2004-496 TOWN OF QUEENSBURY
742 Ba Road ueensbu NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040496 Date Issued: Monday, August 09, 2004
This is to certify that work requested to be done as shown by Permit Number P20040496
has been completed.
Tax Map Number: 523400-239-008-0001-059-000-0000
Location: BOATHOUSE Rd
Owner: DAVID & EVELYN DUFRESNE
Applicant: DAVID & EVELYN DUFRESNE
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
Director of Building&Code Enforcement
��` TOWN OF QUEENSBURY
A4 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ON
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040496 Application Number: A20040496
Tax Map No: 523400-239-008-0001-059-000-0000
Permission is hereby granted to: DAVID & F,VF,T,YN DITFRESNE
For property located at: BOATHOUSE Rd
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: DAVID & EVELYN DUFRESNE
216 COLUMBIA St Shed/Storage Sheds $6,000.00
Total Value $6,000.00
COHOES, NY 12097
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-496
288 sq ft STORAGE SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 27, 2005
(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 Towifi.of Qu nsb T e.d 1, , July 27, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code 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, 0 Li—2/9(p
No inspection will be made until applicant has received a F0e Paid $,2 0 av
valid building permit. All applicants' spaces on this Roc.Fee Paid $
application must be completed and must appear on the
application form. •
Reviewed By:
Applicant: ;
PP , t r' `•„>c Owner: rY:`� i-Y�
Address: ;2) Address:
RECEIVED
Phone#( ) hf - i1f Phone#( )
1 °)_ I JUN 2 8 2004
Property Location Lot Number: / House Number �} I ';' : 1 `( TOWN OF QUEENSBURY Subdivision Name: Tax Map Number: I BUILDING AND COD
E
• New Building: residence /commercial Estimated Market Value of Construction:$ (n UL)b
O Addition: residence/ commercial If an Addition,what will use of new addition be?
O Alteration: residence/ commercial
O No change to exterior size: residence/com'l
`st Other work(describe f' r ,;)
•
Check Occupancylnformation 1"Floor 2"Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
O Single family dwelling
O Two family dwelling
o Townhouse
O Multifamily dwelling
#of units
o Office
o Mercantile
0 Manufacturing
O 1 car detached garage
O 2 car detached garage
O 3 car detached garage
O 1 car attached garage
O 2 oar attached garage
O 3 car attached garage
0 Storage building-
commercial
Storage building-
residential ' ft `
O Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodstovess to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder
Plumber
Mason
Electrician
Peclaratiow 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 I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or D' ector of Building aid Codes,an,4s Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all noyf, onstructcon // »,
/
Signature: ' y f f4 o.f 4•y' owner,owner's agent,architect,contactor
Queensbury Building & Code Enforcement - Residential Final Inspection VR1►,r'�`
.
Office No. (518)761-8256 Arrive: am/p Depart: _ ' pm Aft ,
Date Inspection request received: Inspector's Initials:
NAME: CQj — PERMIT#: 0 r l 9 co /4Pvo
LOCATION: �� -6- ;� DATE: t,
TYPE OF STRUCTURE: ��`1J
Comments
Y N N/A //
Chimney Ht./"B"Vent/Direct Vent Location fAllittil� (Di<
Fresh Air Intake _—.
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
fGuard 30 in.or more L 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 ''A"
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 Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
I 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, 1 sq. ft.-150 sq. ft.vents ,
Building No./Address visible from road
Final Electrical
Site Plan / • .nce required
Final Survey Plot Ian
As Built Sept lys -m/Sewer Dept.Inspection Sticker
ti
Flood Plain ' ertific tion, if required
Okay to iss �or C!0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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TOWN OF 0 ',EEN3BUR\"BlirLD1NG DEPARTN4PN 1
Eas,-3c, ,...)-0 ot,r ifilltext examination,
comoiiar,ce 14‘4th atif comments shall
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