2014-185 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140185 Date Issued: Friday, March 18, 2016
This is to certify that work requested to be done as shown by Permit Number P20140185
has been completed.
Tax Map Number: 523400-239-020-0001-012-000-0000
Location: 2954 STATE ROUTE 9L
Owner: EDWARD J HOLOHAN
Applicant: EDWARD J HOLOHAN
This structure may be occupied as a:
Dock
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, (.74,4P 4
7"
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
i4O 742 Bay Road,Queensbury,NP 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140185 Application Number: A20140185
Tax Map No: 523400-239-020-0001-012-000-0000
Permission is hereby granted to: EDWARD J HOLOHAN
For property located at: 2954 STATE ROUTE 9L
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 Value
Owner Address: EDWARD J HOLOHAN
363 PINEWOODS Ave Dock $5,000.00
TROY NY 12180-0000 Total Value $5,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
GARY ZERVAS
668-3159
NY 12804-0000
Plans&Specifications
2014-185
DOCK 300 sq ft
repairs due to ice damage
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 05,2015
(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 Quee sbu /JTh d:I, .e 05,2014
SIGNED BY - �
!� ‘ for the Town of Queensbury.
Director of Building& Code Enforcement
Town of Queensbury Building & Codes Office Use Only
Received:
ACCESSORY STRUCTURE APPLICATION Tax Map ID:10,12 20Alk n
bt
A permit must be obtained before beginning construction � ��
Permit No.: _r
For any structure other than residential principal structure(house)to include, but Permit Fee: 9/a �J
not limited to: garage, shed, dock deck, carport, pole barn, greenhouse, etc. Site Plan No.: {I
Refer to Informational Brochure No.3 Accessory Structures—Sheds/Fences
Date 5 ) Z t Applicant 60 r/A RtD 3. /-401-01-1011-1
Tax Map ID a3q•'Zo 1 v Address 363 P[',.,.e,<jr/ t?c S 4e6-.
Zoning 'i 0 J 1�1.'j.) ! 2-4c7
Phone Si - a03 Z—
Owner 6:0 1d/A 001.-C44/4 ContractorlAgent A D( R01-1 12 o Ly(S f GAR I 2.ERN/AS
Address 363 PEYvvo175 Address 13? TxIC .5 c)-10c7 t.)56:14
eflo� tii 11 (tel So l t � CEc7;�G 1X11 I LAS
Phone & - g5- - 8 03 z, Phone 1 - lv6g - 3 I.a c(
Contact Person for Building&Code Compliance: Day Phone:
Building Street Address: Zq S _S1147-6--- RO OIL-
Subdivision Name: 4t Lot#: Historic Site: Yes A No
Estimated cost of construction: $ • 0Ob •�}--'
Are there any other accessory structures on property? If yes,please list:
Type of Construction:
Check all that apply Please indicate measurements as required below
1st Floor sq.ft. 2nd Floor sq.ft. Total sq.ft. Height
Boathouse
Boathouse with Sundeck
Deck
Detached Garage (#of cars_)
Dock 30 O
Pole Barn
Porch-Open
**Porch-3 season, Covered, Enclosed
Shed
Other Accessory Structure(s)
**Considered floor area&must comply with FAR(Floor area ratio) requirements if located in the Waterfront Residential zone.
Town of Queensbury Building&Codes Accessory Structure Packet 518-761-8256
Please include two(2)sets of the following documentation with the application fee:
1. Accessory Structure Application
2. Plot plan drawn to scale with the use of a survey map, if possible[40 scale-1 inch=40 feet]
a) Indicate proposed structure,showing setback dimensions from all surveyed property lines
b) Show location of all existing structures on the property
c) Show location of water supply(well or water lines)
d) Show location and configuration of septic disposal system or sewer line
3. Structural Drawings to include: Floor Plan; Foundation Plan;Cross Sections; Elevations
4. Registered Architect or Engineer's Stamp (signed & sealed) under the following circumstances: Residential addition or alterations
with construction costs over$20,000;Any commercial construction
Other Notes:
1. Changes to Plan -Any changes prior to or during construction will require submittal of amended plans [review and re-approval are
necessary].
2. Withdrawn Permits -20% of the initial fee is retainable by the Town of Queensbury. No fee is refundable after 1 year from initial
application date.
