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2005-272 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20050272 Date Issued: Wednesday, July 27, 2005 This is to certify that work requested to be done as shown by Permit Number P20050272 has been completed. Tax Map Number: 523400-289-017-0001-043-000-0000 Location: 121 BIRDSALL Rd Owner: JOHN & PAMELA CEMBROOK Applicant: JOHN & PAMELA CEMBROOK This structure may be occupied as a: Dock By Order of Town Board OF Q ENSBURY 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 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050272 Application Number: A20050272 Tax Map No: 523400-289-017-0001-043-000-0000 I?ermission is hereby granted to: JOHN& PAWLA C'FNMROOK For property located at: 121 BIRDSALL 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 Value Owner Address: JOHN& PAMELA CEMBROOK 31 TOWER MOUNTAIN Dr Dock $2, 00 Total Value $2,000. 0 00 BERNARDSVILLE, NJ 07924-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-272 REBUILD 8' X 24'-32' DOCK $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 19, 2006 (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 To 77e:7v May 19, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement RECEIVED MAY 111 .1 zoos TOWN OF QUEENSBURY Q0(� �� , $, BUILDING AND C0 Permit N©. BuildngcodesOffice-Deportment of communityooYeo .. Fee Paid Da e Rood,Ceueansoury,NY t2Od Dave Hahn,Director g,Qpes�ausans._bye�.,; Phoney (518)763-0256 FAX: (5 161 745.4437 Accessory Structure Building Permit Application Appligation 8, Plans subiecf to review before issuance of a vg oerrni#_for construction Any structure other thou the prmcipol structure(i.e.,house),typicdly a garage,shed,greenhouse,dock,deck, etc.snot necessarily limited to the list below). Refer to attached informational Brochure No.3 1nstt4cfLay.s A permit must be obtained before beginning construction. No Inspections will be made until the applicant has received a valid building permit, all appgconts'spaces on this application must be completed and must appear on the application form, Applicant/Builder 1 Y- d1-. owner: �J Gh; �FT 'roG Address: Address: . r � � Home Phore: -g -r Home Phone: i - Email Address: c- 15maiiAddress: y _ ct+rYifsc�«rye. , Cell Phone: 10R' _=Z8 g /1� ell Phone: PAX Phone: cylo:y ' FAX Phone: Person responsible foYA/-) rvlslon of work with respect to building and codes compliance: Name: ce-" t Q Address: " Phone 3 d4ca I/ Location of proposed construction: Lot No.t�1.4 3 legal Address: � i(<�> l t<'c r �jS�u'y i Q Y Tax Map Number: t9 �7' l - r� Subdivision Name: _ Estimated Cast of Construction: ; Does an accessory structure currently exist on the properly? _Yes / A No I/J c G r-e- ( �J�' , 'v1� Cti rI If YES,Gst all existing accessory sirucfvres: y�'VttJ ���� ` �Cv art'✓1 Proposed Construction f 1+floor 2^+111001 total Proposed Height sp.fl sq R. $ ,fF. ft.&in. Porch Cov Covered or E,ertoseq Porch lconsklered I=areo&must comply to FAR fFloarArpo Rafiol requirements if the structure is located in the waterrmnt i Residential Zone. Or1 ggrch§Fgngidered on 5rlcloseci porch, Deck Boathouse Boathouse with sundock DOCK Shed - Pole Barn oetached Gara a 1,2,3 car Other Access;ory Structure: Applicatlons are subject to Zoning Administrator,Code Compliance, and Structural Plan review, The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. eClarptinn: Piecise sign below offer you have carefully read the statement: 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 compiled with,whether specified or noted.and that such work is authorized by the owner. Further,it is understood