2001-073 4 QUE TOWN OFENSBURY
742 Bay Road, eensb NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20010073 Date Issued: Friday, December 15, 2006
This is to certify that work requested to be done as shown by Permit Number P20010073
has been completed.
Tax Map Number: 523400-239-012-0002-027-000-0000
Location: 81 ASSEMBLY PT. Rd
Owner. MICHAEL CHRYS
Applicant: MICHAEL CHRYS
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 (-3J /
property owner of the responsibility for compliance with Site Plan, •
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nforr\ ent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
Foiro 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010073 Application Number: A20010073
Tax Map No: 523400-006-000-0001-007-000-0000
Permission is hereby granted to: MICHAEL CHRYS
For property located at: 81 ASSEMBLY PT. 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: MICHAEL CHRYS Dock 8,000.00
81 ASSEMBLY PT. Rd Total Value 8,000.00
LAKE GEORGE,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-073
278 SQ FT DOCK AS PER APPLICATION
$35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, March 26,2003
(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 ensb o i y 26,2001
i
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
`flT TOWN OF QUEENSBURY Fee Paid �� °°
BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit # 1"'0 3
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: /.47GA4C.— (-1:6XTP.O. Address &----? /G'Ci /207s, /' ,`c }ixv one�#
Property Location f7 % €er /w f----- Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: ag�(2,
Name: Address Phone# 7�t YZ(fS
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock . Boathouse (Circle one)
Size of Structure to be built (square footage) : -/Ek ,()&rt rf/
Foundation Material : Width Thickness
Depth of Footing, below grade: , PRA)
Size of Posts or Studs: x x Long ��- '
Size of Floor Joists: x x Span
Decking or Flooring Material : CIS/E
How will Porch or Deck be fastened to building?
FEB272001
Roof W' Be Installed, Answer Following Questions: TOWNOFOUEENSBURY
Si .e of 'osts or Studs: x •x Long BUILDING AND CODE
Roo ' :.fters: x Spacing Span
Roof usses (pre-engineered spacing): Span '
Type of 'oof: Sloped Flat Shed Other (Circle one) /2 r--------
teri al o Roof:
SS� /s2t,9r t9
ZONING INFORMATION: L- G�
O/i try Qiu ,,.(gccf,
WO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto , s ow ng c early and distinct y a bu idings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: 7c ft. x� Cb0 ft.
Existing building(s): Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Re r yard ft.
Side yards is ft. andand bOr ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement
of all proposed work to be done on the described premises and that all rrovisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining to - proposed work
shall be complied with, whether specified or not, and tha such work . , horized by the
owner.
DATE: SIGNATURE All 44111
twne , Owner s Agency, AAc !ontractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 3 Z3 a/ SIGNATURE ' c'
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: ' 5�am/p epart: am/pm
Date Inspection request received: — Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE: 2 •
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location fKACk).K0‘)`p p
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
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
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''/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
u LAKE GEORGE PARK COMMISSION
''' PO Box 749, 75 Fort George Rd pp RECEIVED
-{� ,` Lake George NY 12845
; „ (518) 668-9347, fax (518) 668-5001
�gi,o�; 2004(_---
Igpc@superior.net, www.lgpc.state.ny.us FEB 2
TOWN OF QUEENSBURY
NOTICE OF AVAILABILITY FOR REVIEW PLANNING OFFICE
NOTICE OF COMPLETE APPLICATION
Date: February 27, 2001 Application: 5234-2-01
Applicant: Type: DM Minor
Michael Chrys
1001 Morean Ave
Niskayuna, NY 12309
Project Location: Assembly Point Road Parcel#: 6-1-7
Town of Queensbury
Project Description:
Modification to an existing dock to result in a 30' wide, 38' long, U-shaped wharf and
construction of supporting timber cribs as shown on the plans attached
SEQR Lead Agency: None Designated
SEQR Determination: 1 - Type II Action, no further review under SEQR
TO INTERESTED PARTIES: Comments Due: March 14, 2001
This notice is being sent to allow you an opportunity to comment on the proposed project.
Written comments must be received by the "comments due" date above and should detail
specific reasons for your interest, support or opposition. If you have no comments you do
not need to return this form.
Return this form and any comments to: Molly Gallagher
LGPC, Box 749, Lake George, NY 12845. Phone: (518) 668-9347.
Reviewer Comments: 0 No Comments 0 Comments below or attached
cc:
Town of Queensbury
NORMA BAERTSCHI Prepared by:
Address:
Telephone: ( ) Date:
RECEIVED
-, ; LAKE GEORGE PARK COMMISSION
x t 4 . Fort George Road, PO Box 749 Rp a
(;; ` Lake George, New York 12845-0749 BCD _I I
1, phone 518-668-9347 fax 518-668-5001 1 I
_ F.-d LfFll0C °, si96LION I
w - - - - •
i APPLICATION FOR PERMIT FOR DOCKS, WHARFS AND MOORINGS
THIS APPLICATION IS FOR THE:
- onstruction of a New Dock or Wharf ($200) ❑Placement of a Mooring($100)
vlodification to an Existing Dock or Wharf($50) ❑Modification to an Existing Mooring($50)
▪Article 15 Excavation/fill(Repair, replacement or installation of cribbing as part of wharf construction)-No Fee
APPLICATION FEE ENCLOSED: 50 (check or money order only) /e2 c ,130(
1. OWNER [J INDIVIDUAL 0 PAR NERSHIP 0 ASSOCIATION 0 CORPORATION 0 MUNICIPALITY ❑AGENCY
��
NAME r7S Ci'-(74(f PHONE _.(A{ 2ff- yz��
MAILING ADDRESS /Oa /`-1 O(2CWA..) 4S•
CITY it V A-0j- STATE c I ZIP CODE /1 ZC
If this is an association or if other parties have deeded or contractual access to this lakefront, please provide names and mailing addresses of
all involved parties on a sepa ra sheet.
