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2002-068 TOWN OF QUEENSBURY Iwo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20020068 Date Issued: Friday, May 21, 2004 This is to certify that work requested to be done as shown by Permit Number P20020068 has been completed. Tax Map Number: 523400-239-015-0001-004-000-0000 Location: 5 WILD TURKEY Ln Owner: MARY CAROL WHITE Applicant: MARY CAROL WHITE This structure may be occupied as a: By Order of Town Board Dock TOWN OF QUEENSBURY (344443/1 Director of Building&Code Enforcement TOWN OF QUEENSBURY F4TO 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020068 Application Number: A20020068 Tax Map No: 523400-239-015-0001-004-000-0000 Permission is hereby granted to: MARY CAROL WHITE For property located at: 5 WILD TURKEY Ln 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: MARY CAROL WHITE Dock UPR. FONT GROVE Rd Total Value SLINGERLANDS,NY 12159 Contractor or Builder's Name/ Address Electrical Inspection Agency BOB SUTLIFF 747-2990 NOTRE DAME EXT NY 12804 Plans & Specifications 2002-068 REPLACE EXISTING DOCK PLOT PLAN SPECIFICATIONS $30.00 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 Queensbury before the expiration date.) Dated at the own Que bu ; ursday,January 31,2002 SIGNED BY efor the Town of Queensbury. Director of Building&Co e Enforcement 314 4Ir i_ TOWN OF QUEENSBURYys ..� 1. fit. -(7�� Igill BUILDING & CODES DEPARTMENT �� �s,� .?e:3'q AA t'I /36 ---- APPLICATION FOR: PORCHES-DECKS- # .��.'v i DOCKS & BOATHOUSES Jot 062 Est. Cost /S (xx) .I vv. l A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIt tty4tA � tf}YALL OF THE FOLLOWING: coDE 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. IWO SETS OF STRUCTURAL PLANS SHALL BE SI1llMI11Ei WITH THIS APPLICATION. - - — --_— ..-._..._-_..- Owner of Property: L 41 k 1 ILL P.O. Address 6 Y Thic-P- --Cork-- tiPhone # s/�5.3P-,ja37 Property Location cc (� 9e,_C- „ <tio,� s e�`� Tax Map # z„ty Subdivision Name (If applicable) PERSON RESPOONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: KO4 &C ( 5UT(If P Address ,( Oft-MC EK- Phone# BUILDING SPECIFICATIONS: 124C�� Q" 990 Type of work to be done: Porch Deck _Dock Boathouse (Circle one) Size of Structure to be built (square footage) : 9d() SIFT- d/4-ki `� Foundation Material : Width Thickness Depth of Footing, below grade: , Size of Posts or Studs: lr x , j x Long G/L5 Size of Floor Joists: 2x Y x /X Span ` �'� � C Decking or Flooring Material : 7- - ur-/ /S�l , ,� Rc-g4 How will Porch or Deck be fastened to building? ^ If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: x 'Sc 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 and d st ncT1y af-liiiiidi i-gs, 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: ft. x 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. 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 compl ed with, whether specified or not, and that such work is authorized by the owner. DATE: !• 1 SIGNATURE Owner, Owner's Agen „ Ar , it , Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE a/77J/bZ.- SIGNATURE S f Queensbury Building & Code Enforcement - Residential Final InspectionAtp.' Office No.(518)761-8256 Arrive: _ •m/p D•.art: a30? Date Inspection request received: Inspector's Init..ls: NAME: -NcC` #: 0(06 LOCATION: f/IT E: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish 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 Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 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 hurnace 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 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: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched IGarage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 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 or C/0 [Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 . 