3. Additional Review-All Applications are subject to Zoning Administrator, Code Compliance,and Structural plan review
CHANGES TO RESIDENTIAL BUILDING CODE EFFECTIVE 1-1-2011 (INFORMATIONAL)
Residential Building Code
• New driveway requirements for structures located over 300 feet from main road;
• Spray foams are allowed to be exposed in rim joist box area only, must be covered by 15 minute thermal barrier all other areas;
• Protection against decay requirements;
• Landings are no longer required on the outside of secondary doorways less than three risers provided no doors swing over steps;
• Vent stacks must be 18 inches minimum above roof for all structures
New Electrical Requirements
• Arc fault breakers required in all habitable spaces for receptacles;
• GFI protection for all other receptacles in kitchens, bathrooms,garages, and unfinished basements;
• All receptacles must be tamper resistant;
• Carbon Monoxide detectors must be located within 15 feet of sleeping area;
• All corrugated stainless steel piping must be bonded to the common ground for electrical service
New Energy Code Requirements
• Blower door tests required by credential contractor or structure inspected by air barrier supplier and certified compliant;
• Programmable thermostats required;
• Lighting must be 50%energy saving light bulbs;
• Separations between dwelling units must have minimum of R-10 in common wall of each dwelling unit;
• Res Check inspector's checklist must be available at time of insulation inspection
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 and 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: I=�W��`j •
/L_vl—LYa
Signature: ------
Date: 5 i I
Town of Queensbury Building&Codes Accessory Structure Packet 518-761-8256
STATE OF N EW YOIII( e I k-'d ,1 g 5
LState of New York
r� Lake George Park Commission
. . -; 75 Fort George Road, P.O. Box 749
9�w IA'.� Lake George, New York 12845
�1,: -. a TEL (518) 668-9347 FAX (518) 668-5001
www.lgpc.state.ny.us info@Igpc.state.ny.us
APPLICATION FOR STANDARD ACTIVITY PERMIT (Article 15 Excavation/Fill)
For work below the mean high water level on supporting structures of existing wharfs
✓ This form is to be used for repairs to legally existing wharfs only. This office maintains the registration and
permit files for wharfs on Lake George. Contact this office for a copy of your authorized dock plans. If you
plan to modify your wharf in any way, do not use this form. Instead, contact the Commission or go to the
above website for the appropriate dock modification application.
/ There is no fee for an application for a Standard Activity Permit.
1. OWNER JKv1r. 0 Mrs. ❑Ms. ❑Dr. LNDIVIDUAL 0 PARTNERSHIP 0 ASSOCIATION
i
0 CORPORATION 0 MUNICIIP�ALITY 0 AGENCY
�47'i,I/� ,J )4
NAME ZZc .. c )-�i4N EMAIL Ej.-ie.) [/-3.P_ PO4-I t-- is rjAe_. /..k
CONTACT PERSON IF OWNER IS NOT AN INDIVIDUAL
MAILING ADDRESS 33 J2Jrj,--T..'v1TUUF0 S AV ./' O v
CITY ' ) gr.,i STATE/if ZIP CODE LZjiso PHONE 518' - g5 j - 032__
2. CONTRACTOR/ /
NAME GA/�!�_7 z, -i'Z /A 5 EMAIL 6 r 1 s •ZL=t VA 56:d /4/400,Cc,•1
COMPANY ,4DI JZQi--r!0 0C <
MAILING ADDRESS J.363 Si oi—icy c C_i %ooL.i+ c,USc= j<oi 0
CITY LAi G.c�c,rZ(s�� STATE/`y ZIP CODE f its--PHONE ig-6,6S -3 i ''9
3. PROJECT LOCATION
TOWN 0 TICONDEROGA 0 DRESDEN SECT O y .� BLOCK , LOT 1 Z
0 FORT ANN 0 HAGUE era(( .
❑ LAKE GEORGE 0 PUTNAM
KQUEENSBURY 0 BOLTON STREET , (5-54---
ROIJr c.rel L
LAKE FRONTAGE,�7Q_feet NUMBER OF WHARFS AND MOORINGS CURRENTLY ON PROPERTY
according to .A.Tax Map/0.6(7
0 Survey(attach copy) r>2. DOCKS MOORINGS
4. PROJECT DESCRIPTION
This project will 0 Repair Cribbing "E4 Replace Cribbing 0 Install new cribbing 0 Remove Cribbing
0 Other
WHARF USE ,RESIDENTIAL 0 COMMERCIAL 0 ASSOCIATION 0 PUBLIC
PROPOSED STARTING DATE A•SA h _ PROPOSED COMPLETION DATE 6 1 )IL}-
IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?
❑ Yes JNo (if yes, please explain)
Page 1 of 2
5. 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.
I hereby consent to the Commission staff working directly with my agent, as designated on page 1 of this form, during
the review of this application.
