AST-000246-2017 r TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: AST-000246-2017 Date Issued: Thursday, July 6, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000246-2017
has been completed.
Tax Map Number: 289.17-1-5
Location: 94 ASH DR
Owner: Lisa Doster,Russell Hilliard,Tyrer,Lyon,and Cerny, David Duster
Applicant: RUSSELL HILLIARD
This structure may be occupied as a: Removable Dock: 4 ft.width and 40 ft.
length By Order of Town Board
Total: 160 sq.ft. TOWN OF QUEENSBURY
Cross Ref. Site Plan Review No.P-SP-17-2017; P-SUP-3-2017;and Area
Variance Z-AV-15-2017
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �d
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000246-2017
Tax Map No: 289.17-1-5
Permission is hereby granted to: Russell Hilliard,Tyrer,Lyon,and Cerny
For property located at: 94 ASH DR
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
Tvne of Construction
Owner Name: Russell Hilliard,Tyrer,Lyon,and Cerny Dock $0.00
Owner Address: 79 Ash DR Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Removable Dock: 4 ft.width and 40 ft.length
Total: 160 sq.ft.
Cross Ref. Site Plan Review No.P-SP-17-2017;P-SUP-3-2017;and Area Variance Z-AV-15-2017
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 17,2018
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town oslimy; 17,2017
SIGNED BY: ryp 4 Xfor
the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE Permit#: PGT— 24%- 2Q1
PERMIT APPLICATION Permit Fee:$J0
Torn o(Quecnsbury
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensburV.nett / /'
Project Location: 9� 1 )�— (r, CT
Tax Map ID#: zO 1 ,�T� Subdivision Name:
CONTACT INFORMATION:
• Applicant: I /'�,
Name(s): Lvov LS,.� \
IF
Mailing Address, C/S/Z:
Cell Phone: r nd Line: ) � U
Email:��t� C I� 6801 � � csvti
Primary Owners :
Name(s).
Mailing Address, C/S/Z:
Cell Phone: r
�) Land Line: )7�� 17 7T
Email: ( k-k n Y-10 !!J sw�
• Contractor(s):
Business Name: �—
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line: � )
Email:
Contact Person for Building & Code Compliance: C/
Cell Phone: ) Land ine: f )
Email: C-O-VV"--
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION: (�
TYPE: Commercial Residential
WORK CLASS:
Deck,Open Porch _Solar Panels (w/o rafter upgrades) _Carport _Cell Tower
_Shed _Pavilion, Pole Barn, Canopy Dock tk _Gazebo
Detached Garage _ Boathouse (with or w/o sundeck) _3-Season Porch
Other(description: d
�t• t44
SQUARE FOOTAGE OF STRUCTURE: �(/1 (fi
1st floor: (J l
2"d floor: 7�� L�l /
p P
Total square feet:
l?
ADDITIONAL PROJECT INFORMATION:
71,
1. Estimated Cost of Construction:$
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NO Explain:
4. Are there any easements on the property? YES NO
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
3. 1 certify that the application, plans and supporting materials are a true and 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.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. 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:
I
PRINT NAME: I/LS e ` \
SIGNATURE: DATE: LD (2 - I7
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
28liard, -5 AST-0Cerny 2017 •T
Hilliard, Tyrer, Lyon & Cerny
94 Ash Drive 1(06
Removable Dock 646 s.f.
A55tmBLY INSTRUCTIONS
Congratulations on your new Patriot Dock purchase. This manual contains instructions to assemble basic dock config-
urations for use at typical residential shoreline application. Please read through entire instructions before starting.
Please visit www.patriotdocks.com for step-by-step photo instructions and more information.
Itl1QI�_QUJE
B LDING & Pd PAN 1 Z 2017
Review e By:
Date: TOWN OF OUEENSBURY
BUILDING & CODES
General Guidelines:
1. Wear protective gloves and appropriate safety goggles when assembling the Patriot Dock.
2. The maximum recommended unsupported span for Patriot Aluminum Dock Frames is 16 feet, in the
water or in storage. The dock is designed to carry a maximum of 500 pounds over any 4 ft x 4 ft part of
the deck and a maximum of 1000 pounds between supports spaced 16 feet apart. Always support outside cor-
ners and use additional supports in high traffic areas or where greater loads are expected.
3. Never pull the aluminum dock with a winch,ATV or vehicle.
4. Always remove decking panels and pipes not supported by wheels when pulling the frame in or out of the wa-
ter and when storing the dock to prevent bending the dock frame.
