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94-047 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Doc ember 26 19 96 94047 This is to certify that work requested to be done as shown by Permit No. has been completed. BOATHOUSE WITH DOCK This structure may be used as a ASSEMBLY POINT Location SHAFFER. JOHN A. Owner TAX tMAI' NO. 6 . -1-5 By Order of Town Bard WN OF UE �! Director of Building & Code Enforcement 3 ° i �3 BUILDING PERMIT TOWN OF QUEENSBURY No. 94-047SP O WARREN COUNTY, NEW YORK rn PERMISSION is hereby granted to JOHN A. SHAFFER OWNER of property located at Assembly Point Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Boathouse with dock cn at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1-11 tli 1. OWNER'S Address is 7:1 13 Heinrick Circle Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name Ed Creede • 3. CONTRACTOR or BUILDER'S Address Pilot Knob rd Kattskill Bay NY 12844 4. ARCHITECT'S Name cn (D 5. ARCHITECT'S Address F+ rd 0 6. TYPE of Construction—(Please indicate by X) c1 ct K 1 Wood Frame ( 1 Masonry ( )Steel ( ) O a 7. PLANS and Specifications 822 sq ft Boathouse with dock as per plot plan, specifi— No. cations and application and in compliance with Site Plan Approval # 11-94 B. Proposed Use Boathouse with dock to 0 rt. 50 .00 May 19 95 0 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 19 Day of May 19 94 Cl SIGNED BY ` TAW for the Town of Queensbury n Building nd Zoning .41,F or 7G 401,1, TOWN OF Q't1EENSBURY Fee Paid 7,hp BUILDING & CODES DEPARTMENT Permit # (��APPLICATION FOR: PORCHES-DECKS- a /7 02, DOCKS & BOATHOUSES Est. Cost a. 0. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER A OF-THE FOLLOWING: �; The undersigned hereby applies for a Building Permit to do the followi . 9 ork -,Cif,°dill b done in accordance with the description, plans and specifications subm ,; ed, ;.petal conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL ' S S�o '� . ;M ED � � WITH THIS APPLICATION. y d 17: Owner of Property: Jo1„‘, A. SA a -Hfr crt�Uttii`:>E. P.O. Address 13 4-1 ih r,'� lc CI rc)f QuFF,,s-bur 74 -�62- C „„,k y N•'r: � � &opt- Phone # -7a 3- 2.C'4� �w.ok Property Location R. .- 1s4- Ass-e,nil J •RS 2-a kf 6- c,t, c Tax Map # 6 — i —s ')`9 23 Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: [Ed CrFPcce Address J- ),-} .knob ,p) ka++ek,)1 Phone#6-re-1 -)f pwy BUILDING SPECIFICATIONS: Type of work to be done: Porch Deck ock Boathouses (Circle one) Size of Structure to be built (square footage) : 8 2. Z Foundation Material : Width Thickness Depth of Footing, below grade: Size of Posts or Studs: x x Long S cf r°` Size of Floor Joists: x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: x x Long Roof Rafters: x Spacing Span seF drAw,'A j.1 Roof Trusses (pre-engineered spacing): Span Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and distinctly all buildings, 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: -7 S ft. x 19 G ft. Existing building(s): Size 30 ft. x 4 2 ft. Size js ft. x z ft. Use of Existing building(s): S umrn �� h f Proposed structure, distance from property line: Front yard ft. Rear yard ft. Side yards ft. and ft. s ee s i 4-e j214.�- 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 provisions of the Building Code, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. DATE: 3/111- )9 r SIGNATURE 4I!-dwner s Agency, 14/ i ect, Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 412. SIGNATURE ►35/ /8 5 TOWN OF QUEENSBURY � �� . 