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2005-299
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050299 Date Issued: Friday, October 14, 2005 This is to certify that work requested to be done as shown by Permit Number P20050299 has been completed. Tax Map Number: 523400-289-015-0001-034-024-0000 Location: 37 SURREY FIELD Dr Owner: FRANCIS & PATRICIA TREPANIER Applicant: FRANCIS & PATRICIA TREPANIER This structure may be occupied as a: Fireplace By Order of Town Board Porch 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 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: P20050299 Application Number: A20050299 Tax Map No: 523400-289-015-0001-034-024-0000 Permission is hereby granted to: FRANCIS & PATRICIA TREPANTER For property located at: 37 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 Value Owner Address: FRANCIS & PATRICIA TREPANIE porch $20,000.00 37 SURREY FIELD Dr Total Value $20,000.00 QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency HILLTOP CONSTRUCTION 47 WTLLIAM STREET HITDSON FALLS_ NY Plans&Specifications 2005-299 ENCLOSE EXISTING 204 SQ FT EXISTING PORCH $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 26, 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 ueens ry; kCodue day, May 26, 2005 i e SIGNED BY for the Town of Queensbury. Director of Buildingnforcement Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid L/(� 742 Bay Road,Queensbury,NY 12804 Recreation Fee Dave Hatin,Director codes®aueensbury.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subject to review before issuance of a valid permit for construction Instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants' spaces on this application must be completed and must appear on the application form. � Applicant/Builder _414bo o o4rtkC�i Qn Owner: rru k e.pan I e-iz Address: I L L." -e oa Address: 3`7 S o rre y ,e- 5 �f V_A so,-) a I(s eens6,4 N V 1.Y Home Phone: °7 Cl I?-0 3_3 y Home Phone: Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: `7 `t;_ �.> FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: —7-c m R I b re h-f - 44 11 f tJ Address: Phone Location of proposed construction: Lot No. j Legal Address:iA rre Ir' Us Tax Map Number: Subdivision Name: Estimated Cost of Construction: $ D,C6 0 RECEIVED Proposed construction is for: Residential Use _Commercial Use MAY 1 0 2005 Name of Business: TOWN OF QUEENSBURY NLDIN AND CODE If proposed construction is an addition,what will use of new addition bed enelG'S6 L�1°��- New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height Ft.&.,in. (1 Single-Family Dwelling © ; n Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage 1, 2, 3 Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other: ()0 �CMan,ri+ kaI' Etv hG CtS re r 1cfCp_. If a fireplace and/or woodstove are being installed, please refer to a separate.applicatlon. Applications 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. Declaration: Please sign below after 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 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 s rveyor, drawn to scale, showing actual location of all new construction. ) Date:�� k,5 Applicant/Builder Signature: The application of d ted_ is hereby approved and permission granted for-t a co struction, reconstruction or alter tion o building/and or accessory structure as set forth above. A I'll Date: �v Authorized Signature: L:\Sue Hemingway\Building.P rmit.FORMS\Principal Structure Permit Application.doc V:12/14/04 Fire Marshal's Office `Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances o '. Date '" �' 0 , 20 Permit No. Application is hereby made to the Building& Codes Off ce-for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to per form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 4�,� ' t� y� S Stove: wood coal pellet gas �( Fireplace insert Address: `G' l_ ' t) � Fireplace, factory-built: wood �g;asiI�i F0Id&, masonry: wood Furnace: wood gas oil Phone: If non-masonary applicance, please provide 1"pM :?�' 1 t„L_ Manufacturer Name: Owner: '� CO v't �'� � } — Address: t: (.a ►� t e ids Model Number: 6c., �— Chimney Information Phone: ` — ` r' (circle appropriate words) Masonry block brick stone - 1 / Flue tile steel size: inches Exact Address:J r rT of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: —Number: -_-_ Construction IInstallation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner IC&&MLWeX-'AW"A-3 ri t—To�sx of Qu�eea,vbs�cry, .New Yorl�� -- Fire Marshal Code# S Collected $Rcf tnded Received fi-on: (refunded to):_ "11 address, _--- —___---.- A 173 3389 (190) Public Safety r�— A 233 2655 (230)Minor Sales DATE: - yie�n.ee�u2o White(Applicant) / Green(Fire Marshal) ! Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: LAX) NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m lete Guard 30 in.or more cry 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 %2" 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 Furnace/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: 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 Garage Floor Pitched Garage ire proofing/'/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 18"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 Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal low 742 Bay Road Queensbury,NY 128904 761-82051761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Iteyort Notice:New York State requires that all FJL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# ( Schedule Ins ection/�—/ - Time �0 pm anytime Inspector Named Pa. --Address U a iA Rough In 'nil Appliance Manuf rer ��� � Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Iusulated _. Yes No NIA Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase w Wall Penetration Vent Clearances to Combustibles Vent I Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) WhN+e- Buildfng Dept. Yellow r Pink—Fire MarmW low Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: NAME: rJ11 PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake t 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,deckspatios 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: 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 Garage 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 S aces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance require Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required _Qkay 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 Framing / Firestopping Inspection ; eport i Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: .,f am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials;�M� cc NAME: 1 PERMIT#: ,J �— 9 LOCATION: X 0 INSPECT ON: TYPE OF STRUCTURE: Y N/A COMMENTS raming Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/s w 16 gauge 8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: --�� Queensbury Building & Code Enforcement Arrive: am/pm Depart:ct�` / /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 'l / NAME: PERMIT #: G —` f LOCATION: W7 INSPECT ON: C� TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 50 .S.I for 15 minutes sulation Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: ` ©� e� LAPam Whiting\Building&Codes\Inspection Forms`Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 t ♦ 1pR / YP OI J it Y jop CONSTRUCTjO - S A Div.Of N co SHEET ND�7�11 �Q«D� OF Affim.Jt Managewnt Corp. CALCULATED B A DATE '¢' -q—O� 51 CROWLEY ROADMUDSON FALLS,NY 12839 (518)798-0338 FAX:(518)798-0338 CHECKED BY DATE SCALE � a CA pp5 ` ttl J Y � J E� 1 p TH i_, mE _ EIVE MAY �f TOWN t7 QUEENSBUIZY zr; BUILDI G_AND CODE r s . 1( { t ...........p ...... ... ..... ..... .... �OV+r1d CP CUB �, 14 ';' UlLGI,aka t)EPi,RTMENT 6�sed Lk limited exam�nahon 4 ante whth a+�r c�o ►me�?ts shall .,�.R.,. fhe rY not:be Construe as �►dicatin9 Pta+' 'd are in full ?Z n Cpt?�4i8t(( nth a ud ing , r ,... m State 1„1�i�J' Of N�w y REV _ - IEV11Et�B _:.DATE F pP ' 101) GONSRUcr/oV JOB Z=?4 e- cxn A Div.T of co SHEET NO.%3 7 6,L-Ptikie -P, I,- OF Affirecht Management Corp. -A DATE 4- ,p. CALCULATED BY 51 CROWLEY ROAD/HUDSON FALLS,NY 12839 (518)798-0338 FAX:(518)798-0338 CHECKED BY DATE SCALE 14 1 lo If .......... ................................... ....... . .... .... ...... ............. ........ ........... ...... .......... .................................. .......................... .... . ............. ........... ........... ............. .......... ........... .. ...... .......... ............ ............ .......... .......... ........... ...................... ............ ............. ...................... ............. ............ .......... .......... ........................ .......... .......... ........ ............ a-i...................... ........... .........- ........... .......... t ........... ...... .......... .......... ............. .......... .................... ............ .............. ............. .. .......... ............... .......... ........................... JOB ,op CONSTRUcno,, A Div.of CO SHEET NO2 77 OF Albrecht Management Corp. CALCULATED BY � G � DATE 4 —2 4 51 CROWLEY ROADMUDSON FALLS,NY 12839 (518)798-0338 FAX:(518)798-0338 CHECKED BY DATE SCALE - 5 !►�suldo"' : v. ............. . ............. Y .......... ............. R 36 t�l w o0 0 ...... iswla eh r I' 12 .................._; . ..........i...... . : . . . .............. . ... ... JOB Y�fA0.tilE� OP CONSTRUCT��A' y C ADl71.Of ,vCO SHEET NO. A(bwAt Managenwnt Corp. CALCULATED BY ' DATE 51 CROWLEY ROADMUDSON FALLS,NY 12839 R�(518)798-0336 FAX:(518)798-0338 CHECKED BY 67 A DATE SCALE —' N xis hg ...... ..._..... ... Sf `rs 0 . z g t0: 2.9310 7- � 7 .._ .. ... so N .......:... : ........ t. ... i ..... ......... I.