89-930 CERTIFICATE OF OCCUPA,.NC x
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Gate ,.tune 8 14 90
'This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a li3ng a Family Dwelling
l.ocatfon _ Route 149 - Ledgevi ew Village
Owner John Highim;
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning inspector
K
BUILDING PERMIT
TOWN OF QUEENSBURY
No.
WARREN COUNTY, NEW YORK
C3
0
PERMISSION is hereby granted to John Huahe +
w
Pw Vi 11 a Streete Road or Ave. �+
OWNER of property located at Le, y 9
in the Town of Queensbury, To Construct or piace a Si nSj]_ ami l Y 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.
t , OWNER'S Address is
RR #3 - Box 3292
lake George , NY
2. CONTRACTOR or BUILOEWIS Name S
C
Self
cn
V
3. CONTRACTOR or BUILDER"5 Address
C.�
Q
S
Z
4. ARCHITECT'S Name
r6TYPE
RCHITECT'S Address
M
m
0
of Construction — (Please indicate by XY
CX)( Wood Frame { 1 Masonry 1 I Steel l }
r
[7.:PLAN:Sa"d SpecificationsP 1o• 14 ' x 78 ' single family dwelling as per application , specificationsand lo Proposed Use
Single Family Dwelling
November 30 , 19 9t3_ crf
$ 135 PERMIT FEE PAID
— TWIS PERMIT EXPIRES - .-�
(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.) j-n
is $9 �`
November 3C
Dated at the Town of Queensbury this 30th Clay of am
/ yt
SIGNED BY or the Town of Queensbury v
Building and Zoning Inspector
O7
TOWN OF QUEENSi3URY APPI . IC ,ITTON PoR RUTLnIrIC AND 70NI C PrRN11T
TOWN
ev OFF C�UEENSBURY
` ` - � d RECEIVED
u \ Y c .-
Fec Pa�' d NOV 27 1989
1i'UILDINC AID CODES Ul :l 'AWDT1%!T Daze Iaaued
a✓1 Y and ItAVILAND ROADS RD 1 Box 93 �. - BL.DG e $ {;QDE DEFT.
PU,EENSBIJURY , NEIII YORK 2 .2d04 PeArn.+L.t
Tel . ( 5la ) 792-5832 £xt 204
a a a r * a is a I w a a a a IN w a a a a a a • w ■ r a a a a / a a w • a
A 11rRMT MUST D13 OBTAINED BE- 17ORE BEGINHING CONSTRUCTION . NO INSPECTIONS
t," iLL nL HADE UNTIL APPLICANT ItAS RECEIVED A VALID DL' IL.DINC PERMIT .
All applicable spaces on this application must be completed and the
�% ; r+ paturc Of the applicant must appear on the reverse side of this sheet .
* * * * x * IN * * A * * * * * * A t * * * * * * * 7r * * * 7k * Yt * 9e * * 7r
•!' l- e owner of this Property is : . y
l' . O . Address jFg2joJ3 ge) jc 3 - '4 ' , + TEL . r1 .4''rs�.7 • Z4
iroperty locationsjer lt&2 •rAx MAP NO .
lias there been any split of this property since October 1 , 1988 ? / -
Ye no
1f yes , Planning Board Review is necessary .
SU1301vISION NAME , IF APPLICABLE +ti` � � LOT N
The person responsible for supervision of work as regards Building Codes is :
et-' TEL. N ❑ .
NAME P . G . ADDRESS
,VeoAddress J9 3 � 'T� •,G ' Tel +�+% WL '
sa n
t4arr of builder +�I _..fn ��„` Tel
l+l:ame of Plumber .5 3 l.ddress�p a�. f�r s-� �5
Name of M4USon Yc Hw+ fivx
nddrass Tel
14ATURE Or PROPOSED 6ORK : IZONING INI :OR tATION ( Utfice use Only )
a of s nLw builclir,7 ZONING DLSIC'NATION OF PROPERTY
�c:nn :: truccinr
Addicion to :a Uiail .ling ■ PERMITTED PRINCIPAL PERMITTED ACCESSORY
A1G.1.:C" ian tQ t.uilding ,. REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
cli.Ilu] u to ..Xc � rLor clirnQnsions ) +
Ucl« r work (.3uscr .ib. 1 SITE PLAN REVIEW # APPROVED DATE
ROSS AREA 01' PROPOSLL7. t; 'rr< Uc '1` RE
■
VARIANCE APPROVED HATE
#
1st Floor /e-�? 5' sq ft . ICE',- s
Remarks :
2 n d F l o o r Is q f t . GOr tP [.L '1'1: INpOY.MA4rIGN ULr sU I4L:D UL WW .
si zo of pros+arty_ f� �a ft x f.3 FC .
other Floors _ g,c ,an• L- sq ft + Lxasta �tg Luil.liiis] ( � ) Si =� !` L % rC .
