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99-656 \--Ni ENSBURY TOWN OF QUE . Fivio ,, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 i1 ' i`z, , 'CERTIFICATE. OF OCCUPANCY , .: ,::,,,,.,,, : „ !lit , :if: ,, : t,,,„,,t : :: . . Permit Number: _ 99656 Date Issued: Tuesday, November 24, 2009 • This is to certify that work requested to be done as shown by,Permit Number 99656 • has been completed. 0 Location: ! ' 34 PULVER Rd . Tax Map 1.umber. 523400-227-014-0001-013-000-0000 ' Owner. '. ` i ,, HORMI HOLDING COMPANY, LLC Applicant;•�`r 4=`' 1 PAULSEN, CARL & OTHERS This struCtur :;maybe�occupied as a: Unknown ': :; i s i By Order of Town Board . : ; ,, TOWN OF QUEENSBURY . Issuance of this Certificate of Occupancy DOES NOT relieve the Y. property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building it Co I e Enforcement Planning Board or Zoning Board of Appeals. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 10000 Building Permit No. 99656 TAX MAP NO. 1 8 . -1-1 3 . 2 PAULSEN, CARL & OTHERS Permission is hereby granted to Owner of property located at 3 4 PULVER RD. in the Town of Queensbury,to construct or place a DOCK at the above location in accordance to 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. Owner's Address: 2226 PINE RIDGE COURT SCHENECTADY, NY 12309 • Contractor or Builder's Name: CREEDE, JOHN Contractor or Builder's Address: PRO-BUILT DOCKS PO BOX 182 KATTSKILL BAY, NY 12844 0182 • Electrical Inspection Agency: • Type of Construction: DOCKS • Plans and Specifications: 697. SQ. FT. DOCK AS PER PLOT PLAN. SPECIFICATIONS Proposed Use: DOCK 30 • - - November 3 . . 2001 . . .. $ PERMIT FEE PAID—THIS PERMIT EXPIRES (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.) 3 _ November 1999 Dated at the T of Queensbury t is Day of SIG for the Towns of Queensbury Code Enforcement Officer tizE% - TOWN OF QUEENSBURY Fee Paid 0-© ° . r, ' s ' BUILDING & CODES DEPARTMENT ' Fr�f .� :' :r �;, APPLICATION FOR: PORCHES-DECKS- ermi T.- DOCKS & BOATHOUSES Est. Cost pif ®® 0 . A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: kr ;A: 1;4,4: 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 �_; P p P ;� conditions as maybe indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED _4— WITH THIS APPLICATION. ' Ot' .Owner of Property: . ,9' 1"`r 5n. • CctfI AG() / e� 'r` P.O. Address a,6 / ,Ali. Ware Co ire Phone # 3VA ,5-6&, ,: Property Location ku r`.f/ ec Tax Map # I — ,�.� ,, K. �_:; . Subdivision ,Name (If- appl-i cabl e) -- - --• - — -- - : ,. PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 0 BUILDING CODES: .kr Creek � d; 1t por fi n Name: '��d�V /flo5 Address !L'�G�y � �y� : Phone# BUILDING SPECIFICATIONS: 36I Tess tip.,• ,� Type of work to be done: Porch Deck lock boathouse (Circle one) Y' Size of Structure to be` built (square footage):' ,3't. Foundation Mate,rial•: ..Width - Thickness Y4. Depth of Footing, below grade. r Size of Posts or Studs: x x Long CR Q Qc'C _ A' Size of Floor Joists: x x Span S`; i ?. Decking or Flooring Material : - -------- ,,_, How will Porch or Deck be fastened to building? I RECEIVED e�:;; If Roof Will Be Installed, Answer Following Questions: n ,,,, Size of Posts or Studs: x x Long. OCT 1999 - '24'` J Roof Rafters. x Spacing Span T�; "I OF,..,.•-E;.i :�URy ;.` .,��® vvo CODE Roof Trusses (pre-engineered spacing): Span r, Type of Roof: Sloped Flat Shed Other (Circle one) a Material of Roof: -i: ZONING INFORMATION: 4}.1: 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'su ly and ''= location and configuration of septic disposal area. Pp y �fy. t-•• (t .