92-576 _ _
-
e.„ CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date /.? 19 /;2
This is to certify that work requested to be done as shown by Permit No. 92-576
has beencompleted.
This structure may be used as a foundation for seasonal camp
Location #13 Takundewide, Hillman Road
Owner Samuel & Jeanne Lightbody
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-576
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SAMUEL & JEANNE LIGHTBODY "'
OWNER of property located at #13 Takundewide, Hillman Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r-
1. OWNER'S Address isca
--i
1424 Sherman Av o
Mamaroneck NY 10543
2. CONTRACTOR or BUILDER'S Name N
iv
Takundewide Mgmt Group Inc.
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3. CONTRACTOR or BUILDER'S Address
CD
to
23
CD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame x(x) Masonry ( ) Steel ( ) CD
0.
7. PLANS and Specifications CD
No. Installation of footings and foundation for seasonal camp 24')(32' ,e,
as per plot plan, specifications and application.
8. Proposed Use
Foundation for seasonal camp
50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 24 19 93 o
ct
Q J.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the = =
town of Queensbury before the expiration date.) - tv cfl
y
24th September 92 0 RO
Dated at the Town of Queensbury this D f 19 B T
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SIGNED BY % for the Town of Queensbury
Building and ning nspector
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TOWN OF QUEENSBURY
,,— T •I/
REVIEWED BY: „di,/
FEE PAID: cf5r— , : ;ED
PERMIT NO. : q —,�'� 6=h' 2 1992
6LDEL &CODEDEPT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: Samuel and Jeanne Lightbody
P.O. Address: 1424 Sherman Ave. , Mamaroneck, NY 10543 PHONE
Property Location: #13 Takundewide, Hillman Rd. , Cleverdale, NY Tax Map No. 11 / 1 / 1 .15
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Takundewide Lot No. 13
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
William Mason, President, Takundewide Mgmt. Group, Inc.
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ 19,000.00
Addition to building ,
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 44 ft. x 52 ft.
X Other work (describe) * Existing Building Size:
Install footings and foundation to 8' depth * 24 ft. x 32 ft.
/r0/( Sd450 AWL. W U' Dri)G y * Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard 10 ft. Rear yard 10 ft.
* Side Yards 10 ft. and 10 ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: 76 e Sq. Ft. * Primary Building -
* X One Family Dwelling
Size of New Structure: 24 ft. x 32 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) 1 * Other
Height (grade to. ridge) . 18 ft. *
If residential , no. of families: 1 * If addition, what will use be?
No. of rooms (excluding baths) : 4
No. of bedrooms: 2
No. of bathrooms: 1 * Accessory Building:
Primary heating system: baseboard * Detached Garage One/Two Car
Type of fuel : electric * . Attached Garage - One/Two Car
No. of fireplaces to be installed: 0 * Private Storage Building
Will a woodstove be installed?: No * Other
Central. Air Conditioning: Yes No X *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : Concrete blocks Thickness: 10"
Depth of Foundation below grade (to bottom of footing) : 8'
Will there be a cellar? yes Heated or Unheated? unheated Floor Sq. Footage: 506
Will there be a basement? Yes Will any portion be used as living space? no -
If so, what portion? Sq. Ft. Type of Use? storage
Type of Roof: Sloped/Flat/Shed/Other sloped Material of Roof asphault shingles
Size, wood studs 2 " x q, " ; spacing16 " o.c. ; length 8 ft.
Joists (floor beams) : 1st Floor 2 " x 8 "; spacing 16 " o.c. ; span 12 _ ft.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : 2 " x 6 "; spacing 16 " o.c. ; span 12 ft.
Roof rafters: 2 " x 8 "; spacing 24 o.c. ; span 14:5 ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: white clapboard of what material ? vinyl
Interior Wall Finish: pine paneling
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
n/a
Is there to be an opening between garage and dwelling? n/a If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? n/a Height above roof ft.
Depth of chimney foundation below grade: n/a ft.
Depth of fireplace hearth: ft. in. . -
Water supply`. Municipal or private well : private
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: 300 ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: Takundewide Mgmt. Grp. , Inc. , Box 85 Cleverdale PHONE 656-9573
NAME OF PLUMBER & ADDRESS: NY 12820 PHONE "
NAME OF MASON & ADDRESS: " PHONE "
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
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
not, 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, -an.. AS BUILT PLOT PLAN drawn to scale, showing actual
location of project on premises.
