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AST-0618-2018 TOWN 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-0618-2018Date Issued: Friday, February 8, 2019 This is to certify that work requested to be done as shown by Permit Number AST-0618-2018 has been completed. 289.15-1-34.14 Tax Map Number: 74 SURREY FIELD DR Location: Josephine Burgess Owner: Hilltop Construction Applicant: This structure may be occupied as a: 3-season porch 168 sq. ft. Adding 48 sq. ft. to attached deck 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. leilt) TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 `'i M Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0618-2018 Tax Map No: 289.15-1-34.14 Permission is hereby granted to: Hilltop Construction For property located at: 74 SURREY FIELD DR 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: Josephine Burgess Porch-3 Season,Covered,Enclosed $30,000.00 Owner Address: 74 Surrey Fields DR Total Value $30,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Hilltop Construction 51 Crowley RD Hudson Falls,NY 12839 Plans&Specifications 3-season porch 168 sq.ft. Adding 48 sq. ft.to attached deck $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,October 3,2019 (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 .=to. Dated at the Town Quee bury; 4W:. ' -�;.y, October 3, 2018 SIGNED BY: If \ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ; ADDITION/ALTERATION PERMIT Permit#:-45-1"6,1?)-Oi ? APPLICATION ,tc, Permit Fee: $ /,-� (own of(Zuccnsbun 742 Bay Road,Queensbury,NY 12804 Invoice#: 'CNN(' P:518-761-8256 www.queensbury.net Project Location: 'ti SL41(E ( fTe IJDr1 e_ -61 ECEUVIE nn ?i Tax Map ID #: g9/S-1"34/'-/- Subdivision Name: SEP 2 7 2018 1 g TOWNOF QUEENSBURY CONTACT INFORMATION: COMMUNITY DEVELOP MEPT • Applicant: • Name(s): ) \O OCcrl`(- 0_-__*-k 0 Mailing Address, C/S/Z: j 1 C c _C-•-CDV • R ccc c � Sar Fit (l5 M I "1 Cell Phone: C3 W ) . 9- 'f-Ioci Tow, c A Land Line: ( .`ors' ) T9?-6 13 Email: O' inck GL - t,-N ' "k-c..)100 011StCULCZtt Oen CCU . CoWA • Primary Owner(s): Name(s): PTO "U raj S3 Mailing Address, C/S/Z: r1 _q urr� Fi e( ci �k�‘ u a (6? t,„ e,f\5(ckv-v KR f B'Ul Cell Phone: j ) Land Line: (31 F ) 743 - Y743 Email: biktrelP5 e)SC__L- i (Lon • Contractor(s): Business Name: fk t\\*--cT Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: • Architect(s)/Engineer(s): cm Business Name: --C' Lix_ve .c\ A Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: Contact Person for Building & Code Com liance: 1 or- `�eC'ki: R. Cell Phone: (51 Q act,s g ` 7 l Land Line: 51 79 C' 33 Email: 1 C.)m S 12 �'k`YV-cT c it rt\ x c'C\ ov " c . LC vi,-‘ Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: Single-Family Two-Family Multi-Family (#of units Townhouse Business Office Retail Industrial/Warehouse Garage (#of cars ) Other (describe ADDITION SQUARE FOOTAG : ALTERATION SQUARE FOOTAGE: r 1st floor: /6 Si (f 'xi ) S�°�So n b�� 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total square feet: A? V Total square feet: � 1 ADDITIONAL PROJECT INFORMATION: -?� � � � 0.1 & S 1. Estimated Cost of Construction: $ 00 (--) 2. If Commercial project, what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other KO nPorck Fireplaces need a separate Fuel Burning Appliances & Chimney Application 4. Are there any structures not shown on the plot plan? YES ‘Explain: 5. Are there any easements on the property? YES 61-0 6. SITE INFORMATION: a. What is the dimensions or acreage of the cel? LS A. )0 o/ b. Is this a corner lot? YES NOJ c. Will the grade be changed as a result of the construction? YES i (1%\,...L.LOD d. What is the water source? PUBLIC PRIVATE WELL N e. Is the parcel on SEWER or a PRIVATE SEPTIC system? NJ A- Town of 4ueensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 DECLARATION: l. 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: I1 1, \to�E'c SIGNATURE: -1(..- M DATE: �'7- G/ Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 " " Feb. 22, 2019 12 21PM'''•�'MDIaMaVke:'4zwtv=r= ;;r , ,�� • - y,A,, ;;,.,,;, No. 7332 � P. 4/4_ ...n i <• � i3v,1•`-.n` -'i>l''s,_;.C�, ,L`, ��C +.„,,,,vS. %tCs' ?.