5. Never leave the lake end of the dock unsupported. Always support both comers of the Patio platform.
6. Roll-in kits should be Installed at the very end of the dock for best stability. Additional posts may be required if
roll-in kits are installed at locations other than shown above.
7. Always assemble the dock frame so there is a 4-foot Truss End Rail (PN 10803)at both ends of the dock. For
patio or platform docks, two 4-foot Truss End Rails are required.
8. Generally, place one flat washer under head of bolt and one lock washer under nut for all fastened joints
9. Install square washers and flat transition plates when connecting two 8 ft frame assemblies (bottom only).
Tools Required: 1/2" , 9/16" and 3/4" Wrenches or ratchet w/sockets , hammer
Recommended Tools: Cordless Impact wrench /drill with above sizes
U40'
FILE COPY
0'- 16' = 4' pipe17'- 32' = 6' pipe33'+ TOA 9 MSBURY
BUILDING DEPARTMENTBased on our limited examination,compli ' ,with our comments shall not be construerj0 24' 32' 40' 32' 24' 16
indicaling the plans ana s ecifications ar n
full compliance with the Building Codes of
New York Stale.
Parts List
Aluminum Frame 41x8' Assembly Hardware t
1. (1) 8' Side Truss Right A. 3/8"-16 x 1.25"Bolt (16)
2. (1) 8' Side Truss Left B. 3/8"-16 x 1.5"Bolt (2)
3. (2)4' Truss C. Round Washer (18)
4. (1) Connecting Rail D. Split Washer (18)
5. (1)Long LAKE END Center Support Tube E. 3/8"-16 Nut (18)
6. (1) Short SHORE END Center Support Tube F. Square Washer (2)
7. (1) 8' Diagonal Brace(8'x 1"x 1"angle)not shown)
8. (2)Transition plate (17.5"x 1.5"flat bar)
Dock Supports Roll In Dock Parts
10. Post Bracket 20. Dock Wheel
11. Foot Plate 21. Axle, Pipe
12. Vinyl Patriot Pipe Cap 22. Axle Convertor-pair
13. Pipe Support 23. Stop Clamps-pair
14. Aluminum Dock Jack 24. Jack Axle
15. Drop Leg
16. Jack to Pipe adaptor
Shore
a
µ, 3
5 i
g -
4
2
Lake
8
Patriot Dock Assembly
Helpful Hints for Patriot Dock Assembly:
1. Visit www.patriotdocks.com for step-by-step photo instructions under the FAQ section.
2. For each bolt connection,place a flat round washer under bolt head and split lock washer under the nut.
3. All 3/8"flame bolts are installed on the frame with the threaded end pointing toward the lake.
4. Do not tighten any bolts until the frame is fully assembled
5. The 4 ft.Truss and Connecting Rail(Items 3 and 4)always fit inside the vertical Side Rail angles.
6. Use the shorter 3/8"—16 X 1.25"bolts(Item A)for all joints except the center of the Connecting Rail(Item 4),where
the two 3/8"—16 X 1.50"bolts are installed(Item B).
Frame Assembly Steps(diagrams on page 4 and 5):
• Layout all the 4 x 8 ft flame components on level ground. Orient the components so the Short Center Support Tube
(Item 6)is on the shore end of the frame and the Long Center Support Tube(Item 5)is on the lake end of the frame. See
drawing on following page.
• Starting with the shore end of the frame,bolt the 4 ft Truss (Item 3)to the Left Side Rail(Item I and 3)using the 3/8"
bolts, flat washer,split lock washer and nut(Items A B,C,D,E). Note:The lip on the side rails face upward.
• Bolt the middle 4 ft Truss(Item 3)and Connecting Rail(Item 4)to the Side Rail.
• Bolt the Right Side Rail to the 4' Truss and Connecting Rail.
• Bolt the Short Center Support Tube between the two End Rails on the shore end.
• Bolt the Long Center Support Tube between the middle 4' Truss(Item 3)and Connecting Rail(Item 4) using the 3/8"x
1.25"long bolts. Do not install washers or nuts yet.
• Connect the second 4 x 8 ft frame by fitting the two Side Rails and 4 ft Truss into the bolts from the previous step and
install the round flat washers,split washer and nut to fasten the joint. IMPORTANT: Use the Square Washer(Item F)
when joining the lower part of the side rails together. The square washer adds strength to the joint. (See image on fol-
lowing pages for location detail).
• Finish attaching the second 4 X 8 ft frame to the fust one by repeating steps above. Repeat until the entire straight frame
is assembled.
