2000-495 TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE OF OCCUPANCY
Pernvit Number, po95"��
Date Issued:
4
This is to certify that work requested to be done as shown by Permit Number
has been completed.
Location: 63 SURREY FIELD Dr
Tax Map Number: 523400-289415-0001-034324000
Owner: ALFRED & BARBARANNE MILEN
Applicant: ALFRED & BARBARANNE MILEN
This structure may be occupied as a.
Deck By Order of Town Board
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 Planning Board Director of Building & Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 1 2804-5 402 (518) 761 -8201
(Elw Community Development - Building 1Rc Codes (518) 761-$256
(' BUILD►ING PERMIT
Permit Number: P20 Application Numb r:
Tax Map No: 523400-289-015-0001 -034-032-0000
Permission is hereby granted to: ALFRED & BARBAR.A.NNE MILEN
For property located at: 63 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: ALFRED &, BARBARANNE MILEN Deck $ 15200.00
63 SURREY FIELD Dr Total Value s1,200.00
QUEENSBURY, NY 12804
Contractor or Builder's Flame / Address Electrical Inspection Agency
BILL PO GONOWSKI
BIRCH Rd
LAKE GEORGE, NY 12845
Plans & Specifications
2000-488
$15000 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, July 21, 2002
(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 Town of Queensbury; Friday, July 21, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & 'Code Enforcement
�fTOWN OF QUEENSBURY Fee a i d
BUILDING & COMES DEPARTMENT Permit # _ �
APPLICATION FOR : PORCHES- DECKS-
DOCKS & BOATHOUSES Est . Cost ja 0 0 ^_
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 ; v� . o J[1t 1 1
P . O . Address lla4�F S�/�iz rc,�� Phone # _
Property Location fax Map # - --
Subdivision Name ( If applicable )
PERSON RESPONSIBLE FOR SUPERVISION WORK AS REGARDS TO BUILDING CODES :
Name * Address
Address ,�� 1 ,��✓ Phone# 714`3-//Z7
BUILDING SP CIFICATIONS :
Type of work to be done : Porch Dec Dock Boathouse ( Circle one )
Size of Structure to be built { square dotage ) • � ?
Foundation Material : Width ' r` Thickness
Depth of Footing , below grade : e"
Size of Posts or Studs : x x Long
Size Of Floor Joists * x x ��Q r Span
Decking or Flooring Materi aT :
How wiz Porch or Deck be fastened to building ? 4 4WA*40
If Roof bill de Installed , Answer Following Questions :
Size of Posts or Studs x x Long
Roof Rafters : Spaci Span
Roof Trusses ( pre-enginee acing Span -
Type of Roof : ped 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 distinctlk 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 bud ding ( s ) : Size fto x ft .
Size fto 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 au t ized by the
owner .
DATE : % // lee SIGNATURE
4;
caner Owners gerfl ite Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNATURE
GENERA, Ln6SE.ECIMAREP RT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection request received.
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12844 Arrive arn/pm Depart
inspector's Initials -�
s4ft5� LN
NAME: V �.4 Lj PERMIT # `r
LOCATION. _ _. —_._._..� DATE :
TYPE OF STRUCTURE
RECHECK
N/A YEP NO COMMENTS
lvtoFootin Pie _......
Monoiit ur Form _.._._
Reinforcement in Place
The contractor is respo ible for
providing protection fro freezing
for 48 hours following the lacement
of the concrete.
Materials for this purpose on si
Foundauon/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
Wails R-
Ceiling R-
L7uct work or piping in
unheated spaces R-
Proper Vent, Attic Vent I F1
Fra rnv rt
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
GENERAL INSP,E L71ON REPORT
( 518 ) 761 - 8256
Town of Que ensbury
Dept. of Community Development Hate inspection request received:
Building & Code Enforcement
742 Bay Road 0%
¢uee3tsbury, NY12804. Arriv amJpm Dep
Inspector's Initials
NAME; PERMLT kh
L.DCATIDN; l DATE
TYPE OF STRUCTURE:
RECHECK
NIA YES N CONCvF?NTS
48
Monaii r Farm.
Reinforectnentin Place _
'The contractor is responsible for ,--
pre"ding protection from freezing } ��C> C�'� / ✓ L
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpotu *4 LLB 4(:k
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Piumbin
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
Franti
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack PostslMain Beam
Air Infiltration Barrier.
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 37 4 hour
Firestoppin
-- Otis
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JUL I 1 200iT
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TOWN OF QUEE URY It F Co
TOWN O QUEENSBURY BUILDING DEPARTMENT BUILDING �e PT.
Based on our limited examination, REVIEWED BY
compliancevAth our cornrnents shall DATE
not be construed as indicating the
plans and specifications are in full
compliance wAh the code.
JUL 1 2000
dON
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LOT 6
tN 46,697 sq.
ti1 .a7 acres
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LOT 5
43,571 sq, ft. pp
140,00' acres
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- NEEDS 34" EO
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TYPICAL ROAD CROSS—SECTION
�,- 3111/2"ASPHALT
6 A CNGTOP� � � �`NDS OF Plav"mr FEET.
' TYPE 3 A.G. BASE iO' UTILITY EAgEAiENT o
SLOPE
PE AT 25 ( 1�4" f FT. }
l �
6" TYPICAL
1 4" PER FOOT SLOPE