2003-709 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: - P20030709 Date Issued: Monday, September 13,2004
This is to certify that work requested to be done as shown by Permit Number P20030709
has been completed.
Tax Map Number: 523400-289-015-0001-034-024-0000
Location: 37' SURREY FIELD Dr
Owner: JAMES&CAROL BERG
Applicant: JAMES&CAROL BERG
This structure may be occupied as a:
By Order of Town Board
Porch&Deck TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development.-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number; P20030709 Application Number: A20030709 -
Tax Map No: " 523400-289-015-.0001-034-024-0000
Permission is hereby granted to: JAMBS & CAROL BERG
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: JAIVIES tot& CAROL BERG
37 SURREY FIELD Dr Porch&Deck $7,500.00
Total,Value $7,500.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans&Specifications,'
2003-709
Construction of a 96 sq. ft. deck and 225 sq. ft.,screened-in porch as per plot plan and specifications. (total
sq. ft. is 321 SO
$40.00 PERMIT FEE PAID-THIS.PERMIT EXPIRES: 'Friday, September 03, 2004
(Zf a longer period is.requiired,an application for an extension must be made to the code Enforcement Officer
of the Town of Queeusbury before the expiration date.)
Dated at the gown ue uy 4kdjm1ay,,September 03, 2003
SIGNED BY for the Town of Queensbury.,
Director of Building&Code Enforcement
Porch, Deck, Doek..®r Boathouse- Permit A,Pplicat!®�
Town of Queensbury.—Dept.of Community Development,,742 Bay Road,Queensbury,NY
(518)761-8256
A permifraust be obtained before beginning construction. No Permit File No.�!)
ection will be made until.applicant has received a valid .Fee Paid $ _
building permit. All:applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form
Applicant: �oi n�s r�r . L Owner:. �a
Address: e .. ,`7 _ Lx rV �r F t l l �,
Address. Ve
. .
Phone#(,5 18} - 6 Phone#(6-11).Zt,5- ad 5
i Email Address: . Email Address: .
Pelson Responsible for Supervision of Work as Regards to Building.Codes:
Name b�r1cY- Address: Phone
Property Locahori Lit Number:'/ House Nuinbdr.. .J
r,
Suladivisicii Narre: 'T'ax Map Number: 7
Es iYiiatecl10ket Value of.C.nst uct on $, : _ 'S.
u-`De6k " A 11 2 6 .2093
- a Dock
a "Boathouse' TOWN OF Ov `NURY
❑ Other work(describe L� ► OtE+ct=AND"OO��
_ _ -
Size of structure to be-built square feet
Submit alon with this application::
1. Two plot plans drawn to scale,preferably using a survey..map. .Indicate:.proposed
structure showing setback dimensions from all propertylines. Show location of
-water supply and location and configuration of septic disposal:area.
2. Two sets of structural drawings. Indicate size ofposts or studs, floor joists,
decking.or flooring material to be used. Show how the porch'or deck will be
fastened.to the building.-If a roof will be constructed, indicate the size of posts or
studs,roof rafter spacing and span: Indicate type of roof:' sloped, flat, shed,"or-
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have-carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the
"pians and
specifications submitted,are a true.and complete statement of all proposed work to be done on the
described premises and that pr 'sior of the Building Code,the Zoning Ordinance and all other laws
pertaining to the propose .works all be complied ,whether specified or noted,and that such work is
authorized by the own
Applicant's signa e: Date: G
LASueHemingway\Building.Pe TORMSTorcliTorch.Femm Ldoc W13/02 revised per DH
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depa . pm
742 Bay Rd., Queensbury,NY 12804 Insp4ector's Initials:
NAME; PERMIT#: �C) J a D
LOCATION: DATE: ! D 1`�j; 6TYPE OF STRUCT E:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake <�r'��
Plumb Vent through roof
oof Com fete
Guard 30 in.or more stairs,decks,patios
Guard at stairwell at 34 in.or more j
Guard at deck,parches 36 in.or more
Exterior Finish Com lete i
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers i
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 fiu-nace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emer enc .e ess below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 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(Cert. Of Compliance)
Okay to issue Temporary C I 0(Cert, Of Occupancy)
Okay to issue Permanent C J 0(Cert. Of Occupancy)
L:\SueHemingAvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm epart: am/pm
742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials:
NAME: PERMIT#: A60:q0q
LOCATION: DATE: qj joloq
TYPE OF STRUCTURE: I I -
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
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
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 Valve(s)installed
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"acctss, 1 sq,ft,-150 sq. ft.vents
Building No./Add 4 visjble Mm road
Final Electrical 6
Site Plan /Variancireqt red
/
Final Survey Plot Plan t
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Ok
a to issue TeLnporary C/0(Cert. Of Occupancy)
to Oka
kay to issue Permanent C/0(Cert, Of Occupancy)
L:\SueI-lemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INr, ()A
C.
Main Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 711T18,5 6'8 3 Cut-in Card NoPemit filiR141ii1!/!!!lffluliiulRRi/HH11t ��f Rlfffffq!!ilffRR11l1lfiH!lifff q+
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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 he promptly made for inspection.
Inspectors of this Company shall have the p ivileg, of ma inspections at any time, and if its
rules are violated, the Company shall have the right t re k th' C if
tell
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i.+rateruffll/RIRi1►/il iNi1Nr111R/i11ilfuifR INSPECTOR ECTOR 1111#4011 iffl/i of 1111N1i 1i1fi/f/f lRffset*$1161tt/i• iRlliHiiiii1i11ii111i1Hilltlil+
Member N.F.P A.. I.A.T'.J.
Framing 1 Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: . v
Queensbury Building&Code Enforcement Arrive: am/ e art: a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:ti
NAME: ' PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y aming N, N/A = COMMENTS
"
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 %2(w) 16 gauge(8) 16D nails each side i
Draft-stopping 1,000 sq. ft. floor trusses `
Anchor Bolts 6 ft. or less on center
Ice and snow 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 %2 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
LASuel•IemingwaylBuiIding.Codes.Inspection.FORMSTraming Firestopping Inspection.Report.doc January 28,2003
Framing / Firestoppi ng Inspection Report 7
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a; LDertpa
742 Bay Road, Queensbury, NY 12804 Inspector's Initial N/ 1 ,M—/p 0 1
NAME: PERMIT#: 4"'00
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing COMMENTS
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 V2(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 snow 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 V2 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
LAS ueHemingNvay\Bu i Idin.-.Codes.Inspection.FORM S\Frarni ng Firestoppin.-Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p� / Dep rt: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 14JIVIjor PERMIT#: 10
LOCATION: 39 INSPECT ON: _ 15 0
TYPE OF STRUCTURE: I
Comments
Y N N/A
Aqqtings
Piers,
Mo olithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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