3 BUILDING & CODE ENFORCEMENT V; r 742 BAY ROAD / QUEENSBURY NY 12804 g+ 516 (518)745-4447 I7 IV : • DEPART: '" NSP: 4,-VC------ FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUESTEQ R . EIVED: -/ T NAME c H4Fre CC2C"C�G LOCATION 4 "ilk• ', DATE AL/7.:zZ/9 N� PERMIT 1 1 '0L7 TYPE OF STRUCTURE eArlderiiitiSe" fL FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT •ROOFING 1(/j EXTERIOR FINISH 1/ DECK/PORCH/STEPS/ IL NGS RELIEF VALVES FURNACE/HOT WAT OPE TING INTERIOR TRIM/PRIVACY D ORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLANPL OK TO ISSUE C/O OR �/CI OeiVk\+) NAI- C—.LE<% idt)e,A.. o i C LosE OL c V-\v7 f e ' T 1 Ia' 1 ¢ . 4 Ir'x ii: Ilan. _ (3) ,.2)(R)L( Pr ST6b46Lti ON 2'c•r4s AxGr4'el- tkck,y6 '141(4 eksT.1 a E.eTai Fr R1,1 SAP11. R9,1 tw DFck �/No c70 - r 1. / �-- . /r i art, Pr NIA) C3ei '� , , a 0 pLti✓sc°Rc --yam— 11 II I I ► 1 1 ll t ,! t t t ' x'4490E i c:og� sHate. _51 .1— 1� il! lT► ►� l�L1I11 1Z 1 1 t 1 ► t ' tePr FAc,9 ? I f � /Noz.z.pot: 1"r\ r axlA Abcrr4r / 4x It Pr � / Pr 4s°Z I i ePTONoL ON IVCT41' - CARR,ls Q69A1 i L,Pri-(s ors. row? 6°ITEo To ufRs,11,Ts a' f d RE go PRev 1 eio 6a6 Pr u(R, it 4) Lar • . - i &war,: S,(o'IE 1,1, _ — tia�1 Ia_ KL_ 6iT _ -6� Di 6d QQ �— �C Jack pq . - �d A'1E9N 4 INC _ 6'DEPTH O C 36' --- • PR0PosE0 NIELu �taVA _DOCK &IN FgciL ' 7oHA/ A. £ FlSiE-Alcor Pr. of - — Seq/E 'A.„= )' • y -7-44 en LAB GEORGE PARK COMMISSION A)11: P64 Box 74 )11 _ 9 LAKE GEORGE,NEW YORK 12845 Tel. 518-668-9347 FAX 518-668-5001 CARL R.DE SANTIS MICHAEL P.WHITE Chairman Executive Director 03/31/94 JOHN SHAFFER 13 HEINRICK CIRCLE • QUEENSBURY, NY 12804 RE: Permit * 5234-2-94 Dear Mr. Shaffer: 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 Environmental Conservation law. Please review the general and special conditions included on the permit; these are intended to minimize any environmental disturbances associated with your 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 suitably protected from the elements. Any failure to comply with these terms may be treated as a violation of Environmental Conservation law. Questions regarding the terms of the permit should be directed to David Finlayson of this office , telephone ( 518 ) 668-9347 . Should your plans change , you must contact this office to determine whether modifications to the permit are required. Your interest in maintaining the environmental quality of the Lake George Park is greatly appreciated by the Park Commission. Sincerely, /I Michael P. White Permit Administrator Enclosure cc: LGPC Dir. Law Enforcement Town Supervisor • LAKE GEORGE PARK COMMISSION �� 3r BOX 749 LAKE GEORGE,NEW YORK 12845 l �sarr� 518-668-9347 PERMIT FOR THE INSTALLATION & USE OF WHARVES & MOORINGS ON THE WATERS OF LAKE GEORGE PURSUANT TO 6 NYCRR 646 Permit No: 5234-2-94 Effective Date: 03/31/94 THIS PERMIT INVALID IF CONSTRUCTION NOT COMPLETED BY: 03/31/95 Permit Issued To: JOHN SHAFFER Address of Permittee: 13 HEINRICK CIRCLE, QUEENSBURY, NY 12804 Agent for Permittee: SAME Name of Facility: SHAFFER PRIVATE LAKEFRONT Project Location: DUNHAM BAY SIDE OF ASSEMBLY POINT County: WARREN Town: QUEENSBURY Lot #: 6-1-5 AUTHORIZED ACTIVITY: MODIFY EXISTING WHARF COMPLEX AS DEPICTED IN THE ATTACHED PLANS MARKED APPENDIX A AND HEREBY MADE A PART OF THIS PERMIT GENERAL CONDITIONS 1. All activities authorized by this permit must be in strict conformance with approved plans submitted by the permittee or the permittee's agent as part of the permit application. 2. The permitee has accepted expressly, by the execution of the application, the the full legal responsibility of all damages, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. 3. The permittee is responsible for keeping the permit active by submitting a renewal application, including any forms, fees or supplemental information which may be required by the Commission, no later than 30 days prior to the expiration of construction authorization. 