} f° Size of Property: (COS ft. x l�_3 ft. I}( t iO slf f `,.. Existing building(s): Size ft. x ft. tigc. Size ft. x ft. '` Use of Existing buildin s P �' � 9( )� RCS(C�c'✓�c��Su w.w,Cr �' 3l90p Sy'F•(, • ,;� Proposed structure, distance from property line: . °6' Front yard ft. Rear yard ft. {'°�` Side de��&:; yards ft. and ft. = If on corner, setback from side street: ft. a :. 4:1,f,t . 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 a; ,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 s: 1. , shall be complied with, whether specified or not, and that such rk is authorized by the %`.;owner. *c DATE: • qI (r(f- w t t ' SIGNATUR , 0 e ner s Agency, . i t, ntractor `K4 REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 5 SIGNATURE Queensbury Building.& Code Enforcement -Residential Final Inspection Off ae No. (518)761-8256 Arrive: am/pm e art: r.v ml m p Date Inspection request received: ) Inspector's Initials: • (A4 /� NAME: f CVI,r U 1� f I'� PERMIT#: ccly LOCATION: •u ec r } •I DATE: TYPE OF STRUCTURE: _ y Comments: r.J "NIA 4°. Building Number Address visible from road 51cc f()5' Chimney Height/"B"Vent/Direct Vent Location _ T" Fresh Air Intake fb� 3 Inch Plumbing Vent through roof minimum 6 inches V � Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall - Interior/Exterior Railings 34 inches to 38 inches Deck Bracing I Handicapped Ramp.Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed I regulator 18 inches above grade Interior privacy/trim-/doors/main entrance 36 inches • Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing • Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: - Attic access 30 inches x 22 inches x 30 inches(height in accessible area i Crawl Spaces 18 inch x 24 inch access, I sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping.finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum IA"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/3/hour fire door/door.closer Duct work Sealed properly ' Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System I Sewer Dept Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C/0[Temporary/Permanent] L:1Building&Codes Forms\Building&Codes\lnspection Forms1Residential Final Inspection Form revised 100405.doc;Revised January 7,2008;Revised 6/26/08 • ' ' LAKE GEORGE PARK COMMISSION 5.q- 1� , ,., t 75 FORT GEORGE ROAD +_41�. ,: P.O. Box 749 ` :i, LAKE GEORGE, NEW YORK 12845 0c-u,4= www.superior.net/---lgpc CARL R. DE SANTIS MICHAEL P. WHITE Chairman - Executive Director November 4, 1999 RECEIVED ���I V Carl Paulsen iP 2226 Pine Ridge Court Schenectady NY 12309 NOV 0 8 1999 RE: Wharf Construction Permit#5234-30-99 TOWN OF QUEENSBURY Excavation/Fill Permit#5234-31-99 PLANNING OFFICE Dear Mr. Paulsen: 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 Article 15 of the Environmental Conservation Law relating to excavation and/or placement of fill. Please review the general and special conditions included in the permit; these are intended to minimize any environmental disturbance associated with the authorized activity. The Article 15 approval was issued under a special delegation agreement with the Department of Environmental Conservation who normally issues these approvals. This eliminates the need for separate application forms and fees which would otherwise apply to this 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 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, - - . ` j al (7 . Molly Gallagher. .• - Deputy Permit Administrator Enclosure - - - cc: LGPC Law Enforcement Town Supervisor John Creede TELEPHONE(518)668-9347 E-MAIL:Igpc@superior.net FACSIMILE(518)668-5001 t M:\USER\MOLLY\FORM\PERMIT\DOCKMOQR LAKE GEORGE PARK COMMISSION LGPC PERMIT NUMBER -s'N.1/7 EFFECTIVE DATE 5234-30-99 DN {+ ' i► , ,i.??