2001-372 /;
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 / ILE
Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010372 Date Issued: Friday, June 28, 2002
This is to certify that work requested to be done as shown by Permit Number P20010372
has been completed.
Tax Map Number: 523400-289-015-0001-034-041-0000
Location: 87 SURREY FIELD Dr
Owner: E. RAYMOND &MARY BENDER
Applicant: E. RAYMOND &MARY BENDER
This structure may be occupied as a:
By Order of Town Board
Deck } TOWN OF QUEENSBURY
wi.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010372 Application Number: A20010372
Tax Map No: 523400-048-000-0008-041-000-0000
Permission is hereby granted to: E. RAYMOND &MARY BENDER
For property located at: 87 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: E. RAYMOND &MARY BENDER Deck 1,600.00
87 SURREY FIELD Dr Total Value 1,600.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
JOSEPH GREGORY
8A SANFORD St
WARRENSBURG,NY
Plans &Specifications
2001-372
156 SQ FT DECK AS PER PLOT PLAN SPECIFICATIONS
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 07, 2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the To, o _44 eens, 1, Th. d1,June 07, 2001
SIGNED BY for the Town of Queens
bury.
ury.
Director of Building&Code Enforcement
13
TOWN OF QUEENSBURY Fee Paid, O
,' BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- Permit # ��
DOCKS & BOATHOUSES Est. Cost /aV)
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: Aar/ Rh—
P.O. Address '7 Sor,re 7 Field drive-
Phone # 7'��'3-11S3
Property Location S.r'(ct Cie,/et Tax Map #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: `SoPA (crew/ Address KA Sa„-4rof S afrc., Phone# 03-9/70
BUILDING SPECIFICATIONS:
•
Type of work to be done: Porch Dec" Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : f�6
Foundation Material : Width Thickness .
Depth of Footing, below grade: r7`7 ' "
Size of Posts or Studs: 17,7 x x Long JUN 0 4 2001
Size of Floor Joists: 9 x x /' Span TOWN OF CUEENSDUR?
Decking or Flooring Material : 5! y / g BUILDING AND CODE
How will Porch or Deck be fastened to building? r/eb'4e f j 3/,1 y L��s
9/3 Ledje
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) :` Span -
Type of Roof: Sloped 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 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: 6 3 ft. x /29 O ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rev yard '3,3q ft.
Side yards ft. and 1.. 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, a%AL
such work is authorized by the
owner.
DATE: 6 S D' / SIGNATURE
(, 0'� r's Agenc r c�(4' Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE '- 7 r SIGNATURE . i
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement I i
Dept.of Community Development ArrivejCMn Depa ✓` �
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 ,
NAME eY.\ / JY\`� C1 DATET#� Q ! "3 7 a
LOCATIONJ n n sL �c , - '
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" 7 j �_\
Exterior Handrails,balconies,landing 18 in.or more Y C�
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"abo ade
Gas Furnace shut-off within 30 feet or within ine o site
Oil Furnace shut-off at entrance to furnace ar
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish t �/
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
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
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certi£of Compliance) -
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) _ -
A))11
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 Depart -
Inspector's Initials
NAME: Mi.VLN 62)QP0C) PERMIT# 7
LOCATION: g ��v�e,�- i DATE :
TYPE OF STRUCTU ��RE:
RECHECK
•N/A YE NO COMMENTS
s/Piers
Mono 'thic ur Form
Reinforcement in Place
The contractor is responsible for
providing protection fr : zing
for 48 hours followin the p :cement
of the concrete.
Materials for this pu se o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproc g
Backfill Approval
Plumbing Und9rlab
Plumbing t/Vents' Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I tenor R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping i
unheated spaces R-
Proper Vent,Attic Vent
Framing
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