2. AGENT SAME AS OWNER ❑PRESIDENT OR CEO C CONTRACTOR ❑ATTORNEY ❑`CONSULTANT E t CONTACT PERSON
NAME PHONE
MAILING ADDRESS
CITY STATE ZIP CODE
3. PROJECT LOCATION
TOWN TICONDEROGA ❑DRESDEN SECTION /� BLOCK / LOT
FORT ANN ❑HAGUE ( /
ii LAKE GEORGE ❑PUTNAM -
; STREET eUEENSBURY C BOLTON ti /17“..t-(t c<--(. / L" 0LAKE FRONTAGE feet NUMBER OF WHARFS AND MOORINGS CURRENTLY ON PROPERTY
according to Tax Map
.Survey(attach copy) DOCKS MOORINGS
4. PROJECT DESCRIPTION /
PROJECT %U ;CK L-6L:/t.O 41A-I — t)c)C;,-- 70 /6l7LK ' it
F9- V 00((L
PROPOSED USE /ESIDENTIAL 0 COMMERCIAL 0 ASSOCIATION ❑ PUBLIC
PROPOSED STARTING DATE ,S7 /Or PROPOSED COMPLETION DATE ii; G
IS ANY POTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?
❑Yes Y, No (if yes, please explain)
IF COMMERCIAL, IS THE FACILITY AND ITS ASSOCIATED LAND USES IN COMPLIANCE WITH APPLICABLE
PROVISIONS OF STATE AND LOCAL LAWS, ORDINANCES, RULES AND REGULATIONS?
0 Yes 0 No (if no, please explain)
11/2000 Page 1 of 2
5. ADJOINING LAKEFRONT PROPERTY OWNERS .
NAME ___ NAME
MAILING NCX C` 6aerr, C=\ 1 MAILING
ADDRESS f-ZDi etlx 12.3y ADDRESS 1-
Lct kc G-i?ofa-
6. SITE INSPECTION
During the processing of this application Lake George Park Commission (LGPC) personnel may need to visit this site
for the purpose of inspecting, measuring and/or photographing any existing docks, cribs, moorings, property lines, or
other in-lake structures on the site.
I authorize Commission staff to conduct such a site inspection dyes 0 n9
I wish to be contacted prior to any site inspection ❑ yes Pfho
7. 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. As a condition to the issuance of a permit, the applic t accepts full legal responsibility for all
damage, direct and indirect, or whatever nature, and by who ever ered, ising out of the project described
herein and agrees to indemnify and save harmless the tate rom it actio , damages and costs ev ry name
and description resulting from the said project. i O ,
SIGNATURE OF OWNER (Note title if signing for a co oration or association) DATE
SIGNATURE OF AGENT(Both signatures nee cl ly if a nt will act for own DATE
INCLUDE WITH THIS FORM:
❑ Application fee
o Site location map
❑ Project plans on 8 1/2 X 11 size paper
❑ Names and legal mailing addresses of all co-owners and parties with deeded or
contractual access to this lakefront
❑ Short Environmental Assessment Form if needed
The construction of a single residential dock, wharf or mooring and construction which alters,
modifies, enlarges or expands an existing dock, wharf or mooring, provided that the structure is
not located in a wetland, fish spawning area, an area of significant wildlife habitat, or an area of
unique scenic, historic or natural significance does not generally require this form.
Failure to include any one of the required items will result in an incomplete notice and delay in
processing your application.
11/2000 Page 2 of 2
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CHAZEN ENGINEERING & LAND SURVEYING CO.. P.C. UNAUTHORI;
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720% SUBC
COMP ES 1 HEREB
Didchess County Office: Orange County Office: CapitalDistrict Office: YAP AS l.
Engineers/Surveyars Manchester Rd PO Box 3479 263 Route 17K 1407 Route 9. Bldg. 1 yN THE
Planners Poughkeepsie, NY 12603 Newburgh, New Yak 12550 Clifton Pak, NY 12065
Environmental Scientists Phone: (914) 454-3980 Phone: (914) 567-1133 Phone: (518) 371-0929
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LAKE GEORGE PARK COMMISSION iC/a;— ��
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Engineers/Survewrs Manchester Rd PO Box 3479 263 Route 17K
Planners Poughkeepsie. NY 12603 1407 Route 9. Bldg. 1 VA
Environmental Scientists Phone: (914) 454-3980 Newburgh. New York 12550 Clifton Pork. NY 12065
Phonic (914) 567-1133 Phone: (518) 371-0929 '
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