4. The permittee is responsible for obtaining any,other permits, approvals, land easements, and rights-of-way which may be required for this operation. 5. This permit shall not be construed as conveying,to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. PERMIT ISSUANCE DATE Permit Administrator ADDRESS 03/31/94 Michael P. White Lake George, NY AUTHORIZ-ED SIGNATURE x PAGE 1 OF 5 ADDITIONAL GENERAL CONDITIONS 6. Any modification of this permit granted by the Commission must be in writing and attached hereto. 7. That the State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operation undertaken by the State for conservation or improvement of navigation, other purposes, and no claim or right to compensation shall accrue from any such damage. 8. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, N.Y.S. Office of General Services, N.Y.S. Department of Environmental Conservation, Adirondack Park Agency or local government which may be required. 9. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paint, concrete, leachate or any other environmentally deleterious materials associated with the project. 10. There shall be no unreasonable interference with navigation by the work herein authorized. 11. All scrap or unused construction materials shall be removed from the ice and/or waters of Lake George. 12. Disturbance to the bed and banks of Lake George shall be kept to the minimum necessary to complete the project. 13. The Commission may conduct such on—site investigations, examinations, and evaluations from time—to—time as it deems necessary to ensure compliance with the terms and conditions of this permit. SPECIAL CONDITIONS 1. No commercial use, as defined in 6 NYCRR 645-2.1 (8) & (9) , of the permitted dock. wharf or mooring is authorized. No marina use is authorized. 2. No part of any dock or wharf shall extend more than 40 ft from the mean low water mark. No part of the dock may extend more than 100 ft from the mean high water mark. 3. Every dock or wharf constructed shall have a minimum setback of 20 ft from the adjacent property line extended into the lake in the same axis as the property line runs onshore where it meets the lake, or at a right angle to the mean high water mark, whichever results in the greater setback. PERMIT NO : 5234-2-94 PAGE 2 OF _fir __ M APPENDIX A [ciTflILTr i., hf. MAR 2 2 !2 .✓` 4 LAKE GEORGE PARK COMMISSION 40 3-o' g b • • .T: • iMt t wwn=i_1 f f . L ) II1 I i HUH I . Oa CL-Noc V. -- --K - —yam '�-- ,r =__ -- -7-1-:-.ti----.--- - 5s —_� .. ..--� Z- —.bc xT-_ 9 -—Ik : +6 dserii --,..,_,... „— _� -- _---1< xi . . Fe kl. __s (". 30' 1 1 C.' 1 p'6'' I 4' 1 We' 1 6' 1 s,3 ii 1 • • _-S.l-el -- S N e.EF E R- -- . . ---- ---- - ---- • -._fRa_TEcT _PLi!�-- --- -- -- --- 40ck 9N0 /2O(T1-10ct..4E c4N__47�Vc7.20.1.__.__- - No r To FEg. '9f, LGPC PERMIT #5234-2-94 PAGE 4 OF 5 S c A c. E x ev:ce d ri at. 17. rq q'{- • , 4,4, bt lz ••,-t..4 ps• t•lay S JO S 39Vd t6-Z-VEZSI IIVIH3d 3d91 • -16. 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' •:-. - V XION3ddV ANDREWS',` c APENDIX A POINT -- BAY , _ COMFORT' //- _ r = KNO PILOTB fr/ AMP YMC I A C 111 CHINGACHGOCK Post Office ii Fire Stotion // . ,/ 11 • BARBER BAY. ISOM Crosswinds Rd BAY 7 \ Baker Rd ECHO BAY` ei Echo Bay Rd TRAVIS POINT ELIZABETH ••••• ISLAND %'',( Cokley Rd JiJ�II 11 • / Allen Rd • / RIPLEY KATTS LL r7 r BAY {( Mayflower La (\ LONG POINT ISLAND ', Pos Office / 1) ?row.Pavilion Rd {l� / Cioo// 1 Lakeside SHELDCN (..........HBean Rd el POINTIl1CIEVERDAIE , PosrC)Ffice Fischers Mario locketRd �` ,r. �� FCCl;HU °_�/ I1��ASSEMBLY I, 1 I i c 1/ POINT N+ssOa '� 1. \1 `r SPEAKER ,� \ ! 