2001-451 TOWN OF QUEENSBURY
f 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
irm
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010451 Application Number: A20010451
Tax Map No: 523400-289-015-0001-034-003-000
Permission is hereby granted to: JAMES & ELIZABETH O'CONNOR
For property located at: 30 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: JAMES &ELIZABETH O'CONNOR porch&Deck 18,000.00
30 SURREY FIELD Dr Total Value 18,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
TROMBLEY. WILLIAM
65 SAGAMORE STREET
Plans &Specifications
2001-451 .
337 SQ FT PORCH AND DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,June 27,2003
(If a longer period is requited,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Date. : - Tow f ee ; Wednesday,June 27,2001
SIGNED 4 for the Town of Queensbury.
Director o Building&Code Enforcement
•
{��t 11�4 TOWN OF QUEENSBURY Fee Paid
{10 BUILDING & CODES DEPARTMENT Permit
'' � APPLICATION FOR: PORCHES-DECKS-
DOCKS # �� ��
& BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: ij t-rnE c -1 EL,1- ,{1- r;n-4 0 le /1•/Ai i/e ,
P.O. Address 3 t' Sapp-r:,f R =i T ) P (01-11(1)06 Ejux€6pyi AX( Phone # 7g 79,Z V 0Property Location �0_ S_c>>.,� =C�/ /E-L_D lJe, ,il=p-oa0teyi .4.y Tax Map # - _
Subdivision Name (If applicable) ,3 o,eg - / f i CL--c,
PERSON RESPONSIBLE FOR SUPERVISION/ OF WORK AS REGARDS TO BUILDING CODES:
Name: Jv/i4g / i L • Address j ' 1/5167 gyp ' �` Phone# i 7 i
/r-
BUILDING SPECIFICATIONS: � W
•
Type of work to be done: CPS.T.I____,.c0C-1-31_The_c_E) Dock Boathouse (Circle Stri 2 2001
Size of Structure to be built (square foo e) : -339. .5- 1 TOWN OF QUEENSBURY
Foundation Material : Width ,Thi ckne-ss 5cJ,4 p,. WILDING AND CODE
' Depth of FoOting,, //r ��g below grade 7 �/
Size of Posts or Suds: x /7 A� r• 9z__X4 4 2 Z 2-.� -
Size of Floor Joists: `/
. x �� x f -$ pan i ��
Decking or Flooring Material : r e Jai-- ,3� ' /,`- / , ( ,)
How will Porch or Deck be fastened to building? �� d.1,
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: A x 4 x Long
Roof Rafters: x 4 Spacing / .e, Span 8-1
Roof Trusses (pre-engin eyed spacing) : Span -
Type of Roof: (Sloped )) Flat Shed Other (Circle one)
Material of Roof: /da t` 11 /3'4?- r' Y 1 _Zi-1,✓y
ZONING -INFOR ATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly 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: /60. o ► ft. x `7O. b 1 ft.
Existing building(s): Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) : _
Proposed structure, distance from property line: /7
Front yard ft. Rear yard ft. ), q���i Cam/
Side yards ft. and ft. ` U/-U-�pJ
If on corner, setback from side street: . ft. O
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: SIGNATURE �,-,_„-
wner, Owner s Agency, Architec , Contractor
REVIEWEDIBY CODE ENFORCEMENT OFFICER, DATE SIGNATURE .
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: S
Building&Code Enforcement /
Dept. of Community Development Arrive (U 4' am/pm Depart < nr m
Town of Queensbury Inspector's Initials r.i.)1V.
742 Bay Road j 4J r
Queensbury,New York 11'2'8�01 c2a�
La
LOCATION � DANAME TE ,L
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
' Plumb Vent through roof \
Roof Complete \. i//r
Exterior Finish Complete
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs oth sides 3br more risers
Grade 2%away from fo dation
8"clearance to sill plate /
Gas Valve shut-off expos d/regiilator 18"above grade
Gas Furnace shu>offwithi 0 feet or within line of site
Oil Furnace shut-o a en ce to furnace area
Furnace/Hot Water Heater perating
Relief Valve(s)installed
Headroom,6 ft.6 in.on sta.
Basement stairs,6 ft.4 in.
Handrail exterior stairs both.ides more than 3 risers
Interior privacy/trim/doors/m•in entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconie .'ding 18 in.or more
Railing across window in s • .11s
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 ?/e4s.e. r)JJ A l '�` 2 ei tics;
Site Plan/Variance required
Final Survey Plot Plan 1/tl1C. foti
As Built Septic.System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.CIO(Certif.of Occupancy)_ ✓/
Okay to issue permanent CIO(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC%
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL /, 1l�
Panel Board No Cert. N9 . 70118 Cut-in Card No. �l
Owner •I b. O l ez L1 1 672.,
Location 56 1242/GY 6Lr,O dD2- L l /
Installation Consisting of 14 4 2 iff'.t.dZL lreSi
3 c—c7 41 11)6/LcAl--
Installed By 'M Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued ib
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin spections at any time, and if it:
rules are
violated,the Company shall have the right t r oke th.s flea .
Date " ��� I INSPECTOR
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 '),/
r' am/pm Depart am/pm
Inspector's Initial
rTh
N•• PERMIT# L/ / L7 /
LOCATION: -3C7 ; �v� P '\E c DATE: — I
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re • nsible for
providing protection •m freezi g
for 48 hours following e place ent
of the concrete.
