92-741 CERTIFICATE OF V V+CUI AM.0Y"
TOWN OF QUEEN5BURY
WARREN COUNTY, NEW YORK.
Date 19 Y
This is to certify that work requested to be done as shown by Permit No. 97- 741
hiss been completed.
This structure may be occupied as a single family dwelling
I.ocacion Lot 9 Ledgdwi ew Vi 'l� l age
Jahn Hughes
Owner
By Order Town Board
TOWN OF QUEENSSURY
-
Director of Bldg. !3t Code Enforcement
' r
MIR
x
BUILDING PERMIT �
C*
TOWN OF QUEENSBURY No. 92-741
WARREN COUNTY, NEW YORK
IN
PERMISSION is i eby granted to JOHH F76}iE5 �
OWNER of prfarry located at Lot 9 Led eriex Yi l 7 a e Street, Road or Ave.
in the Town ; Queensbury, To Construct or place a Single family dwelling at the aboo location in accordance to application together with plot plans and other information hereto filed and
approved .+d in compliance with the Town of Queensbury Building and Zoning Ordinance.
t, OVWNp'S Address is =
N
RR? Box 3293-2
Lase George MY 12845
c
2. (t]NTRACTOR or BUILDER'S Name
self
3_ CONTRACTOR or BUILDER'S Address
r
0
160
4. ARCHITECT'S Name r.
fC
O.
t19
5. ARCHITECT'S Address
+C
�.
Owed
v�
B. TYPE of Construction — (Please indicate by X)
{ x wood Frame I } Masonry { ) Steel { }
PPLA Specifications
. 26' x52 ' Single family dwlel l i ng as per plot plan , specifications
and applications including one-car attache d garagese ff�laily dwleling ' f°
-,,
t �
J
PERMIT FEE PAID — THIS PERMIT EXPIRES �,Ye1r 1B ts__�3_,. °�
$ 169 40— 'rs
(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.) �.
..r
November 19 92
Dated at the Town of Queensbury this 18th Day of trZ
SIGNED BY for the Town of Queensbury
{ Zoning I nspeCtor
TOWN OF QUEENSBURY Arrr 1 . ICA� rnrr FOR BUILPINC AND ZONING PrRSITT
P" r L -
F! eaiea
vqN OF QUEENSBkj.
RECiEi'VEl?
Fy
96
Fee P464A� / fas/ - lio v 16 1992
BUILDING AND CODES Eli ,PARTI"IF-MT Va.te 144ued
3AY and 11AVILAND ROADS RD 1 BOX 9d r � 'DG. & CODE DEPT.
nUEENSBURY , NEW YORE 1 2 d 04 No ,
7e1 . ( 518 ) 792--1 Ext 204
w r ■ r ■ * i r / r ! r * r r r ■ 11 w ■ r r ■ w i r w . w . ■ a w r r .
A PERrtIT MUST DO OBTAINED BEFORE LECINNIN+G CONSTRUCTIONI, NO INSPECTIONS
1t' ILL Dr. mADC UNTIL APPLICAmT HAS RECEIVED A VAL1rD BL: ILDINC PERMIT .
All applicablo spaces on this application must be completed and the
c* pature of the applicant must al7lrear on the reverse sick of this sheet .
* * * * * * Yt * *
'1111e owner of this property is :
P . D . Address je A�? 0x �T5'-? � TEL
TAX MAP NO . 3o / /
Property location c,�r .e.��,�Cr ....{;ri //'�fiT � ..L s .' � � 'r
Has there been any split of this property since October 1 , 1988 ' yes n
If yes , Planning Board Review is necessary .
SUBDIVISION NAME , Ir APPLICABLE LOT NO .
The person responsible for supervision of work as regards Building Codes is :
NA lot E F . G: . ADDRESS TEE . No .
