2002-074 TOWN OF QUEENSBURY
vers! 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020074 Date Issued: Monday, July 22, 2002
This is to certify that work requested to be done as shown by Permit Number P20020074
has been completed.
Tax Map Number: 523400-226-015-0001-019-000-0000
Location: 98 BAY Pky
Owner: JOSEPH &NANCY POLONSKY
Applicant: JOSEPH &NANCY POLONSKY
This structure may be occupied as a:
By Order of Town Board
Boathouse TOWN OF QUEENSBURY
(--- 41,fi
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
WS! 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020074 Application Number: A20020074
Tax Map No: 523400-226-015-0001-019-000-0000
Permission is hereby granted to: JOSEPH &NANCY POLONSKY
For property located at: 98 BAY Pky
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: JOSEPH&NANCY POLONSKY Boathouse 10,000.00
2 ROSLYN St Total Value 10,000.00
ELLENVILLE,NY 12428
Contractor or Builder's Name/ Address Electrical Inspection Agency
FRANK DENARDO
656-9674
NY
Plans &Specifications
2002-074
581 SQ FT BOATHOUSE AS PER PLOT PLAN SPECIFICATIONS
$50.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,January 31,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Que . . . • before ex "ratio h a,.)
Dated at the To n •f - ; , •ay,January 31,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
40 - TOWN OF QUEENSBURY
Fee Paid 12)
BUILDING & CODES DEPARTMENT ,
APPLICATION FOR: PORCHES-DECKS- Permit # c7
DOCKS & BOATHOUSES Est. Cost Jd dVV
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWE IE�UWING:
The undersigned hereby applies for a Building Permit to do the followi ork which will
be
done in accordance with the description, plans and specifications submittedsubmittedominirpmtpspecial
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS /EtL lt SUIlMIUE
WITH THIS APPLICATION.
TOWN OF BUILDING CODE
D
Owner of Property: _t , LLjtjc '
�� CV ttz"c%
P.O. Address
�� `� r' H �l�T Ag3F4-! L`i ' Fro Phone #( 0t)23--Kite
Property Location ;Al..4e., Tax Map #22&,fr, _(-1q
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: r2l�t_11� t7Fp2 pG� Address84- ' n-fe,1" Ave (' `3�L>
our�C�1 t , 1..1T-' Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage): —
Foundation Material : Width Thickness
Depth of FoOting, below grade: , IJA
Size of Posts or Studs: (9' x (� x 8`.0 Long
Size of Floor Joists: x ID x (/'-p Span
Decking or Flooring Material : R. /coo
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
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 i st flETTy aTriiiii dings, 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: 70`.0 ft. x !(90 ft.
Existing building(s): Size •3d ft. x 4o ft.
Size 22 ft. x 24 ft.
Use of Existing building(s): ;raa,1rl�- iWO
Peps04C0 (WAGE.
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and 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 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: /30 /O
SIGNATURE .0
Ow er, Owner's Agen e, ec •/C nactor
REVIEWEDBY CODE ENFORCEMENT OFFICER, DATE a, SIGNATURE\ ,.� tr
v I w J '
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 7
Building&Code Enforcement
Dept.of Community Development Arrive 3 az(pm Depart
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME ?O/D V1`,k #z=.. oD a -G 7�
LOCATION G DATE 7//6011 CJ
TYPE OF STRUCTURE
t X `—" — N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location '
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Iet/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 'sers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 .or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door do •
Garage fireproofing
Garage penetrations seal-
Furnace in separate $• •rotected(in garage)
Light ventilation per room
Safety glazing 18"or lets from floor
Final Electrical
Site Plan/Variance req sired \/
Final Survey Plot Plad
As Built Septic Systetn layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive 2Depart2120
Town of Queensbury Inspector's Initials if / ,V
742 Bay Road
Queensbury,New York 12804
ME �D S P /i ��Q< S PERMIT# 2002- 0 74
NA
LOCATION 4-Se /7 NOIYtT y DATE t 7-/6— O Z
TYPE OF STRUCTURE 450a74ct/S P
.SAP /-2002
N/A YES NO COMMENTS /1 U f,200 Z.
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake //
Plumb Vent through roof a Ot'�� QS pp (QILS.
Roof Complete f
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected 1
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fncproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
to issue C/C(Certif of Compliance) ?�
(ta Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE ► a D P- 'T pm Notes:
(518) 761-8256 Inspector's Initi
NAME: PERMIT# — £7 L
LOCATION: )Q INSPECT ON(date): ();
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following,the placement
of the concrete.
Materials for this purpose`en site
Foundation/Wallpour. _
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Veiits in lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
R-
Duct work or in
piping
unheated spaces R-
Pro Vent,Attit I
ming_ —
Jack Stud • rr I
Bracing/B�!;mgC
Joist Hangers r/ Pk�1c) �,V C _
Jack Posts/Main Beam Y
Air Infiltration Barrier
Fire Separation 1,2, 3,hour _
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Buiiding.Codes.Incpection.FORMS\GENERAL INSPECTION REPORT.doc
{
STATE OF NEW YORK RECEIVED
-,`• LAKE GEORGE PARK COMMISSION
PO Box 749, 75 Fort George Rd NOV 0 6 200
114
-40.,.
k= ! Lake George NY 12845
*` tel (518) 668-9347 fax (518) 668-5001 TOWN OF QUEEN
wdErg,....-",--- www.lgpc.state.ny.us info@Igpc.state.ny.us PLANNING OFFICE
Dr. Mark C. Johnson Michael P. White
Chair 0 d_-O 7 Executive Director
November 0 , 2001
Joseph & Nancy Polonsky
2 Roslyn St
Ellenville, NY 12428
Permit #5234-40-01 Wharf Construction Parcel #226.15-1-19
Town of Queensbury
Dear Mr. & Mrs. Polonsky:
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.
