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2003-913 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number:_.. :P20.030913 Date Issued Tuesday,March 30,2004 ~ orkre estedtobe:done_asshowb Peimit.Number. This is to cerd thatw P20030913 has been completed. Talc Map Number: 523400-239-016-0001-010-000-0000 Location: 15 SIGNPOST Rd Owner: VIRGINIA CLARK Applicant: VIRGINIA,CLARK This structure may be occupied as a: By Order of Town Board Dock TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030913 Application Number: A20030913 Tax Map No: 523400-239-016-0001-010-000-0000 Permission is hereby granted to: VTRGTNTA CT ARK For property located at: 15 SIGN POST 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: VIRGINIA CLARK Dock $3,000.00 231 AVIATION Rd Total Value $3,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency FRANK DENARDO 656-9674 NY Plans&Specifications 2003-913 560 SQ FT DOCK AS PER PLOT PLAN SPECIFICATIONS $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, November 14, 2004 (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 of Qu ensbury; Friday, November 14, 2003 SIGNED Y ` for the Town of Queensbury. Director of Btu-Fa ing ode Enforcement Porch, Deck, Dock, or Boathouse Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. No Permit File No. - 3 inspection will be made until applicant has received a valid Fee Paid building permit. All applicants' spaces on this application must be completed and must appear on the application form. Reviewed By: Applicant: iJ O Owner: Vii iNjq 0 L4a kr Address: Sc./ &ha),irc:- L Address: 23/ f}0j617i0,-i) Phone#( (,5t - Phone#(p9 ) Email Address: Email Address: Person Responsible for Supervision of Work as Regards to Building Codes: Name rzemt ociY4o, Address: gl/64 ,72i G/U Phone, 3�. Property Location: Lot Number: / House Number / $ v 1c/ G�67 Subdivision Name: Tax ap Number: 2. 3 f l6 -/- 1!, Estimated Market Value of Construction: $ 303.4 -"— ❑ Porch a Deck Dock ❑ Boathouse ❑ Other work(describe Size of structure to be built© square feet F IF r i V 2 9 zCC3 Submit along with this application: 1. Two plot plans drawn to scale,preferably usingSy ,del i� a proposed structure showing setback dimensions from all prodrty lines. Show location of water supply and location and configuration of septic disposal area. 2. Two sets of structural drawings. Indicate size of posts or studs, floor joists, decking or flooring material to be used. Show how the porch or deck will be fastened to the building. If a roof will be constructed, indicate the size of posts or studs,roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or other. Indicate the type of material being used for the roof. Declaration: please sign below after you have carefully read the statement: To the best of my knowledge 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 noted,and that such work is authorized by the owner. Applicant's signature: Date: M..29 L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: ffi ' Queensbury Building&Code Enforcement Arrive: ap, m Depart: -2_, am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: ______C_�S` PERMIT#: O a� LOCATION: C=� � DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location ----- Fresh Air Intake f'g fiv„`l f3& C3 K 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Interior privacy/trim/doors/main entrance 36 in. 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: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures _ Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert.Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\Suellemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 STATE OF NEW YORK ` `'` LAKE GEORGE PARK COMMISSION , I' `,..i 3 4, PO Box 749, 75 Fort George Rd ,,�j, *` II, �. Lake George NY 12845 9' �� ' tel (518)668-9347 fax (518) 668-5001 `" 0)., ,�' ,,-,-;.,-0,.:,,--- www.lgpc.state.ny.us info@Igpc.state.ny.us Bruce E. Young Michael P. White Chair Executive Director October 30, 2003 Virginia Clark 231 Aviation Road RECEIVED Queensbury, NY 12804 Permit # 5234-48-03 Standard Activity Permit NOV 0 4 23031 , ,/ Parcel # 239.16-1-10, Town of Queensbury TOWN OF QUEENSBURY PLANNING OFFICE Dear Ms. Clark: Enclosed is your permit for work on structures supporting existing wharf(s) as proposed in your written application. This is a standard activity permit issued based on a riparian owner's written request for the repair or replacement of wharf structures. This permit 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, under a special delegation agreement with the Department of Environmental Conservation who normally issues these approvals. The permit is valid only for the repair or replacement of legally existing wharfs and their supporting structures with no change in size, shape or location. Please review the general and special conditions included on 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 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. Sincerely, c. -.7 .174 ' 11.