�. , November 4, 1999 5234-31-99 EF -ef_. R TYPE OF PERMIT EXPIRATION DATE ® New PERMIT November 4, 2000 ❑ Renewal Under the Environmental Conservation Law (ECU ❑ Modification o Variance X Article 43, Title 1, 6NYCRR 646-1.1 Article 43, Title 1, 6NYCRR 646-1.1 Construction and Modification of Wharfs Placement of Moorings X Article 15, Title 5, 6NYCRR 608 Article 43,Title 1, 6NYCRR 646-1.2 Use and Protection of Waters 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-Seaplane Recreational Use-Tour Boat • Article 43, Title 1, Section 43-0117 Operation of ferries and Article 43, Title 1, 6NYCRR 646-4 certain other boats, barges and vessels restricted Stormwater Management PERMIT ISSUED TO TELEPHONE NUMBER Carl Paulsen (518) 382-5616 ADDRESS OF PERMITTEE 2226 Pine Ridge Court Schenectady NY 12309 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER John Creede (518) 656-3619 NAME OF FACILITY(AND ADDRESS IF DIFFERENT) LOCATION Pulver Road, Kattskill Bay COUNTY TOWN PARCEL Warren Queensbury 18-1-13.2 DESCRIPTION OF AUTHORIZED ACTIVITY Construction of a new 40' wide, 38' long, F-shaped wharf complex consisting of two wharfs with an open-sided boatcover/sundeck and construction of open-sided, rock-filled timber cribs to be used as support for wharfs in accordance with plans attached as Schedule A and made part of this permit and as conditioned herein. By 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, the General Conditions specified and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR ADDRESS Michael P. White PO Box 749, Fort George Rd, Lake George NY 12845 AUTHORIZED SIGNATURE DATE � �w�L //.�9 Page 1 of 6 LAKE GEORGE PARK COMMISSION GENERAL CONDITIONS 1. All activities authorized by this permit must be in 9. Granting of this permit does not relieve the strict conformance with the plans attached as permittee of the responsibility of obtaining any other Schedule A and made part of this permit. permission, consent, permit, or approval from the Modifications to the project require prior approval in US Army Corps of Engineers, US Coast Guard, NYS writing from the Commission. Office of General Services, NYS Department of Environmental Conservation, NYS Department of 2. The permittee and any contractor, project Health, Adirondack Park Agency, or local engineer, or other person responsible for the government which may be required. overall supervision of this project shall read, understand and comply with this permit, 10. The permittee has accepted expressly, by the including all special conditions to prevent execution of the application, the full legal environmental degradation. responsibility of all damages, direct or indirect, or whatever nature,and by whomever suffered,arising Inspections out of the project described herein and has agreed to indemnify and save harmless the State from 3. The Commission and/or the Department of suits, actions, damages and costs of every name Environmental Conservation (the Department) and description resulting from the said project. may-- - conduct -such on-site surveys, - - - - -- - investigations, examinations, and evaluations 11. The State of New York shall in no case be liable for from time-to-time as it deems necessary to any damage or injury to the structure or work herein ensure compliance with the terms and authorized which may be caused by or result from conditions of this permit. future operations undertaken by the State for.the conservation or improvement of navigation, or for 4. A copy of this permit must be available at all other purposes, and no claim or right to times at the project site during performance of compensation shall accrue from any such damage. the authorized activities. Failure to produce a copy of the permit upon request by a 12. No