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2000-408 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000408 Date Issued: Monday, October 23,2000 This is to certify that work requested to be done as shown by Permit Number 2000408 has been completed, 11 .(5 Tax Map Number; 5234 0-048-0 0-0008-'0 tO - 000 Location. 29 SURREY FIELD Dr Owner; ROBERT&JEAN HALEY This structure may be occupied as a; Porch By Order of Town Board TOWN OF QUEENSBURY Director of Building&Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 22000 Building Permit No. 2000408 TAX MAP NO. 48.-8-21 Permission is hereby granted to HALEY, ROBERT Sc JEAN Owner of property located at 29 SURREY FIELD DR. in the Town of Queensbury,to construct or place a 3-SEASON PORCH at the above location in accordance to 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. Owner's Address: 29 SURREY FIELD DR. . QUEENSBURY NY 12804 Contractor or Builder's Name: HILLTOP CONSTRUCTION Contractor or Builder's Address: 47 WILLIAM STREET,-.,,- Y Electrical Inspection Agency: Type of Construction: Plans and Specifications: SPECIFICATIONS.,_-�;,. Proposed Use: 3-SEASON PORCH,.,.-".,* $ PERMIT TIIIS,PERMIftj�PiRES�i"�_. (If a longer period is re,quired,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbury before the expiration date) q.......... Dated at the Toj� of Queensbury flu Day of SIGNS for the Town of Queensbury )u V, ntrceine Officer 1-er-rr a hppicatton TOMI Of Qlleetlsrt uty -Dept. r f Co/tut.....y Ueveloputeut,.742 Ray Ruad, Queeurbury, NY 12804 1761 s2561 BUILDING d CODE ENFORCEMENT Requirem ►tp (�tt A permit must be obtained before of this per tt; PERMIT FILE NO. beginning constriction. No inspections �t��A(� will he made until applicant has received ❑ Zon11Ig'�{��i4 M Jt9/t 20Q0 PERMIT FEE PAID$ a VALID BUILDING PERMIT. All Arrr /Uac applicants'shares on this application TOWN OF QIJEENSBUf ly RECREA770M r•E Al MUST be completed and-the signature tn ►1 of th Pl e applicant must appear on die ❑ �0fLft .gVA4k COD REviEWED FY application form. rn.a,. SP a tvtston Oltcr n inglnspec�or creation tee Pnyment Applicant: ,j�tyo ��^y f/ l/} Owner: 'iea2 ~ ea 1e ?`/ I'Y//I/CCM CJ! • %7' Ja �1'G'�� ' Address: I(�' 9 ,r�22r =-=.Address: 1 .r��' ir" j""!'✓�?. Lt:E'Bs'fS�{tr-"y Phone# L b_) / 'LL LJ d Phone# Propedy I,oculiun: 1""JVe— Subdivision Name: raz Map Number_ L Section Block Lot NATURE OF PROPOSED WORK., ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: 3 Seas�/ r ao- residence / commercial $ Additi wilding: f oOpYJ residence / commercial OCCUPANCY INFORMATION: Alter'. t .on o Building: P mary Building - residence, / commercial Single Family Dwelling Residence / Commercial Two Family'Dwelling no change to exterior size Family Dwelling -Office Other Work (describe below) Mercantile Manufacturing GROSS AREA OF PROPOSED STRUCTURE: Other '. 1st Floor. ..... . .—Z(9/ sq.- ft. If ADDITION, what will use 2nd .Floor. . ... .. , sq. ft. of new, addition bp? Other Floors.. . . . sq. ft. ' J`ea' o'n /-t)r-C� (not unfinished cellar or basement) ACCESSORY BUILDINGS: / �/' Detached Garage 1, 2 car TOTAL FLOOR AREA: /�p .SQ. FT. Attached Garage 1, 2 car _ Private Storage Building SIZE OF NEW STRUCTURE' Commercial Storage Building Other ��.._. FEET JC -__� FEET � . // ,,11 Foundation Type: o�Y ,t�o2� (/� TOG//h Will any second-hand or ungraded Number-of Stories: lumber be used? If so, for what? (habitable space only)______ Y).,0 Height (grade to ridge): feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo stove (circle all which appI' s) to be installed: _� Electric / Oil-/• Gas j Xood Forced Hot Air / Baseboard / Other Person responsible for eu ervisiop of work as regards to building* codes is: T6rYt 4(6 e-e-k+ 479"11"CL;-r,,S'-> #1- 79ff-02� Ndine Addresss Phone Builder: Plumber: Mason: t v_c IO+r1 Electrician: DECLARATION- Please sign belmv after you have carefully read fire 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 Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed serve or; drawn to scale, showing actual location of project on premises. Signature: (owner, ner's agent, architec ontractor) TOWNENERGY CODE COMPLIANCE APPLICATI 1tv C_ .OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS JUG 12 2000 Tft�OFCompliance Methods : PART 5 - Acceptable Practice A QUEEPJSSUR�, 1&2 Family Dwellings (o�n��1!151A�LpCo ,.)O:.- PART 6* - Thermal Rating 7 .Component Trade Offs * 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less ) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NaME: PROPERTY LOCATION: /V/ 7�) JaLrez ile- I PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area square feet 36?0hrA 2 . Type of HeatNOA/15 Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Oveir 17% ZKF; Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R--VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 2<2— b. Exterior walls R /� c. Glazed areas R /, 9 d. Exterior doors R / e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Ap 4iiqant' s fi=at re Date Phone Number r 0 ,-:3 S 0 INSPECTORIS' REMARKS: THE NEW YORK, BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NE NY 10036 Date Of�'J`:�13@1 ,1,7,2000 Application No. o file C'140, 'U /00 �� 154316 THIS CERTIFIES THAT €EN11T NO. =,00UM408 only the electrical equipment as described below and introduced by the d on the above application number is in the premises of ? J 14AMI¢ 3 SURREY" ��IETI3 DR � CbI,II�a�a�9�aI��,Pvt NY in the following location; 0 Basement )t[] 1st FL Q 2nd Fl, Section Block Lot was examined on O�:�I'�f�3ER 13,� 00 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT, I K.W. AMT. K.W, AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO,OF FEET AMT. WATTS T SERVICE DISCONNECT- �O:of __.S _ E,_ _ .R .._ V I- .