93-546 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY f
WARREN COUNTY, NEW YORK
Date January 27 , 14 95
This is to certify that worm requested to be done as shown by Permit No. 9 3� 54 6
hu been completed
This setuctum nuy be occupied u s single family dwelling
Location Lo'r 78 Ledgeview Village
owner John Hughes
30-i-22 . 1
Ho" e #34 By Order Town Board
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TOWN OF QUEEN58U Y
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Director of Bldg. 6c Code EnforceMent
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 93 - 546
WARREN COUNTY, NEW YQRK
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PERMISSION is hereby granted to JpHN HL7GHES
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OWNER of property located at Lot. 7 8 Ledgeview Vi llage Street, Road or Ave- tv
in the Town of Oueensbury, To Construct or place a Single Family Dwe 1 l i ncr
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.
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1. OWNE WS Address is
RR3 Box 3292 - 2 t`y
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Lake George NY 12845
2. CONTRACTOR or BUILDERS Name f]
self �J
3- CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5- ARCHITECT'S Address
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S. TYPE of Construction — (Please indicate by X) C
#Elf Wood Frame i ) masonry [ l Steel ( 1 ~
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7. PLANS and Specifications
2200 sq ft ( irregular ) Single Family Dwelling as per
No. plot- plan , specifications and application .
8. Proposed Use
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Single Family Dwelling r•
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$ 96A 00 PERMIT FEE PAID — THIS PERMIT EXPIRES
S�-te>it�]aes 1 '� 19-.-9-4- Lu
(If a longer period is required an application for an extension music be made to the Building and 7_oning inspector of the F4-
town of Gueensbury before the expiration date.) �_
Dated at the Town of Queensbury this Yl of September 19 93
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SIGNED BY Tfor the Town of Queensbury Y
Building and ZorA4 Inspector
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TOWN OF QL3EENSBURY REVIEWED BY :
COMMUNITY DEVELOPMENT DEPARTMENT FEE PAID :
:BUILDING & CODE ENFORCEMENT
531 BAY ROAD PERMIT NO .
QUEENSBURYr NEW YORK 12804 GL
( 518 ) 745 - 4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTION'S
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT .
All applicants ' spaces on this application ,MUST be completed and the
signatur-e of the applicant MUST appear on the application form .
OWNER OF PROPERTY :
Mailing Address : qjOther
Telephone Number ( s ) : Work7 ):+ Home
PROPERTY LOCATION * I �
Tax Map Number : Section Block Lot
Subdivision Name : 1i3 Lot No . _ .._
NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE
CONSTRUCTION : $_ 9,10 5
y�NEW B LDING
SIDENC / COMMERCIAL OCCUPANCY INFORMATION :
ONO
TO BUILDING : PRIMARY BUILDING -
RESIDENCE /COMMERCIAL ,--` Single Family Dwelling
ALTERATION TO BUILDING : Two Family Dwelling
RESIDENCE /COMMERCIAL Family Dwelling
( NO CHANGE TO EXTERIOR SIZE ) Office
OTHER WORK ( DESCRIBE BELOW ) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE :
I ST FLOOR „1�)-6Cr SQ . FT
IF ADDITION , USE OF NEW ADDITION :
2ND FLOOR SQ + F`I'
OTHER FLOORS SQ4' FT -
( not unfinished cellar gr basement ) ACCESSORY BUILDINGS :
Detached Garage - One /Two Car
TOTAL FLOOR AREA : SQ . FT . Attached Garage One / Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
J�5 aC .� 4 � � Other
may+ FEET X 7 6 FEET
Foundation Type : rY ctr �� b � � c Will any second- hand or ungraded
, lumber be used? If sor for what ?
Number of Stories :
( habitable space only ) h
Height ( grade to ridge ) : � feet Typpee
of Heating System :
Number of fireplaces and /or woo { circle all which applies )
to be installed : /4p Electric / Oil / / Wood
k F`6rce �o � / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS /PHONE : ZT -• 9,13a �a
NAME OF PLUMBER/ADDRESS / PHONE : _ 5.4 r� e-+ ec 1=r e � �e _Z
NAME OF MASON /ADDRESS /PHONE :
NAME OF ELECTRI CAN /ADDRESS / PHONE : S',9wr Gx esrh � �5r
DECLARATION
To the best of my knowledge the statements contained in this appli -
cation , together with the plans and - specifications submi.ttedr 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 , an AS BUILT PLOT PLAN
drawn to scale ; showing actual location of r ec on ,'premises .
