2004-760 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. P20040760 Date Issued: Friday, December 03, 2004
This is to certify that work requested to be done as shown by Permit Number P20040760
has been completed.
Tax Map Number. 523400-279-019-0001-018-000-0000
Location: 58 JENKINSVILLE Rd
Owner. L.P. DAIGLE GENERAL CONTRACTORS, LLC
Applicant: L.P. DAIGLE GENERAL CONTRACTORS, LLC
This structure maybe occupied as a:
By Order of Town Board
Storage Building TOWN OF QUEENSBURY
4SA4
Director of Building&CodY Enfo ment
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040760 Application Number: A20040760
Tax Map No: 523400-279-019-0001-018-000-0000
Permission is hereby granted to: L.P. DATCTLF. CTF.NF,RAL CONTRACTORS- T,T,C;
For property located at: 58 JENKINSVILLE 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: L.P. DAIGLE GENERAL CONTRAC
1 Storage Building
6 RESERVOIR Dr
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address- i ElectricalInspection Agency
, i
Plans&Specifications
2004-760
1064 SQ FT STORAGE BUILDING (AV.72-2004 Approved with conditions: no commercial storage
equipment will be in this structure, and that no automobiles, vehicles will be stored there.)
i
jl
$106.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 01, 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 T G-0-1113neens ; i , O tober 01, 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. zeevid
No inspection will be made until applicant has received a $
valid building permit. All applicants' spaces on this Roc.Fee Paid $�
application must be completed and must appear on the Reviewed By:
application form.
Applicant:_ _� Owner: G `r l/I � • M_e_
Address: Address: // xL 6WP A, "
Phone#(�) Phone#(L_e) ?-f- �
Property Location: Lot Number: House Number4�✓
SubdivisionName: Tax Map Number: ;�.2 R
O New Building: residence /commercial i:Estirriateci Market�?clue of ConstructYon:$ _ _
o Addition: residence/ commercial If an Addition,what will use of new addition be?
j O Alteration: residence/ commercial
M 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.ft. Square Feet
O Sin a family dwelling
o Two.family dwelling
O Townhouse
O Multifamily dwelling
#of units
o Offico
O Mercantile
0 Manufacturing
0 1 car detached garage
n 2 oar detached pruse
0 3 car detached Swage ..
0 1 oar Attached garago
0 2 oar attached garage
0 3 car attached garage
O tozage building-
residential ,
0 Other
What is the proposed-height of the structure 09f feet inches
Will any second-hand or ungraded lumber be used? If so,for what? ��
Type of Heating ystem:S electric/ oil J gas/wood /forced hot air/ baseboard/other:_
Number of Ftreniaces to be installed ® Number of Woodstoveg to be installed d
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder L.
Plumber
(Mason /
(Electrician T.o �
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 I/we 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,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual
location of a7,7��
ction.
Signature: owner,owner's agent,architect contractor
g t,
Framing / Firestopping Inspection Report °�a
Office No. (518) 761-8256 Date Inspection request received: 3 OS
Queensbury Building&Code Enforcement Arrive: am/p art: a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
o C� .
NAME: . _t,C e PERMIT#: �� 1
LOCATION: INSPECT ON: DS
TYPE OF STRUCTURE: CIAMMV
v
Y N N/A COMMENTS
Framing
Jack Studs/Headers !�d T
C, ►I Gk-e.
Bracing/Bridging ' �S
Joist hangers �� 1
Jack Posts/Main Beams Ud
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
1 %z (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses d�
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
s�
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling'wall
Windows Habitable Space/Bedrooms �G
24 in. (H) C
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
��
Queensbury Building & Code Enforcement - Residential Final Inspection -
Office No.(518)761-8256 Arrive: am/p D part: i/pm
Date Inspection request received: _ Inspector's Initials:_
R.