• Install Loose 4 ft Truss(Item 3)to the lake end of the straight dock frame. Tighten all bolted connections.
• Rotate dock frame on its side or prop up frame on blocks to install Transition Plates(Item 8)and 8 ft Diagonal Brace
(Item 7)in the holes on the bottom of the assembled frames.The Transition Plates strengthen the connection between 4
x 8 ft connecting frames.The Diagonal Braces are installed under each 8 ft frame from one side to the other. The braces
will form a Z type pattern under the frame to control swaying.
• If your dock has a Patio or"L"configuration,preassemble the 4 x 8 frame and connect to the straight dock section us-
ing six 3/8"x 1.25"bolts,washers and nuts in the holes provided.
Pipe or Jack Supports(see page 6 for illustrations):
• Fasten Jack Supports or Pipe Supports to the frame using the dock configurations on the first page of these instructions.
Pipe: Pipe Holders mount to the 1/2"holes.Insert pipe through Pipe Holder to desired height. Fasten Foot
Plates to the bottom and add the pipe cap to the top.For Roll in pipe docks, install axle convertor(L-shaped unit)to the
bottom of the vertical pipes and feed horizontal axle pipe(6'for straight docks and 8'for patio docks)through both
sides. Add wheels and secure with stop clamps.Drill four 3/6"holes on one side of each wheel sat the 4 dimple loca-
tions so it fills with water. Screw Jacks: Screw Jacks bolt to the frame in the 3/8"holes. Add Drop Leg to jack and set
to desired height. For Roll in Jack Docks,simply mount the aluminum axle to the bottom of the jack,add the wheel and
secure with pin.Jack fenders(PN10886)are installed last using 3/8"x4"long bolts/nuts.
Add Decking:
• Drop in 4' x 4' decking panels after frame is in the water and the height is adjusted If you purchased aluminum dock
panels,install adhesive backed rubber to the top of the side rails and the center of the frame first.
• Add your own locking screws,bolts or zip ties to fasten the decking panels to the frame using the single hole in the
stringers(poly and aluminum decking) if desired
• Remove decking before moving the dock frame out of the water for storage. Stack and cover the decking for protection
in the off season.
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3 mOGGdcm
LIBER 983 PAGE 258
I)MAP LNi1P.£D-SURVEY AND MAP MADE BY 1)BETH E GILLS AS DXECUIRIX,OF \
HIRAM PHILO OF GLENS FALLS KY, THE ESTATE OF SHAUNE SELUNGHAM \
AUGUST 5,1901 SCALE 50 FEET TO THE INCH TD iu
LAND OKNED BY EBER PTUS' DAND W.ROSTER O T
— \
RLED IN IHE
WARREN COUNTY CLERKS OFFCE USA A.ROSIER AT
BATED OCTOBER 0.2011 iM \
2)MAP ENOTLED'MAP OF THE GREENBURGER VOLUME 4J40 PAGE 173
SVBDIWSION AT GLEN LAKE WARREN CO,N.Y. 0
DATED JANUARY 25,1913' ?)EASFMENT AGREEMENT
PREPARED BY ERNEST L H.MYE77 SURVEYOR TYR£R
3)MAP ENOUfUA'E 100AA 0�• \
FILED IN THE WARREN COUNTY CLERK'S OFFICE TO R/ZA TdIBA .UCLANDS N/f OF Ce
SUZANNE E.
TITLED'MAP OF LANDS OF CASWE ROZELL' RANO W.DOSITR KIMBERLY L.LYON 2 �&\\ \ L
DATED SEPTEMBER 10,1974,REWSED OCL 2R A 1980 USA DOSIER fj8 ` \ oy
PREPARED BY COULTER A,MoCORMACK,LLS DATED OCTOBERd 2011 LAURA B. rMER
FILED IN THE WARREN COUNTY CLERK'S OFFICE VOLUME 4374 PAGE 198 LIBER 3027 PAGE 98
4)MAP EN777LED'APAP OF LANDS OF ROY 4- PARCEL A°2
,VNNE TONNESaI'
DATED SEPTEMBER 6 1966,AMENDED SEPTEMBER 9,1986 '+,�ti e•�*` \ \ 12
PREPARED BY COULTER&McCORACACK.LLS 80 1 J' ii \
FILED IN RIE WARREN COUNTY CLERKS OFFICE \ \
5)MAP ENTITLED-MAP OF A PROPOSED SUBOINSON FOR
HERBERT TYRER'OA TED MAY 17,1989. X rs
PREPARED BY O.L DIDKINSON ASSOCIATES
FILED IN THE WARREN COUNTY CLERKS OFFICE
6)MAP ENRILED 21AP OF LANDS TO BE CONVETED BY -:C�r
LESTER A BRAYMAN&WUJAM J.A,SUSAN SURONC r`� \ \ \
TO KENNETH
DA TO JUNE 24 23.U19L M9. \ \ ..
