98-013 -
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 8 19 98
98013
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be used as a DOCK
Location ROCKHURST RD.
Owner REYNOLDS, ERIC & JANET
By Order of Town Board
TAX MAP NO. 15 . -1-11 T OWN OF QUEEN SB RY
Director of Building & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 7500 No. 98013
TAX MAP NO. 15.-1-11 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to REYNOLDS, F.R-TS Rr .TANF.T
OWNER of property located at ROCKHURST Rn. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a nnex
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. DINNER'S Address is
3 WESTMORE AVE.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
CALLAHAN, SHAWN
3. CONTRACTOR or BUILDERS Address
BOX 137
KATTSKILL BAY, NY 12844
4. ARCHITECT'S Name
•
S. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by XI
DOCKS
l I Wood Frame 1 I Masonry ( I Steel ( I
7. PLANS and Specifications •
37102.SQ FT DOCK AS PER APPLICATION
8. Proposed Use
DOCK
30 January 26 2000-
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
26 January 19
Dated at the Town of Queensbury this •Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector "
w TOWN OF QUEENSBURY Fee Paid c � A /�) /
IF, 1 BUILDING & CODES DEPARTMENT - Permit # �J �' ( /t�
APPLICATION FOR: PORCHES-DECKS
DOCKS & BOATHOUSES Est. Cost 7'5(�CT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. . PLEASE ANSWER ALL OF THE FOLLOWING:
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. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: (1-�- t tya c C S
w�S--,,-'o r-e, Aye. aier.�sto `�, I.�-?6(1- Phone # (5l P) 7�Y- 7Y-V?
P.O. Address 3 �� ;N•
Property Location (2ac)41JrS4- 0.) CleverJcl e Tax Map # it -1- ( 1
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING/ CODES:
Name: 51[,•. . C-VI Address f3J� 15>7 /(cJ ki/J &i J) Phone# -Ns?v
()- 41
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Zia) Boathouse (Circle one)
Size of Structure to be built (square footage) : 370
Foundation Material : Width Thickness
Depth of Footing, below grade: C'41' cr- c.Sti-°" lean Al0.0 (•wk e
Size of Posts or Studs: (Q`' x (p " x Lonn RECEIVED
c
Size of Floor Joists: LI N x c 1' x 6 / Span
Decking or Flooring Material : y`x ' "x. 1 L` JAN 10998
How will Porch or Deck be fastened to building? ,L of ot,}EENBBVRY
BUILDING AND CODE .
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 and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: I bL ft. x Cl7.5 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 i 5 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: 1)///2/A- '43 SIGNATURE �/
Ow er, Owner's Agen y Ar hi ct, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE �Ilip C(Y) SIGNATURE
TOWN OF QUEENSBURY
ril°64'i� ' BUILDING & CODE ENFORCEMENT
. � 742 BAY ROAD
/ �, QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: I t LP) DEPART:. I INSP: j 2
l{
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSP C ION REQUEST RECEIVED:
NAME ("()A)O c_,'
LOCATION / ' 'j?4/ -
DATE7 PERMIT I
TYPE OF STRUCTURE •,G(1_,
FOOTINGS FOUNDATION BACKFILL _ FRAMING _
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT ' i
PLUMBING VENT •
ROOFING
EXTERIOR FINISH i
DECK PORCH. STEPS RA LI GS -
RELIEF VALVES W
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS •SWEEPABLE
OTHER FLOORS CARPETED
r
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS \//'' .
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT
OK TO ISSUE C/O O' k///:
, . r';'-7! "7-.' • --• --I.
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State of; New York_ ifH-Tie • 1 .
Lake George Park Commission
PO Box 749 , Fort George Road
' .. Lake George , New, York:12845
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Notice, of Availability' for Review ,
Notice' of Complete Application , .
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Date : ,January 14, 1998 ' , Applicationv .5234-1-98 ,
Type:DM BH . . MINOR
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Applicant: ERIC REYNOLDS '
3 WESTMORE AVE . . .
QUEENSBURY, NY 12804
Project Location: .TOWN OF , QUEENSBdRY, WARREN CO. • Parcel#: 15-1-11
ROCKHURST ROAD ,
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,
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Project .Description: MODIFY AN EXISTING STRAIGHT DOCK TO RESULT IN A 25' WIDE,
- 40' LONG U-SHAPED CRIB DOCK 'WITH AN OPEN-SIDED BOAT
COVER/SUNDECK AS SHOWN ON ' HE 'PLANS ATTACHED . ' .
'SEQR Lead Agency: None' Designated
SEQR Determination: 1 - Type . II Action . .
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TO INTERESTED PARTIES: ' , Comments Due: January 29, 1998. 1
This' notice is being sent to: Allow you an opportunity , to comment on' the
• proposed proiect. '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 - : ' MollyGallagher
'LGPC , Box 749 , Lake George, NY '12845 . Phone : ( 518 ) 668-9347.
Note: . _•
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Reviewer Comments: 1-1No Comments , Comments below or attached
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CC: 4 -1167
Town' of' Queensbury . , .
