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BOTH-000142-2016 C GJ " U N w �D N 1�12 W O o o N D o U CY Ln CA >,O N � 00 00 f j y =$ Z N V1 O O M--1 -� 4 o rq 00. co th z Wcn cn do `� 00 o u v `c 'cl � r � 3 , - 0 Q W � � r�ir�s � N 4-4 El Z�k (U Y °' a o al cC�a v; R, 0., a i m' . M TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000142-2016 Tax Map No: 227.13-2-59 Permission is hereby granted to: EAST LAKE GEORGE HOUSE LLC For property located at: 0 Rockhurst RD In the Town of Queensbury,to construct or 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 Type of Construction Owner Name: EAST LAKE GEORGE HOUSE LLC Dock $50,000.00 Owner Address: 39 N Church LN Total Value $50,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Dock 480 s.f. LGPC Permit#5234-5-16 Wharf Construction/Modification LGPC Permit#5234-6-16 Excavation/Fill Activity $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,March 12,2017 (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.) Dated at the Town of Qu Th rsday arc 17,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement vrnue use vrnv /'A►CCESSORY STRUCTURE APPLICATION Received DATE I`l 1 a Tax Map ID TAx MAP ID `2 2? , (3 -2. —,5-1 Permit No. ZZ"11'r X001 2 • ZQ�I —22-7 , s Permit Fee A-0 Yw01U ) 5­1� ZONING Rec Fee HISTORIC SITE Yes No Approvals SUBDIVISION NAME /V 14 Lot# APPLICANT �� J7ou.rf�� 12;+-Lc�IC ' OWNER ADDRESS .N. C1Vre (, 4jW1 ADDRESS S `'^AC_ PHONE PHONE 5C�►� CONTRACTOR VY` It`^aUs.� — f'e''`�.^� 0O0T0PC0NSTI4UCTI0N(ESTIMATED). $ © ADDRESS: B. yiNGAOdRESS: PHONE: CONTACTPERSON Ff7a BUILbINC,&CODES COMPLIANCE a�� ��,'' `tf, PHONE Z22 TYPE OF CONSTRUcriOn( Check all that apply Please indicate measurements as required below Boathouse 181 floor sq.It, 2""floor sq.it. Total sq.ft. Height Boathouse with Sundeck Deck " _9_0ched Garage(#of cars ) Dock o e Barn Porch-open T **Porch—3 season,Covered,Enclosed B I Shed Other Accessory Structure(s) **Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone DECLARATION. I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true&complete statement description of the work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 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: Print Name: ,%�r''�I`s '` ���`k. "'p Date: G Signature: ^^^9 Date: 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 (2L TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 17 March 2016 East Lake George House, LLC 39 North Church Lane Queensbury,NY 12804 Re: Dock, Permit#: BOTH-000142-2016 Rockhurst Road, Queensbury,NY Parcel#: 227.13-2-59 Enclosed please find the building permit for your dock at Rockhurst Road. Additionally, you will find a copy of your plans and the receipt for the permit application. Please contact the Town of Queensbury Building and Codes department, (518) 761-8256,when the project is complete so a building inspector can conduct a final inspection and the permit file can be issued and closed. At that time, a certificate of compliance will be issued for the Town of Queensbury and mailed to you for your files. Let us know if you have any questions about this process. Thanks! ��U Kate Deck, Senior Clerk Building & Code Enforcement enclosures "Home of Natural Beauty ... A Good Place to Live " X89 84 is Cr !Q ri p { .�� ... LMIAR 17 201 flBUILDING CODES � w DS / MSF 11e r G SEGTf LINE 'rar(�q ""ym' 171pWw �'"µ rtMum O t µNy pv 4 l 1 .� TOWN OF QUEENSB T. yx gym , . ' vie e' y.- Date,. L TOWN 0 QUEENSB,URY BUILDIN DEPARTMENT Based or)oue-4lmite examination,corrrpYiance with our comments kra91 not be construed as indicating tate plan$and specdfications are in Lake George Park Commission full compliance wit the uitding Codes of Property line setback determination New`fork Stake— Date � ]� 4f','j; � analyst '? Scale i" ;7 NEWYORK Lake George STATE OF OPPORTUNITY- Park Commission BRUCE E.YOUNG o DAVE WICK Chairman Executive Director March 14, 2016 Douglas Kirkpatrick East Lake George House, L L C P 0 Box 155 Cleverdale, NY 12820 Permit# 5234-5-16 Wharf Construction/Modification Parcel# 227.13-2-59 5234-6-16 Excavation/Fill Activity Town of Queensbury Dear Dr. Kirkpatrick: 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. 