9 HECK I V 1 �t,o '� p �: o I 1` \o Z1 'ISLAND r r^ I: 1 ` c \, Shoraocres Rd �' w �� :e �( r? •p a 11 1 0 cs..�.� i )/ Hillmm \ l\—._.�, 's Rd s o_ s Svnsat 1p Brayton o• \ ` so Williamson: 11 ; \� Store 1 94 f er `\ Knee �s \� CIGe�aroll 5 A cr+Y \•�1 �� y \ Store \ \ • Fire t�r O Yordartn) •Sration • l 3 "� \--' 7. A Carhol;c 11 Bolt.' 4 Church CD •- P D � �o ' �� rl - m WX v CROOKED ` .,e a6 s TREE it.', W� POINT \,,--E WOODS C O\ NC RTH POINT CI_ J ��-G'1.\ CHURCH T DARK `•y • 9 A /•�\BAY � r�Py JOSHUA `�;J : PLUM ' Q°' 'ROCK a POINT��.t SERE �\, I ......° eekk.,� =_+• 0 1/a 1/2 1 s L 1 [PC PERMIT 15234-2-94 FPSt s y 1 SCALE MILES ,/ 7. A F GE 3 OF 5 LAKE TOP O' GLENS /1f GEORGE THE WORLD 0 Copyright 1976 J D.FISK FALLS State of N York LAKE GEORGE PARK COMMISSION Notice : A Permit Has Been Issued For Wharf or Mooring Placement at This Site . For Further Information , Contact Michael White , Lake George Park Commission , P . O . Box 749 , Lake George , NY 12845 . Phone : ( 518 ) 668 - 9347 . This Notice Must Be Posted In A Conspicuous Place & Protected From The Elements During The Period of Construction . Permit I D : LGPC PERMITS #5234-2-94 AND #5234-4-94 P e rm i t t e e : JOHN SHAFFER Expiration Date of Authorization : MARCH 31, 1995 " FOLD , STAPLE AND RETURN UPON THE COMPLETION OF THE PROJECT FOLD #2 JOHN SHAFFER PLACE 13 HEINRICK CIRCLE STAMP QUEENSBURY , NY 12804 HERE LAKE GEORGE PARK COMMISSION P . O . BOX 749 LAKE GEORGE , NY 12845 FOLD #1 APPLICATION FOR CERTIFICATE OF COMPLIANCE FOR PERMIT 1 5234-2-94 ISSUED ON 03/31/94 I hereby certify that the project authorized in the above noted permit was completed on in full compliance with (DATE) 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 STATE OF NEW YORK LAKE GEORGE PARK COMMISSION NOTICE OF COMPLETE APPLICATION NOTICE OF AVAILABILITY FOR REVIEW .-1 516771 APPLICATION ID : 5 —2 44 1, OWNER : JOHN SHAFFER DATE : 23 /15 4 094 AGENT: JOHN SHAFFER �M L 13 HEINRICK CIRCLE Received QUEENSBURY , NY 12804 ITV e PROJECT LOCATION : TOWN OF QUEENSBURY . WARREN CO . LOT . : —1-5 DUNHAM BAY SIDE OF ASSEMBLY POINT �� 06Zg' 0 PROJECT DESCRIPTION MODIFY EXISTING WHARF COMPLEX AS DEPICTED IN THE ATTACHED PLANS SEQR LEAD AGENCY : N/A SEQR DETERMINATION : SEQR-1 Project is not subject to SEQR because it is an exempt, excluded or Type II action . TO THE APPLICANT : 1. THIS IS NOT A PERMIT. 2 . This notice is being sent to advise you that your application is complete and review has begun . Additional information may requested at a future date if deemed necessary to reach a decision on your application . 3 . Your project is classified as MINOR : a decision regarding permit issuance will usually be made within 15 business days following the completion of the public comment period . If significant issues are raised during the comment period , the application may be referred to the Project Review Committee . 4 . Publication of this Notice in a newspaper is not required . If required please consult the separate transmittal letter for further instructions . Peeeas 61r� TO INTERESTED PARTIES : COMMENTS DUE: 03/30/94 L6. 