Please note that it is the responsibility of the permittee 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, 1 2
�L ' 7
Molly Gallagher ,i
cc: Law Enforcement Deputy Permit Administrator
Town of Queensbury
Frank Denardo
•
LGPC Permit Number State of New York Effective Date
5234-40-01 DM LAKE GEORGE PARK COMMISSION 11/05/2001
Modification or Renewal Date
Type of Permit
'3,42 ;
Expiration Date
® New 11/05/2002
❑ Renewal PERMIT
❑ Modification Under the Environmental Conservation Law
❑ Variance
X Article 43, Title 1, 6NYCRR 646-1.1 Article 15, Title 5, 6NYCRR 608.5
Construction and Modification of Wharfs 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 I Article 43, Title 1, 6NYCRR 646-1.4
I I Recreational Use- New I 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 646-1.4
and certain other boats, barges and vessels restricted. Stormwater Management
Permit Issued to Telephone Number
Joseph & Nancy Polonsky 914-647-7972
Address of Permittee
2 Roslyn St
Ellenville, NY 12428
Contact Person (if not permittee) Telephone Number
Frank Denardo 656-3625
Facility Name
Private Lakefront
County Town Parcel#
Warren Queensbury 226.15-1-19
AUTHORIZED ACTIVITY
Replace peak roof boathouse with sundeck as shown on the 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.
Deputy Permit Administrator: Molly Gallagher
Lake George Park Commission, PO Box 749, Lake George NY 12845, 518-668-9347
Authorized Signature Date
//' ( /51 r Page 1 of 5
./
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 or marina purposes,
request by a Commission 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 of waterway.
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
Conservation, NYS Department of Health, Adirondack of all water areas to an appropriate upland area for
Park Agency, or local government which may be required. disposal.
9. This permit shall not be construed as conveying to the 19. There shall be no unreasonable interference with
permittee any right to trespass upon the lands or interfere navigation by the work herein authorized.
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.
LGPC Permit#: 5234-40-01 Page 2 of 5
GENERAL CONDITIONS
20. If upon the expiration or revocation of this permit, Crib Work
the project hereby authorized has not been completed, 28. Stone used for filling shall be clean (not contain any
the permittee shall, without expense to the State, and to material than can pass through a No. 8 sieve). The
such extent and in such time and manner as the stone shall not be less than six (6) inches in diameter.
Commission or the Department may require, remove all
or any portion of the uncompleted structure or fill and 29. No rocks for use in construction are to come from
restore the site to its former condition. No claim shall be the lake bed.
made against the State of New York on account of any
such removal or alteration. The following specifications apply to the construction or
replacement of rock-filled cribs. Existing cribs may be
21. If future operations by the State of New York require repaired.
an alteration in the position or the structure or work
herein authorized, or if, in the opinion of the Commission 30. The size of any individual crib shall not exceed 8 feet
or the Department, it shall cause unreasonable by 12 feet.
obstruction to the free navigation of said waters or flood
flows or endanger the health, safety or welfare of the 31. Spacing between cribs shall not be less than 8 feet.
people of the State. or cause loss or destruction of the A minimum of 6 feet of open water shall be maintained
natural resources of the State, the owner may be between the shoreline and the first crib to allow for free
ordered by the Commission or the Department to circulation of water.
remove or alter the structural work, obstructions, or
hazards caused thereby without expense to the State. 32. Completed cribs shall be of the"open-sided" type
construction and provide for at least 40% unboarded
Wharf Construction Specifications water contact area to the rock fill.
The following conditions apply to all newly constructed
wharfs which have not received a variance from any of Moorings
these limits: The following conditions apply to all new moorings which
have not received a variance from any of these limits:
22. The location of the mean low water mark must be
field verified prior to construction. In no case shall any 33. Moorings shall be placed so that vessels moored to
part of the wharf extend further than 40' from the mean them, at the full swing of their mooring or anchor line, will
low water mark. be no closer than twenty feet to the projection of the
property lines extended into the lake along the axis of the
23. The maximum surface area of any dock or wharf property lines as they intersect the lake, or a line
shall be seven hundred square feet, including any extended at a right angle to the mean high-water mark,
walkway. whichever results in the greater setback.
24. The maximum width of any pier shall be eight feet 34. Moorings shall not be placed so that the full swing of
and the minimum width of any pier shall be two feet. the vessel extends more than one hundred feet offshore
from the mean high-water mark.
25. The maximum width of any dock or wharf, including
all lateral projections, shall be forty feet. 35. Moorings must meet the following minimum
specifications: At least one cubic foot of buoy is to be
26. No structure shall be constructed on a dock, wharf above the waterline; a one inch strip of reflector tape is to
or mooring which exceeds sixteen feet in height above be placed around the upper part of the buoy; the buoy
the mean high water mark and which is not in shall be all white with a one inch blue strip placed
compliance with local zoning.
27. Every dock or wharf constructed shall have a
minimum setback of twenty feet from the adjacent
property line extended into the lake on 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.
LGPC Permit#: 5234-40-01 Page 3 of 5
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LAKE GEORGE PARK COMMISSION
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Schedule A
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