commercial use, as defined in 6 NYCRR 645-. Commission or a Department representative is a 2.1(i), of the permitted dock, wharf or mooring is violation of this permit. herein authorized. Regulatory fees are due April 1 of each year for docks,wharfs and moorings. Permit Modifications & Renewals Environmental Protection 5. The permittee is responsible for keeping the permit active by submitting a renewal 13. Disturbance to the bed and banks of Lake George application, including any forms, fees or shall be kept to the minimum necessary to complete supplemental information which may be required the project by the Commission, no later than 30 days prior to the expiration of this permit. 14. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by 6. Any change or modification in any of the suspended solids, sediment, fuels, solvents, activities authorized by this permit is subject to lubricants,epoxy coatings,paint,concrete,leachate prior review and approval by the Commission. or any other environmentally deleterious materials - - --Any-modification-of-this-permit granted-by the -- associated with-the project. - - - - Commission must be in writing and attached hereto. 15. Heavy equipment, including bulldozers, backhoes, payloaders, etc., shall not be driven in the water. 7. The permittee is responsible for obtaining any other permits, approvals, land easements, and 16. Any material dredged in the prosecution of the work rights-of-way which may be required for this herein permitted shall be removed evenly, without activity. leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may Other Legal Obligations of Permittee have a tendency to cause damage to navigable channels or to the banks of a waterway. 8. This permit shall not be construed as conveying to the 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# Page 2 of 6 5234-30-99 & 5234-31-99 LAKE GEORGE PARK COMMISSION GENERAL CONDITIONS 17. Any debris or excess materials from construction 26. Every dock or wharf constructed shall have a of this project shall be immediately and completely minimum setback of twenty feet from the adjacent removed from the bed and banks of all water areas property line extended into the lake on the same to an appropriate upland area for disposal. axis as the property line runs onshore where it meets the lake, or at a right angle to the mean 18. There shall be no unreasonable interference with high-water mark, whichever results in the greater navigation by the work herein authorized. setback. 19. If upon the expiration or revocation of this permit, Crib Work the project hereby authorized has not been completed,the permittee shall,without expense to 27. Stone used for filling shall be clean (not contain the State, and to such extent and in such time and any material than can pass through a No. 8 sieve). manner as the Commission or the Department may• The stone shall not be less than six (6) inches in require, remove all or any portion of the diameter. uncompleted structure or fill and restore the site to its former condition. No claim shall be made 28. No rocks for use in construction are to come from against the State of New York on account of any the lake bed., such removal or alteration. The following specifications apply to the construction 20. If future operations by the State of New York or replacement of rock-filled cribs. Existing cribs may require an alteration in the position or the structure be repaired. or work herein authorized, or if, in the opinion of the Commission or the Department, it shall cause 29. The size of any individual crib shall not exceed 8 unreasonable obstruction to the free navigation of feet by 12 feet. said waters or flood flows or endanger the health, safety or welfare of the people of the State, or 30. Spacing between cribs shall not be less than 8 cause loss or destruction of the natural resources feet. A minimum of 6 feet of open water shall be -of the State, the owner may be ordered by the maintained between the shoreline and the first crib Commission or the Department to remove or alter to allow for free circulation of water. the structural work, obstructions, or hazards caused thereby without expense to the State. 