1999-679 41114111k 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::. _99679:,. Date Issued: Tuesday, October 05, 2004
This is to certify that work requested to be-done as shown by Permit Number 99679
has been completed.
Tax Map Number: 523400-278-000-0001-008-000-0000
Location: STATE ROUlE 149
Owner: JOHN HUGHES
Applicant: HUGHES, MN.
This structure may be occupied as a:
By Order of Town Board
1-CcvL a P.tached.Ganag e TOWN OF QUEENSBURY
(fi'' j 4 41'
Director of Building&Code Enforcement
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TOWN OF QUEENSBURY
ii_
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 99679 Application Number: 99679
Tax Map No: 523400-278-000-0001-008-000-0000
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Permission is hereby granted to: HT TG-HRS. JOHN
For property located at: STATE ROUTE 149 •
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: JOHN HUGHES
1 ROCKLAND Dr Unknown . $3,500.00
Total Value $3,500.00
LAKE GEORGE, NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
HiJGHES. JOHN
1 ROCKLAND RD..
LAKE GEORGE. NY
Plans&Specifications
1-CAR DET. GARAGE/ 16 X 22'DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
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$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 10, 2001
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at th own f Qu s , <;% sday,November 10, 1999
SIGNED BY \ for the Town of Queensbury.
• Director of Building&Code Enforcement
rppliBuil ding Permit A-
cation
Town of QlleeiZsbu y A
Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 �761 S256J
BUILDING & . CODE ENFORCEMENT
NofIcE Requirements prior to issuance
r
permit must be obtained before
of this permit: PERMIT FILE NO. ST(41.A2
beginning construction. No inspections
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and the signature n Planning Board Action
of the applicant must appear on the REVIEWED BY:
n
SPR / Subdivision /Other Building
application form. n y,, specrw
} Recreation Fee Payment
Applicant: _,..I sIIAI /-A.,Qh e.S Owner: ,5//04.3 14 v 7/, c
' Address: f Qr‹ki4 d ���.
/'+l Address: ,l��� �•��r�q� lop /4.f 43
Phone # ( ) 2.2 - 6_.‘aL-_ Phone # ( ) -
Properly Location: a (1'Ye S'.a7 v/ew O • ...
titi'IIIvI kul Nl11110I c.2- Trot_Mon Nttmhpr .--.�...�L ' /
.1;4 MOWN IIIt»k lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 36 oo. —
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwel �nng
no change to exterior size . Famil P e n�
Office t. i..r.oVE
Other Work (describe below) Mercantile OCT 2r, �ggg
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: Other f{�LJII WNOFm'QU)rr L+RY
If ADDITION, what will use
1st Floor sq. ft. of new addition be? :
2nd .Floor sq.. ft.
Other Floors sq. ft. .
(not unfinished cellar or basement) ACCESSORY BUILDINGS: ^-,-\
,t/ Detached Garage (6.,) 2 car
TOTAL FLOOR AREA: - r. SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
—
Other
He FEET X . .i. FEET
Foundation Type: CoA)dr'c.7.- Will any second-hand or ungraded
Number of Stories: lumber be used? If so, for what?
(habitable space only) io o
Height (grade to ridge) : feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which appli s)
to be installed: Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
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Person responsible for supervision of work as regards to building
codes is : o 440 H pA e.s
Name Addresss Phone
Builder: 'o n ,v /4 v 911 es ' •
Plumber: I
.
Mason: r
Electrician: , r
I.
DECLARATION: Please sign below afikr you'�tave'carefully read the statement.
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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, ari AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:g ! a.
- , ,
(owner-, owner/agent, architect, contractor)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 1%7
Main Office 176 Doe Run Road-Ma heim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. � Cert. .85894 Cut-in Card No
Owner -� ' J 1fu O,
Location e C / U -DR-
Installation Consisting of VI- f 7v7 ZVS fee`li`l2
Installed By -46D2- Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki ' spections at any time, and if its
rules are violated,the Company shall have the right to r ke t 's c ificate
Date 4'/�`�T' INSPECTOR. .
Member N.F.P.A.,I.A E.I.
L. c-) , Queensbury Building & Code Enforcement - Resid i inal Inspection •
Office No.(518)761-8256 Arrive: s D art: 4 am/pm
Date Inspection request received: Inspector's Initia
� j9i�J
NAME: `�; -- G�G l� P IT#:
LOCATION: C `t�`AcOc Ong* V i Pa 1�l� ATE: ,,
TYPE OFSTRUCTU
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios fl)
Guard at stairwell at 34 in. or more C/
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 %"
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
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 /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/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
. ,.jed .
All
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury 1 — Q
Dept.of Community Development Date inspection request received: ,t 1 JL i J? I- tq 61
Building& Code Enforcement
742 Bay Road
„
Queensbury, NY 12804 Arrive am/pm Depap` m
Inspector's Initials/� /-�J
NAME: PERMIT II `7-4� l
LOCATIO d VieY `DATE : rs / 6
TYPE O TRUCTURE: / G ,Ja,� ,1 ,,
,..
RECHECK(4 ,
6
N/A YES O COMMENTS
/7
ngs/Piers —�
onolithicoti Pour Fo n
Reinforcement in P1 cc
The contractor is esponsi'le for
providing protecti o n from freezing
for 48 hours folio ,ing t , placement
of the concrete.
Materials for this . -i Ise on site
Foundation/Wallpour
Reinforcement in Plac
Foundation/Dampproo i g _
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ace
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/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
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an anyy�'uy�t�n/��/d/exxan�nft DATE
not be cone ww A indicating $1e ...�
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compliance wm ute code. .