2014-594 11fti
iA TOWN OF QUEENSBURY
wv..0742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140594 Date Issued: Friday, April 17, 2015
This is to certify that work requested to be done as shown by Permit Number P20140594
has been completed.
Tax Map Number: 523400-227-013-0002-024-000-0000
Location: 53 ROCKHURST Rd
Owner: THOMAS & TERRI KUBRICKY
Applicant: THOMAS & TERRI KUBRICKY
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 (-- J /,f
,g,t-
property owner of the responsibility for compliance with Site Plan, YY
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.
takTOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140594 Application Number: A20140594
Tax Map No: 523400-227-013-0002-024-000-0000
Permission is hereby granted to: THOMAS & TERRI KUBRICKY
For property located at 53 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 Value
Owner Address: THOMAS & TERRI KUBRICKY
80 OAK VALLEY Way Dock $1,200.00
QUEENSBURY, NY 12804 Tota]value $1,200.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-594
DOCK 50.5' length by 24'width U-shaped wharf
LG Park Comm. Permit#5234-36-14 Whart Construction& 5234-46-14 Excavation/Fill Activity
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 24,2015
(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 To of Qu sbu 4 mei/. t t_ ember 24,2014
SIGNED BY _for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE P//y// 51 Tax Map ID -.)-().--2- 13-e.,2 -?ci
TAX MAP lD d2)-1. 13.-)-*-Gq Permit No.
ZONING `�Permit Fee 'to � /
c Der 2014 / -s9
HISTORIC SITE Yes No Approvals
SUBDIVISION NAME Lot#
APPLICANT 74'7 4 j OWNER 51 0 44
ADDRESS /46 )24C ADDRESS S'?
Mr t1 0cr �S A 1
•
PHONE 5.;,8- 7�j /- O Z PHONEJa
CONTRACTOR /OI'( / 11bre t Co COST OF CONSTRUCTION(ESTIMATED): 4i l (I it G u34--
ADDRESS: 1/ () ?` BUILDING ADDRESS: 59 Po ctiiL415/
tiS e.t dorf- N /Zg 3/ aieerLs 1j r t rer
Ny
PHONE: 7-6/ - Q(Z / 260
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE S—Gt_ 'i C___ ___ PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1"'floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck •
Deck
Detached Garage(#of cars._)
Dock k• 57), C {- lej � by f 0,4+4. (,U -s (4,,
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 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)5-Z
. l
✓I have read and agree to the above: Print Name: �0 2C l/ Y��Rate:Signature: &., Date: /////52 /7
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
ACCESSORY STRUCTURE APPLICATION (Requirements, Notes, Changes)
REQUIREMENTS:
1. Two(2)sets of the following documentation with the application and fee:
a) Plot plan drawn to scale with the use of a survey map, if possible(40 scale=40 feet)
b) Indicate proposed structure(s),showing setback dimensions from all surveyed property lines
c) Show location of all existing structure(s)on the property
d) Show location of water supply(well or water lines)
e) Show location and configuration of septic disposal system or sewer line.
2. Structural drawings to include: Floor plan; Foundation plan, Cross Sections, Elevations
3. Registered Architect or Engineer's stamp, signed &sealed for residential additions/alterations and any commercial
construction costs over$20,000
NOTES:
1. A permit must be obtained before beginning construction
2. This permit is for any structure other than residential principal structure (house) to include, but not limited to: garage,
shed, dock, deck, carport, pole barn, greenhouse, etc. Refer to Informational Brochure No. 3—Accessory Structures—
Sheds/Fences.
3. Changes to Plan — Any changes prior to or during construction will require submittal of amended plans (review and re-
approval are necessary)
4. Withdrawn Permits: 20%of the initial fee is retainable by the Town. No fee is refundable after 1 year from initial application
date.