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, Molly Gallagher Deputy Permit Administrator cc: Town of Queensbury Warren County Code Enforcement(boathouses only) Curtis Dybas 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 LGPC Permit Number Effective Date 5234-5-16 DN 03/14/2016 5234-6-16 EF RK Lake George Modification or Renewal Date NEwYO STATE OF OPPORTl1NITY Park Commission Type of Permit Expiration Date ® New 03/14/2017 ❑ Renewal PERMIT ❑ Modification Under the Environmental Conservation Law ❑ Variance aArticle 43, Title 1, 6NYCRR 646-1.1 aExcavation Article 15, Title 5, 6NYCRR 608.5 Construction and Modification of Wharfs and Placement of Fill in Navigable Waters F-1 Article 43, Title 1, 6NYCRR 646-1.1F1 Article 43,Title 1, 6NYCRR 646-1.2 Placement of Moorings Operation and Modification of Class A Marinas ❑ Article 43, Title 1, 6NYCRR 646-1.4Article 43,Title 1, 6NYCRR 646-1.4 Recreational Use-New F-1 Recreational Use-Parasail Article 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, Section 43-01.17 Operation of ferries ❑ Article 43, Title 1, 6NYCRR 646-4 and certain other boats, barges and vessels restricted. Stormwater Management 6 NYCRR Part 608 Water Quality Certification Permit Issued to Telephone Number East Lake George House, L L C 222-7035 Address of Permittee P O Box 155 Cleverdale, NY 12820 Contact Person (if not permittee) Telephone Number Douglas Kirkpatrick Facility Name Facility Address East Lake George House Rockhurst Rd County Warren Town Queensbury Parcel# 227.13-2-59 AUTHORIZED ACTIVITY Construct a 60' long, 8'wide straight pier with open-sided, rock-filled timber cribs to be used as support for wharfs in accordance with plans attached as Schedule A and made part of this permit. 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. Deputy Permit Administrator: Molly Gallagher Lake George Park Commission, PO Box 749, Lake George NY 12845, 518-668-9347 Authorized Signature Date C 311 If I Page 1 of 4 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 2. The permittee and any contractor, project engineer, or the 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 degradation. any damage or injury to the structure or work herein authorized which may be caused by or result from future 3. The Commission and/or the Department of operations 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 may be used 4. A copy of this permit must be available at all times at for marina purposes only in conjunction with a valid Class the project site during performance of the authorized A marina permit or Class B registration issued by the activities. Failure to produce a copy of the permit upon Commission. request by a Commission or a Department representative is a violation of this permit. Environmental Protection 14. Disturbance to the bed and banks of Lake George 5. The permittee is responsible for keeping the permit shall be kept to the minimum necessary to complete the active by submitting a renewal application, including.any project. forms,fees or supplemental information which may be required by the Commission, no later than 30 days prior to 15. All necessary precautions shall be taken to preclude the expiration of this permit. contamination of any wetland or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy 6. Any change or modification in any of the activities coatings, paint, concrete, leachate or any other authorized by this permit is subject to prior review and environmentally deleterious materials associated with the approval by the Commission. Any modification of this project. permit granted by the Commission must be in writing and attached hereto. 16. Heavy equipment, including bulldozers, backhoes, payloaders, etc., shall not be driven in the water. 