Materials for this purpose • si
Foundation/VVallpour
ReinforcementPlace
Foundation/Dampproofing
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 V qs Attic Vent
F g �Z '
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
estopping
r l
y p ._ -
---C-%
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road (G%'�
Queensbury,NY 12804 Arrive am/pm Depa
iet Inspector's Initials
NAME: (1 Wi`-e3 ,\- PERMIT ) 4 5 !
LOCATION: ,sU YY. ' 1 P 1 DATE: 7 -/r' 0
TYPE OF STRUCTURE: QC5-y7' J C
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection 'o freezing
for 48 hours followi g the . acement
of the concrete.
Materials for this pu .4 se on sit:
Foundation/Wallpour
Reinforcement in Plac;
Foundation/Dampproo n i g
Backfill Approval
Plumbing Under51a.
Plumbing en ents in 'lace
Rough Plumbing
N�ating,Rottgl t:Ni f
ula a k .Ti4-L
r``'Foundation Walls Inte 'or R-
Foundation Walls Ext:t'or R-
Floors R-
C
Walls R-
Ceiling R-
Duct work or piping i ,
unheated spaces R-
o �rnt Attic Vent 44/Knt&VT wing 614,Jack Studs/Headers V6e_. �V 0 . � �
Bracing/Bridging
�/
Joist Hangers �/
Jac Posts4Main Beam
Air 7filtrafion amer Y
Fire Separation 1,2,3,hour
Penetration Sealed
lLre
Wa1 2,,3,-4_hour
estolspz'n �j��'G.'_.. r Pig& 0 f�
g-
t •
- i 1 t
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 Depa 1
Inspector's Ini ials
��'- I
NAME: 0
E 6 �, PERMIT# ® ,`' 5
LOCATION: dLQG. �L,61 0.S. DATE: 7111, [')l
TYPE OF STRU
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res.•risible '•r
providing protectio from fr--4cng
for 48 hours follow'ig the placement
of the concrete.
Materials for this p ••se on sit:
Foundation/WaIlpour
Reinforcement in PIa•-
Foundation/Damppro•• g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Ven . Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte •r R-
Foundation Walls Exte •r R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent, Attic Vent
(/".-
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
4ire Wall 2, 3,4 hour
i"estcsppan
GENERAL INSPECTION REPORT
( 518 ) 761-8256 4_
Town off Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depar / ' ` Jup
Inspector's Initials
NAME: �00)\(2,Z) D PERMIT# - J 5
(
LOCATION: t�\ DATE:
TYPE OF STRUCTURE: S`CC '1� ����C
RECHECK
0 o N/A -NO COMMENTS
otings ''ers \ 1 I
Monolithic '•ur Form
Reinforcement in Place
The contractor is responsible or
providing protection from - ing
for 48 hours following the pla. -ment
of the concrete.
Materials for this purpose on si •
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
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 Bather
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
MAP REFERENCE:
SURREY FIELD SUBDIVISION
MODIFICATION TO AN APPROVED SUBDIVISION
DATED: OCTOBER 27, 1998
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
H.O.A.
VILLAGE
GREEN
S89.20'27"E
70.01'
0
19
3
�o.ar 7,000.92 sq ft
3
HOUSE "'
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NI
5
IN
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4 0
p
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LTOTT Y
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9 ASPHALT
DRIVE El
a
----- -----------------
UnUnes
UTILITY EASEMENT
11 70.01'
-----__ N89.2027 w
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
SURREY FIELD DRIVE THIS CERTIFICATION SHALL RUN ONLY THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND `ENDING INSTITUTION LISTED HEREON.
- _...... CERT19CATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
_—....___.....__ _. INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: JAMES T. do ELIZABETH R. O'CONNOR
... CHICAGO TITLE INSURANCE COMPANY
• Al-N- NEW Y •
.• 5 �,��w c. s� °*•,•
� N •
• CERTIFIED BY:
Sb1
- MATTHEW C. STEVES, ILLS NYS 50135
• 35
• : IAN9 �� ' • DATED: SEPTEMBER 13. 2000
1 D u S }-�
&
■`t+./
Seves
Land S u r v e y ors, L L C
169 HavHand Road Queensbury, New York 12301
(518) 792-8474 New York Lie. No. 50135
'UNAUTTn M ALTERATION OR ADUTION TO A 9JRWY
4AP BEAANO A 11GJgFD LAND 7tMKlf�ti SAL !! A
Mounw OF SEC n4 7", SUS-VAaa 4 W THE
NEV TOM STATE OUCATM LAW
*ONLY V17H A M THENAL OF THE AN SAHIS SURTEY
4ARIffD Wlll AN ORIpWI OF 71C LAID RNtKYORi
THLWALLK MUD,oAYALDM0,
t ERIMCATTOWS 14MCAM 1FMW SIM" THAT
TT+s sI.eYEr WYs ►NEPARED N AOCOFDAILCE WT,1 THE
0 *X OOOC Of FY1AC1lC< SO IM KIRK ffiFS AODrTIA
FY 7HE NEW Y'OFTIf STATE AS90CLATON OF PROFMOIAL
UJD lJRYnm& SAKI OFATFTGITNIN7 WAIL " OILY
TO W PMM FOR *W THE MWY IS PIU MED. AND
ON W WWI TO THE 'oil OOIIANY. OOYEFIIYEIITAL
M A' S� M MIWK WUK' "'°
Map of a Survey made for
JAMES T. & ELIZABETH R. O'CONNOR
Town of Queensbury, �Parren County, New York
Date, SEPTEMBER 13, 200C
Scale 1' = 20'
S 1
SHEET EE • I OF 1
O'CONNOR
DWG. No. 97061-3
NO.
DATE
DESCRIPTION