6 This notice is being sent to allow you an opportunity to comment on the proposed project. Written comments must be received Ne'j"a`S no later than 15 days from the date of this notice and should detail specific reasons for your interest, support or opposition . Return this form and any comments to : DAVID FINLAYSON LGPC , BOX 749 . LAKE GEORGE , NY 12845 . Phone : (518 ) 668-9347 . REVIEWER COMMENTS : / / No Comments / / Comments below or attached Prepared by : Unit/Address : Telephone : ( ) Date : LAKE GEORGE PARK COMMISSION Fort George Road P.O. Box 749 Lake George, New York 12845 APPLICATION FOR PERMIT Pursuant to 6 NYCRR subpart 646 for: Construction, Modification or Installation of on of Wharfs or Moorings in the Lake George Recreation Zone Please type or print clearly in ink. Use separate addenda and exhibits to provide all required data and explanations for which space on the form is inadequate. APPLICANT 1. NAME OF APPLICANT: J O A w . S L a f-Ee r APPLICANT IS A/AN: k INDIVIDUAL PARTNERSHIP ASSOCIATION CORPORATION MUNICIPALITY AGENCY STREET / P.O. BOX: ) 3 )4 F i n r,` c k G t fG 1 F POST OFFICE: QuF EL,4-.4, r STATE: N . V. ZIP: J 2 8oit PHONE: ( S l 8 ) 7 9$ - 16 2 1 (I4 o,..e) 79.3 - 2 S 9-I C BKs:, d.cr) OWNER 2 . NAME & ADDRESS OF OWNER (if not applicant) STREET OR P.O. BOX: POST OFFICE: - STATE: ZIP: PHONE: ( ) t CONTRACTOR 3 . NAME - • DRESS OF CONTRACTOR n (if ite none) NAME: ) ccai r-e ed1 Co„frac+ot -i-e b e sr• v _ E.� S: � I Q-I-er PROJECT LOCATION 4 . VILLAGE:6 - TOWN: Q cc a ei s b u f'y COUNTY: W rr e„- 5. PARCEL TAX MAP NUMBER: SECTION BLOCK ) LOT S 6. PROPOSED USE: PRIVATE X PUBLIC COMMERCIAL 7. ZONING CLASSIFICATION: ges i d� e.►-�';a 8 . PROPOSED STARTING DATE: t N I+ PROPOSED COMPLETION DATE:- ) 2/a))/4- 9. APPLICATION FEE ENCLOSED $ qop acOt, (check or money order only) (REV 12-90) PROJECT DESCRIPTION 10. PROPOSED ACTIVITY: gE r» ov e oil dock S4r, c+c4res A.,o >Loa-1'A u.SF a. n S ro.,.r'('!•uc kl 04.+ J10 . re CC_4- 9ef is ex v✓i r7.r EXISTING CONDITIONS 11. TOTAL LAKE FRONTAGE •7 S" FEET ACCORDING TO: X TAX MAP X. SURVEY (attach copy of latest survey, if available) OTHER—Tgpecify) 12. NUMBER OF OTHER WHARFS OR MOORINGS ON THE PROPERTY 3 doeks 2 w.A4ce1' (if any, show on site plan including dimensions) Csft a(r�w:,�1) 13. PERMIT OR REGISTRATION NUMBERS: 2 .3 3 6 2 3,3 7 (for existing wharfs and moorings) 14. IS ANY PORTION OF THIS ACTIVITY FOR WHICH PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? YES X NO (If yes, explain in addenda giving reasons and dates and show existing work on drawings or map. ) 15. NAME OF PREVIOUS OWNER(S) : D), ri S. G a r y (list all changes in ownership since 1981) 16. NAMES AND ADDRESSES OF ADJOINING LAKEFRONT PROPERTY OWNERS (REQUIRED) rI (also note these neighbors on the site plan) EJ war S Baer-f sc/ii Box- Qz21 Asse...6)y ,eo,k-EQ,S2 k Q ' -e.y e , N•Y. 1 18 it.r Mark OP).,, /o AvF. .,v •J �U•v 15. CERTIFICATION: I hereby affirm that the information on this form and all attachments submitted herewith is true and to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct or 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. DATE 3)!t-)9 1-fi SIGNATURE: G �� PRINT NAME: Jo A, A. S 1, o f f e r NOTE: Article 15 Title 5 permit from DEC may be required if this project involves the excavation of material or the placement of fill such as stone, sand, gravel, concrete or similar material below the mean high water level (elevation 320.2 feet above mean sea level) . (REV 12-90) r ANDREWS', C POINT .BAY 1 COMFORT',, � // 1' i -'t 1' s PILOT /J/' YMCA KNOB / CAMP III CHINGACHGOCK post OMe. (1 •Fire Stotion /) ' eUC� \ (( BARBER BA r1Y(\\ \`t J ISOM Crosswinds Rd BAY , \ I '.7 Baker Rd ECHO BAY` Echo Bar Rd TRAVIS POINT ELIZABETH ISLAND / Cok ley Rd KJ, ,:At•\ II sc // 'IAl len Rd / l 7, / RIPLEY KATTS LL iij / BAY (( Mayflower Lo l` LONG POINT / /ISLAND ,, Pot Offi•ce i) Trout Pavilion Rd (t Lokeside SHELDON (�� Bean Rd / \ Chapel POINT li CLEVERDALE•Rd, Post Office \1 \ Faschers Marine Lock Y \\ s 1 ROCK HU'ST c 7 p l!' L/ brOBLY 5.: tF 1 JI n� e n�<�1 °' 0 4, cs.