7. The permittee is responsible for obtaining any other permits, approvals, land easements, and rights-of-way 17. Any material dredged in the prosecution of the work which may be required for this activity. herein permitted shall be removed evenly,without leaving large refuse piles, ridges across the bed of a waterway or 8. Granting of this permit does not relieve the permittee floodplain or deep holes that may have a tendency to of the responsibility of obtaining any other permission, cause damage to navigable channels or to the banks of a consent, permit, or approval from the US Army Corps of waterway. Engineers, US Coast Guard, NYS Office of General Services, NYS Department of Environmental 18. Any debris or excess materials from construction of Conservation, NYS Department of Health,Adirondack this project shall be immediately and completely removed Park Agency, or local government which may be required. from the bed and banks of all water areas to an appropriate upland area for disposal. 9. This permit shall not be construed as conveying to the permittee any right to trespass upon the lands or interfere 19. There shall be no unreasonable interference with with the riparian rights of others in order to perform the navigation by the work herein authorized. permitted work or as authorizing the impairment of any rights,title or interest in real or personal property held or 20. Wood treated with Creosote, Pentachlorophenol or vested in a person not a party to the permit. CCA(Chromated Copper Arsenate) is prohibited for in-water and above-water use. LGPC Permit#: 5234-5-16&5234-6-16 Page 2 of 4 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 The following specifications apply to the construction or or the Department may require, remove all or any portion replacement of rock-filled cribs. Existing cribs may be of the uncompleted structure or fill and restore the site to repaired. its former condition. No claim shall be made against the State of New York on account of any such removal or 31. The size of any individual crib shall not exceed 8 feet alteration. by 12 feet. 22. If future operations by the State of New York require 32. Spacing between cribs shall not be less than 8 feet. A an alteration in the position or the structure or work herein minimum of 6 feet of open water shall be maintained authorized, or if, in the opinion of the Commission or the between the shoreline and the first crib to allow for free Department, it shall cause unreasonable obstruction to circulation of water. the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the 33. Completed cribs shall be of the"open-sided"type State, or cause loss or destruction of the natural construction and provide for at least 40% unboarded resources of the State, the owner may be ordered by the water contact area to the rock fill. Commission or the Department to remove or alter the structural work, obstructions, or hazards caused thereby 34. If granted under 6NYCRR Part 608, the Lake George without expense to the State. Park Commission hereby certifies that the subject project will not contravene effluent limitations or other limitations Wharf Construction Specifications or standards under Sections 301, 302, 303, 306 and 307 The following conditions apply to all newly constructed of the Clean Water Act of 1977(PL 95-217)provided that wharfs which have not received a variance from any of all of the conditions listed herein are met. these limits: Moorings 23. The location of the mean low water mark must be 35. Moorings must meet the following minimum field verified prior to construction. In no case shall any specifications: the buoy shall be all white with a one inch part of the wharf extend further than 40'from the mean blue strip placed horizontally around the circumference low water mark. above the water line and a one inch strip of reflector tape placed around the upper part of the buoy; at least one 24. The maximum surface area of any dock or wharf shall cubic foot of buoy is to be above the waterline. be seven hundred square feet, including any walkway. The following conditions apply to all new moorings which 25. The maximum width of any pier shall be eight feet and have not received a variance from any of these limits: the minimum width of any pier shall be two feet. .1 36. Moorings