 1 40' MLW OFFSET 100' SHORELINE OFFSET 24.0'-711 -y- PROPOSED GALV. STEEL PILE DOCK 20.0' 20•o 2.0•__:1-1' T DOCK#5 20.0' 20.0' 22.0• 22.0' NM log 13.5' 49.1' II 58.6' �T/--- - 24.7' �'----�13B.0' J 30.0 DOCK#6 PROPOSED GALV. STEEL PILE DOCK Proposed Dock Layout for nu 227.13-2� ` Schedule A Rev.: 3 Sept. 2022 Permit#DWM22-000124 Boats by Geor�'e Ldjt'OnDOCki, 39 Rockhurst Rood Scale: = 40' I $ Page 4 of 4 Town of Queensbury County of Warren\Cr \_ July 2022 10/13/22,3:33 PM Permit List I Citizenserve rrifiEWYORK STATE OF OPPORTUNITY LAKE GEORGE PARK COMMISSION NOTICE: A permit has been issued for wharf repair, modification or construction at this site. For further information, contact the Lake George Park Commission at PO Box 749, Lake George NY, 12845, 518-668-9347 Permit ID: DWM22-000124 Permittee: Boats By George, Inc. Expiration Date of Authorization: 10/13/2023 This notice must be posted in a conspicuous place &protected from the elements during the period of construction. https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 5/7 10/13/22,.3:33 PM Permit List I Citizenserve To the permittee: Please sign, fold, tape shut and return upon completion of the project. FOLD#2 Boats By George, Inc. 18 State Route 149 Lake George NY 12845 Lake George Park Commission PO Box 749 Lake George NY 12845 FOLD#1 Certification of Completion of Work Authorized by Permit#DWM22-000124 Issued on 10/13/2022 Parcel#227.13-2-22, , Town of Queensbury Project: Remove existing wood stake docks &one crib dock& replace with galvanized steel pile docks 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. https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 6/7 10/13/22,3:33 PM Permit List I Citizenserve YYOR Lake George STATE Park Commission 75 Fort George Road,P.O.Box 749,Lake George,NY 12845 1518.668.9347 Fax:518.668.5001 I www.lgpc.state.ny.us info@Igpc.state.ny.us 10/13/2022 NOTICE Owner: Boats By George, Inc. Facility: Warner Bay Docks Address: 39 Rockhurst Road Parcel#: 227.13-2-22, Queensbury Lakefront: 380 Account#: 4358 The enclosed permit#DWM22-000124 Once the permitted project is complete your annual registration fee will be: TBD. For Commercial or Association properties, fees may need to be redetermined. • https://www4.citizenserve.com/Admin/PermitController?Action=ListPermits&WorkOrder_ID=86073793&ciDisplay=null&getPrint=true 7/7