Hume of builder Address ram? � � � 7 -=]- Tel r� ` z i
N"mc of Plumber fj—�T I,dclrass / r Tel - r
Name of Mason f ' Add rCzia ( r Tel
rI,1Tui2t OF I'f:Of'L7rt:L] InC7f:K : 7 0 N I t G INI : ORHA'I ION ( Of ice use On11 )
V/ ron �: cructiort of a rtt:w building * ZONING DESIGNATION OF PROPERTY
�Ac3.3iti4n to a building PERMITTED PRINCIPAL PERMITTED ACCESSORY
�Alcur.. tion to a L,uilding `
( zto clt.zit"l� to uxt � riar csimension:: ) REVIEW REQUIRED - PLANNING BOARD ZONING BOARDi
00 txr work ( ak=scr .io : ) ' SITE PLAN REVIEW M APPROVED DATE
■
L: It �7s5 ARLLA OL` PROPOSL' C). ; 'rnU +c `LURE * VARIANCE APPROVED DATE
1st door IQjr? sq £ t . j `
` Remarks :
2 nd Floor sq ft *
COMPLL"1'LIt ili`41.JHA'1"SON Set r 1U 11tLD 1Sl LUW .
ocher Floors sq ft . Sizo of propIurcy 33C� ft %
( not cellar or baSQMent ) "` Lxistirzq };,uill : tt.] t � 1 Si _u IL x rc .
TOTAL FLOOR ARBAi sq f t . w Lxi �tisag l�wil�lintl ( } U
of nrw st:rucrur+2 eft k .S ft '
1•'cauasd:acion-Icier/ ::lala r:a L�arta..al/ full ' Larapased buiiuing , di:: caneu Erase i. rolaurty line
(circle ane ) "
* Front y"rd x c __ i' t Rear y:ard� .Sri . ft
"
No , of stories {ttaLiiCzablL s13Jace ] ( Side y:ardu ec :and g.5 ft
Il.:ighc ( grade to ridge ) ft . *
If rw:ssiduntial , no. GX f"miliet s ' It on corner , ::c cb4acsc Crota siUu acru(: C f C
No . of room; ; excluding bathe ) S * OCCUPANLY INFOP.d"M1ATION
Ile+ , of bc:droarns �w I
-- * PRIMARY GLJILDINL;
No . of b:aclsrooruu as r * I fancily dwelling
I"riswary Iiu.aCirty �ysc �n_ ��c_- ; 1wG If"uLily dwulliny
•i`yyau of fu.: l ■ 11t11tilalvw awQlling / Nusnbor of units
too . of firulallcea: tcs lau insczallud .trc = PBrL&"Aant occupwicy
will :a WC)Oal iiLOVIL3 k %a i.n:at411uLI? 'L`r.an::lunl: G>t:Cu >.►itL
L"nCs.al Air c4rssliCiG>l�iltg ? A + ra * L f
* I3usinc:5s
iiU 1 Le311+iC STYLC, PRIMARY STRUCTURE , 2nciuscr is L
�ueh t Coat.auipor..ry "tn cabin Ocher
:.a rasacls KAnaiLttt out)1vx . It addition , wls"c will u4iQ bu'l
iTalk luv%sl Old zscylu kAws+•]..low * '" "`
C: pu Cod CoLt"qu octs r * ACCESSORY UUILOIidC-
CGioni.ai scow "xowrt house * U%I cachau y ;ars,gc/ono car/ two car/ c.►r
{ CIRCLL OHII PLI ) * ACtca.: h4tl 9"rag <Ostij czar two c.;r/ cur
■ r ■ w ■ a . . • • + s ■ ■ '■ Llriv.at4 sLor"902 ui ing
I_ O. "I" IMA" I: R MARKriv VAI. I.IIi OF " -�0Char
4P .
INVORMATTON ON DUILDTNC spCCIprCATToNS , ON PEVCR.se SIDE: OF TItI5 CIIkE'T, TO Be COMPLL" UDI
Form DPA 10/88 v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . � � t �( � y ,„ N
Will any second-hand or ungraded lumber be used ? If so , for what ? z,
Foundation wall material 0 AILFe, ickness ,ss' 7
Depth of foundation below grade 7co bottom of footing ) , i
will there be a cellar ?Heated or unheated ? Floor sq . footage sq ft
Will there be a basement ? Will any portion be used as living space ?
( If so , what portion? sq . ft . - - Type of use ?
"Type of roof - sloped/ flat/shed/other Jcr. ,I Material of roof
Size , wood studs '" X spacing j " o . c . length ft .
Joists ( floor beams ) 1st . floor �"" X /p IF spacing 'se O ' c . span `ft .
Joists ( floor beams ) 2nd . floor " X spacing ^o . c . span ft .
Overlays ( ceiling beams ) "X "" spacing "' o . c . span ft .
Roof rafters '" X IFspacing o . c , span ft .
RJ7of trusses (pre-- engineered) spacings" o . c . span 4 G ft ,
Exterior wall finish of what material ?
