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2001-261 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: P20010261 Date Issued: Wednesday, January 29, 2003 This is to certify that work requested to be done as shown by Permit Number P20010261 has been completed. Tax Map Number: 523400-289-015-0001-034-033-0000 Location: 67 SURREY FIELD Dr Owner: FRANCIS X. & SANDRA O'KEEFE Applicant: FRANCIS X. & SANDRA O'KEEFE This structure may be occupied as a: By Order of Town Board 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: P20010261 Application Number: A20010261 Tax Map No: 523400-048-000-0008-033-000-0000 Permission is hereby granted to: FRANCIS X. & SANDRA O'KEEFE For property located at: 67 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 X. & SANDRA O'KEEFE Deck 1,600.00 67 SURREY FIELD Dr Total Value 1,600.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2001-261 120 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS $40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,May 09,2003 (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.) ". . adt )y Dated at the To of ens ®9 W e ay 09,2001 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement -'• ,'' TOWN OF QUEENSBURY OD BUILDING & CODES DEPARTMENT Fee PaidO► � y~t APPLICATION FOR: PORCHES-DECKS- Permit # Cj ,- a . ''`" DOCKS & BOATHOUSES Est. Cost //‘;(,� A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED WITH THIS APPLICATION. Owner of Property: • , �c7f' �r CG P.O. Address c7 _�, �y ; �_ , Phone # 77,7 0a =7 Property Location 70Ue f.g:/ Tax Map # Subdivision Name (If applicable) ,ems PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: 7� c7.)- 2(; Address Phone# BUILDING SPECIFICATIONS: Type of work to be done: Porch 4100 Dock Boathouse '(Circle one) Size of Structure to be built (square footage) : /2 Foundation Material : Width R4 Thickness Depth of Footing, below 7 t P g grade: Size of Posts or Studs: 4/ x x Long Size of Floor Joists: 2- x 0 x Span 11+ Decking or Flooring Material : s y ie 6 7 <SO How will Porch or Deck be fastened to building? ejec- MAY ®4 t 441 If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: x 'ic Long . Roof Rafters: x Spacing Span Roof Trusses (pre-engineered spacing) : Span- Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and distinEETY all buildings, whether existing or proposed and indicate all set back dimensions from property lines. Show location of water supply and location and configuration of septic disposal area. Size of Property: ft. x ft. Existing building(s) : Size ft. x ft. Size ft. x ft. Use of Existing building(s) : '- Proposed structure, distance from property line: Front yard ft. Rear yard ft. Side yards ft, and ft. If on corner, setback from side street: ft. DECLARATION To the best of my knowledge and belief the statements contained in this 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 Code, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. DATE: .�� 6� SIGNATURE Q Ow , ner s Agency, A itect, Contractor REVIEWED B CODE ENFORCEMENT OFFICER, DATE r)/G/ SIGNATURC-) �� 2_ \0 - qh _KkRESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement } i Dept.of Community Development Arriv �epart `.. Town of Queensbury pector's Initials - 742 Bay Road Queensbury,New York 12804 ^ NAME '‘C.: ' -i s�r\,1\ C e�/ EJ l PERMIT it t-) - i LOCATION —7 ,S(1 p IA c DATE ,,�ry�L9- / TYPE OF STRUC IORE , N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete ' Interior/Exterior Railings 3 "to'36" / Exterior Handrails,balconie ,landiuu 18 in.or more �/ Interior Handrails stairs both sides 3 or ore risers Grade 2%away from foundation\ 8"clearance to sill plate \ � .