__—C .__ E METER NO. CC COND. A.W.G. A W.G. A W G. AMT. AMP, TYPE EQUIP, 1 R 2W 1 0 3W 30 3W 3 0 4W. PER 0 OF CC,COND. NO.OF HI- PER OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: su.l v has, been made a1 ttie exposed electrical equipment in the unsatisfactory Oo1:1ditin was found. HILLTOP CONST i' UENISBURY C 111:1611AM T�'�,` 11T GENERAL MANAGER H.ID'80N FAlta."t NYD 1283,1 239 .Per This certificate must not be altered in any manner,return to the office of the Board if Incorrect, Inspectors may be identified by their credentials, nnnv rnn nMiiiMIMI" nc0n0rkAC?dT TWIC rnDV r)P rFRT1P1r.ATF UlIgT NnT RP AITFRrO IN ANY MANNER, den RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement �� Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME ,\a PERMIT�17r 0a 1 02 LOCATION o DATE c�'% I(a±i aQQ3 c7 TYPE OF STRUCTURE, N/A YES NO COMMENTS Chimney HeightP B-Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" of Exterior Handrails,balconies,landing 18 in.or more \ Interior Handrails stains both sides 3 or mor risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"abov grade Gas Furnace shut-off within 30 feet or within Im* of site Oil Furnace shut-off at entrance to furnace area _ 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 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(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) 11 R l GENERAL rNSFECTIDN REPORT" { 51$} 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 Depar� Inspector's Initials NAME; CON.. PERMIT# LOCATION: DATE: —i� �C> TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form ! `� Reinforcement in Place The contractor is responsible for i 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 _ �} Backfill Approval Plumbing Under Slab t.. Plumbing Vent/Vents in Place Rough Plumbing 't Heati g- n 9a�ti4T1 VI . rFoundation Walls Interior R Foundation Walls Exterior R- t. Floors R- ' Walls R- Ceiling R Duct work or piping in unheated spaces R- Propq eiit Attic Vent 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 WO , -4*j, GENER4L 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 Depar�d`' Inspector's Initials NAME: ---- � PERMIT# ®� LOCATION: _ t.pf� /�� DATE: z� TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form 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 Placea 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- Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent,Attic Vent �r _rarping� 7/-71 ac Stuids/Headers � ��,�,� BracingBridgin Joist Hangers Jack'ogA/Main Beam r�IrzfiltratimiBarrier Fir Se 1,2,3,hour Penetration Sealed F�re Wall 2,3,4 hour i ,::t,�irestoppflng GENERAL LN_SPECTIONREPORT (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`/ 5 pm Inspector's Initials. NAME: flyeky PERMIT# LOCATION: /-�Otpwj fze--t-jj0 DATE : is TYPE OF STRUCTURE: RECHECK rg/AYES NO COMMENTS Footings/Piers Monolithic Pour Form 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_ Backflll Approval Plumbing Under Slab Plumbing Vent/Vents in Place - Rgfigh Plumbmig- gtin8 Rota} oul Sul4t i�0 Sul' nuoni -(4 C Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- y oper Vent, ttic Vent rs Bracing/Bridging Joist Hangers JackPosts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed - Fire Wall 2,3,4 hour Firestopping 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: L(Y PERMIT# LOCATION: �t�2i�C� j—i Lt�`� DATE: TYPE OF STRUCTURE: RECHECK COMMENTS Footings/Piers Monolithic Pour Form 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 Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place R ugh Plumbing cating Ro In sulat, Ar Foundation Walls Interior R- Fpandation Walls Exterior R- Floors R- 47&' Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper e Attic Vent .-G�te� I 'rtr -^e' �Fraxearn r, 'e�t� 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 1� AN -)-CT etr�4j 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: PERMIT# ckt)Q A LOCATIOk 4=-,�OA DATE : -?)-/iA- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Hers I Monolithic Pour Form 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_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing HeatingRoughIn Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PrOr Vent,Attic Vent riming_ Jack Studs/Headers Bpcm' g/Bn-dgt'ng ,--efoist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Scaled Fire Wall 2,3,4 hour Firestopping_ GENERAL REPORT ( 518) 761.-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement p 742 Bay Road Queensbury,NY 12844. Arrive am/pm Depart `(/ Inspector's Initials NAME;_ 1 �� PERMIT LOCATION: DATE: jI' TYPE OF STRUC RECHECK NO COMMENTS otin /Piers Monolit ' r Form Reinforcement in Place 'cam.... The contractor is responsible fo providing protection from freezi g for 48 hours following the place ent of the concrete. Materials for this purpose on site Foundation/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- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Readers BmcingBridging Joist Hangers 4 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping C\2 M„22,62.00s JUN 12 - 000 cn ,00'00 L 7'0wp, Sf.1t�t UE�a'Sj3jjRy � q A�{� l N / 00 0 0 W Nj O O r ODO C7. Z 000 in oo I a ,00'00 6 r J 3,,2£,62.00N . a C4vif;m on our limited exsrrinatian, cosripliance With our commen . +--� not be construed as indicating the �s plans and specifications are in full cornpiiance with the code. CQ URYT"AIN OF BUILDING PT. 1�cc �. REVIEWED BY . DATE c c, C\2 Y