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2003-822 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERT IFICATE OF,-OCCUPANCY Permit Number: P20030822 Date Issued: Monday;December 22,2003 This is Ito cerrtlthat work re uestedao:be done as shown.li'� Permit Number y+ y P20030822 has been completed, Tax Map Number: 523400-289-015-0001.034-028-0000 Location: 55 SURREY FIELD Dr Owner: RODNEY&DORIS BURNS .:.Applicant: RODNEY&DORIS BURNS This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030822 Application Number: A20030822 Tax Map No: 523400-289-015-0001-034-028-0000 Permission is hereby granted to: RODNFV&DORTS B1-JRNS For property located at: 55 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: RODNEY&DORIS BURNS Residential Addition $24,000.00 55 SURREY FIELD Dr Total Value $24,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-822 144 SQ FT 3-SEASON PORCH WITH 192 SQ FT DECK AS PER PLOT PLAN SPECIFCATIONS. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 30, 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 expiration date.) Dated at the of Q u sbunv; uysda October 30, 2003 SIGNED BY 4"9 for the Town of Queensbury. Director of Building&Col Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Paid Reviewed B application must be completed and must appear on the Y e application form. Applicant: Owner: 01:0 —4re-KS Address: 40 L,1_ ��-- Address: Dp—. _ WCta_5a7,, Phone#(,Vg)�- 0,3-:-S Phone 9 z/ Email Address: Email Address: Property Location: Lot Number: House Number65_._ Subdivision Name:bL-k-c e_' Ids Tax Map Number: C3 New Building: residence /commercial Estimated Market Value of Construction: $ oZYt Odd )Q Addition: residence.,I commercial IfanAddition, h will use of new addition b r3 Alteration: residence/ commercial. w :A C�_je _;Y_ ez_ki d We U No change to exterior size: residence I com'l I o Other work(describe U0%AVE V_\� Check OccupancyInformation 1"Floor 2,d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet k" Ez -,5t Single family dwelling ,t( a a (. 0 Two family dwelling c3 Townhouse 0 Multifamily dwelling I #of units 0 Office U Mercantile C3 Manufacturing ' U 1 car detached garage U 2 car detached garage 0 3 car detached garage [a I car attached garage ❑ 2 car attached garage U 3 car attached garage 0 Storage building- commercial U Storage building- residential C3 Other What is the proposed height of the structure feet nchei Will any second-hand or ungraded lumber be used? If so,for what? n Type of Heating System: electric/ oil gas t wood 1 forced hot air/ baseboard othef­AYMELL—­ Number-of Fire Yacav to bedustalled - c _Number of W oodstoves to be installed 0- List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder F N Plumber 0 Mason Electrician -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 shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Vwc 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 al ew construen. Signature: owner,owner's agent,Architect,contractor Building Permit Application Town of Queensbury-Dept of Community Development, 742 Day Road,Queensbury,-NY (518)761-8256 A permit must be obtained before beginning construction. Permit Fil No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Paid -application must be completed and must appear on the Reviewed By: application form. Applicant.ZZ:4�- y? Owner: 1god --ZFr Address: Wllla wl (S-& Address: 56-5u rr-,e---,l F_,7e-195 ve A-11s,W4102R_57 tc 2ehs6a_r-v Phone#(,;U_R-)7-dam- Phone#(5/k) 19` - Email Address: Email Address: Property Location: Lot Number: a g t House Number�J Subdivision Name:'Su- d _5 Tax Map Number: L3 New Building: residence /commercial Estimated Market Value of Construction: $ ;wl' Addition: residence commercial If an Addition,what will use of new -addition be?' L3 Alteration: 'zresidence/ commercial. E3 No change to exterior size: residence com'l 0 Other work(describe Check OccupancyInformation 1"Floor 2'd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Add. e-de-- X Single family dwelling 0 Two family dwelling C3 Townhouse C3 Multifamily dwelling #of units zn fln d- 0 Office u Mercantile U Manufacturnig 0 1 oar detached garage n�vcQP 01 JEENSBUF Y 0 2 car detached garage CCU{-Dll',IG AND_CODE 0 3 car detached garage 0 1 car attached garage .0 2 car attached-garage 0 3 car attached garage 0 Storage building- commercial C3 Storage building- residential 0 Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? 0 Type of Heating System oil gas/Wood /forc6dhot air/ baseboard/othet: Number of Fire-places to be installed -Number-of Woodstoves to be installed- (9- List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder' Plumber 9 -'0 3 Mason -Electrician 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 shall be complied with,Whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Vwe 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. Signature: CiAl.'n" owner,owner's agent,architect,contractor U Residential Final Inspection Office No. (518)761-8256 Date Inspection req st r eel Queensbury Building&Code Enforcement Arrive: p rtrt: a pm 742 Bay Rd., Que rrsbury,NY .12804 Inspector's Initia NAME: (.t= P IT#: LOCATION: ATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof 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 Railiri s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 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 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: f Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s .ft.vents Buildin 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(Cert. Of Compliance) Okay to issue Temporary C 10(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 COMMONWEALTH ELECTMCAL INSPECTION SERVICE, INC, Main Office 176Igoe Run Road - Manhezm, PA 17545 MUNICIPAL CERTHFICATE ELECTRICAL APPROVAL � Nag 75960 � Cut-in Card No, P it No, ##NifrNq!