2010-144 . � TOWN OF QUEENSBURY
c
^� 742 Bay Road,Queensbury,NY 12804-5902 518 Q rY )761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100144 Date Issued: Friday, February 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20100144
has been completed.
Location: 120 LAKE Pky
Tax Map Number: 523400-226-015-0001-013-000-0000
Owner: RICHARD & ALICE CHASE
Applicant: RICHARD &ALICE CHASE
This structure may be occupied as a:
Dock By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance, or ;
other issues and conditions as a result of approvals by the Planning Board p • `�' . z
Director of Building&Code Enforcement
or Zoning Board of Appeals. .0
TOWN OF QUEENSBURY
FoN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100144 Application Number. A20100144
Tax Map No: 523400-226-015-0001-013-000-0000
Permission is hereby granted to: RICHARD &ALICE CHASE
For property located at: 120 LAKE 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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: RICHARD &ALICE CHASE
41 GLENMERE Dr Dock
CHATHAM,NJ 07928-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
DAVID EHMANN
747 STATE ROUTE 149
LAKE GEORGE,NY 12845-0000
Plans &Specifications
2010-144
695 sq ft dock (Site Plan Review No. 23-2010 for dock)
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 02, 2011
(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 T wn of eet4 •(i esday,June 02, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
_______ ...___e_s .. .. ..o '.>..
OFFICE tISE ONLY :: 9.i .
' e ,..pp: , 2 2010 f
_s •
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure(house)to include, but not limited to:
garage, shed,greenhouse,dock, deck, etc. Refer to Informational Brochure No.3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE M�ADDE(UNTIL THE APPLICANT HAS RECEIVED A VAUD BUILDING PERMIT.n
OWNER: i'Z��‘//t-1-{'A'R) C).. °r� it INSTAI I FR/BUILDER: bA 4)I j C ■�t wv� /
ADDRESS: qj CTL6A.Pre;t��✓ a. Ci' NI- ADDRESS: 1 <�', 1 i � L .6j-.
PHONE NOS. 2 J 2 — `1� ' D PHONE NO . . r ;: • i -1 •-‘`
LOCATION OF PROPERTY: g SSEin4
81 Po a('3 SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: /20 I E +`j,14-k3q' [
ESTIMATED COST OF CONSTRUCTION: $ 30 1 - _ ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? CIES
IF YES,PLEASE LIST: AP-t4)6 W(Icip DSO , f /t
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: pert)ID ' f"4'}& IV PHONE: 812 O-5 3b t0667
PROPOSED CONSTRUCTION 1 Sr FLOOR 2t4)FLOOR TOTAL PHEIIGHTD
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH' I
BOATHOUSE
BOATHOUSE WITH SUNDECK j I
DOCK 6 G 5 .-
SHED
POLE BARN
I DETACHED GARAGE(NO.OF CARS: )
I OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge,the statements contained in the 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 Codes,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. Further,it is understood that
I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued,as requested by the Zoning Administrator or Director of Building
and Codes,an As-Built Survey by a licensed surveyor,drawn to scale, QUESTIONS? CALL 761-8256 OR EMAIL
showing actual location of all new construction. f codests queensburv.net
{
I hav- re-, and agree to the ..•ve_ VISIT OUR WEBSITE FOR MORE INFORMATION;
, ' II /jj ww .q ensbury.net
Signed Dated: "L /�!+�
NamefTitle(Printed) /T'" I!J C Al`s" v
QTown of Queensbury` Community Development Office ° 742 Ralf Road, Qaccns fury, NY 12.SO4
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120 Lake Parkway __,,,„,,__ 28'0" IN--
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North elevation
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from mean
f \\—! .' \ / / high max
/ 320.2
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can high
water 320.2
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swim ilei 12' native pine 12' native pine
open style open style
crib crib
Richard Chase
120 Lake Parkway
N
Build dock and
boathouse.
scale 1/8"=1'
South elevation
— 38' 0" `!
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crib crib
Richard Chase
120 Lake Parkway
Build dock and
boathouse.