31. Completed cribs shall be of the "open-sided" type construction and provide for at least 40% Wharf Construction Specifications unboarded 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: 32. Moorings shall be placed so that vessels moored 21. The location of the mean low water mark must be to them, at the full swing of their mooring or field verified prior to construction. In no case shall anchor line, will be no closer than twenty feet to any part of the wharf extend further than 40' from the projection of the property lines extended into the mean low water mark. the lake along the axis of the property lines as they intersect the lake, or a line extended at a 22. The maximum surface area of any dock or wharf right angle to the mean high-water mark, shall be seven hundred square feet, including any whichever results in the greater setback. walkway. 33. Moorings shall not be placed so that the full swing 23. The maximum width of any pier shall be eight feet of the vessel extends more than one hundred feet and the minimum width of any pier shall be two offshore from the mean high-water mark. feet. 34. Moorings must meet the following minimum 24. The maximum width of any dock or wharf, specifications: At least one cubic foot of buoy is including all lateral projections, shall be forty feet. to be above the waterline; a one inch strip of reflector tape is to be placed around the upper part 25. No structure shall be constructed on a dock,wharf of the buoy; the buoy shall be all white with a one or mooring which exceeds sixteen feet in height inch blue strip placed horizontally around the above the mean high water mark and which is not circumference above the water line. in compliance with local zoning. LGPC PERMIT# Page 3 of 6 5234-30-99 & 5234-31-99 ■ 66-6C-1 S'8 66-01~ti£ZS#11Waad;d07 g;o V abed 9'C- isiio1 oz „i HOUSE \..44.00'1"...111.111111: • f, Sa61 . 70.64 \,\...-C- • \-- y \-..—_— vs a v, r J -- M { (4 ',/ _ `.,!, •i 1\ . 014°1\ ( .�� N ( \ - J. ON 51/. s j,L,`� _ x .. C. 7.. .11C... \ i. vo T S ac .o a ■ --- 71\-- •tN l...0 • d a 1t1Q3H3S • . I g► n�fS�ifs `\^u��(� ‘t , vc) ' tol" Ats -,AMIHriellleignarlananinnirrirl ...‘_ b (16 • . 4` s41 OAsiMilnasiiiinsis altuarammis ve is aC1\�� 11 7 . l_ axis (AebV R6-1-EL1 X4 CoLuriti S 18' i f a' oPE-r( s i D 6 x8 45°c .c14c was; 6 r SNo@, (3oRt 1(ouaE 6x8 cD4 R&) w/ss S �IAeDW Q. c • • CY% $ LC° • . Y a+.- SS _1 3 CI 1- ra m t U - • _ —_....__....__...._ -....___----_• - SCHEDULE A • . - V>L .1-a.l. K s Z. 4 • . iiki 4.,•.. . ,,_, . .14 . SIN. ________ iiiolio I 8 VI,' iN /K5iX kX ,K � � 1 , , ------ ' I ..: ‘, I1J I / 1-44. 1 i • ' 40 _ . i lb id • 11; ,8 t . i crii s1< .Kx7x-1‹, .& . 4 iii I I1 . - \ ph ' gs, ` _*Ci ' \ '3 . t _ I, ` I 1 ✓ HJ •' IC, 8 X ,k. >-(: X.4 •>M r ' • pil .., L / '- 0— . 1 / •K "yx• NxKX . xelzxl .,___ / ,14‘ Page5of6 LGPC PERMIT#5234-30-99&5234-31-99 f Cs State of New York RECEIVED Lake George Park Commission PO Box 749, Fort George Road OCT 1 81999 Lake George, New York 12845 TOWN OF QUEENSBURY Notice of Availability for Review PLANNING OFFICE Notice of Complete Application Date: October 15 , 1999 Application: 5234-30-99 Type:DN BH MINOR Applicant : CARL PAULSEN 2226 PINE RIDGE COURT SCHENECTADY, NY 12309 Project Location: TOWN OF QUEENSBURY, WARREN CO. Parcel#: 18-1-13 . 