Interior wall finish
If a garage Ls to be attached , describe materials to be used for FIRE SEPARATION :
Pd� Ste`, ti c w a• It
Is there to be an opening between garage and dwelling? if so will a Eire- rated
door , enclosure , and sale-closing device be provided ? `�
Will a flue -lined chimney be installed? Height above roor ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
D E L L A. R :3 "I 1 0 N
To the best of my knowledge and belief 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.
7
Signature
Own , owner's lent, architect , contractor
SPECIAL CONDITIONS OF THE PERMIT :
Ey----- ------ ------ ----
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS
v N OF QUEENSbu :
RECEIVED
C2Ml i ance Methods :
PART 5 - Acceptable Practice 'Method - 1 & 2 Family Dwellings ( ONLY ) ho V 16 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings ; r�G. & CODE DEPT:
Multi - Family Dwellings
( 3 Stories or Less )
PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT ' S PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area S46 Ft •
2 . Type of Heat - t,� Elec . Base Board Other
3 . Is Building Mechanically Cooled ? YES
4 . Percentage of Area of Windows and Doors Over 17 % � - Under 17 %
THE R-VALUES GIVEN ON THIS SHEET MN1ST CORRESPOND TO R E Q U I R E D
THE R-VALUES SHOWN ON PLANS SUB14ITTEDI
Baseboard
5 . Insulation Values : Actual Shown Elec . Heat Other
A . Roof & Floors exposed to ambient temperatures R 2 g
B . Exterior Walls R. .5
C . Glazed Area R -
D . Exterior Doors R
E . Floors over unheated spaces R
F . Edge of Slab on Grade ( Heated Building ) R
G . Basement/Cellar Walls (Above Grade ) R
H . Basement/Cellar Walls ( Below Grade ) R
I . Heating/Cooling - Ducts - Piping in Unheated Space R
fi . Service ( Domestic ) Hot Water Heating Device
A . Conforms to minimum efficiency per code ✓ YES NO
TEMPERATURE CONTROL MRXIM14 SETTING 1400 - WILL NOT BE EXCEEDED
APP CANT S SI, A URE f/ DATE TELEMNNUMBER
INSPECTOR ' S, REMARKS :
TOW OF QUEENS""'"
531 SAY ROAD
QUEENSBURY � NEN YORK 17B04
518) 4 pEPORT
4447
TELEPHONE IIISPECTCRI S
g+�xl.oxlls
FINS- INSPECTION
REQUEST FOR IIISPECTIOPN
LOCATI�^ PERMIT#
rypE OF STRUC NRE
RECHECK , COMM SEPC
TIERCIAL STRUCTURE)
FIRE MARSHAL APPROVAL SACKFILL �MING
FOIINI)ATIfl FINAL ELECTRICAL(
—rF OCT ING r
�GH PLUMBINGROODSTOVE/FIREP�-ACE
ULATIpN �-
REMARKS
APPROvAl
NO
NIA YES
CHIMNEY HEIGHT/LOCATION
B VENT /LOCATION
pLUMB1 NG VI -- - -- --�
ROOFING
SIDING INGS
DECK/PORCHISTEp I _
RELIEF VALVES Op A Gam
FURNACEIHOT E N/ _
BASEMENT 1NSULAT IO ACY D CRIS��
INTERIOR TRIMIPR
FINISH FLOORS
BATH/KITCHEN AE PABLI RTIGHT
OTHER FLOORS SWE
GARpETED._� �--� -
OTHER FLOORS
H AIAN�Ag r;.a£E/SAILING5�
SMOKE DETECTORS SE A
BATHROOM FAN5INH LE
{; ALL PLUMB F IXTURES PERA
OE�R-Ef�Elki�'.E-WA+6i��
kill
FINAL 'ELECTRICAL
OK Tp ISSUE CIO OR C /G
COMMENTS : a
MS
,5
30 2 , 1 1 1/
II/ 1$/ 92dwelling
Single family
HUGHES , JOhn '� r crLk Y
Lt 9 LedgView Village
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QTELEPHONE (518}U745, 4447
TELEPHONE
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCAT ION
DATEr± .._ -PERMIT
TYPE OF STRUCTURE. �S`Xr
RECHECK. APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP , SIBLE
FOR PROVIDING PROTECTIhN FROM
FREEZING FOR 48 HOURSIFOLLOWINGIr
jo
THE PLACEMENT OF TH CONCRETE .