PREPARED BY COUL TER&MCCORMACK.LLS . ��.,'
LANDS N/F OF \ �,
10 00(YI \ r j;.'� R/ZA&JACOU/LINE TOUBA
\•IPj •pA \ 1 Jr U1 A` \ LIBER 591 PAGE 749
�O�S OMMptJ g \ O \ lA� y \ (LIAP REFERENCE Na 1) \ V
3
BIATBOF UPNro6KT R 0 / 'w •\ \ 101
CWNIY(b WARREN I, \ x 18 \ \VPR�IND 1 D6DA c� i�
aI Ino co
sm•a Nvw xn,e,IXl NLPFar aanFv nw.aa,.u;g m a1 wnnnn, u`a N PM / "3
ila ny en,e.,im,aM en me anwny,+b.n/ //
lmie Ern ntinMl.Ana le Nero�' �1+'N : MPO \ I poo £ \ \
Marm CauMYT pa a //✓ j."� \ eP_•, \
PROPOSED 2'WADE EASEMENT N�
70 BE CONVEYED RT
\YI Y \ TAYLOR HILL PRW'ER77E3
4, \ \.
L� \ \\ s•6g53 S � _� \ 1 i 4, ��[V \ \
ae•e... � qA \ \
\\ 19 LANDS N/F OFAREA 0.95E ACRES \
TAYLOR HILL PROPERT/E5,LLC
\ \ LIBER 1434 PACE 80
(MAP REFERENCE No.3; - .owr,or ew4r,F aeY \
\ A Fr /••a+c 7 rtN
(SEE NOTE No.4) \
\ \ .:.CCW4CR'1E 8[OGTC ,(PARIATfNT BUILOLyG '- \
� ��,' �,o•ar,i IE
OrJ3nr160?.9
\ LNf PER MAP
LINE PER MAP RfF./3 EM"•� •''�
#\ UNE SLY /•• .../._ - _______
1 �i A
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2*IPF. 5,3-44-_05-1 Y '1
NOTES:
1) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAPGEATION OFA LICENSED LOUD SURVEYORS SEAL ISA
VIOLATION OF SECTION 7209,SUB-DMSION 2,OF THE
NEW YORK STATE EDUCATION UW.
2) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY LEGEND MAP OF A SURVEY MADE FOR
MARKED WITH AN ORIGINAL OF THE FANO SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. ,..n•l nig..
3) SUBJECT TO THE USE OF A RICHT-CF-WAY OVER A11 EXISTING o I.R.P. IRON ROD FOUNDED�sr� DAVID W. & LISA A. ROSTER
PRNATE ROAD FROM ASH DRIVE SOUTHERLY ACROSS THE LANDS
OF THE GRANTORS HEREIN TO THE SHORE OF GLEN LACE o I.P.F. IRON PIPE FOUND REVISIONS F�
AS PER USER 682 PAGE 673,CHARLES A LEDFORD AND oI.R.S. IRON ROD SET
MARION E LEDFORD TO HERBERT MER DATED JUNE 30,1986, �+ UTIUTY POLE
_Z_ STONWALL W- TOWN(X EFN59URY, COUNTY OF WARREN, STATE OF NEW YORK
E
4) EASEMENT FOR THAT PORTION OF THE CONCRETE BLOCK - DARSEO WIRE FENCEDAVID J. BOLSTER
APARTMENT BUILDING THAT IS OVER UNE AS PER • PONT E T 'o. �
DEED REFERENCE No.2. W.F.P. WOOD FENCE POST w'o e,OF Ld1:Y„+
—Mn— OVERHEAD INRES �"'••......•.•�• LICENSED LAND SURVEYOR
n/l NOW OR FORMERLY 22 BONNER DRIVE.QUEENSBURY.NEW YORK, 12804
O LOT NUMBERS PEP. 2 1/17/20IJ REMOVCD NOTE DJB
MAP REF.No,1 1 10/5/1012 ADDED EA594ENT OJB DAVID J.SOLSER LLS DATE JULY 29.2071 SCALE:1'a 20' 1 N.Y,S.UC.N0.49534
a 4'X e WOO]POST
N0. DATE DESCRIPTION BY DATE SEALED 2/6IZ4,13 DWG 11-06B
i