Signature � : ,
Ow e d owner's agent, a chitect
contra for
SPECIAL CONDITIONS OF THE PERMIT: )
a__,_ ` c, £Je--e ,
e
By: „G(/
C de Enforcement fficer
P
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
• FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ,l //YYI.G!P� V'
LOCATION 4 1` akt-eiazterdi
DATE ////d249' PERMITO
TYPE OF STRUCTURE lA j / a /44(dt J
RECHECK 011/ /
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
vFOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
/ APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION',,
B VENT/LOCATION ',1 1
PLUMBING VENT
ROOFING `:j /'
SIDING
DECK/PORCH/STEPS/RAILINGSA
RELIEF VALVES l �A
FURNACE/HOT WATER OPERATdING.\
INTERIOR TRIM/PRIVACY DOORS`•;
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT \.
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPEJED
STAIR CLEARANCE/RAILINGS A
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS /1
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
4/9 kCLsr(
ARRIVE
DEPART
I` PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 748-4447 •
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
LOCATION
DATE WAO/M.--PPI .IT t
TYPE OF STRUCTURE
RECHECK APPROVED
��, .N/A YES NO
X FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS 'rt?SPONSIBLE
FOR PROVIDING PROTECTION FRC
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE •
PLUMBING UNDER SLAB r
FRAMING: \ ;�
JACK STUDS/HEADERS,
BRACING/BRIDGING \ I
JOIST HANGERS \ ( _
JACK POSTS/MAIN BEAM \ I
HEATING ROUGH-IN \I
INSULATION: X
FOUNDATION WALLS INTERO R-
FOUNDATION WALLS EXTER].OR\R-
FLOORS 1 R
WALLS I R
CEILING r R- \
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
b-e [-;; izAA_ )--63t WA-TML
/ S PA.' & PoiAP OUT-
tit) t t U& ^Ro orL t,U -
.40 OWE-
• ARRIVE •
DEPART /'ate /.�.r �✓ _
INSPECTO •
TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENtar5144 "
531 BAY ROAD 7d Mi/P%
QUEENSBURY9 NEW YORK 12804 LO '
TELEPHONE (518) 745-4447 ' cJ%[ 2
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED /6/61f 7
NAME Gnus L. �J� Ia ,f\/ 1U
LOCATION 14113 ' oet P— J;Gl��
DATE ca PERMIT # �� •- ,) ,ij
TYPE OF STRU TUR41‘41,o14 /i 4i �_
RECHECK AP'ROVED
,N/A YES NO
7-P
OOTINGS/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/WALL POUR `
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ;
BACKFILL APPROVAL /`
ROUGH PLUMBING
PLUMBING VENT/VENTS IN' PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING' 4..
JOIST HANGERS
JACK POSTS/MAIN BEAM 'c
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR 'R-
FOUNDATION;`WALLS EXTERIOR R;
FLOORS
WALLS R-
CEILING
DUCT WORK OR PIPING IN UNHEATED''•
SPACES
REMARKS: /�7
CVACUJ-7`& ' J\ T-1(14- 0)14 L r
Poora(P
ARRIVE
/9/7
DEPART ,;, -[) ( -
INSPE OR
\V
p1(� /�N\ TOWt3 OF QUEERSBURY
� ' BUILDING AND CODES DEPARTMENT
1°1. 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (5.18) 745-4447 iG /®
BUILDING INSPECTOR'S REPORT
.REQUEST FOR INSPECTION RECEIVED /04/7.2._
NAME 4/YJ.tud • weezni,-,4__
LOCATION #7 1 iJM iezztr d.�,
DATE /6/ ! !2 PE'°:tIT #
TYPE OF STRUCTURE a/-
';Ze
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS e, SPONSIBLE
FOR PROVIDING PROTECTION FRI=' r,
FREEZING FOR . FOURS FOLLOWINp)
THE PLACEMENT OF 1'HE CONCRETE. ' ' '-'
MATERIALS FOR THIS PURPOSE ON SITE •
FOUNDATION/WALL POUR;
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING '
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING f' 1,
JOIST HANGERS / ;
JACK POSTS/MAIN BEAM.
HEATING ROUGH-IN /
INSULATION: •
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS I' R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/voiL
ARRIVE /,2J VI
DEPART /;&
INSPEC R
Lightbody- - -Permit # 92 576
Be aware that the insulation of the floor of the camp
wil create an unheated cellar space . Should a heating
system be installed in the cellar, the ducts and/or piping
must be insulated per Energy Code Requirements .
Vic Lefebvre C .E .O .
Town of Q'by
Building & Codes Dept .
TOWN OF UEENSBU.'RY
BUILDING , CO E DEPTI
REVIEWED BY 44.
DATE
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with-our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
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