93-686 {
CERTIFICATE OF OCCUPANCY
i
TOWN OF QUEENSBURY �
k
WARREN COUNTY, NEW YORK {
Daft
.Luriq �'
i 'Phis is to certify that work requested to be done as shown by Permit No.
93 - 686
I
s has been completed. single family modular dwelling
withoramwar attached garage
This structure may be occupied as a
h
fI,otatian Lot 68 Ledaeview Villacxe -
Jolin H uglie 5
Owner
306- 1 -- 27 . 1
By Girder Town Sward
TOWN F QUEENSBURY
i`
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 93 - 686 �
WARREN COUNTY. NEW YOR K ` z
PERMISSION is hereby granted to JOHN HUGHES w
tom+
Lot 6 8 Legeyew di Village Street, Road or Ave. I
OWNER of property located at 1�
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in the Town of Queensbury, To Construct or place a _ Single Family Mtadular Dwe11in+� �_ f
at the above location in accordance to application together with plot plans and other information hereto filed and F .
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RR3 Box 3293 - 2
G]
Lake Geroge NY 12845
2. CONTRACTOR or BUI LDER'S Name
G
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3. CONTRACTOR or SUILD£R S Address
4. ARCHITECT'S Name
S. ARCHITECT'S Address rt
co
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B- TYPE of Construction — (Please indicate by X)
( } Wood Frame ( } Masonry ( } Steel { } @
C
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7_ PLANS and 'Specifications
23 . 61x48 ' Single Family Modular Dwelling as per plot
No- plan , specifications and application including - cO
r ra
8. Proposed Use
Single Family Dwelling
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157900 November 9 is 94 `�
$ PERh+d17 FEE PAID — THIS PERMIT EXPIRES
(D
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(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the omi
town of Queensbury before the expiration date.l p)
E3
November 19 93
Dated at the Town of Queensbury this D y
for the Town of Queensbury p
SIGNED BY p,
Suildi and Zoni nspector
S31
ft
REVIEWED BY :
1-:-
TOWN OF QUEENSBURY
COMMUNITY DEVELOPMENT DEPARTMENT FEE PAID *
BUILDING & CODE ENFORCEMENT e�3 r
531 BAY ROAD LPERMIT NO .
Q EENSBU�5YI, NEW YORK 12804C Ts456 >�
BUILDING PERMIT APPLICATION 000�
A PERMIT' MUST' BE OBTAINED BEFORE BEGRECEIVEDNNING OASVALIDIBU � INGINS CTIO
WILL BE MADE [UNTIL APPLICANT application MUST be com te� ttt
All applicants ' spapces an licanttMUSTis aappear- an the applicat f dwnof
signature of the a p
Id& Dept.
OWNER OF PROPERTY * r� ` , ,-
Mailing Address e I� r� '. "' -. Home Ot e
Telephone Number ( s ) : or
PROPERTY LOCATION : B ock Lot
Tax. Map Number : Sect-ion
Lot No .
Subdivision Name :
NATURE OF PROPOSED WORK ' ESTIMATED MARKET VALUE OF THE
CONSTRUCTION : $
/ NEW BUILDING : !� dd a //rY^ OCCUPANCY` INFORMATION *
RESIDENCE / COMMERCIAL PRIMARY' BUILDING -
ADDIT' ION TO BUILDING : � ,�- Single Family Dwelling
RESIDENCE /'COMMERCIAL Two Family Dwelling
ALTERATION TO BUILDING : Family Dwelling
RESIDENCE /COMMERCIAL 01 ice
( NO CHANGE TO EXTERIOR SIZE ) Mercantile
OTHER WORK ( DESCRIBE BELOW ) Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE : W/
1ST FLOOR In I SQ • FT . 13 � IF ADDITION , USE OF NEW ADDITION
2ND FLUOR SQ . FT .
OTHER FLOORS SQ ' FT ' ACCESSORY BUILDINGS :
( not unfinished cellar or basement ) Detached Garage - One /Two Car
SQ . FT , -- Attached Garage - Two Car
TOTAL FLOOR AREA : private Storage Building
Commercial Storage Building
SIZE OF NEW STRUCTURE : Other
FEET X _ `1 � l FEET _ Ai ut,(
�� � � ,+ � ,� Will any second-hand or ungraded
Foundation Type : k" d �} lumber be used? If so , for what?
