2001-240 �� TOWN OFQUEENSBURY
742 Ba Road ueensbu NY 12804-5902 518 761-8201
Y ,Q rY, � )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE .
Permit Number: P20010240 Date Issued: Wednesday, June.22, 2005
This is to certify that work requested to be done as shown by Permit Number P20010240
has been completed.
Tax Map Number: 523400-289-015-0001-034-017-0000
Location: 90 SURREY FIELD Dr.
Owner: NANCY HANKS GIRARD
Applicant: NANCY HANKS GIRARD
This structure may be occupied as a:
Deck
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
("" a4c,P --
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.
r�\ , TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
‘Xl
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010240 Application Number: A20010240
Tax Map No: 523400-048-000-0008-017-000-0000
Permission is hereby granted to: NANCY HANKS GIRARD
For property located at: 90 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: NANCY HANKS GIRARD Deck 2,700.00
90 SURREY FIELD Dr Total Value 2,700.00
QUEENSBURY,NY 12084
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2001-240
188 SQ FT DECK AS PER PLOT PLAN SPECIFCATIONS
$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
Dated at the Town o,'"• a= sbu ' W do•,. .ay,May 09, 2001
SIGNED BY ` • for the Town of Queensbury.
Director of Building&Co•e Enfo cement
�4 AOO
,‘_ . ; , TOWN OF QUEENSBURY � ;-.f_ Fee Paid V
,:.4 Xt BUILDING & CODES DEPARTMEPfT� �
= ,�, APPLICATION FOR: PORCHES-D �SS- Permit # � L51 ad
DOCKS & B N0U T.001 Est. Cost /00 '
/TOWN OF•QUEENSEURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CON pR11IAinme Ptt SE 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 he indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: NGi! Ge rA,,�(
P.O. Address ?o S i T rc/ , T ell Phone # .71' 9737
Property Location LXUeev s6u 1 -A-1 1/ • Tax Map #
Subdivision Name (If applicable) S,,, ,e/ �'Ce/Ro5
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: _se 6re5o 'y Address g4 S�„co:c 5- rrcr, � phone#6�3--9/z
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : /?3??
Foundation Material : Width Thickness
Depth of FoOting, below grade: • '�/? r/ �_ 1� '
Size of Posts or Studs: `'
x x Long MAY 0 3 2001
Size of Floor Joists: '. x '/O x /6 Span
Decking or Flooring Material : .�/y >C'‘ TO � ��EENSB
UR"
BUILDING AND CODE
How will Porch or Deck be fastened to building? r?>Oo L cof -{ I,/ 3/g-> y //z,.5_S
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x 'x 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 distinctT, all buildings, whether existing or
pro
indicate all set back dimensions from property lines. Show location of supplywater pppnal
location and configuration of septic disposal area. nel
Size of Property: 5/ ft. x !as 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 -7 ft.
Side yards ft. and /D 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 sucl work is authorized by the
owner.
DATE: 5 3 0 l SIGNATURE
0 n wner's e y, Ar c Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE J�f 6. SIGNATURE
Queensbury Building & Code Enforcement - Residential Final Inspection
-Office No.(518)761-8256 Arrive: am/p erit; �_=L" " m /�
Date Inspection request received: - Inspector's Initials: =1-- = �'.� 5"
NAME: Y��n ►t7l C�
N, CA PERMIT#: O / �l
LOCATION: GI L� � I F, \A 311 DATE:
TYPE OF STRUCTURE:
Comments •
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location n m
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" � � f
Roof Complete/Exterior Finish Complete
Guard 30 in.or more Cad stairs,decks,patios
Guard at stairwell at 34 in. or more Cp L LL v. Iv
Guard at deck,porches 36 in. or more v !A- P L—� ( (j A 1 ItQS
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
4-
Enclosed Stairs Sheetrock Underside minimum 'A"
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 Valve(s)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/%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 I8"x 24"access, 1 sq. t.-150 sq. 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/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road pDepart() �
Queensbury,NY 12804 Arrive am/pm ,am/
Inspector's Initials
NAME:
C`,t(k1iO PERMIT# 'Z-40
LOCATION: 90l 6uic',2C ' �'t L�U Q DATE : I/did
TYPE OF STRII,TURE:
RECHECK
N/A YE/NO COMMENTS
ootingsCT)
V
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from ezing
for 48 hours following the •lacemeni
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents '- 'lace
Rough Plumbing
Heating Rough-I
Insulation
Foundation Walls I tenor R-
Foundation Walls xterior R-
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
PI
' --)6--dV1-
f e'"()
GENERAL INSPECTION REPORT pi,
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 9i
Building&Code Enforcement
742 Bay Road
pYll
Queensbury,NY 12804 Arrive am/pm Depart� tl
p Inspector's Initials ;l
NAME: e\/ �.e�^ F'C PERMIT# l OVO
LOCATION: rrE A' G� '— - DATE : l
TYPE OF STRUgo
/ cIc
RECHECK
7 N/A YES NO COMMENTS _I L• t-(
Footings�••� —1 I %l& � /14 C�5 /v G
461
Monolit 'F' r Fonn
Reinforcement in Place C /'
The contractor is responsible for 6 frc,C
providing protection from freezing
for 48 hours following the placement /� fig
of the concrete. C,g.0 C_ )e /\ ,c I-C C
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place -j"�)
Foundation/Dampproofing -c, AA) 1 pb u i� O AD C=w C`-I
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
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