5. 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 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 areas;
• All corrugated stainless steel piping must be bonded to the common ground for electrical service
New Energy Code
• Blower door tests required by credential contractor or structure inspection 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
• ResCheck inspector's checklist must be available at time of insulation inspection
2
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256f / Arrive: It i L am/pm Depart: am/pm
Date Inspection request received: `T1171, 15 Inspector's Initials: 1)/4-- -
NAME: `r 7() C�r�
� PERMIT#:
q4
LOCATION: 5 2 G', • l,t�`•�' DATE: _SI . ,
TYPE OF STRUCTURE: cV,-k
Comments:
Yes No N/A l
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location d,,$)„otpx V
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete CJ
Platform at all exterior doors
Handrail 4 or more risers �
Guards at stairs,decks,patios more than 30 inches above grade `J•
v —
Guard at stairwell at 34 inches or more Ji
Guard at deck, porches 36 inches or more /atHandrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
(' t,trSg vD vsyytLlp asps b r (\ewe_,-
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
oro
Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20140594
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
11/14/2014 Miscellaneous bock STAFF
Misc 2014-594
permit app rec'd&entered
11/24/2014 Miscellaneous Dock DAVID HATIN Staff
Approved 2014-594
permit approved
11/24/2014 Miscellaneous Dock STAFF
Misc 2014-594
permit issued
04/09/2015 Framing Dock CHARLES DYER Staff
Approved 2014-594
framing for dock
provide blocking at bridge joists
1..7' �, ti ki)F\h;ll �t,icr; State of New York ac) ( � - ,3—
�... � ,. Lake George Park Commission
75 Fort George Rd, P.O. Box 749
Lake George New York 12845
TEL(518) 668-9347 FAX (518) 668-5001
Bruce Young David Wick www.lgpc.state.ny.us info@lgpc.state.ny.us
Chairman Executive Director
October 30, 2014
Tom Kubricky NOV 14
1166 Rte 9 2014
Gansevoort, NY 12831
Permit #5234-36-14 Wharf Construction Parcel #227.13-2-24
5234-46-14 Excavation/Fill Activity Town of Queensbury
Dear Mr. Kubricky:
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,
David Wick
Executive Director
cc: Town of Queensbury
Warren County Code Enforcement (boathouses only) 7 0 I-Y
LC mit Number State of New York Effective Date
5234-36-14 DM LAKE GEORGE PARK COMMISSION 10/30/2014
5234-46-14 EF Modification or Renewal Date
•
I:p . i
Type of Permit ,i r�',., r
New �' Expiration Date
10/30/2015
El Renewal
PERMIT
El Modification Under the Environmental Conservation Law
El Variance
Article 43, Title 1, 6NYCRR 646-1.1 Article 15, Title 5, 6NYCRR 608.5
X Construction and Modification of Wharfs X Excavation and Placement of Fill in Navigable Waters
Article 43, Title 1, 6NYCRR 646-1.1 Article 43, Title 1, 6NYCRR 646-1.2
Placement of Moorings Operation and Modification of Class A Marinas
Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1.4
Recreational Use- New 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 43-0117 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
Tom Kubricky 761-0122
Address of Permittee
1166 Rte 9
Gansevoort, NY 12831
Contact Person (if not permittee) Telephone Number
Facility Name Facility Address
Private Lakefront 53 Rockhurst Rd
County Warren Town Queensbury Parcel# 227.13-2-24
AUTHORIZED ACTIVITY
Replace an existing dock with a 50.5' long, 24' wide, U-shaped wharf with open-sided, rock-filled timber
cribs and delete a mooring 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.
Executive Director: David Wick
Lake George Park Commission, PO Box 749, Lake George NY 12845, 518-668-9347
Authorized Signature Date
/\ Page 1 of 5
/(d 3// '
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 special 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
Inspections operations undertaken by the State for the conservation or
3. The Commission and/or the Department of improvement of navigation, or for other purposes, and no
Environmental Conservation (the Department) may claim or right to compensation shall accrue from any such
conduct such on-site surveys, investigations, damage.
examinations, and evaluations from time-to-time as it
deems necessary to ensure compliance with the terms 12. Regulatory fees are due April 1 of each year for
and conditions of this permit. docks,wharfs and moorings.
4. A copy of this permit must be available at all times at 13. Wharfs and moorings authorized herein are for
the project site during performance of the authorized residential use only and shall not be used for commercial,
activities. Failure to produce a copy of the permit upon association or marina purposes.
request by a Oommission or a Department representative
is a violation of this permit. Environmental Protection
14. Disturbance to the bed and banks of Lake George
Permit Modifications& Renewals shall be kept to the minimum necessary to complete the
5. The permittee is responsible for keeping the permit project.
active by submitting a renewal application, including any
forms, fees or supplemental information which may be 15. All necessary precautions shall be taken to preclude
required by the Commission, no later than 30 days prior to contamination of any wetland or waterway by suspended
the expiration of this permit. solids, sediment, fuels, solvents, lubricants, epoxy
coatings, paint, concrete, leachate or any other
6. Any change or modification in any of the activities environmentally deleterious materials associated with the
authorized by this permit is subject to prior review and project.
approval by the Commission. Any modification of this
permit granted by the Commission must be in writing and 16. Heavy equipment, including bulldozers, backhoes,
attached hereto. payloaders, etc., shall not be driven in the water.