During the processing of this application Lake George Park Commission (LGPC) personnel or their assigns may need
to visit this site to inspect, measure, make drawings and/or take photographs. I hereby agree that LGPC staff or their
assigns may enter upon and pass through this property in order to inspect the project site or facility,without prior
notice, between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday, while the application is pending. In the
event that the project site or facility is posted with any form of"posted"or"keep out" notices, or fenced in with an
unlocked gate, this permission authorizes LGPC staff or their assigns to disregard such notices or unlocked gates at
the time of inspection.
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.
SIGNATU E OF OWNER (Note tit/ if signing for a corporation or association) DATE
--4.4.40--n.S
00
I i e.-e4-'4------ gl, ) .:', I 14
PLEASE COMPLET ITEMS ABOVE AND INCLUDE WITH THIS FORM:
❑ LAKEFRONT PLAN
Attach a to scale site plan (preferably a survey) showing the subject wharf to be repaired and its location
on the full lakefront of the subject property. Show the location and configuration (to scale)of any other
existing docks, boat houses or moorings that are associated with your property. On your request, we will
be happy to provide you with copies of plans of your docks/moorings that we have on file.
❑ DETAILED PLAN OF THE WHARF TO BE REPAIRED
Include all dimensions and show sizes and spacing of cribs to be repaired or new cribs to be installed.
New cribs must meet the following specifications:
1. Maximum individual crib dimensions should not exceed 8'X 12'.
2. Spacing between cribs should not be less than 8'.
3. A minimum distance of 6'from the ordinary high water mark to the first crib should be maintained
to allow for water circulation at the shore.
For all cribs:
Stone used for filling shall not be less than 6 inches in diameter and shall not come from the lakebed.
Removal of cribs:
Crib rocks and timbers must be completely removed from the lake unless re-used in authorized new cribs.
Rocks may not be utilized to stabilize shorelines without authorization.
U:1Mollylforms12014 application formslsap.wpd 3/514
Page 2 of 2
Yrifti
Residential Final Inspection
Inspection request received 3 15l
Name -t- a .n Inspected on 11 (.. (c,;,
Location 2al,V Sam Qt31,,,ve, CAL, Arrive "2, '-c-,- am! pm
Permit No. 201i )®,Fj Inspector's Initials
CA-A-19
Type of Structure
Yes No N/A Bathroom Fans, if no window
4" Building Number Address visible from road Plumbing fixtures
Chimney Height/"B" Vent/Direct Vent Foundation insulation to floor/ Sticker on Panel
Location
Fresh Air Intake Duct work sealed properly/Blower Door Test
Certification
3" Plumbing Vent throughmsroo,f minkAi!`" Floor truss,draft stopping finished basement
Roof Complete/Exttekr Finish Co ' 1,000 sq.ft.
Platform at all exterior doors Emergency egress below grade
Handrail 4 or more risers Gas Furnace shut-off within 30 ft. or within line
Guards at stairs, decks, patios more than 30 " of site
above grade Oil Furnace shut-off at entrance to furnace area
Guard at stairwell at 34" or more Furnace/Hot Water Heater operating
Guard at deck, porches 36 " or more Low water shut-off boiler
Handrail Termination at Newell Post or Wall Relief Valve(s) installed / Heat Trap/ Water
Interior/Exterior Railings 34 " to 38 " Temp 110
Deck Bracing/ Handicapped Ramp Compliant Enclosed Stairs Sheetrock Underside minimum
/:' Gypsum
Grade away from foundation 6 " with 10 feet Basement stairs closed rise+4 inches
6" clearance to sill plate Garage Floor Pitched
Gas Valve shut-off exposed / regulator 18"above Garage fireproofing/ 74 hour fire door/door
grade closer
Interior privacy /trim /doors / main entrance Gas Logs in Sealed or Glass Enclosure
36 "
Bathroom / Kitchen watertight Final Electrical; Energy Saving Light Bulbs 50%
Safety glazing/ Window In stairwells safety Final Survey Plot Plan
glazing Arc Fault Breaker Habitable Spaces/Tamper
Interior Smoke Detectors/ Carbon Monoxide Proof Receptacles
Detectors Flex Gas Pipe Bonding
Every level: Every Bedroom: As Built Septic System /Sewer Dept. Inspection
Outside every bedroom area: Sticker
Inter Connected: Site Plan /Variance required
Battery backup: Flood Plain Certification, if required
Attic access 30" x 22" x 30" (height) in Okay to issue Temporary/ Permanent
accessible area
Certificate of Occupancy OR
/
Crawl Spaces 18"x 24" access,1 sq.ft.-150 sq. Certificate of Compliance
ft. vents
Yes No N/A
Comments: (_._6 ,,<7
Town of Queensbury Building & Code Enforcement Office No.(518)761-8256
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