#!f###fN}ffii►##Hi1Ri ,(}ter Yi iii}i •lfiffaff Nf�fi }►#f ifi Rffffi/ff}If lllffi!#f#}►ii#I Rfiii/Ntfifl.fill.#ifif#ififiilff4r##if!#itfii#fi####ifilff}!f}i#►RfifiNf}f r`� 1}M4ir#1rHiln.l###4► " V 4/caY ffi}/##►! ##lrilfi!!4##!!1!!lifff!} #►rill tlllNl4lf######4H . mill.! Ntlrll►}rlit►iiifRYliflil4!##►tnilliff!►# /1rr►fli►####!►i YN.tf4r#rlrrlf! L ! } 1 ��' '3 �� ` (( } Installation Consisting of►il l.f► .►►Niilfffllfill.444fRf 41104119iilltififfiNilfl4!ll�ifitlfflffllliftllliil.t.11ir!#li#r4111t1Itl#►#rrllfffffifi►►# ilfif#►lYii Iff.rR#lR Iifiitlrr#rrlMi.}!}}}prNliiRfiflillf!#!i►fi�Y ill If�liil►rf4r#►###►iiial!lillfllrll.it}1!}}Illlliillt•rNN.IIlNI!lRt4!#r plffit iifl4#!.#flit lfiif#}• }Iif N!###iii/1l..444ilrtltilfllffllN/itlflfiiM►..iiffiiil1/f1.1.f.I.i1if1/1f 11111.t!!l.Irr#4#f.#N IIlitii#Ifi11 f...•.iiiifiiff111••i•►il!!lIIIItilf#►►1►iif l!l111!!•►li il�f.!!.. its 1 Installed 1//.ritiffi//1 •iiff►!lRl.i1ff11ffiii.ffill,tiRll.Rl!}}.► .fi„}}fiNii}}!!}fllilif}!••fi.•�� } No, •ilfi/lfi►1ilr1!}}IlR1}}111►1.i11i!!ii!!1!►•.ifilf • Y The conditions following governed the issuance of this certificate, and any certificate previously issued is 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 m ' inspections at any time, and if its p p rules are violated, the Company shall have the right to rry oke is ertifica . . I .+te NI 11! 4ri 11lfiii //l►i!rliflff ►#!#rtilRiilf �• 'q r T ##r... . }!if 1111f#fiiif}f ilffi4l.ii}flifllffi!►f..#i##iifiillfill4ff#f#1 lllif}lNf } Member N.P.P.A., 1#A.E.I4 Rough Plumbing 1 Insulation Inspection Report--[�,,� Office No. (518)761-8256 Date Inspection request ved: Queensbury Building&Code Enforcement Arrive: pm De 742 Bay Road, Queensbury,NY 12804 Inspector's Ini als- NAME: PERMIT #: V LOCATION: ` _> INSPECT ON: 3 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 1/ inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping r ooper Commercial Coo er,CPVC,Pex One and Two-Family Ll nsulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation � � If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L-31 G:\SueHemingway\Building.Codes.Inspection.FQRMSVtough Plumbing Insulation Report.doc November 17,2003 Framing/Firestopping Inspectionv. ;0y"Y Office No. (518)761-825 6 Date Inspection requ r ceived: Queensbury Building&Code Enforcement Arrive: rrllpm Do 742 Bay Road,Queensbury,NY 12804 Inspector's Initi I 2 -0 NAME: PERMIT#: --4� LOCATION: 77�5.s- z, INSPECT ON: TYPE OF STRUCTURE: Y /N N/A COMMENTS aming V Jack Studs Headers Bracing Bridging Joist hangers 1--U S Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses An or Bolts 6 ft, or less on center Xne and snow shield 24 inches from wall V/ 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 Yz inch or 5/8 inch Type X Garage side 5/8 inch Type X CeilingAyall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASuellerni ngway\Building.Codes.Inspection.FORMSTrarning Firestopping Inspection Report.doc January 28,2003 do) Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: _ a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 LOCATION: INSPECT ON: -- TYPE OF STRUCTURE: ' .z Comments Y N/A of gs Pier onolithic 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 g� 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/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 t �Cliecl�; Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.& Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans it Foundation Drainage On Plans,if required k! 6"Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise r� cti Spiral Not Allowed From 2" Story ,t Smoke Detectors Battery Backup and Proper Location Lt Bathroom Fixtures Proper Clearance „ Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped /0 1 Attic Access of Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access t l Carbon Monoxide Detector Lowest Sleeping Level B t Soil Test Results,if required 1; Septic To Well Or Water Line Separation All Paperwork Signed N07`30'5QttE 3 PO I� o OD N m Ii � Q jj co. o . I f.� ,, .,,. .�. C J i o rn cil I I o to D v r R=287.50 SURREY FIELD Dnr V Vp V.jpp CONS7RUCTIO/V CO A.Div.of Albrecht Management Cop. (518) 798-0338 - _ t � ' � zo JOB Z SA v A SHEET NO NNIqUOF KRAQV11TR INSW.1)0 4119b m w F 10SECIER03 COVER6 BY-VffiMMMT19U-BARRIER CHECKE AJ 5AIWE THERM BARRIER 47 WILLIAM STREET\HUDSON FALLS, NY 12839 (5 18)798-0338 FAX: (518)798-0338 SCALE /4. NT........................ ................................................. __1 TNNKO�Q�EWSURY 8-UH ItINN G-DEOART ........................ ................................................................................. ......................... .......... 1 Bdsed on O!iJI firiNed!examination,1 ............. 1com. .............. .......... ....................... idwe'liv rcurwmipOnts ghall-t ............._'.............._..........I. ............. ........................... I not ge 1conikued as indictifing!the 1 pidns �and­soaciglcatiohs afe ftill V 1 coinpliahrm�ijth the 8 ­0 Ic ........................: . _11 of o ............... ............ ......................... -.4........................... ........... ......... ..........4.0 .......................... ............. ....................... ... .......... ................... 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PRODUUM-1(S'mg1eSheds)205-1(Padded) J013 op coNSTPlic7io SHEETNO, S LlwyV-'—W OF A Div.of 0 1 CALCULATED By EG 6 — DATE Afbrecht Management Corp. 47 WILLIAM STREETS.HLJDSON FALLS, NY 12839 CHECKED BY DATE (518)798-0338 FAX: (S 18)798-0338 SCALE 114 Q .................... ........... .......... .. ............ .............. ............ ...... ............... .............. ................ .......... .......... .................... ....................................... .......... .............. .... ............ ................ ..... ............. ..............:.............. ............ ............ ........... ............. ..................................................... .......................... ......................... ................. ............................................................ ......................................................................................... .............. ....... ............ ........... ............................... ................................................................................... ............ .......................... ............. ........... ............. ........................................... ............................. .......................... ............. ............... ......... ............. ------- ............................................................................. .................................................................. .............. .............. ............. ......................................................................... .................................. ............. ............. .......... ....................................... ........................ ........................................ .......... .......................... ............. ........... ............... ...................... ...................... .......... .......... .......... .................... ............. ............. .......... ........... ............ ................... .......... ...................... ?............. ....................... ....................... ............. ........................ ........ ............................ ....................... i..........................i..... .... ................... ...... ............. .......... ........................... .......................... .......... ................................... .......... .............. .............. ....................... ............................_4.............. ...................... ............. ............. .......... ........................ ...... .................................I.......................... a.. ­I I........................ .......................... ........................ .............. .......................... ............................. ......................... ....... .......................... .......... ..... ........ ..... .............. 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I . ............ ....... ............. v . *:............. .......... ...................................... —7— Ali L o:\.A—11-5— ....................................... ............ no.A.f................................. 47 4 m. ................. T"V�'2.s .�. I—— :.............. 7 ........................... ........... A..Q...4 441 11Y 4 ............ ........... ....... ..........................v j, &.............. ..... Rp 1,v .......... 0 elm Z ........... ........... 3 m ............ .......... ............ .............. .......... .............. ........ ........... ...................... ............. ........... ........................ ................ ........................................ ........... ............. ............... ..... ...... .......... ........... ............... PRODUCT 204-1(VqlaSbods)205-1 VAA JOS�12t-'y S -r,\OV c)ONSTRUC loV SHEET NO. OF A Div. a Of 00 CALCULATED BY DATE 26-0 Affirecht Man 3 _gmntcorp. 47 WILLIAM STREET\HUDSON FALLS, NY 12839 CHECKED BY DATE (518)798-0338 FAX: (518)798-0338 SCALE ............... ....... ............. ........... ........... ............. ............ .................. .............. ................. ........ . ....... ........... ........ .......... .......... ............ ........................ ....................... .............. ............. .................................... ­-----......... ......... ..............: .............. .................... ....... ............ ........... ..................... .......................... ............................ ........................ .................. .................... ......... .......... ............. .............. ............ LA ............. .......... ....................... ............. 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At .......... ........... . ....... 4 Pt EtCf204-1 ........................... .................................. .............. ..... ............. ............ ......... WK