7. The permittee is responsible for obtaining any other 17. Any material dredged in the prosecution of the work
permits, approvals, land easements, and rights-of-way herein permitted shall be removed evenly,without leaving
which may be required for this activity. large refuse piles, ridges across the bed of a waterway or
floodplain or deep holes that may have a tendency to
Other Legal Obligations of Permittee cause damage to navigable channels or to the banks of a
8. Granting of this permit does not relieve the permittee waterway.
of the responsibility of obtaining any other permission,
consent, permit, or approval from the US Army Corps of 18. Any debris or excess materials from construction of
Engineers, US Coast Guard, NYS Office of General this project shall be immediately and completely removed
Services, NYS Department of Environmental from the bed and banks of all water areas to an
Conservation, NYS Department of Health, Adirondack appropriate upland area for disposal.
Park Agency, or 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
rights, title or interest in real or personal property held or in-water and above-water use.
vested in a person not a party to the permit.
LGPC Permit#: 5234-36-14&5234-46-14 Page 2 of 5
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.
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 Special Conditions
the property line runs onshore where it meets the lake, or 38. Any vessel tied to the mooring must be tied back to
at a right angle to the mean high-water mark, whichever the dock as shown on Schedule A so as not to intrude on
results in the greater setback. the twenty foot property line setbacks and may not exceed
16' in length.
Crib Work
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#: 5234-36-14 & 5234-46-14 Page 3 of 5
Property line extensions arid setbacks - _
- • , • ''determined using LGPC•methodology
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vernezzt Mill111.11111111.11.1111.11111111111-..,_ __ Page 4 of 6
77 '..ri.A:1.1 Permit#5234-36-14 & 5234-46-14
si.
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`[) ,,. kNnJ `
} STATE OF NEW YORK
•FXCELSIOF-
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: 5234-36-14 & 5234-46-14
Permittee: Tom Kubricky
Expiration Date of Authorization: October 30, 2015
This notice must be posted in a conspicuous place & protected from the elements during
the period of construction.
To the permittee:
Please sign, fold, tape shut and return upon completion of the project.
FOLD #2
Place
Tom Kubricky Stamp
1166 Rte 9 Here
Gansevoort, NY 12831
Molly Gallagher
Lake George Park Commission
PO Box 749
Lake George NY 12845
FOLD #1
Certification of Completion of Work Authorized
By Permit # 5234-36-14 issued on October 30, 2014
Parcel # 227.13-2-24, Town of Queensbury
Project: Replace an existing dock with a 50.5' long, 24' wide, U-shaped wharf with
open-sided, rock-filled timber cribs and delete a mooring in accordance with
plans attached as Schedule A and made part of this permit.
I hereby certify that the project authorized by the above referenced permit was
completed on l / in full compliance with 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
•
S'TL'ATE;OF\EW 1 OH
•
State of New York
x . . i�, . Lake George Park Commission
75 Fort George Rd, P.O. Box 749
_4. Lake George New York 12845
u TEL(518) 668-9347 FAX (518) 668-5001
Bruce Young David Wick www.Igpc.state.ny.us info@lgpc.state.ny.us
Chairman Executive Director
NOTICE
Date: October 30, 2014
Owner: Tom Kubricky
Facility: Private Lakefront
Parcel #: 227.13-2-24, Town of Queensbury
Lakefront: 80.00 Account #: 903 Address: 53 Rockhurst Rd
The enclosed permit
%°authorizes new mooring(s), new wharf(s), new boat/PWC lift or
X7dock modification, mooring modification and
PerMk�j
X supercedes Existing Wharf of-M8o g # 2 3y -G-1
andIj Permit # 523`{-,So- 10
Once the permitted project is complete your annual registration fee will be:
For residential properties:
mooring(s) 0 X $37.50 = $0.00 ❑ New Account
wharf(s) 1 X $37.50 = $37.50 ❑ No Change
For Commercial or Association properties, fees may need to be redetermined.
a , .• - - .
, _ . • Property line extensions and setbacks '
''determined using WPC,methodology
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Permit#5234-36-14 & 5234-46-14
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Page 5 of 5 .
Permit#5234-36-14 & 5234-46-14
TOWN OF QUEENSBURY
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, OUILDING & ..: - S AO
Reviewed By: v/
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Date: d "' '
T4(JI / ( Ig- L ' ,L
NOV 2 ' 2014
• TOWN OF OI JEFN.,?URY .
BUILDING D P RI ENT
Eased on our limited ex...n;nri^n compliance
wic , our comments OC) .,e ccocl:;ued as
iris u.g the pl:ons an,i .;i,.:c;ficlticris are in
full ,cmt:iance with the 'Building Codes of
Ne..0 York State.
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