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LEONA BECKERLE
HENRY & EMILY NAGAMA- - '
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1651 ;':=1.0gtEt-
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Prepared by
: 14 - . . -"- - Unit/Address
Address: 7etz_
-7 ,
Telephone: ( -.18) )---7G' I -P37-Z_C\• .Date : 144b_:
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LAKE GEORGE, NEW YORK 12845-0749
f ` j t ,MCA ( 518-668-9347
LAKE P si TFORDeeks, :AFS MOOR::: NGSry
THIS APPLICATION IS FOR THE:
❑ Construction of a New Wharf ($200) 0 Placement of a Mooring ($100)
Modification to an Existing Wharf($50) 0 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: 50 (check or money order only)
1. NAME OF APPLICANT: <;.
APPLICANT IS A/AN: ®`Individual 0 Partnership ❑Association
❑Corporation ' . 0 Municipality ❑Agency
Street/PO Box: ij 0 - \V7 City: r.,,4+ k; 1
State: (v1' Zip Code: ! ?Li--Li Phone: 6- 8 7`r S— 7 S r
2. NAME OF OWNER (if not applicant): r;c.
Street/PO Box: W�� °r-e_ 4 vim City: Cl-)e/t
J
State: Zip Code: I <d o 4- Phone: CS.i P \ 7 •-3`i y
NAMES OF PREVIOUS OWNERS (since 1981):
3. NAME OF CONTRACTOR (if known): RI I ci 4 C 5; - C ,�r c + G,
J
Street/PO Box: .3 k 1 ?7 City: '<< ;5 k, I. R
cS
State: v Zip Code: (.2 4- Phone: CS t I M S ' 7
4. PROJECT LOCATION: SECTION 1 7 BLOCK I LOT 1 1 (parcel tax map number)
STREET: i<< •-Lk,v4 r:'; c . VILLAGE: <- (tvvrcti sic:- TOWN: Q�eenr 2�J
5. ZONING CLASSIFICATION: e
�
6. NUMBER OF WHARFS OR MOORINGS CURRENTLY ON PROPERTY: 1. kl-1�/
- �-
Permit, Registration or Account Number(s):
7. TOTAL LAKE FRONTAGE: A I according to n'JTax Map 0 Survey (attach copy)
❑ Other (specify)
r
8. PROJECT DESCRIPTION: i s 6 � L l c r-tc; i Ci�
1
. ` c L
Page-1 of Z
FORMS:WFL&RFMoo.A?? :�
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9. ,PROPOSED USE IS: ' trRisidenti41. • 0 Commercial , 0 Association .0 Public , ,
10. - IF COMMERCIAL, IS THE FACILITY AND ITS ASSOCIATED LAND USES IN COMPLIANCE
WITH APPLICABLE PROVISIONS OF'STATE AND LOCAL LAWS, ORDINANCES, RULES AND
• REGULATIONS. 0 YES 0-NO, EXPLAIN ..
11. PROPOSED STARTING DATE: '/ ' 8 'PROPOSED COMPLETION DATE: 3 �.
1 I
12. IS AiNY PORTION OF THIS'ACTIVITY FOR WHICH A PERMIT IS:SOUGHT NOW BEGUN OR
-COMPLETED? 0 Yes Vsio (if yes, please explain)
13. -ADJOINING.LAKEFRONT PROPERTY OWNERS: , , - .
Tax Parcel #: /S " f-- I 0 . ,. 'Tax Parcel #: I S— I I-
Name: 'L� �� 13 e.L cr 1--e ', : ' Name: IN J c S 1 s U . Hewry i-G ( .
Mailing Address: 'a^ l3<\ . Rc<0:1,)�S 42 A Mailing Address: f�-� �=�rs": 2`I• ( ck k Zt '
`- - - • C t t--.i' 1\1..)' .. 1 1 72 6 - ,..:‘,-,-_.r---J s.,\.4,-..-- y ‘ ) -D-ci )-(‘)
14. .. CERTIFICATION: Thereby 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 described herein and agrees to,indemnify and save harmless the State from
suits, actions, damages and costs,of every name and description resulting from the said project. .
2/5 S' . - - -
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 ppropery/. '
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Signature of owner ' •7"
16. '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, moorings,
- - , property lines, or other in-lake structures on the site.' Please'sign below to authorize LGPC members and/or
staff to conduct such a site,visit. ' . ,
114
14./ /'.1 - (.,(C,-(; '' . ' . , .
mature of owner v 0 -'/
Date
7 Do you wish to be contacted prior to the.visit? :ryes 'no
Comments '
THIS FORM MUST BE ACCOMPANIED BY SITE LOCATION MAP, PROJECT PLANS AND ANY
OTHER REQUIRED.INFORMATION (SEE.APPLICATION INSTRUCTIONS)' , .
FORMS:WHARM FOO•APP :19a Page 2 of 2
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--4 TOWN OF QUEENSBURY BUILDING DEPARTMENT . .
Based on our limited examination. r......,....: (3 ',i -compliance with our comments shalt
not be construed as indicating the :
; I RECEIVED
:
plans and specifications are in full
TOWN (*IF ,,U -EPNS "Ir J N 1 44998
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compliance with the code. I
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BUILDING % rt:o. -)4r:7 DFDT
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