shall be placed so that vessels moored to 26. The maximum width of any dock or wharf, including them, at the full swing of their mooring or anchor line,will all lateral projections, shall be forty feet. be no closer than twenty feet to the projection of the property lines extended into the lake along the axis of the 27. No structure shall be constructed on a dock,wharf or property lines as they intersect the lake, or a line extended mooring which exceeds sixteen feet in height above the at a right angle to the mean high-water mark, whichever mean high water mark and which is not in compliance results in the greater setback. with local zoning. 37. Moorings shall not be placed so that the full swing of 28. Every dock or wharf constructed shall have a the vessel extends more than one hundred feet offshore minimum setback of twenty feet from the adjacent from the mean high-water mark. property line extended into the lake on the same axis as the property line runs onshore where it meets the lake, or Articulating Docks at a right angle to the mean high-water mark,whichever 38. Articulating docks must remain in the lowered position results in the greater setback. at all times between May 15 and November 1. Boat lifts and canopy frames shall be removed prior to lifting docks Crib Work into the winter position. 29. Stone used for filling shall be clean (not contain any material than can pass through a No. 8 sieve). The stone shall not be less than six(6) inches in diameter. LGPC Permit#: 5234-5-16&5234-6-16 Page 3 of747�1 0! sear 6 WIS \ f ( FEB 2 5 2016 AXE GEORGE PARK COMM1S310N CA 0 01- wJ9. F€LJL.. pa d �• •ice PLO . � °�r ,t3` `L•?, •Eta Schedule A Page 4 of 4 Permit#5234-5-16 5234-6-'I6 SewvoRK STALake George TE OF OPPORTUNITY Park Commission 75 Fort George Road,P.O.Box 749,Lake George,NY 12845 1 518.668.9347 Fax:518.668.5001 www.Igpc.state.ny.us info@Igpc.state.ny.us NOTICE TO PERMITTEE aveur dock buildercontact 'the uommission at least 48 hoursprior to initiating constr cti to schedule n on-site eeti o meeting is required, t ilder may be asked t stakeflag t location f the dock as wellas any pertinent landmarks such s property lines on smaller lakefronts low water docksfor longer n 40 .� pW W tl ■ O 0 Cl) 41.4 Cl) E 00 0 Co 19 LL CL ■ LO co 0 O � O e r +� ® Q CM 0■� ® �� V \LO �° •\ A Y/ V ■ ® tQ 4w 0 0. 0 ■, O V w a ■ ■ ° did Q a Co E O a V~i0 CL •® a) CD x V O mom U� 0 CL o C Q ■ To the permittee: Please sign, fold, tape shut and return upon completion of'the project. FOLD #2 Douglas Kirkpatrick Place East Lake George House, L L C Stamp P O Box 155 Here Cleverdale, NY 12820 Lake George Park Commission PO Box 749 Lake George NY 12845 FOLD #1 Certification of Completion of Work Authorized By Permit# 5234-5-16 issued on March 14, 2016 Parcel #227.13-2-59, Town of Queensbury Project: Construct a 60' long, 8' wide straight pier with open-sided, rock-filled timber cribs to be used as support for wharfs in accordance with plans attached as Schedule A and made part of this permit. The project authorized by the above referenced permit was completed on The dock was installed/constructed by X Owner's Signature Date An inspection will be made once this form is received. The permit must be kept active during construction. f SEW Y®RK Lake George STATE OF OPPORTUNITY ark Commission 75 Fort George Road,P.O.Box 749, Lake George,NY 12845 1518.668.9347 Fax:518.668.5001 1 www.Igpc.state.ny.us info@Igp c.state.ny.us March 14, 2016 NOTICE Owner: East Lake George House, L L C Facility: East Lake George House Address: Rockhurst Rd Parcel#: 227.13-2-59,Town of Queensbury Lakefront: 57.92 Account#: 1080 The enclosed permit 4 authorizes —new mooring(s), ( new wharf(s), new boat/PWC lift or dock modification, mooring modification and _supercedes Existing Wharf or Mooring# and/or Permit# Once the permitted project is complete your annual registration fee will be: For residential properties: mooring(s)0 X$37.50= $0.00 )�n New Account Cvr-s � wharf(s) 1 X$37.50= $37.50 ❑ No Change For Commercial or Association properties,fees may need to be redetermined.