2004-136 TOWN OF QUEENSBURY
742 Bay Road;Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040136 Date Issued: Monday, August 09, 2004
This is to certify that work requested to be done as shown by Permit Number P20040136
has been completed.
Tax Map Number: 523400-308-009-0001-018-000-0000
Location: 682 LUZERNE Rd
Owner: MARION ALDEN LE
Applicant: MARION ALDEN LE
This structure maybe occupied as a:
By Order of Town Board
Storage Building TOWN OF QUEENSBURY
alp
Director of Building&Code Enforcement
i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040136 Application Number: A20040136
Tax Map No: 523400-308-009-0001-018-000-0000
Permission is hereby granted to: MARTON ALDEN LF,
For property located at: 682 LUZERNE 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: MARION ALDEN LE
SHIIZLEY&ERNEST ALDEN Storage Building $2 0
0
Total Value $2,500.00
682 LUZERNE Rd
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
ERNEST ALDEN
682 LUZERNE Rd
OTTEENSBTTRY_ NY 12804-0060
Plans&Specifications
2004-136
500 SQ FT STORAGE BUILDING
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, April 08, 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 To Queens 1-5
u day, April 08, 2004
SIGNED BYOo-
. / for the Town of Queensbury.
Director of Building&Code nforcement
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. 6
No inspection will be made until applicant has received a r pad
valid building permit. All applicants' spaces on this Rec.Fee Paid $�
application must be completed and must appear on the Reviewed By:
application form.
Applicant: rests , ��,��^�' Owner: c,,j c-s i U e-g
Address: Address:4 k�- Lr u i--,N e- P_ooJ_
Qu e—esUS bur+%- Yyt-Ld gdrY-- ► q QU e-e_v'17 o,U ,{
Phone#(Lib) 70 - c664 Phone#(�''!s)
Property Location: Lot Number: ' / / House Number 6�� / . 7
Subdivision Name: Tax Map Number:
b New Building: residence /commercial 'Estimated Market Value of Construction:$ 00
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residenco/ commercial
a No change to exterior size: residence/com'1
o Other work(describe ) .
Check Occupancylnformation 1` Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.it. Square Feet
v Single fimil dwellin
0 Two AMk dwelling
o Townhouse
v Multifamily dwelling
#of units
o Office
0 Mercantile
a Manufacturin
0 1 car detached garage '
0 2 car detached eme
0 3 car detached S=go OZIN nFi
0 1 car attached garage LBUILDING AND CODE-
o 2 oar attached garage
0 3 car attached garage
0 Storage building-
commercial
Storage building
residential rid l A
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: 1 6
Number of, Ovylaces'to be installed Number of Woodstgyg to be installed !�
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 1�,r,j -st- 0, Luz N. (mid 761 -606
Plumber /U/h
Mason N 1 A
Electrician /'A
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 Uwe 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 tulle Survey by a licensed surveyor;drawn to scale,showing actual
location of all new constructio
Signature:_ ? owner,owner's agent,atchitect,contractor
Co 1al Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received: At
Queensbury Building&Code Enforcement Arrive: am/ Depart: ` m/pm n
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: n L- ~ 13 l�
LOCATION: ' V DATE: ar-
COMMENTS:
Y N NA /
Chimney/"B"Vent/Direct Vent Location
Plumbin Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in.Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18")Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil'Furnace Shut Off at Entrance to Furnace Area
Stocldoom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors
>10%> 1000 s . ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
'Ceiling Fire Stopping, 3,000 s . ft. Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handica ed Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ram /Handrails Continuous/12 in.Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if reg.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectionrr
d:
Queensbury Building& Code Enforcement Arrive: rt: am/pm742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: J� -may ��, PERMIT#:
—0 A r�LOCATION: INSPECT ON: ✓' - I
TYPE OF STRUCTURE
aming : I
Y N N/A COMMENTS
&Z
Jack Studs/Headers
Bracing/Bridging ,j �NCX-
Joist hangers
Jack Posts/Main Beamsp-j—
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in. �� p` �M
Stairwells 36 in. or more �o'M �{ o�`t-Q�jyg�t�
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses '0- �C kA F C-�-
Anchor Bolts 6 ft. or less on center' P�&t7
Ice and snow shield 24 inches from wall
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 %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FOR1VIS\Framing Firestopping Inspection Report.doc January 28,2003
rAA non
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am1 Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: \ C'M PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piee �-ter
onolithic Slab
Reinforcement in Place
The contractor is responslb e fo
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 Dampproofmg/Waterproofing
Footing Drain Daylight or Sump,
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backf.11 Approval .