2 PULVER ROAD, KATTSKILL BAY Project Description: CONSTRUCT A NEW 38 ' LONG, 40 ' WIDE, WHARF COMPLEX CONSISTING OF TWO WHARFS, WITH AN OPEN-SIDED BOATCOVER/SUNDECK, AS SHOWN ON THE PLANS ATTACHED. SEQR Lead Agency: None Designated SEQR Determination: 1 - Type II Action TO INTERESTED PARTIES : Comments Due: October 30, 1999 This notice is being sent to allow you an opportunity to comment on the proposed project. Written comments must be received by the "comments due" date above and should detail specific reasons for your interest, support or opposition. Return this form and any comments to : Molly Gallagher LGPC, Box 749, Lake George, NY 12845 . Phone: (518) 668-9347 . Reviewer Comments : 0 No Comments 111 Comments below or attached cc: _ Town of Queensbury KARL PAULSEN RICHARD CAROTA • - Prepared by: - Address : Telephone: ( ) Date: . LAKE GEORGE PARK COMMISSI• . ` ,. ►� T� t • • - FORT GEORGE ROAD, PO BOX 749 / LAKE GEORGE, NEW YORK 12845-0749 . phone 518-668-9347, fax 518-668-5001, e-mail lgpc@superio s net• APPLICATION FOR PERMIT FOR DOCKS, WHARFS, f�'" p"+fr d►�► �' ' THIS APPLICATION IS FOR THE: ,$Construction of a New Dock or Wharf ($200) ❑ Placement of a Mooring ($100) ❑ Modification to an Existing Dock or Wharf($50) ❑ Modification to an Existing Mooring ($50) ❑ Article 15 Excavation/Fill (work below mean high water level as part of wharf construction) - no fee APPLICATION FEE ENCLOSED: (check or money order only) 1. NAME OF APPLICANT: Or. f/'S , Cur L Pa✓ keel APPLICANT IS A/AN: 1 .Jndividual ❑ Partnership ❑Association ❑ Corporation 0 Municipality ❑ Agency aaa P`C d COWit City: JcAeNec�ao( Street/PO Box: �rve 2�' (/•e y State: Atc! )O/ Zip Code: 0?07 Phone: 5( 3?")--y(p t 2. NAME OF OWNER (if not applicant): Scn/6.-e.... Street/PO Box: City: State: . . Zip Code: Phone: NAMES OF PREVIOUS OWNERS (since 1981): 3. NAME OF CONTRACTOR (if known): Pa0 r .� • Street/PO Box: I ` 0. 6 01, htix City: kci!/ck'/) eiT y State: L i/ / '/k Zip Code: ,avy Phone: 6J v6JE/q 4. PROJECT LOCATION: SECTION D e BLOCK LOT—(3.2 (parcel tax map number) ' l !Jd J STREET: v Ivey P-p VILLAGE: . - TOWN: ty �lc'r' 5. . ZONING CLASSIFICATION: Re 5 e !1letz.1-i Cl ` 6. NUMBER OF WHARFS OR MOORINGS CURRENTLY ON PROPERTY: Permit, Registration or Account Number(s): 7. TOTAL LAKE FRONTAGE: (o$ according to ❑ Tax Map XSurvey (attach copy) CI Other (specify) 5.0-vcit fi'^ 6uce SkveS 31 Gegicr Si C-(crnFalIs IVO( 8. PROJECT DESCRIPTION: • FORMS\APPS:WHARFMOO.APP 4/99 Page 1 of 2 03, 3 . . '9. ¶ POSE,p,US IS X_Residential ❑ Commercial ❑ Association ❑ Public 1 ? zz.r 10. 4 IF COMMERCI L, THE FACILITY AND ITS ASSOCIATED LAND USES IN COMPLIANCE PROVISIONS OF STATE AND LOCAL LAWS, ORDINANCES, RULES AND emu:.. !l! 3 ►'. YES ❑ NO, EXPLAIN p� 11. PROPOSED STARTING DATE: w,1e� I`q�PROPOSED COMPLETION DATE$" '7L CcC 12. IS ANY PORTION OF T US • TIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? Yew ,, (if yes, please explain) acy,t.„\i- Arp • ADJOINING LAKEFRONT PROPERTY OWNERS: Tax Parcel #: f Tax Parcel #: • Name: Kz'\ �u Seln Name: R(CcN erok Q 6 rt) lZ Mailing Address: O S�rlhq Wcxc\ t400/- br Mailing Address: 1 0(vcr R0-04 I�Uc��Vi�le �l'l' . (I 14. CERTIFICATION: I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project scrib-d herein and agrees to indemnify and save harmless the State from suits, actions, damages and co' f e - na ► and description resulting from the said project. /// I fj / 711* • Signature of applicant Date • 15. AGENT AUTHORIZATION: (if applicant is not the owner of the property) I hereby authorize the above applicant to act on my behalf as my agent to obtain all necessary permits or approvals for the above project to be constructed on my property. Signature of owner Date 16. SITE INSPECTION: During the processing of this application Lake George Park Commission (LGPC) personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing any existing docks, cribs, moor' • •, operty lines, or other in-lake structures on the site. Please sign below to authorize LGPC members a, .r sia.f to ' nnduct such a site visit. fi ?fio? Signature of owner g Date Do you wish to be contacted prior to the visit? 