7 , ➢' ' ii '` 3 vs / ,_nr, A. I. kl J l jj �,+J� Aiti:L i 1 y ��j , • \ ..., . \i lif i . . ., 1, yam''' 4y 4Z LA t!'- j41�E g '''''" _.ate` tiv\., i.' I if -'1107, 1r1 \%‘it'e i'-'2' , ,,,,...„: 1,-- ,,,lp,,-\- --- ----.' .,.. s ,,,,,rts,,,k. fir' i f ,..,, '' , It, i \ -----41,...e I, .. ,, . ,, ./ :4,,,)Cs-' / '..-- k:. — 3,3 3.3..,,, ^4 \t 4 .. — ..__ ...ter_.. :.--- �" �— 'p-. C _ I �q b✓ .. /4 14-N ----.pt .'V47' 1 ' -'0, --,--"" ..,.,- - . ,4 c `R _ �,�` �` �� ram'' •- — _ ... .__._ .. __ _ r 1 rr'--.__ ram./: f`fr r7� A �1�,- '."'"o ,,,�. - _ _ ✓ 1 ..„----- - _�.-•�c r` Ct_ t f :Y15T7ACf: i // .r----.3 --1 'l' `: ,,, ,,T,„.. ,. ..... 1. - _±_.,-.-—.4 r.„ _.,•:% , 1,':UsE 61--tkL5,fm 1 F------'1 ___ --"" ,&,?Gtrft> - e Tx Sac {`C'��i' • - .-:)j , 4 f-,:: 1 . .7.,:,4•66 'A ` l :;.r6 to , rs� JAN 2 8 2002 _ , .,:.1-- 1 1 "" Ai 3 R "` . ? Schedule A it ' 4 / Page 5 of 5 LKE GEORGE PARK COMMISSION . k f Permit#5234-3-02 STATE OF NEW YORK RECEIVED LAKE GEORGE PARK COMMISSION ,» r JAN302002 .9' PO Box 749, 75 Fort George Rd Lake George NY 12845 TOWN OF QUEENSBURY A tel (518) 668-9347 fax(518)668-5001 PLANNING OFFICE QxceTsm}` www.lgpc.state.ny.us info@lgpc.state.ny.us Dr. Mark C. Johnson Michael P. White Chair Executive Director January 29, 2002 301 Dave White >f Upper Font Grove Rd. Slingerlands, NY 12203 , (°IY Permit # 5234-3-02 Standard Activity Permit G�� Parcel # 239.15-1-4, Town of Queensbury Dear Mr. White: 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 Sincerely, Molly Gallagher Deputy Permit Administrator cc: Law Enforcement Town of Queensbury Bob Sutliff k LGPC Permit Number State of New York Effective Date 5234-3-02 EFG LAKE GEORGE PARK COMMISSION 01/29/2002 Standard Activity Permit R'?" Modification or Renewal Date Typeof Permit )1N1 i kj. Expiration Date u New �.., .u.�, 01/29/2003 ❑ Renewal PERMIT ❑ Modification Under the Environmental Conservation Law ❑ 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-i.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 Dave White Address of Permittee Upper Font Grove Rd. Slingerlands, NY 12203 Contact Person (if not permittee) Telephone Number Bob Sutliff 747-2990 Facility Name Private Lakefront County Town Parcel# Warren Queensbury 239.15-1-4 AUTHORIZED ACTIVITY Repair or 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 oetyy Date 16 ;> • I j a 9 /0 Z 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#: 5234-3-02 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. Crib Work 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. 22. 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. 23. The size of any individual crib shall not exceed 8 feet by 12 feet. 24. 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. 25. 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#: 5234-3-02 Page 3 of 5 s t a' ': 1 1 3 f • .411:\\ ZS ti it - -- _ '/ lY J -r A m - 4_ ,,..5/ fe _. _ It /ling Wj �i'-C. —+ear. Sri- _ __ .j;.' g. __ j .. --,--«. v '..�.� w_s-.mod 'l`lit a.{ •-... s�..-';i:1'14. �� �.�-va��+r'i.r".� — I of..re-A,*-zr • ( �� --� a i p EC EOW E12� _�- ; + -_---f _- JA N 2 S ZOGL `� h d _. /f t. 4-1 Aftl I , Schedule A LAKE GEORGE PARK COMMISSION \ t Page 4 of 5 Permit#5234-3-02 jfkieg ° CEIVEar 'AN 2 8 2062 g A TOWN OF QUEENSBURY BUILDINr AND ODE °)( I 4— b„,:fit, L40 kt2I 6\Acl A leech,. .— A i dgf . i A • f - 'Sae,, -.7 tio- ) t* ' ._ 10 � t t, :4i,,,‘ kki ' ( . ---• Y /114411 . -*Iu'z 4.1.1/ - p „,,,,- cTI �l r j _ k ' SyE, 1 tf .