Signature
( Owner , awn ' s age , architect , contractor )
FOR ANY SPECIAL PROVISIONS - SEE REVERSE S E :
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARRED COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY )
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings ;
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
APP ICA�NE PROPERTYLOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area Sq . Ft .
2 . Type of Heat - Elec . Base Board Other' s 11c> 7.,o4le^
3 , Is Building Mechanically Cooled ? YES r-- NO
4 . Percentage of Area of Windows and Doors Over 17 % 142 4 Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D
THE R-VALUES SHOWN ON PLANS SUBMITTEDI
Baseboard
5 . Insulation Values : Actual Shown Elec . Heat Other
A . Roof & Floors exposed to ambient temperatures Ras ti G
Be Exterior Walls Rom_ 9
C . Glazed Area R_ - _L
D . Exterior Doors 5
E . Floors over unheated spaces R 4q
F . Edge of Slab on Grade ( Heated Building ) R + 1 _ [ } _ t
G . Basement/Cellar Walls (Above Grade ) R / 9 _ 25 `
H . Basement/Cellar Walls ( Below Grade ) R / .3 �It
I , Heating/Cooling - Ducts - Piping in Unheated Space R Adoor
6 . Service ( Domestic ) Hot Water Heating Device
A . Conforms to minimum efficiency per code _000000YES 000mooNO
TEMPERATURE CONTROL MKXIM1M SETTING 140 " - WILL NOT BE EXCEEDED
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APMICA S GNATURE DATE ATE NUMBER
INSPECTOR ' S REMARKS :
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
( 51B ) 745 +-��4447
ARRIVE : G DEPART : c:;qe 5
FINAL INSPECTION REPORT - RESIDR"TIAL
BATE. INSPECTION REQUEST RECBIVED :
NAME 1 }
5
LOCATION
DATE r S ERMIT r
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
MIA YES no
CHIMNEY HEIGHT B VENT HEIGHT
PLLUMaING VENT
ROOFING
EXTBRIOR FINISH
ECK PORCH STEPS RAIL GS
RELIEF VALVES
FURNACE/HOT-AN OP RA G
INTERIOR TRIM/PR VACY RS
FINISH FLOORS :
BATH KITCHEN WAT TIGHT
OTHER FLOORS S EPABLE
OTH R FLOORS ARPETED
STAIR CLEARALZEIRAILINGS
St4OKE DETE QRS
BATHROOM DIANS
PLUMBING)FIXTURES.
FOUNDATION U ATION
GARAGE FIRE PROOFING
DOOR.. CLOS99S
FINAL ELECTRICAL
SITE FLAN VARIANCE RED *
FINAL SURVEY PLOT PLAN
OK TO�,/G�1. S/S/UE C/O
..,[,/O0 C C
1 TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENTJA
531 BAY ROAD
.I QULENSBURY NY 12844 �J
( 518 ) 745- 4447 !
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ARRIVE : DEPART : INSPxI`�,
FINAL INSPECTION REPORT - RESInENTIAL
DATE INSPECTION REQUEST REC VED :
NAME
LOCATION /
DATE lR P IT
TYPE OF STRUC URE
FOOTINGS Y FOUN17h ION V SACKF FRAMI
ROUGH PLUMBING r+/ S PTIC IN
TION
FINAL ELECTRICAL DSToVE OR REPLACE
N A YES NO
CHIMNEY HE GRT B VEN H I HT L�
P UMS G VF T
ROOFING
EXTER R F NISH
DE K PORCH STEPS IL NC.
R LIEF VALVES
FUR CE HOT WATER ORE TI G
INTERIOR TRIM PRIVAC DOO S
ri H FLOG S •
B TH K TCHEN WA RT GHT
OTHER FLOORS S EPA LE
OTHER FLOORS ARPETED
S AIR CLEARANC RAILINGS
S O E DE ECT S
A O
U SING X URES
F UN AT INSULATION
G RA E IRE PROOF NG
D OR ER
1
F N EC ICA �
SIT PLAN VAR AN E RE .
I AL SURV Y LOT PLAN —•--�-
OK TO IS UE 'C C 1/
FS '1K X1404.. rn�a ,
ALTII EI.ECTiRICAL INSPECTION SE 17 • rt.. • �, 4e '
CO14Ii►IONWE n TeRace p{anireim, PA 77545
Awn office 357 Ei• , ELECTRICAL
fTtICAL APPROVAL
MUNICIPAL CERTIFICATE 7
0 3 2 3 5 2 Cut-in Card No.
Panel Board Nu. .. ........... . . Cert- .... _ .t
[ywner . -. .... .
.. , -
1L� A .Cecu ant l ..-.-
Q ...................... . ,
Location f r rC F{+ :... .