Number of Stories : -
( habitable space only ) S Type of Heatin System •
Height ( grade to ridge ) : or woodstove cPrcle all which applies )
Number of fireplaces and/ ec / Oil / Gas / Wood
to be installed . _ — Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES I5 :
NAME OF BUILDER/ADDRESSJPHONE :
a
NAME OF PLUMBER/ADDRESS /PHONE :
NAME OF MASON /,ADDRESS /PHONE :
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NAME OF ELECTRICAN /ADDRESS /'PHONE :
DECLARATION
To the best of my knowledge the statements contained in tare apPrue
cation , together with the all roposedeworkctoybesdonemontthe described
and complete statement of all proposed the Zoning Ordinance
premises and that all provisions of thBuiprkoshall be complied with ,
and all other laws pertaining to the proposed the
whetherFurther iPteisfunderstoodethatndl /weashallhsubm�it1priorhtoiaeCebrtificatenof �
Occupancy or Certificate of Compliance being issued , an pemiBUILT PLOT PLAN
drawn to scale , showing actual location of pr :jsct T
Signature architect , contractor )
( Owner , owl r s agent ,
FOR ANY SPECIAL PROVISIONS - SEE REVERSE ID
E :
OF �EEgSgURY
TOIiM 3I BAY Rpe
OAD 12EO4
gUEENSBURY . (518�0 415 4447
TELEP1iONE S REPORT
Il15PECTOR
SUILDIN6
FINAL IMS lECCE0 U
REQU' EST, FOR I,,SPECTI[lll
i'
,UkwLOCATION , r
PERMIIT#
OATS �
TYPE 4F STRUCTURE ' -'}•y ��� y C� �T
K L (COMNI R IAL
PPRO ST FR tAitiG
KFILL
FIRE LVJIKDATIIOON L ELECTRICAL
RMGV14 PLUMBING
ROIyGK WOODSTv EJFIREPLACE
INSULATION �
REMARKS
APPROVAL NIA YE5 Nd
C0Ip4NEY IIEIGKTIL0CATIaN
E VENTILOCA"ON
PLUMBING V041
ROOFING
SIDING RC
PS/RAILING
DECK/P VALVES
RELIEF WA ER OPERA G
FIIRNACEIKOT
EASEMENT INSt3IATi0N1DUC
As INTERIOR ENTRIM/PRIVACY DOO
FINIS" FLOORS % WATERTIG
BAT"/KiTCKEN S1dEEPAE
OTKER FLOORS CARPET GS
()TKFR FLOORS
PPED CC
STAIR CLEARAACCESSIL
SKKE DETECTORS FANS
SMOKE FANS/ IES0
B10.T11RdOM RES OPERATI G_ '
ALL PLUS4SRNG PRO ING� ----
GARAGE
DOOR CLOSERS RE SEPARA lot'
OVER yyAttS
FIRE/DEMISE N S
OU14PSTER R AIyCE REClUI E4I �--
SITE PLAN/V �--
QIC FINAL ISSU C1D R C /C,-To � --
C N S :
ARRIVE
INS
DEPART..�..�---�� E„ '
11 / 9 /93 30 - 1 - 27 . 1 11 / 9 / 94
HUGHES , .Icahn ' Single Pam . Modular
Lt 68 Ledgeview Vlg
the r.Zs..x''
TOy OF QUEENSBURY
531 BAY ROAD
QUEENSBURY . NEW YORK 12604
4a TELEPHONE ( 518 ) 745-4447
BUILDING INSPECTOR' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
00
N14ME
LOCATION
DATE , PERMIT#
TYPE OF STRUCTURE � JL�
RECHECx
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE )
iFflOTING L- FOUNDATION °- ACKFILL FRAMING
INSULATION$IN WDODSTOVE/FIREPLACEG FINAL L��5EPTIC
REMARKS
r
s
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/S EPS/RAILING
RELIEF VALVES
FURNACE/HOT W ER OPERA IN
BASEMENT INSULATION/OUC WOR -
INTERIOR TRIM/ PRIVACY ORS
FINISH FLOORS . 4,r
BATH/KITCHEN WATERT . HT
OTHER FLOORS SWEEPABLE�_
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOL HOUSE F N
ALL PLUMBING FIXTURES OPERATI -
GARAGE FIRE PROOFING
. DOOR CLOSERS
OTHER FIRE SEPARA ION
FIRE/DEMISE MALLS
DUMPSTER
SITE PLAN/V R ANCE REQUI EMENT ✓
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS :
c�atTe.e ' AtQ`� G-' `�L��p ►tom `f`'
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ARRIVE x l
DEPART__c �-= � INS
COMMCIPIWFALTH ELECT ICAL INSI'MatTI mNsS&R'CE. INC-
Main office 357 ES Terrace
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
� `O 3 0 7 8 6 Cut-in Card No. .. .. . . . . .. . .
Pane4 Board No. -..,..._ .... .. Cert- '`1 — . . .. .
.
. tir -'. f't ..... ... ....... ...