&1-66 (2(Yive/ Molly Gallagher Deputy Permit Administrator cc: Law Enforcement Town of Queensbury Frank De Nardo LGPC Permit Number State of New York Effective Date 5234-48-03 EFG LAKE GEORGE PARK COMMISSION 10/30/2003 Standard Activity Permit ' e Modification or Renewal Date Type of Permit a Expiration Date ® New r�E • 10/29/2004 ❑ Renewal PERMIT ❑ Modification Under the Environmental Conservation Law El Variance Article 43, Title 1, 6NYCRR 646-1.1 Article 15, Title 5, 6NYCRR 608.5 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 646-1.4 and certain other boats, barges and vessels restricted. Stormwater Management X 6NYCRR 608 Water Quality Certification Permit Issued to Telephone Number Virginia Clark 518-793-9098 Address of Permittee 231 Aviation Road Queensbury, NY 12804 Contact Person (if not permittee) Telephone Number Frank De Nardo 656-3625 Facility Name Private Lakefront County Warren Town Queensbury Parcel# 239.16-1-10 AUTHORIZED ACTIVITY Replacement of cribs, piles or other structures for legally existing wharfs on Lake George as shown on the plans attached as Schedule A and made part of this permit. No change in size, shape or location of existing wharf(s) is authorized. 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 e- Date �11 /3 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 assocation or marina purposes. request by a Commission or a Department representative is a violation of this permit. Environmental Protection 13. 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 14. 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 15. 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 16. 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 17. 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. 18. 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 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#: 5234-48-03 Page 2 of 5 GENERAL CONDITIONS 18. There shall be no unreasonable interference with navigation by the work herein authorized. 19. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the permittee 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. 20. If future operations by the State of New York require an alteration in the position or the structure or work herein authorized, or if, in the opinion of the Commission or the Department, it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Commission or the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State. Water Quality Certification 21. If granted under 6NYCRR Part 608, the Lake George Park Commission hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. Crib Work 22. 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. 23. No rocks for use in construction are to come from the lake bed. The following specifications apply to the construction or replacement of rock-filled cribs. Existing cribs may be repaired. 24. The size of any individual crib shall not exceed 8 feet by 12 feet. 25. Spacing between cribs shall not be less than 8 feet. A minimum of 6 feet of open water shall be maintained between the shoreline and the first crib to allow for free circulation of water. 26. Completed cribs shall be of the"open-sided"type construction and provide for at least 40% unboarded water contact area to the rock fill. LGPC Permit#: 5234-48-03 ( Page 3 of 5 a: . .„ . . . :„: ill (-- . eoh .pfd_. d_icufrk c4,r\ _. . .:.,.i... - . . _ /... A• ,.„..,.. A,/ 2) , •,,,... ...,,., . ......_ ...„, „....• ...„. .5- 1.,.. , , y,� J � • .,..: I / (21 .--.:-: ArtcY6D 1 • 1- Pt-ep__e_tlt:/ I :::,:-...'. e ... , . .• ,,. 12 7. 1 f/ e 41 ► 2. J \. 130 � 5X IZ li,fr. v12' / / I /,% I 1 /% ?• b , .., .:. Un /-\, , , a a./ , ..:.:, Schedule A Page 4 of 5 Permit #5234-48-03 V { 71. Schedule A • Page 5 of 5 �' Permit#5234-48-03 al h`5 . 0.0 i, d_ . 1[ci,fr C ry k, ) • . :.„.„ 4 / i/L /1 / V 2) ,• :-•.,„-..,T. _,,,,.._ . ,.,,... . . ...,„ o O3 -iL3 3,. __..,. 1 i„, , , w, + l/Le— k , I. A0f61/6-D I . WI'14 f k DATE a I 1 El . ./y/, , ril ...11 r:i 1 ....,.... e, , 1 1 i. 2- /5- \ / (30 512 ,: If l -%. b.„... .,, Un ch., o _ rn s is a/ 3'1n RATION OF EXISTING WHARF o•Z / ,y _ - Registration Number only for wharfs in existence on Lake George prior to ` Recreation Zone Regulation (6 NYCRR Part 646)•. 1St--!."`I e ny\ 12obe.t---f- j r-3' `118 4 / / Corporation / / Association / /Municipality a . a,� �: Telephone Number. Pr-,C1-C/ Home: ' �f.' ' poI Bus : • Include a location sketch of site, a sketch City or Village of wharf on site and a photograph of existing structure., (Include dimensions and distances Town 1)ee-rLS bury County (S ,(LJ-fin to adjoining properties.) Was a DEC Protection of Waters permit (Article 15, Title 5) required? / / Yes 0 No If yes, what was permit number: (If yes,information listed in #4 is not required) • Date wharf was constructed or first installed . /�.. ram(.. • Has an O.G.S. Grant of Easement been issued? / / Yes No If yes, what is O.G.S. Easement Number? • Is wharf removed from the water annually? /7 Yes No Certification: _I hereby affirm that.the information provided 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 applicant accepts full legal responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and _agrees to indemnifyt and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. (;(7-71----71'--K /6 (24...,4', Date Signature For Department Use Only CERTIFICATE OF REGISTRATION The wharf described herein meets the requirements of qualifying as a pre-existing structure and no permit is required to re-install or maintain the existing structure. A registration marker provided with this certification shall be attached to the wharf in a conspicuous location easily visible from the lake and permanently maintained. A new permit is required for any work that alters the size, shape or location of the wharf. %PR - Regional Permit Administrator `'22/- -' Date