{nsta}l Lion C.unsisting of
�pG�- , 1 ..-.:..- ry.,.�..,-.-.. �'+ y/ ............ ... .. Lip. #. . . -. -.. -,-. .-.-. '
. . .J :l a� �f-TT" ". J-.iG............. r:ertit i�Jt� (+rev ti}y
Installed BY "-" governed the rssuance of this certif`luate, and anY
The condixions fullowin, E rumptty made fur
issued is cancelled: - covers the electrie:ul cyuipment andainkcal[onn shall be p ""s o£ date- pon
This certificate only ent or alterations, PP time and if its the introduction of additional eQuipm ins e u at any
inspection. shall have the privilege of making rtip
inspectors of this CumPa'ty shall have the right to revoke -
the ComganY -'
rules are violated. 1NSPEC'SOR .
Date . . .�. .�d! -f 6j ..
.-. -... ember N.F.P.A.. L.A.E.S.
9 /15/ 93 30 - 1 - 22 . 1 9 / 15 / 94
MDIA 93 - 546
HUGHES , John Single family dwelling
Lt 78 Ledgeview Village ( self )
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TORN OF QUE€NSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QU£ENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745- 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME _ �► ,• a
�1
LOCATION
DATE PERMIT Q, S
TYPE OF STRUCTURE
RECHECK APPROVED
NIA YES N0
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO
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 VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUDSMEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH- IN
NSULATION:
FOUNDATION WALLS INTERIODFR-
FOUNDATION WALLS EXTERIO R-
FLOORS R-
WALLS i R-
CEILING R-
DUCT WO R 11NG IN UNHEATED
SPACES
REMARKS :
ARRIVE
DEPART
INSPECTO
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745-4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED� � ye
NAME
LOCATION
DATES h�l PERMIT
TYPE OF STRUCTURE
RECHECK APPROVED
FOOTING /P ERS N/A IYESI NO
MONOLITHIC POUR FOR
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP SIB E
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 I PLA E
PLUMBING UNDER SLAB
)fRAMING :
JACK S DS/HEAD RS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MRIN 8 M
HEATING ROUGH— IN
INSULATION :
FOUNDATION L IN ER R R—
FOUNDATION WA L S EXTERI R R—
FLOORS 1% R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARK : /
zj
ARRIVE %Ir
DEPART _
INSPECTOR
TOWN OF QUEENSBURY �-
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSSURY , NEW YORK 12804
TELEPHONE ('518 ) 745-4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED 5;;
LOCATION
,r
DATE _�L�9 �� PERMIT # --
TYPE OF STRUCTURE -
RECHECK APPROVED
N/A YES NO
FOO GS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
TIME PLACEMENT OF THE CONCRETE ,
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
k!ROUGH PLUMBING
PLUMBING VENT/VENTS IAPLACE
PLUMBING UNDER SLAB 74
FRAMING :
JACK S DS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS TER OR R-
FOUNDATION WALLS XTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARK
ARRIVE /r _
DEPART
INSPECTOR
TOWN of QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE (518 ) 745- 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION ECEIVED
NAME
LOCATION L�c r t� p,a1 r !►`,rye ..
DATE lid /L S 7 PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A IYESI 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 PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
%BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LA
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS 04
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN B M
HEATING ROUGH- IN
INSULATION :
FOUNDATION WAL INTERIORR-
FOUNDATION WA S EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK R PIPING IN UNHEATED
SPACES
R EMA R KS :
ARRIVE /cam "OS
DEPART_
INSPECTOR
TOWN OF QIIEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
Q � NEW 0
TELEPHONE ( 518 ) 745- 4447
BUILDING INSPECTOR ' S REPORT ,r
REQUEST FOR ,INSPECTION RECEIVED_ .✓�,//�, .___
NAME_
LOCATIONlov
DATE/? PERMIT f
TYPE OF STRUCTURE LS+oee�l
RECHECK APPROVED
N/A Y S NO
FOOTINGS/PIERS —
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE .
THE CONTRACTOR IS RES ONSISLE
4 FOR PROVIDING PROTEC ON FROM
FREEZING FOR 48 HOU FOLLOW1
THE PLACEMENT OF THE ONCRET
MATERIALS FOR THIS P POSE O SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC _
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL —
ROUGH PLUMBING
PLUMBING VENT/VENTS IN ACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS
BRACING/BRIDGING —
JOIST HANGERS
JACK POSTS/MAIN EAM
HEATING ROUGH— IN
INSULATION :
FOUNDATION W LS INTERIOR R—
FOUNDATION W LLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS
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ARRIVE
DEPART *
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