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop.within 10 ft.
LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
13�2
COUNTY DEPARTMENT OF CODE ENFORCMENT
UNMARKED STRUCTURAL LUMBER
URTIFICATIO i
MILL.N WE: Mead Lumber Co. Inc.
ADDRI:iSS: 1288 Vaughn Rd.
Queensbury,N.Y,
12804
I'HONE:(518)798-4926
FAX: ,518)798-1091
r� e�
PUR ij
CHASER:
�
�n.0 � �� �rr�o✓�-�J Yv i Cl(J 7Z /a Lem• VV
PRUJE(:"I'LOCATION: 6
BUILDING PERMIT No:
representative of the abovementioned mill
a duly authorized , do
CERTIFI' TO THE COUNTY DEPARTMENT OF CODE ENFORCEMENT and the
abovenained purchaser that:
The quality and safe working stresses of the unmarked structural lumber provided for construction at the address
and under permit issued abovementioned is equal to or exceeds No. 2 grade in accordance with the conditions set
forth in the American Softwood Standard PS20-70.
Sigria a of Authorized pres tative
tu Date
Michael E Mead President
Unmarked Structural Lumber
Producing Mill Certification Form
9 NYCRR 809.4 T ✓v� j
This certifies that structural lumber produced by this inill has been so
the quantity, dimensions and species as indicated below and. that" quality an .
safe working stresses of this lumber .is equal to Or exceeds "No. 2 ..grade in
accordance With the conditions set forth. in the Americans Softwood, Standard
P$ 20-700
Name of Producing Mill 1 Jlr f
Address
Z Phone ( }
Lumber Species --
Lumber Dimensions x . x ,_._.�.,. x
quantity Purchased '
Purchaser's Name �r.,- )
Address � 8� L--c�2 � / 12. j
Permit No. —1 -
PrpJeCt Address e_-,
Zip Pr0y Phone (S; IF). 7C1 G o6 y "
Puzchaser s. Signature
Date d-2
Mill Owner's Signature
Date -
d _
102.4 Unmarked e true tural lumber. Lumber which is not grade-marked nor certi-
fied by a recognized grading organization designated under section 802.2 of this Part
shall be classified as an ordinary material. Such lumber Is not required to sleet the test
requirements of Part 804 of this code and may be authorized for use by Tile authority
having jurisdiction under the following conditions:
(a) The producing mill shall sell or provide the lumber directly to the ultimate
consumer or his contract builder for use in an approved structure.
(b) The producing mill shall certify In writing to the consumer or builder on a form to
be provided by the local authority having jurisdiction that the quality and safe working
._stresses'ef such lumber are equal to or exceed No. 2 grade In accordance with the
conditions sat forth In the American Softwood Standard PS20.70.This certification shall
be filed with the local authority having jurisdiction as part of the building permit
application. .
(c) Such lumber shall be used In accordance with Part 706 of this code,limited to:
(1) one-and two-family and multiple dwellings not exceeding three stories In height;
(2) general building construction not exceeding 10,000 square feet of cumulative
floor area or 36 feet in height.
(d) Such unmarked lumber shall be permitted to be used as provided In subdivisions
(a)-(c)of this section except when It has been determined by the local authority having
jurisdiction that only lumber which Is graded according to lice American Softwood
Standard PSO.70 must be used In such municipality.
Historical Note
Sec.filed March 4.1986 ell.March 28.1886.
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