�� Gas Valve shut-off exposed/regulaIor 18'above grade \\ EK' �D) Gas Furnace shut-off within 30 feet�� thin line of site Oil Furnace shut-off at entrance to ce area ' Furnace/Hot Water Heater operating Relief Valve(s)installed / Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. ../ I Handrail exterior stairs both sides more th 3 risers Interior privacy/trim/doors/main entrance 36' Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or mo e Railing across window in stairwells Smoke Detectors: every level . every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) / Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) G GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart O' jiy/t Inspector's Ink als NAME: kP Pe., PERMIT#O 1_ `)--( I LOCATION: ),fl�� c �e.� DATE : s'— /Li 01("5 TYPE OF STRUCTURE: �c RECHECK N/A YES O COMMENTS Voting/Piers Monolit ' ur Form Reinforcement in Place The contractor is responsible for providing protection I eezing for 48 hours followin;.the p -ment of the concrete. Materials for this purpos,on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla = j Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior ' • - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent • Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping DomiA OF NEW YORK 'G� � ST TE DEPARTMENT OF HEALTH Glens Falls District Office 77 Mohican Street, Glens Falls NY 12801 (518)793-3893 Fax(518)793-0427 Antonia C. Novello, M.D., M.P.H., Dr.P.H. Dennis P.Whalen Commissioner Executive Deputy Commissioner July 8, 2002 Chris Boyea Bohler Engineering, Inc. 5 Computer Drive West, Suite 203 Albany,NY 12205 Re: Proposed Onsite Subsurface Sewage Disposal System Cumberland Farms/Subway (T) Queensbury, (C)Warren Dear Mr. Boyea We have,this day, approved plans for the construction of a conventional trench absorption system for the referenced facility. This system was designed for 905 gallons per day and consists of 2-1000 gallon Grease Traps, a 3000 gallon septic tank and a pump station which doses the absorption system. Please note that this approval is conditioned upon the following: a) that the proposed works be constructed in complete conformity with the plans and specifications accepted this day or accepted amendments thereto; b) that the construction is certified-by a professional engineer currently registered in the state of New York. The certification shall state that construction was completed according to the approved plans and must be submitted to Department of Health; { c) that this approval will expire two years after the date of issuance; One set of the accepted plans and specifications is being retained in our files, and a set is being returned to you. If you have any questions, please call me. Sincerely, C. — Michael C. Shaw,P.E. Senior Sanitary Engineer cc: M. O'Connell A. Gabalski _ D. Hatten J. Curatolo F. Schefling .i l U C I 'TOW CRY RECEIVED JUL 1 1 2002 T BUILDING ANDCODE Y 5 Computer Drive West, Suite 203 BOHLER Albany, NY 12205 518.438.9900 ENGINEERING, P.C. 518.438.0900 fax albany@bohlereng.com ON-SITE WASEWATER SYSTEM DESIGN FOR PROPOSED CUMBERLAND FARMS /SUBWAY REDEVELOPMENT DESIGN FLOW— 995 Gallons per day • Actual water readings from the existing stores show that 905 gallons of water per day are used. These water readings are attached to this report. The following design assumes a"safety factor"of 10%using a design flow of 995 gallons per day. PERCOLATION RATE- The stabilized percolation rate is 2 minutes per 1 inch of drop. APPLICATION RATE- 1.2 GPD/Sq.Ft. DESIGN: 995 GPD/ 1.2=830 Sq.Ft. 830 Sq.Ft./2 Ft.wide trench=415 LF of lateral needed Use 7 laterals @ 60 Ft.each=420 LF of lateral SYSTEM DOSING CALCULATIONS: 4"Perf.Pipe=0.087 Sq.Ft. 0.087 x 60 Ft.per lateral=5.236 cubic feet 5.236 CF x 7 laterals=36.652 CF 36.652 CF/7.48 gallons per CF=274 gallons Dose system with 250 gallon at a time. ' �4 =-- ' FFB d 8 2002 j I • Other Office Locations: ■Watchung, NJ ■North Wales, PA •Valley Stream, NY ■Sterling,VA ■Southboro, MA ■Towson,MD ■Center Valley, PA 908.668.8300 215.393.8300 516.872.2000 703.709.9500 508.480.9900 410.821.7900 610.797.3000 CIVIL&CONSULTING ENGINEERS •SURVEYORS •TRAFFIC CONSULTANTS •ENVIRONMENTAL & GEOTECHNICAL ENGINEERS www.bohlereng.com