Clccu ant .-..- r 4 �
J ~
tocit n . �. . . .- .. ! Try"� c... -
insta4Satiarn Consisting of .c ... /�— •• • " "I"
installed By , �� of this certificate, a certiticatc previOusly
i � ' •
The conditions fotlowine- governed the "an"
nd any
issued isc:ancelled: — covet% the electrical equipment and installation conditinns� `�xi dale'madepf�x
This certificate only application shall be p P y
.j the intfaduction of additional equipment or alterations, pP
inspection, shall have the privilege of making inspec.ti sat any time. and if it?
inspectors of this Company shall have the right to revoke th- er if1 e }
rules are violated, the ComPartY �, 'T 246•'LL„
/ INSPECTOR Member N,F i'.A..
Mate . .-.1... ..�L—L— ...-..
OF QUEEsBURy
BUILDNG�AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY : NEW YORK 12804
TELEPHONE ( 518 ) 745-4447
BUILDING INSPECTOR " S REPORT
REQUEST FOR INSPECTION RECEIVED_.Z 2P2
NAME Jt
LOCATION
DATEPERMIT 0
TYPE OF STRUCTlli2E-�������✓,
RECHECK APPROVED
FQD 1 I rip GS/PIE K S N/A YES1 NO
MONOLITHIC POUR F RM
REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS B E
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE,
MATERIALS FOR THIS PURPOSE ON SI E
FOUNDATION/WALL POUR
FEINFORCEMENT IN PLACE
A7F UNDATION/DAMPROOFING
XACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENT I L CE
PLUMBING UNDER SLAB
FRAMING :
JACK S D EAD
BRACING/BRIDGING --
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH- IN
INSULATION:
FOUNDATION L I E I0
FOUNDATION MALLS E TERIOR R-
FLOORS R-
WALLS R_
CEILING R_
DUCT WORK OR PI ING IN UNHEATED
SPACES
R EMARKS
ARRIVE
DEPART G'
I' `PECTOR ~��
TOWN OF QUEENSSURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QTELEPHONEs (518 )0745-444°7
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED. r�'
NAME
LOCATIONS f,� �.rCc1o�
GATE T /� PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YESI NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS ICES B 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
OUNDATION/DAMPROOFING
ACKFILL APPROVAL {•''
ROUGH PLUMBING
PLUMBING VENT/VENT` IN PLACE X
PLUMBING UNDER SLAB
FRAMING :
.TACK S EAO
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MATH BEAM
HEATING ROUGH— iii — --
I NSULAT ION
FOUNDATION L N ERIOR —
FOUNDATION WALLS EXTERIOR R—
FLOORS R
WALLS R
04
CEILING R—
DUCT WORK OR I ING IN UNHEATED
SPACES
REMARK
ARRIVE
li
DEPARTSys
I PE OR
BUILDING CODESNSDEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745-4447
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION `
DATE PERf1IT #L� Q� F.` c�'�
"TYPE OF STRUCTURE �—4
RECHECK
p V D
OOTINGS/PIERS N/A YES no
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO S BLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CON -RETE_
MATERIALS FOR THIS PURPOS ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN P ACE
FOUNDATION/DAMPROO ING
SACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS N ACE
PLUMBING UNDER SLAB
FRAMING :
JACK ST D5/HEAD R
BRACING/BRIDGING ~—
.JOIST HANGERS - - -
JACK POSTS/MATH BEA
HEATING ROUGH- I1q ..
INSULATION :
FOUNDATION W L S I ERIOR
FOUNDATION WALLS TERIOR R.
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR P I IN UNHEATED
SPACES
REMARKS :
ARRIVE- f S3
DEPART Gtij r
�� INSPEC OR -----
1� ? TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
V 531 BAY ROAD
QUEENSBURY , NEW YORK 12804
O A„ 4% TELEPHONE (51$ ) 745- 4447
BUILDING INSPECYOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME-
LOCATION
DATE PERMIT #
TYPE OF S RUCTURE `RECHECK
- - APPROVED
FOOTIFIGS{PIERS N/A YE NO
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIO°d FROM
FREEZINiG FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE .
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLA
FOUNDATION/DAMPROOFI
BACKFILL APPROVAL a ---
ROUGH PLUMBING
PLUMBING VENT/VENTS IN ACE
PLUMBING UNDER SLAB
FRAMING :
JACK S UDS/HEADERS
BRACING/BRIDGING
JOIST HA°IGERS
JACK POSTS /MAIN AM
HEATING ROUGH- IN
INSULATION .
FOUNDATION WR S IPirERIOR R _
FOUNDATION W LS EXTERIOR R
FLOORS ,
WALLS R-
CEILING R-
DUCT WORK 0{2 PIr' ING IN + R-
SPACES JNHEATED
REMARKS :
ARRIVE
DEPART ,,Ff'<-,I rd�--
IPr � F' ECTo � ��`