N
scale 1/8"=1'
West elevation
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\ mean high
\ 320.2
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Richard Chase
120 Lake Parkway
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APR - 7 2010 --- 28'0" —
LAKE GEORGE PARK COMMISSION -- 13'0" — property line
C and C ase - -- ___ extended
120 Lake Parkway •—•
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Richard Chase -- 20' 0"
120 Lake Parkway __ ________ 28' __ __
6„ -_ property line
extended
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7'$7x12' 7t6 12'
APirc 7 2010 ' or d
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320.00 N
-317.74 8' swim 1 8' swim
2,26 I thru I 13'0" thru N
or 2' 3" N 38' 0" '�
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7 67,X12, I oo ,l
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4/5/10 @1:30 pm= \\ ID
2'3"depth is low weer — 1 da) E
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North elevation
3 0"
Ihm 38' 0"
1
1/177 HI'' - I Li -
ri l it iH i t _I - ' 1 " 1 -I n i j ; 1 1 i
- - from mean
- — – - n high max
, 320.2
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typ•
iI 1 1 1I ' mean high
water 320.2
- u L4 —mean low
1' ' L ,
1 317.74
i
8' swim thru
6'shore
swim thru 12' native pine 12' native pine
open style open style
crib crib
Richard Chase - - - - -
120 Lake Parkway
N APS , 2010
Build dock and - - -
boathouse. \ -
Schedule A scale 1/8"=1 '
Page 6 of 8
Permit#5234-21-10 & 5234-22-10
,
t
South elevation
38' 0"
FII 11 � 1� 11 I 1 1 i1 1� I l' j. i' I I r 1
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high max 1 1 ' "86j 1 I
320.2
9
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mean low
317.74 ' 1 ---_
I-' -- A _ -
n 1
8' swim thru
12' nativepine 6' shore
12' native pine swim thru
open style open style
crib crib
Richard Chase 1,
120 Lake Parkwayt-'k _ 0'1
..__
Build dock and - --__-
boathouse.
N
Schedule A scale 1/8"=1'
Page 7 of 8
Permit #5234-21-10 & 5234-22-10
151E � � S
� II _ '
APR - 6 �'0� '
J 1� Lit
West elevation
LAKE GEORGE PARK COMMISSION
I--as— 18' 0" __
I - - ' - - - 1 i
\ \I 1
/ _ \
\ 160
max from
�_�mmean high
\ ' 320.2
mean high
I I I I 320.2
I I imean low
113' 0" = r- 317.74
-1 C I C
i
1
i
i
1 1
h-lis 28' 0"
Richard Chase
120 Lake Parkway
N scale 3/16"= 1 '
I
Schedule A
Page 8 of 8
Permit#5234-21-10 & 5234-22-10
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIP L CERTIFICATE - ELECTRICAL APPROVAL
Permit No. . ... Cert. N2 2186 Cut-in Card No
Owner 4 (^F� ' y6
Location....1..1 t ,�t K.S f k( (4*.' (".l C7
Installllation Consisting of ,�-64 /16"1::/ 1'1 F1✓� J 4 f .r'L
Installed By....1 1 eH/IIIA Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak" g inspections at any time, and if its
rules are violated,the Company shall have the right tt r oke th" pertificat .
s "
Date v" ` S - �7 INSPECTOR . /j
Member N.F.P.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Resid ntial Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: /f diam/pm
Date Inspection request received: Inspector's Initials:
NAME: ( 1 f c _ PERMIT#: ,E /
LOCATION: 1:gt-.. /,;_P;- f- �.,,r DATE: -'/�°. 7/
TYPE OF STRUCTURE: �, -scx;6413ic
Comments:
Yes No N/A
("..'t
4" Building Number Address visible from road ' _ C ;�I C'l_ �"
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake . ` .L ; , (l '' Y�.`'
3 inch Plumbing Vent through roof minimum 18 inches '' ' �+
Roof Complete/Exterior Finish Complete P .
Platform at all exterior doors - ,
Handrail 4 or more risers f
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more ---I
Guard at deck,porches 36 inches or more r` ° , /;, _-, ,-. ` r - `
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,i
Deck Bracing/Handicapped Ramp Compliant in; -t' _
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/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
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
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 sC5-kl.
Relief Valve(s)installed/Heat Trap/Water Temp 110
------
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3 hour fire door/door closer
Duct work Sealed properly FV4jArt--
Gas Logs in Sealed or Glass Enclosure �
Final Electrical -' r",�". t✓r
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required ,0
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection FormsResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
e
Queensbury Building & Code Enforcement - Residential Final Inspection
ffice No. (518) 761-8256 Arrive: am/pm Depart: 6 / ' 4am/pm
Date Inspection request)received: Inspector's Initials:
NAME: (�(kS� PER-1\fljTV:)---
. 0-- /11
LOCATION: /2-0 /zir� / k _ DATE: --
TYPE OF STRUCTURE: ag
®C- Comments Z �""
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location e
Fresh Air Intake i
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete V2/O r
ed
Platform at all exterior doors CC V
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/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/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
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ei
Bathroom Fans,if no window
Plumbing fixtures 650,(71,AA
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test 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
Fumace/Hot Water Heater operating f
Low water shut-off boiler ,s
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1' hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT = `
Based on our limited examination,compliance ,z� . ;;:..�
with our comments shall not be construed as ` a,R.,__
indicating the plans and specifications are in 4;, :-,
- . . - full compliance with the Building Codes of
New York State. - ��
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