0 yes 0(no Comments THIS FORM MUST BE ACCOMPANIED BY SITE LOCATION MAP, PROJECT PLANS AND ANY OTHER REQUIRED INFORMATION (SEE APPLICATION INSTRUCTIONS). IF THIS IS AN ASSOCIATION LAKEFRONT OR IF OTHER PARTIES HAVE DEEDED OR CONTRACTUAL ACCESS TO THIS LAKEFRONT, PLEASE PROVIDE NAMES AND ADDRESSES OF ALL INVOLVED PARTIES. n FORMSW; TAR: O.APP:� lge 2 • . IOts'StWd , , .Y • _ .. _ _ . . - .HOUSE aj7j��{l� , nn]]hh L f . S86'1'0'00"E �r4.'r 70.84 Sj4.�' . . ' • • 13 5 58�00"e •�2 • - -I' \ -3:, --: -7:\ \ CC ) . \ \ ' CO _W PROPOSED BOUNDARY I I I - LINE ADJUSTMENT , - AREA i I 41 ,690 s•.ft. o ci.J.. ' Js7'18'5•' TO LOW WA • R LINE o 0 So MMCR I cn w 00uj1� o o • S64 48 I 0 76 O0 \h I k o 308 F I N o I 'J • Q • H 84'3� 44„E ro o • &71J , ;, I • AREA I\ Q�.�4, ' 40,810 sq.ft. `' ��c, TO LOW WATER LINE .� • • co' .i. ivy . . / . /. . / ..* ., .y / 196..69 i N8.1•aQ - o 1 1 II Spa 3' Off" 7 �� - c k. \rub b cat) 7 , • ax t: ntF Ri,C?EiJ _ Ig' 7( Lf. oPtrc 41bEX Xg CoLur�Ns s�°,� l�oR� F�OUdE 6 X8 4,51E S., RTs 4,48 Ft-NOR Ds w/sS 8• t C� • �S • HAQDWo 2il . tV r(• ' . . +1' °ss 0 60r nsoas — ... j►.4 - Ix ,K1 11,-,r - I: P T „: „\\\"6,12 _9 .if \ !kilo vi 010 la 1114 6 11 - \ ti • \ ' \ \ \ to - ti \\ \ \ $ \ \ \ . \ lot ••••••• \.\\\"*4 .,,. (-c‘' ' , \ .. xi • , -. \ \ \ s‘\ ” 1 • \ Vol •-•••••-• \ . . , • . \\, ; 4. --- Iv *I oil v di 1\110\t . \ \ \00 , , • tits ., .. , \\\ 4010, •.4t .1 . v.0.1w. ,..„ .0v$ .,t ,. • •__•- •kvis • . ,, . ‘ , 144ii•tt•-•-•-s-- , man LAKE GEORGE PARK COMMISSION Y 14_. w1 S19 Ayr 4i. , ,�►��. 75 FORT GEORGE ROAD " � I�• P.O.Box 749 LAKE GEORGE,NEW YORK 12845 efees,toi _ www.superior.net/Agpc Agpc CARL R.DE SANTIS MICHAEL P.WHITE Chairman Executive Director November 1, 1999 Carl Paulsen RECEIVED 2226 Pine Ridge Ct NOV 0 2 1999 Schenectady NY 12309 TOWN OF QUEENSBURY Application#: 5234-30-99 PLANNING OFFICE Parcel ID#: 18-1-13.2,Town of Queensbury Dear Mr.Paulsen: The comment period for the above application ended on October 30, 1999. The permit will be issued upon receipt of documentation of the adjustment of the lot line. Please forward documentation to my attention. Please call me if you have any questions. Sincerely, d � (2;Ve Molly Gallagher Deputy Permit Administrator M:\USER\MOLLY\Docs1DOCS 1999\99APPLS\paulsen.npp cc: Town of Queensbury TELEPHONE(518)668-9347 E-MAIL:Igpc®superior.net FACSIMILE(5181668-fiOn1 TOWN Or UEiENSBUR ::, DI dG DEPARTMENT Based on our limited examination, compliance with our comments shall ! not be construed as indicating the 5 plans and specifications are In full compliance with the code. MA/ F1Lc yr : TOWN OF 1/421..FPNSBURY BUILDING 3 J i ` , T. �• REVIEWED By DATE 3_F 'Date: OCTOBER 7, 199 • Scale 1'=40' F'"' I d • Map made for S- 1 KARL A. PAULSEN 2 12-9-98 REVISED BOUNDARY LINE SI•$T 1 OF 1 'wn of Queensbury, Warren County, New York 1 11-9-98 PROPOSED BOUNDARY LINE PAULSEN NO. DATE DESCRIPTION DWG. NO. 98174 ro, HOUSE • S86'10'00"E /�''y AY 70.84 574 Sg 135 ,20„e ce ,,......9 p.j j to, cc) 0 V • . • 0It' _� 1 - ty' 0 0 Q 0 { 1 II PROPOSED BOUNDARY I LINE ADJUSTMENT AREA 41,690 s•.ft. I v) d _ 187'18'5•'- TO LOW WA ' R LINE o )o •4. 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