that l/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 C des,or As-built Survey by a icensed surveyor,drawn to scale,showing actual bcotion of oli ney/?c nstrvctlq� �'ZB 1 Q � / Date: Appi?cant/bulkier signarur� �' The application of da d is hereby approved and permission granted for the on truction,reconstruction or alteration of a building/and or accessory structure os set forth above. w— oot Authorized signature: 6 G L\Sue HemB^,gvmy\eufidir.g.P 't.FORMS\AceassarySiructure f ermitAppk-oiion.doc v:12/2$/04 Too/loos$ _ a-- Queensbury Building & Code Enforcement - Residential Final Inspection / f�Ipm Office No.(518)761-8256 I I / Arrive: am/ epart: ` Date Inspection request received: - //� d� Inspector's Initials: _� --- NAME: CJ4` t-- Cep gnm� PERMiT#: LOCATION: DATE: 7 TYPE OF STRUCTURE: � _ � �� uA W J4' lit Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake — f 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m fete 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 ''/z" 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 Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves 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: J� 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 Gara a Floor Pitched _ Garage 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 IS"x 24"access, 1 s . ft,150 s . 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 Oka to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes'\Inspection Forms\Res.Final Inso. form 2.docLast printed 2/12/04 FEUD MAY 0 5 2005 i Suggested Leg Dock STRAIGHT S -�C(�LC : ry ltv_ , F; DOCK S O UTIA C l.EVA i(�N ADD ITION APFL Ica l i'0r z c o�- 2 - -RECEIVED E _ _ MAY til 5 2005 V P BUILDING AND CODEY FILE �x6 nisi r�., � SrDE - ���--_ A 6 (=i G�. �- xI Pot— BUILDING &GOD S DEc�a. REVIEWED Y DATE r d z n ------------ a X R, W Q � � r � � n L7 © ^a U � N � Q N cacte, A tbc)+a rate W E S T C LE 1d c a► , o , 2,xb S`.�CkiNt- — V�-- 1 4ycl, S� PQJ^-e, EIVC T14 y S 59'27'03" E W I I �3't N IItF S 59'27'03" E to IRF E /to or IPF O F S 53'32'15" 281.60' 153.71' z o IRFN�� ADD DOCK �� r t j o K JI 0 GAZEBO 0 � ~ � GARAGE I ` w z o o , ' W AREA 0 0 1.08 ACRES JO DECK = cn O- V a NODSc Z ' �4 5.7' ` �Cpp 3 o 01 l 0 ►RF PF 347.91' IPF DOCK 1't N ! IPF �, 59'27'03" o 141.19' /►C � N 59'27'03" W 3 N 53'00'39" W 1R GARAGE o� 3� .P.F. LANDS N/F OF BEADLESTON LANDS N/ OF JOHN MOOSBRUGGER 1 HEREBY CERTIFY-THAT THIS i FROM AN ACTUAL FIELD SURVE THIS CER71FICATION SHALL RUt FOR WHOM THE SURVEY WAS RECEIVED BEHALF DI THE TITLE ITU ON PAN LIST / AND LENDING INSTITUTION LIST CERTIFICATIONS ARE NOT TRAM MAP REFERENCES: i MAY 0 3 2005 INSTITUTIONS OR SUBSEQUENT CERTIFIED TO: JOHN & PAMEL MAP OF LANDS OF I•P•F• TOWN OF BUILDING AND CODE Y CHICAGO TITLE ALEXANDER & SUZANNE HIRSCH DEED REFERENCE: BY G.C.TRIPP & EARL REARDON ` DATED AUGUST 1960 IPF 0 4 REVISED JULY 1, 1961 ROBERT E. DUNWOODIE TO CERTIFIED MAP OF A SURVEY MADE FOR LOUIS & RUTH COOLEY MATTHEw LOUIS & GLORIA COOLEY DATED MAY 13 1955 DATED OCTOBER 7, 1994 DATED: AUGUST 24, 20Q BY VAN DUSEN & STEVES IN BOOK 342 PAGE 139 Y Dus06- 'UNAWHOffizo ALlMMON OR AWnM TO A SURVEY ('� YAP BEARING A UCERSED LAND SURVEYORS SEAL IS A Map of a Survey made for ][ A NCLATION OF SECTION 72%.&M-dN0N 9 2 OF 7W ♦�J\JV NEW YOM STATE EYJCA71ON LAW.' P P ONLY OOPIES FROM TIE ORIGINAL OF TMS SURVEY MAW\.� V �J W-AL%W7H AN OMM OF 7NE Vk SLRV CW � �BE�AM"W7NW & Pamela Cembrook CER�FICA=RRHCATM HEREON SOWY THAT EAS SURVEY WAS PPfPARm UN LAND UR% W7H THE �-y - E7aS7BAG C4iDE OF PRACTICE FOR LAND SURVEYORS.ADOP7ED BY 7NE NEW Y Wt SWE ASSOOYITION OF PRO M0vL