•-'� 4 Hillman n � i - _ � Rd o Po' SO" Lo a °• > 8rovton o• 1 • ' Williomsons t \I 9p \` It Store /a 4 \ Cleverdole 5 a Rd \ \� General ��1 Bq J' \\\ Store • QEa�'4-y f1 fire aO 1 , l� Marino •5ration v� „ ' 1J • • v I; A Cotholic cb it o Brayton (o Church (Poe " CD 'i J j �a e /� s CROOKED \9,6 . _ T \�/) TREE 0ds' , W • ��.5,, POINT '� O\ NC RTH POINT WOO DS YD^,o ��•G'1,\ CHURCH T DARK 4• ` b BAY 9y JROCK `\;\t A J`S9°Q O� 'ROCK PLUM l Y SHORE m\\ o POINT I to y r o e¢6orr j' p 1/d 1/2 I ZZ 1 s I1 PS� ; > * SCALE MILES r. 45 s° FRO h5 ��LAKE III °' TOP O' GLENS III GFORGF THE WORLD G Copyright 1976 J D.FISK FALLS I b 6' i 17, I; 7'BY r t 1 1 i I i i 1 QJt/ST/✓G OPEd Sioro QaorAmgrt , OLotS 1 ,a4',1 0" < A H.ra ail CR,34 ro RE RE/y auto r 871 fr' N I i 6 I -6--- L,w+o of: -- 16 3" d3.'6 7a 1?Otis' LiNE _ 75' LA, raau7 ToHN A. SHR FFER S/ic PG,7N ! Ex/41-iN6- Ooc K a,vo G'oA'HousF ScAL. 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SCALE! 1 Zu' DATE1 M Ate cif /o /99¢ THIS rn4P 15 $0.I5E.0 aA 5•A‘9 f-tELO A1oTc S AA0 c ei.-rS oNt,y WH4T (+k5 LOGA-re0 1o+o SH•w..-i oN THE We.cY- VanDusen & Steves LAND SURVEYORS,GLENS FALLS,NEV YORK $AEET -T•HELE1N, /•Rf-r /Au A,e {.,s.o N.Y. STATE LIC. NO. 35617 AL A Solve-y . 6-1- s q,}-o u r ---- N• \ 4 1 g, 1 ni, ti ti 1 , ,11.11 1 i [ill i .i ill li NI i Ili _.. 1_ ,i ,.. . . 24"? . ke. - \ / -- - - N., • F__ N77...._...........\t/_ _...\... 1, 1 I 1 - g. -e [ , ' .-. -----,- - - }-- 1174 9 >I.- --- --CA. .,• Thr Lii-f- _X A _ I,>< I 4=4'ai.-?-71-i `4--------2A. AL._ ------- + . • -36. i I C 1 P.6'' 6' I to • 1 e I TAHA" 11_ SI-le F.Fg . Na•_,Tc - PL 9 e' Oock ii,v1) 12013T140k.4C CoN_Laucnoil '94, LAKE GEORGE PAR CCOMMH SMoN ji TN!) P.O. BOX 749 aaw. LAKE GEORGE, NEW YORK 12845 dad Tel. 518 668-9347 FAX 518 668-5001 PERMIT for Construction of Rock Filled Timber Cribs for the Support of Docks Pursuant to the Environmental Conservation Law, Article 15, Title 5 Protection of Waters LGPC Permit Number: 5234-4-94 Effective Date: March 31, 1994 This Permit Expires: March 31, 1995 Permit Issued to: John Shaffer Facility: Shaffer private lakefront Address: 13 Heinrick Circle Queensbury, NY 12804 Facility Location: Assembly Point County: Warren Town: Queensbury Tax Map Parcel Number: 6.-1-5 AUTHORIZED ACTIVITY: The construction of open-sided, rock-filled timber cribs, not to exceed 8' x 12' in size, to be used for the support of a wharf, as depicted in the attached plans marked Appendix A and hereby made a part of this permit. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, the Navigation Law, all applicable regulations, the General Conditions specified, and any Special Conditions included as a part of this permit (see attachments). Permit Administrator: Michael P. White Address: PO Box 749 Lake George, NY 12845 Authorized Signature: Dated: `r //y Page 1 of GENERAL CONDITIONS Inspections 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of 1. The permitted site or facility, including relevant records, is others in order to perform the permitted work nor does it subject to inspection at reasonable hours and intervals by an authorize the impairment of any rights, title, or interest in real authorized representative of the Lake George Park Commission or personal property held or vested in a person not a party to (the Commission) and/or Department of Environmental the permit. Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such 8. The permittee is responsible for obtaining any other permits, - representative may order the work suspended pursuant to ECL approvals, lands, easements and rights-of-way that may be 71-0301 and SAPA 401 (3). A copy of this permit, including required for this project. all referenced maps, drawings and special conditions, must be available for inspection by the Commission or the Department 9. That the State of New York shall in no case be liable for any at all times at the project site. Failure to produce a copy of the damage or injury to the structure or work herein authorized permit upon request by a Commission or a Department which may be caused by or result from future operations representative is a violation of this permit. undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to Permit Changes and Renewals - compensation shall accrue from any such damage.10. That if future operations by the State of New York require an alteration 2. The Commission reserves the right to modify, suspend or in the position or the structure or work herein authorized, or if, revoke this permit when: in the opinion of the Commission or the Department, it shall a) the scope of the permitted activity is exceeded or a cause unreasonable obstruction to the free navigation of said violation of any condition of the permit or provisions waters or flood flows or endanger the health, safety or welfare of the ECL and pertinent regulations is found; of the people of the State, or cause loss or destruction of the b) the permit was obtained by misrepresentation or natural resources of the State, the owner may be ordered by the failure to disclose relevant facts; Commission or the Department to remove or alter the structural c) new material information is discovered; or work, obstructions, or hazards caused thereby without expense d) environmental conditions, relevant technology, or to the State, and if, upon the expiration or *evocation of this applicable law or regulation have materially changed permit, the structure, fill, excavation, or other modification of since the permit was issued. the watercourse hereby authorized shall not be completed, the • owners, shall,without expense to the State, and to such extent 3. The permittee must submit a separate written application to and in such time and manner as the Commission or Department the Commission for renewal, modification or transfer of this may require, remove all fill and restore to its former condition permit. Such application must include any forms, fees or the navigable and flood capacity of the watercourse. No claim supplemental information the Commission requires. Any shall be made against the State of New York on account of any renewal, modification or transfer granted by the Commission such removal or alteration. must be in writing. 11. Granting of this permit does not relieve the applicant of the 4. The permittee must submit a renewal application at least 30 responsibility of obtaining any other permission, consent or days before expiration of the permit. approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services, New York 5. Unless expressly provided for by the Commission, issuance State Department of Environmental Conservation or local of this permit does not modify, supersede or rescind any order government which may be required. or determination previously issued by the Commission of the Department or any of the terms, conditions or requirements 12. All necessary precautions shall be taken to preclude contained in such order or determination. contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, Other Legal Obligations of Permittee concrete, leachate or any other environmentally deleterious materials associated with the project. 