NAME: � �.�c-Q PERMIT#: oq--7-� D
LOCATION: \ DATE:
TYPE OF STRUCTURE:
Comments
Y N
Chimney
Ht./"B"Vent/Direct Vent Location I A l l Y�`SS
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)stairs, decks,patios G ( /
Guard at stairwell at 34 in. or more i[
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 %Z"
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 Valves 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 a Tess below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/o hour fire door/door closer
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 s . ft.-150 s . ft.vents
Building 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 or C/O Temporary/Permanent
L:\PamWlBuildinjz&CodeslInspection FormslRes. Final Insp. form 2.docLast printed 2/12/04
c�
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: arn/pm Depart: I 3hvpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: :1j12i
NAME: A PERMIT#:
LOCATION: INSPECT ON: e,
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers Bracing/Bridging4?d /d`
Joist hangers
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
1 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
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:\SucHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
1 �
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: 1���r am/pm Depart: _am/pm
742 Bay Rd., Queensbury,:NY 12804 Inspector's Initials:
NAME: _ PERMIT#: .17�
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: 1
Comments
--- Y,r N N/A
Piers
Monolithic 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 pu—pr ose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
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.
LASucHemingway\BuiIding.Codes.Inspecti on.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspe tion request received:
Queensbury Building&Code Enforcement Arrive: �'/i4 am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: { .t �- , . ) PERMIT#:
LOCATION: , INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic 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
s
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: ,
12 inch width
6 inches above footing
6 mil poiy for wet areas under slab
Backfill Approval r
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade'6 inch drop within 10 ft.
L;\,SueHemingway\Building.Codes.Inspection.FORMS\Foundadon Inspection Report.doc January 28,2003
10/13/2004 13:22 FAX 518 786 8850 N. COLONIE-DMAINTENANCE Z 001
G.Peter Jensen
17 West Road
ID A iG� South Glens Falls
fLL New York 12803
bJ� 9C � 518) 798—3859
Re:2004-760
To Whom It May Concern_
Three#4 deformed reinforcing bars may be substituted for the indicated two#5
deformed reinforcing bars,in the footing.
Sincerely,
G.Peter ensen
APPROX. PER.TEST
HOLE LOCATION
43' 5- 5-83'S4-56-E
5-WO
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100 FMTTE TraAT TI:E NEW WELL. 6 "ff TkAN
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22, 100.73 FT 100 FEET FROM ANY EXLS TH69 LS MORE NAN
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NEW M4 SF 5TOOR 0�ORY 3
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6.69 ACRE PARCEL
FAMILY SInGL SR-IA ZONE 09 Ff MAP PL MER 279.19+18
FAMILY RESIDEnG E ►y-88-40' (TAX��yG ALL
TAX MAP: 279.19+p ASMr*PARCELS)
66 "E*MVL.LE ROAD
EXISTIN6 WOODEp AR
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1'F88-24-29-E
45854 FT
h637 - N-87-06-44-W
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- - 20_FQ4L -- ---- - - -
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PROPERTY SOLMARY ►NFORMATVN T
'� "MAP OF LABS OF ESTELL.q R TA EN FROM A
c - - DATED 5/11/88 AND 9/10TON"
/98
FAMLY RESIDE E EXISTIPI6, LLGE VETED sY WAYNE R, RAYMOND
nGE St'LE- PSED LAND SURVEYOR, GLENS FALLS, L'n
TAX MAP: 279 M+20 F Y R -1 E FORESTED AREA WAS
�1N5VILLE ROAD o TAX MAP, 27`'19-)-2l EXTRAPOLATED FROM T1-E
3 42 JENKI(lSVy LE ROAD WARREN STY SPATIAL DATA VEWER
r SATE PLAN
'4&o�� '° RESIDENCE AREA VARIANCE APPLCATION�O
Q f AND 970RA6LE 13UILOIN6 FOR O PALL NT,
�r43, 234.83 FT -- �' `�+-� �OA L PALL
�AI��._E QzERES T, NYC
rL-87-38-z2-w JEHKINSVILLE ROAD 4
JENKINSVILLE ROAD I OWN OF QUEE NS13URY, NEW YO� RK PL41'1 PREPaRER,
DATE, 3R ROAD
AU6tUST 10. 2004 JOPNN AWNMAI, SCALE, y� , 50, O„ Y. NY 12604 r
UNLESS NOTED I OF I
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