`,'�.{ >"�'t-m00% ^�,S, A- MIDDLE DEPARTMENT INSPECTION A45) GENCY, INC. i;� YCN' sat `ea that the electrical wiring to the electrical equipment listed below has been examined and is approved as `?) being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date lig inoted below and is issued subject to the following conditions. 1' (.. i r, Owner: Date: P. Burgess02/06/2019 a) c� 1 Occupant; Location: 1st Floor Rear 74 Surrey Field Drive a 0 Occupancy: Singfe Family Dwg. Queensbury, Warren Co. NY Sl t 0 Applicant: 7 r.�l p Hilltop Construction <-'� g Cindy Albrecht Gal 51 Crowley Rd. :,s5 (x Hudson Falls, NY 12839 . ' Joseph eph A_Holmes) No. rsa L6 �• -2lc Equipment: • h j 5T- h to.L b . �.y�.? ,};'��3-Switches; 6-Receptacles;4- Fixtures; 1 -Arc Fault Breaker , " VI 4-9 0 .. ...:... •.. •... . I OWN OF QUEENS c4 • . . BUILDING&CODES c a 7 This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use.occupancy and � ) In above and the installation inspected as Ot the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership f'') �Ul inspection. No warranty is expressed or implied as to the mechanical safety, efi-+• of the property Indicated above,this certificate snail be immediately null and void. C�'J "7� ciency or fitness of the equipment For any particular purpose. This certificate shall In the event that this certificate becomes Invalid based upon the above conditions, G. }} be Valid fora period of one year from the above noted date. Should the electrical tnis certificate may be revalidated upon reinspection by Middle Department l system to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for Inspection must be submitted to Middle �• �) etl to,the introtluotion of eotlitional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation ��� any or the components installed as of the above noted date,this certificate shell be process. A fee will be charged for this service. 4 L'i•••--\: >l sii:•�Y.•rr,•:.y^-,..''. a�-•y �•?••-;'1"'t• --V y:���:•7..Ner eiVVY� NY �X`0j+�/r;•-�^'s> N1i.�%esT sk >`1Y'"7,4•W' eiRt).V/A c ?.41�✓C��- 3:v!::.�i,1'1',�rroi;?.•-•-±e,G � .ti-,- .ti9<U r✓Ar.,...••?�c,J6v' .ew-.,✓lL e,,,✓4,-s_'y`..-..,•..,�,—.v'd,.,,-- • •-d•.-•—• '' �. INSPECTION WORKSHEET (000809-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:AST-0618-2018 Case Module:Permit Inspection Date:Thu Feb 7, 2019 Inspection Status:Passed Inspector:Charles Dyer Inspection Type:Accessory Structure Final Job Address:Parcel Number:74 SURREY FIELD DR Queensbury, NY 12804 289.15-1-34.14 Contact Type Company Name Name Contractor Hilltop Construction Granted Permission Hilltop Construction Applicant Hilltop Construction Primary Owner Burgess, Josephine Checklist Item Passed Comments 1/2" Gypsum or House Wall and Gable NO Building Inspector Notes NO 2/7/19 for 3 season porch addition completed Handrail 4 or more risers YES Guard at deck, porches 36" or more YES 4+ Deck Joist Ledger Connections-24" From Ends YES Deck Ledger-Bolted per Code YES Fin Elect; Energy Saving Light Bulbs 50 Percent YES Feb 07, 2019 Page (1) INSPECTION WORKSHEET (000809-2019) Checklist Item Passed Comments Engineer or Architect Approval NO Site Plan / Variance required NO Okay To Issue CC YES Feb 07, 2019 Page (2) Dyer, Charles (Inspector) . .., ... ,- _ _______ • IE C i : "3-, . D L -_____ SEP 2 ? 2018 • TOWN Or(, .) QtlRY COMIVIU I+"Y f.::::VELOPMEMT SURREY FIELD DRI VE .......______________ ......____ _....._..... .........,... 76.35 R 75.00 i i Eac zit Tula IaO La > le at 1 4 IE O Oc7v PERMIT PLOT PLAN g 7108.82 sq ft f- I HAVE PERSONALLY MEASURED THE DISTANCE `-"-N FROM THE PROPE9TY LINES TO THE _ °POSED ST UC- R (S)OR SIGN(S) Q q-,27-1-• _ r.„-- ...-.11-.. :-....",.: SIGNATUR DATE is P 11' a ;_ Ill g . ii ii 1 3 N s.- f.: .. !. , -.4- .t HOUSE �f r. ,,.: 711 i- .: • ,, pv oe a,e-ct ,' s' 13.20--...• ..--_-_ -=--i- -----\........._ ,,,--- / tstur h8912'06"i .- .-3-,.;‘,--:-.Tit- ,--.-,;,;..",,i4:1,::.,-,.--,.:- e ‘Gale. 1 ,104 := /0 t) 0.\ oP ..,_ ,,--._:,:_ ..,.....„...—,..,_..-„,.._,_. :.__ --c r ':i",2,-:::-":--S:'.;1.ft.',: *--"--7.Z.:,--=.-i),v.‘ A h4+",'.- irec1it g1ar, emeiz i 4 * s AR (518) 798-0338