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AST-0691-2018TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-0691-2018Date Issued: Tuesday, July 23, 2019 AST-0691-2018 This is to certify that work requested to be done as shown by Permit Number has been completed. 240.5-1-13 Tax Map Number: 0 Hillman RD Location: Takundewide Homeowners Assoc. Owner: William Mason Applicant: This structure may be occupied as a: F-Shaped dock being replaced with Boathouse with Sundeck, 3114 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance 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 Director of Building & Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY I • , , 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0691-2018 Tax Map No: 240.5-1-13 Permission is hereby granted to: Takundewide Management Group Inc. For property located at: 0 Hillman 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 Owner Name: Takundewide Homeowners Assoc. Boathouse with Sundeck $300,000.00 Owner Address: PO Box 85 Total Value $300,000.00 Cleverdale,NY 12820 Contractor or Builder's Name/Address Electrical Inspection Agency The Dock Doctors 19 Little Otter LN Ferrisburg,VT 05456 Plans&Specifications F-Shaped dock being replaced with Boathouse with Sundeck,3114 s.f. $ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,January 10, 2020 (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 Queensbury; Thursday,January 10,2019 SIGNED BY: I for the Town of Queensbury. Director of Building&Code Enforcement ce/ De:Lkfr - e? rf - �►ti- Office Use Only l3 I '^Te r- `'0 i 7-a 6 1 8 ACCESSORY STRUCTURE Permit#: vc/_�,�i/ �S PERMIT APPLICATION Permit Fee:$ / `7S-71)61 Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Invoice If: /&/� P:518-761-8256 www.queensbury.net Project Location: C 4-1-1lig 0,4 �E nl y /-2,9 -LAD Tax Map ID #: 2`/ o . o S- / 3 Subdivision Name: 7-79-1C u,J,p6LJ / CONTACT INFORMATION: • • rr:1/4\-) 11 • Applicant: LL J Name(s): !h/ sor) Mailing Address, C/S/Z: ,9 X >? s , c. Lz-V tap 4- Cell Phone: (S'/ g ) - 26 6 oq 3 Land Line: ( Si 8 ) 6 s 6 95- 7-3 Email: if/ eor� • Primary Owner(s): Name(s): 7"74XunlDe-(4) De 1,1-0i4- Mailing Address, C/S/Z: o Ate) se S i c z� vie:40;�c.� ,v y / z:v Cell Phone: (Sig t, Land Line: ( ) s L q 5-73 Email: • Contractor(s): Business Name: rAh— ) o Contact Name(s): C"i2 j s G 7 R,'3-n.D Mailing Address, C/S/Z: /°J L'T?'LE c r7E) 4_ ,43-A) ied2,Z,5 BKR,Gr1 ✓7 c:)S9_r4 Cell Phone: ( ) Land Line: ( g'o o ) r 7 e 6 75-6 Email: /fifo Gd 7 0 oc -12 0L-7-04-5 , c.Drn • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( Email: Contact Person for Building & Code Compliance: Pa"7 N709-s a^) Cell Phone: ( ) Land Line: ( Email: fj-.6 D V Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: _Deck, Open Porch _Solar Panels(w/o rafter upgrades) _Carport _Cell Tower Shed _Pavilion, Pole Barn, Canopy )[ Dock _Gazebo Detached Garage Boathouse(with or w/o sundeck) _3-Season Porch Other(description: SQUARE FOOTAGE OF STRUCTURE: 1st floor: # S� O c'K) \ 2ndfloor: /`19x SF SuNl7 "IL (1.3 ) ft SiJ12- T"5J ./y rF R M# Total square feet: Sc- 2l14 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ 2'D o c 0 0. 2. If Commercial project,what is the proposed use: /J/4- 3. Are there any structures not shown on the plot plan? YES NO Explain: 4. Are there any easements on the property? 112, NO re4401 4 L /4,1 v(0) v►J -mac o f DECLARATION: / 5 v �,� -��o ,J 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: Gd 14-c-1 i rr1 "r1 r -5 o(r) SIGNATURE: �,lJ� ` DATE: /I121/ r Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017