2010-229 ..0111111A TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
owQu may,
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100229 Date Issued: Wednesday, June 16, 2010
This is to certify that work requested to be done as shown by Permit Number P20100229
has been completed.
Tax Map Number. 523400-289-015-0001-034-004-0000
Location: 34 SURREY FIELD Dr
Owner. CAROL C OWENS
Applicant: CAROL C OWENS
This structure may be occupied as a:
Porch
By Order of Town Board
TOWN OF UEENSB 'Y
Issuance of this Certificate of Compliance DOES NOT relieve the 1411
1
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100229 Application Number. A20100229
Tax Map No: 523400-289-015-0001-034-004-0000
Permission is hereby granted to: CAROL C OWENS
For property located at: 34 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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: CAROL C OWENS
34 SURREY FIELD Dr Porch $10,000.00
QUEENSBURY, NY 12804-0000 Total Value $10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-229
194 sq ft porch
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, May 18, 2011
(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 To Quee ry; 7Yuu Ls a May 18, 2010
. .
SIGNED BY `/' for the Town of Queensbury.
Director of Building&Code Enforcement
J, O ICE USE ONLY
TAX MAP NO PERMIT NO. /t2 22 7
FEE PAID may® BLDG. &CODES APPROVAL
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: ( Gf0/ oale,7sINSTALLER/BUILDER: (� I kreei
ADDRESS: 3-1 3u rr°e fkIo( dr. ADDRESS: 3 t'3 * Sa alms
PHONE NOS. '2 23 - 0281 PHONE NOS. 232-5727
LOCATION OF PROPERTY: -C/Me_ SUBDIVISION NAME: //Py/ /1,eV
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ciyle' /
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES Er-NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ /0/000 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST: 5727
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: T c1f AbfrP/l PHONE: 232-
1ST / ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH* /C'Y
l ii � y "
BOATHOUSE
BOATHOUSE WITH SUNDECK I
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
17
Queensbury Building & Code Enforcement - Residential Final Inspection Z'
Office No. (518) 761-82566 (I f /�� Arrive: k;� , + rrpart• -,.6 0-m •
Date Inspection request received: Inspector's Initials: _ .:41.....
NAME: GXft 5 P:0111117#:#: 0--, a--c?
LOCATION: ______a` f SV, r is/ C't el nS D✓. *ATE: , /IIT i
TYPE OF STRUCTURE:
Comments:
Y9 Ns WA
4' Builds . Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete 11
Platform at all exterior doors _
Handrail 4 or more risers MIN
GI: a. : . : :, •.r -, •1. a- a Al:f: —30 . ; "_ _��t:U[c111111M_Fel_
Guard at stairwell at 34 inches or more MOs
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall III.�
Interior/Exterior Railings 34 inches to 38 inches Milli=
Deck Bracing/Handicapped Ramp Compliant all
Grade awa from foundation 6 inches with 10 feet IIIMIIIIII�
8 inch clearance to sill elate ME
Gas Valve shut-off exp.:,-./ =.p :ic•4it:n�.a�i i•;.,c_i•Irlr'NIIIII iiim
Interior privacy/trim/doors/main entrance 36 inches III
�
Bathroom/Kitchen watertight
lazine /Window in stairwells safe •lazin. all�
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches =I•htin accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 ...ft.vents all�
Bathroom Fans if no window li�
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft sto,•i • finished basement 1,000 =a.ft.
Emergency egress below grade III
.
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ���
Fumace/Hot Water Heater operating
Low water shut-off boiler MINI�
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W GypsumII
Basement stairs closed rise>4 inches
Garage Floor Pitched ==
Garage fireproofing 1%hour fire door/door doser
�
Duct work Sealed •ro•: '
� �
Final Electrical n•1
Final Surve Plot Plan Ea.
=
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding 11111'
As Built Se• is S stem/Sewer De. . Ins.; ion Sticker Ira
Site Plan I Variance required �I.1�
Flood Plain Certification,if required 111111.11111111111111
Okay to issue C I C or C I O[Temporary I Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing / Firestopping Inspection Report (r;d U 1-3
Office No. (518)761-8256 Date I req16*,Queensbury Building&Code Enforcement Arrive: -t7 a Vi i/ rt: t"�j rt arr
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (KATO
NAME: O S
P RMIT#: G'7
LOCATION: r ,P eP_(o1 jig'. INSPECT ON:
TYPE OF STRUCTURE:
•
Y N N/A
COMMENTS:
c cess 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging —�� L
Joist hangers , v v
Jack Posts/Main Beams ti
Exterior sheeting nailed properlyc
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 h(w) 16 gauge (8) 16D nails each side
0;0030itsalLor4esszntopping 1,000 sq. f1~ floor trusses
enter
Ice ashield 24 Oies:front waH
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%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
L:1Buiiding&Codes Forms-OLDBBuilding&CodesYnspec tion Forms$Framing Fuestoppi n Inspection Report.doc Revised January 7,2008
5 - 10 (-Aim',
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection r eceivvd:
Queensbury Building&Code Enforcement Arrive: ` '` Depart
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini s: t
NAME: PERMIT#: /0 _ ZZ
LOCATION: qik
iG/PT LbY:. INSPECT ON: S" 7— o)
TYPE OF STRUCTURE: /
Comments
��Y N N/A
Footings
Piers
Monolithic 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
Footing Dowels or Keyway in place -
Foundation Dampproofmg
Foundation 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:\Bulling&Codes Forms\Buiiding&Codes\Inspection FormsVoundation Inspection Repo tdoc
Last printed 12/20/2005 9:24:00 AM
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspects n request received:
Queensbury Building &Code Enforcement Arrive: /- �jr am/pm2.epa • am/pm
742 Bay Rd., Queensbury, NY 12804 , nspector's Initials ---3(2-
}
NAME: �^ bt PERMIT NO.:
LOCATION: l l 1,tia l 5f, - INSPECT ON: 9IUJ. 0
RECHECK:
SL5t
Comments and/or diagram
Soil Ty• : • oam/Clay
Type of Water: M nicipa /Well Water
Waterline -par.tion distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +/ - Y N N/A
[150'to well required if NO]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches " ft.
Size of Stone L3Fl c 1�2 ki S4-1-)&
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank K 4-2 �U
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: �_N
End Cap �'Y N
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade v N
[provide extension collar if Yes] Y N
Location/ Separations
Foundation to tank ft.
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan _ Y N
Engineer Report and As-Built _Y,N
ETU Maintenance Contract _Y N
provided
Location of System on Pro•"•• -
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Stat
�/ Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc
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