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, 13. Any material dredged in the prosecution of the work herein direct or indirect, of whatever nature and by whomever permitted shall be removed evenly, without leaving large refuse suffered, arising out of the project described in this permit and piles, ridges across the bed of a waterway or floodplain or deep has agreed to indemnify and save harmless the State from suits, holes that may have a tendency to cause damage to navigable actions, damages and costs of every name and description channels or to the banks of a waterway. resulting from this project. Lake George Park Commission Permit # 5234-4-94 Page Z of GENERAL CONDITIONS (continued) 14. There shall be no unreasonable interference with navigation 16. All activities authorized by this permit must be in strict by the work herein authorized. conformance with the approved plans submitted by the applicant or his agent as part of the permit application. 15. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Commission or the Department may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. SPECIAL CONDITIONS 17. Any debris or excess materials from construction of this project shall be immediately and completely removed from the bed and banks of all water areas to an appropriate upland area for disposal. 18. The size of any individual crib shall not exceed 8 feet by 12 feet. 19. Spacing between cribs hall not be less than 8 feet. 20. No suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, or any other deleterious materials associated with the project shall be allowed to enter the waters of New York State, either directly or indirectly. 21. 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. Completed cribs shall be of the "open-sided" type construction and provide for at least 40% unboarded water contact area to the rock fill. 22. No rocks for use in construction is to come from the lake bed. 23. Heavy equipment, including bulldozers, backhoes, payloaders, etc., shall not be driven in the water. 24. A Lake George Park Commission permit sign shall be conspicuously posted at the work site and protected from the weather, for the duration of the project. 25. The permittee and any contractor, project engineer, or other person responsible for the overall supervision of this project shall read, understand and comply with this permit, including all special conditions to prevent environmental degradation. 26. No dredging or excavation lakeward of the mean high water mark is herein authorized and shall not be undertaken without specific prior wrtitten approval. Lake George Park Commission Permit# 5234-4-44 Page 3_—of—5_ APPENDIX A . _ . N• L :,, MA11 2 21994 Li i 1 . LAKE GEORGE PARK COlv1M:SS;cN, . . . 4. ab, • 4 1 - .1 - 4.11-r-T- c liznzi:Air ) n.1 hzi. . - . . , ill I 111 _1111111 .. - \ --\ 7-----77.- - \--7----\-17N • e• . . , . I I . . . W rca.ore tr. 11' -......... ...d. 1 . • d- — - . ..'.- -7-r---- —C-- :' ...wi -—AC --—--fe-6 w =a. . 47- N..1— 54-. ---1::_ii< >a . . ..4 ........ .i- " .? ••••••., . . -YE- • • - • I L 1 P I .. . 30' 1 I Li I P.6'. I 6' II'611 . 6' i - Tillibi_i_9__. Re..ET g R. _ . . _.... _____ _ _PRo _r_ Ph es' . - -- ----- ________ _..• 4041c advo /20R Ti40(-4-4E LGPC PERMIT #5234-4-94 PAGE 4 OF 5 CcAl- e Xev:Sed h . 17. 14€01- ._.. ___ APPENDIX A - F Vs\ r f / I I o .r �' • \ / I I I 10 I PraoIlsED 6 x 3Q Dock ea 7PJt c 8z�SQ' 4o,L7 I 3a°(��IskRI'- oN I 6'xd' sTbwr F.//co T/.)47re CR..d P.c4.t 16 9++o PRorp-ED /6 x10 6.4/Siu4T) F/gT Roof- - - t aDq�� C I OPEN S+OEO 409TNou.3E I ao' - y , I I 1 \ . I - ( I ti. _._.__ \ l . N. (� H ,I a _ _, • 7 46 'i3 .i E d2 6 iI ii3++ K i — 75' P.aPcpTi' Live A 4/ea or! , M94k WE/NMAN • < JoHN. A. _SHjFFER IANos of.... ' ejt..tsee D ERT.SSN1 42-0 PL. n/ PRoPAIE_.rz x_tica) _-,4na_TXoua.t_..-.-- ---- N oT To _4cA�E FE4 '94'- LGPC PERMIT #5234-4-94 PAGE 5 OF 5 - Key'? se MA,. It lc 9'-i-