2003-506 TOWN OF 'QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)7618201
Community Development.Building&.Codes (518)761-8256
C�
R'TIFICA"TE F OCCUP, rV
Permit Number P20030506 Date Issued: Monday,October 03,2005
This is to certify that' work requested to be:done as shown by Permit Number, :.
120030506 ,
has been completed;
TaX Map Number: 523400.302-018-0003-001-000-0000
Location: 8;QUEENSBt1RY "Pl
Owner: ROLAND&TERRI SURPRENANT
Applicant: ROLAND&TERRI SURPRENANT
This structure may be occupied as a:'
Porch 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 Director of Building&Code nforce nt
Planning Board or Zoning Board of Appeals.
1
L TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes -(518) 761-8256
BUILDINNG PERMIT
Permit Number: P20030506 Application Number: A20030506
Tax Map No: 523400-302-018-0003=001-000-0000
Permission is hereby granted to: ROLAND-&TERRI SURPRENANT
For property located at: 8 QUEENSBURY P1
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 filled
and approved and in compliance with the NYS Uniform A3 lding Codes ancf the Queensbury Zoning
Ordinance, Type of Construction Value
Owner Address: ROLAND& TERRI SURPRENANT porch $8,000.00
8 QUEENSBURY P1 Total Value
QUEENSBURY,NY 12804 $8,aoo.00
- t
Contractor or Builder's Name/Address Electrical Inspection Agency-
TOM STAMATEL
798-9768
2 LUZERNE Pi
NY 12804-0000
Plans&Specifications
2063-506
240 SQ FT SCREENED IN PORCH AS PER PLOT PLAN SPECIFICATIONS
I i
$40.00 PERMIT FEE PAIL)-THIS.PERMIT EXPIRES: Friday,July 09,2004
(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 espirailon date.) '.'
Dated at the of Que sbury; Wednesday,July 0%2003
SIGNED BY k,.f Am for the Town of Queensbury.
Director of Buil ' g& e Enforcement
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256
A pemiit must be obtained before beginning co qh. Permit'File No. 0
inspection will be made until applicant has re d a vale OEO Fee Paid $
building permit. All applicants'spaces on poceiTbmust be Reviewed By.
completed and must appear on the app`lotnUfornid�
-A COL6 SDORYOwner Applicant: S- 61;-,
1-4,ca-e Address: Address.Addre 0- 's., 3fe^SIL
CY 'Phone#( ) '7*- ) 71ol - 10
mess: Phone#Email Address: 61
Person Responsible for Supervision of Work as Regards to Building Codes:
Address: 2-I- , 2-e Phone 2fK- f 7-,Ce
Property Location: Lot Number; 1 House Number'—? t�ee,-,s
Subdivision Name: Tax Map Number: ?
Estimated Market Value of Construction: $
orch
u Deck
E3 Dock
• Boathouse
• Other work(describe
Size of structure to be built square feet
Submit along with this application:
1. Two plot'plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof. sloped,flat, shed, or
other. Indicate the type of material being used for the roof.
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge 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 s be complied w! ,7hether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date:.
L-\SueHeminpvay\Building.Pennit.FORMS\Porch.Porch.Permitdoc 8/13/02 revised per DH
Queensbu"'ry 8uilding & (ode Enforcement - Residential Fi n-'al Ins*p' ection
Office No.(518)761-8256 Arrive: am/pm Depart: IL/LCam/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#- c,7.OD3-60 40
LOCATION:, DATE:
TYPE OFSTRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" A
-Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34,in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 1/2"
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'Connec'ted: : — / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbinj fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garagd 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 18".x 24"access, I sq. ft,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 Dcpt.Inspection Sticker
Flood Plain gstqNion, if required
Oka to iss rSA C/0[Temporary/Permanent V
L:\PamW\Building&Codes\lnspection Fornis\Res. Final Insp. form 2 docLast orinted 2/12/04
Foundation Inspection Report
Office No.(5IS)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pA Depart: r pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 0
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comments
Y N/A
Fo ings
iers
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
s
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stoner
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:\,SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection iteport.doe January 28,2003
Foundation Inspection Report
Office No. (51S) 761-8256 Date Inspection request received: r
Queensbury Building&Code Enforcement Arrive: am/pm. Depart: �m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME; PERMIT#; 03 5
LOCATION: INSPECT ON: — / —
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 ;
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L.\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
17T.
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