„.....-— -'' y / fry e 4a�j,.4..... —i `.�.- 1^ 7..j-r,j „ _ „„.....6... _.___..... ...-._1-- €.•c..W ._.,Feces .�d'e�',,,-�k'. .-«..,i,. _ -10-c' !-----I-- _ C', 'it kt- I l } x,. F ', I ird _. J D OULIER, INC. { ".., 1 Box 301.G = a ; N. . 7.+:a Ei LAKE GEORGE PARK COMMESSit'N 4:,, . /174,./ '////'-'..;-:- ", at alma..a. tiateainS1ON e x.r., r, f .S f s... ! ..t a- YJ` , f'f / � r .� ._ — — Q_ ... ,{3 0 3 C c /r . ,-•re a G` (�/ir0 S, rf_ >C X x ' X /fV i rj .. .- , s o ere- /'7 a c.•c. G A rd' , t L/`,._..may / I C c `�It' , r Ctr��� I Cofsl. r ' � tc p� x x/.f/ i /—� Y VC 6 C rr C. t/ f f C.,ts — .voe 4-1 �';�l I . i ,� , -J Si I 1 c)r.r/-- -I , , }r' y E ) -4/Z44144n' ( 1 t I < t., - mac-----� --'r t' re 1 to j �- -r"' K. e. _ �a y` 4 a7 'q" ;yr�'-! ,ut , S'CCars STATE OF NEW YORK Y . ,'.4:,: 11.#4' LAB GEORGE P' COMMISSION i #�3 f 75 Fort George Road,P.O. Box 749 `` Lake George, New York 12845 °`' TEL(518)668-9347 FAX(518)668-5001 www.Igpc.state.ny.us permits@Igpc.state.ny.us APPLICATION FOR ARTICLE 15 EXCAVATION/FILL STANDARD ACTIVITYPERMIT For work below the mean high water level on supporting structures of existindvharfs Instructions: ✓ This form is to be used for legally EXISTING WHARFS only. An existing wharf is a dock or wharf registered with the Commission, or for which a permit has been issued pursuant to the provisions of Subpart 646-1 and its predecessor part. This office maintains the registration and permit files for wharfs on Lake George. Contact us for a copy of your authorized dock plans. If you plan to modify your wharf in any way, do not use this form. Instead, contact the Commission for assistance in getting the appropriate application. / Attach a site plan drawing or sketch which shows the subject wharf to be repaired. Also, show the location of any other existing docks, boat houses or moorings that are associated with your property. On your request, we will be happy to provide you with copies of plans of your docks that we have on file. / There is no fee for an application for a Standard Activity Permit. 1. OWNERT 0 INDIVIDUAL D PARTNERSHIP .D ASSOCIATION 0 CORPORATION 0 MUNICIPALITY 0 AGENCY NAME <. :11-1E Alit,;1 '- PHONE .577'9'3q 383y MAILING ADDRESS 69 lerpz-z ht. Cjeov,_ a CITY STATE ZIP CODE 2. AGENT 0 SAME AS OWNER D PRESIDENT OR CEOf CONNTRACTO/R 0 ATTORNEY CONSULTANT 0 CONTACT PERSON NAME �& /. ._[v j %761 %6! J T /OPHONE 6&I-aj.a MAILING ADDRESS 0 ,j ay., CITY , i„11' vl STATE ZIP CODE /ZI2 • 3. PROJECT LOCATION XF/21e._ TOWN 0 TICONDEROGA 0 DRESDEN SECTION BLOCK LOT i/ 0 FORT ANN ❑HAGUE 3 !' 7 _ ji<LAKE GEORGE 0 PUTNAM STREET O QUEENSBURY D BOLTON LAKE FRONTAGE feet NUMBER OF WHARFS AND MOORINGS CURRENTLY ON PROPERTY according to 2 Tax Map Survey 1 DOCKS MOORINGS 4. PROJECT DESCRIPTION This project will t$'Repair Cribbing l'Replace Cribbing J / 0 Other CQr6 'S ae - All osTZ7 SLS1idJ.. skviel Rel tiX)eA tizedC dc-lift. riatN IC- WHARF USE ;RESIDENTIAL 0 COMMERCIAL 0 ASSOCIATION 0 PUBLIC PROPOSED STARTING DATE ,RA490,9-- PROPOSED COMPLETION DATE 4--AV,L-- IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? D Yes 'No (if yes, please explain) M:1User\molly11formslapplication formststandard activity.wpd 5/17/01 Page 1 of 2 .- .,, . \ / t } il i i . / 41 I I 1 1 f I it ., .434 1 1 I ,, Ss e *L. if * 41 -no i t i f SW 0330 e, . - L...-'" . ,1,....t , , ... .. i 1 - i • .-----'..- 4 ' ..: R --_— , - -.e ads w ':' " a Onoonvoss ....*- .." • :' .. : -•• i 10. ..,-.:.'z, A-E-"i-' a• - -.—___, .. . ..z...4."„,....,....,. ''''''.. \,..,.... . ! 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