MATERIALS FOR THIS URPOSE ONSITE
FOUNDATION/WALL Pp
REINFORCEMENT IN P CE
FOUNDATION/DAMPROO , ;ING
BACKFILL APPROVAL
�} ROUGH PLUMBING
PLUMBING VENT/VENT IN ACE
PLUMBING UNDER SLA
FRAMING :
JACK STUDS/HEADS S -
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN EAM
HEATING ROUGH- IN
))INSULATION :
FOUNDATION WA S NTERIOR R-
FOUNDATION W LS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS :
ARRIVE
DEPART 4INS TOR
TOWN OF QUEENSBURY
BUILDING AGND BAY
OD ROAD PARTMENT
QTELEPHONE ° (518)0745-- 4447
BUILDING INSPECTORS REPORT
REQUES FOR INSP CTION RECEIVED
NAME
l
tOCATIONIj
DATE I" fs - * 2> PERIM41 it
TYPE OF STRUCTURE
APPROVED
RECHECK NIA YES NO
FOOTINGS/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 PURPOSF� ON SITE
FOUNDATION/MALL POU I
REINFORCEMENT IN PL E
FOUNDATION/DAMPROOFI G
BACKFILL APPROVAL
UGH PLUMBING
PLUMBING VENT/VENTS N LACE
PLUMBING UNDER SLAB
FRAMING :
! JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B AM
HEATING ROUGH- IN
INSULATION :
FOIUiNNDATIONN WALL INTERIO R
WALL EXTERIOR -
FLOORS R_
WALLS R_
CEILING
DUCT WORK OR IPING IN UNHEATE
SPACES
REMARKS
ARRIVE
DEPART INSPECTOR
TOWN OF QUEENSBURY
BUILDING AN ROAD CODES
PARTMENT
531 BAY QUEENSBURY , NEW YORK 12804
TEL t51Q) 745, 444
7
BUILDING It4SP'ECIOR" S REPORT
REQUCST FOR INSPECTION RZrCEIVETI
�4 I
LOCATION
DATE
TYPE OF STRUCTURE APPROVED
RECHECK
NIA YES NO
FOflTINGSlP IERS _ --
MONOLITHIC POUR FORM
REINFORCEMEN.OR IS ACEO S1'--- BLE
FO CpNTRAC FULLpWING
FOR PROYIDIN[z PROTECTION FR
OK FREEZING FOR 48 "OUP SITE
THE PLACEMENT OF THE CONCRETE-
MATERIALS FOR THIS
RPOSE flfi
FOUNDAT I ONI yIAL ��.
REINFORCEMENT IN PLACE __ ------- --
FOUNDATIONIDAMPROOFING____
SACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENTIVCNTS IN PLACE
�
PLUMBING URDER SLABr�------ --
FRAMING :
TLl
JACK SDSIHEADERS
JOIST HANGERSING
IN
HEJACK ATING ROUGH�N BEAtt
INSULATION WALLS INTERIOR R-
FOUNDATION
FOUNDATION WALLS EXTERIOR RR-
FLOORS R_
WALLS R-
CEILING PIPING IN UNHEATED
DUCT WORK OR
SPACES
REMARKS : ! "T
r-7 f
ARRIVE
� r
DEPART - I C R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD fY/'
QUEENSBURYt NEW
0
TELEPHONE ( 51€3 ) 745- 4447
BUILDING INSPECTOR ' S REPORT I
REQUEST FOR INSPECTION RECEIVED •�-
NAME
LOCATION 7`
DATE l ! / 7 tee PERMIT
TYPE OF STRUCTURE , ,+ =_C.'
RECHECK APPROVED
N/A YES N
'(FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 YOURS FOJLLOWIN
THE PLACEMENT OF THE CONCRETE *
MATERIALS FOR THIS PURP SE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN L E
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS —
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEA
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS TERIOR R-
FOUNDATION WALLS XTERIOR R
FLOORS R- '
WALLS R-
CEILING R'
DUCT WORK OR PI ING IN UNHEATED,
SPACES
REMARKS :
x
PECTOR
`E,ENSbu.
vf~i1lED
IL4OV 16 1992
" & CODE DEPT-
RC APPROVED
1
ary�r r
I � E
T�-•1 ;� I °o�
E � E
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I
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f
1
4 1
II
I
7
I 1992
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Zanin rein nor
TOW{V F QUEEMy BUR'M`