] not cckl .ar Qr bast- m +ent )
TOTAL FLOOR AREA �n .; _ sq ft ' Lxizocirlg " il6lin.J ( c. i Ua.: -
i : a u V new structure t loft
jW
►'uarwd:+ tion-pier/ ::13L/crawl/(aartial/ cull ' ]�ralao�ca buila.ing , disc:ano �: fraru 1.r.al:urcy Sin+:
( c: irclu ane+ ) a Front yard ai .,5 ft !'tear yrar- d X,rO ft
NOW of . caries (h"bir "bla UpAce ) + ■ Sidu y;ardu i I ct :and .(_ 7 ft
lleigric ( tirade to ridcle ) ra. - ft • If on corner , sutab"Ck frown side: ::crcet r' t
if ry ;; iduAtiral , no . Of fzmilie5 j orner , :A4. II�IFCaRltiAT1C1N
ttoo of rooln:s ( Qxcludinq b"ths1 _ H
! !o0 of budroorns pRI4ARY LIIILDING r
No * of b:at[lroowu /ofta tanu"ly dwelling
l"ri.urary l:a;.rtinrJ UYIo : ukn^ 4�;/gr. Two f"U ily dwulliny
"L'ylara of fuel liultipj%j dwelling / Nurabor of units
No . Of firuplac4z; CO. law inst:all.;d EWE ra pa nol4c occup"AIIcy
will " wuu0l s�avu t,+- irt:: t:xllud? n1r * Tr;40% i"ckt oucuLuarwcy
Cuntr:al Air coru.liticanirkg'- . o — * Susinuss
WILDING STYLE, PRIMARY STRUCTURE . Industrial
Ochor
Cont.:a•�l.Gr•.ry Lon c:.bin * if .sd3itiun , wl �uL will use: b•a7
Mwis.:rl ranch lti.an%1J.Qi% Gural .:x
1(alit lw:v►:l old ascylQ uurry.alow '
c"PU CQd COtt"go Otlu:r ■ ACCESSORY UUILDINC—
Cc+iani..i 1cOw
'rowe: ]louse U.,:tachau y .rr4AU0/Qnc cur/ two CQCI car
( CIRCLE ONLS PLE:ASC 1 # "�Actacrieu gurucll rti ' c ' twO c.+r/r�� a:ac
r ■ a a a a ■ • a r a ■ a a * Mr ; 1'rivwt.: stor:ag .: building
L' C, Y" IMA1v1.10 MARKET VALUL OF ' Oth►sr
r �',"F ��flf: flr�rr i � r r rrrr
INFO[:AIATION ON 13UTLOTNC SPECIFICATIONS , ON PXVEpiSE: SIDE OF THIS ^CFI! F.T, `l'O BC COMPL#=C'Dt
Form DPA .10/88 vl
fi
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPEC-IFICATIOfNS :
Type of construction , wood frame , fire safe , etc -
will any second-hand or ungraded lumber be used : If so , what ? ,kI.)
Foundation wall material npvtaeere.
& .0oc .t; Thickness_
Depth so'f foulidati-on below grade ( to bottom of f:;:ating ) —
Will there be a cellar ? �a Heated. or unheated Z,,,�, MM .wr ,� Floor sq . footage aL 51 sq ft
Will there be a basement ? 4e,. , Will any portion be used as living space ?
( If so , what portion? sq . ft . - - Type of use ?
Type of roof s o e fiatfshed/other Material of roof
Size , wood studs-_!l '" X " spacing� length S' ft .
Joists ( floor beams ) 1st , floor " �{ / ca spacing l ( "o . c . span/may ft .
Joists ( floor beams ) 2nd . floor � __." x --'. spacing "o . c . span ft .
OverlaYs ( ceiling beams ) 1,0?4 spacing " o . c . span ft .
Roof rafters _ X -- snaring ,o . c . sp4I ft .
Roof trusses ( pre-engineered ) spacing. �-4/ " c4c . ..- an___Ly ft ,
Exterior wall finish , �,, ,�- Of what material ?
Interior wall finish
If a garage is to be attar ed , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? yp _S If so will a Fire- rated
door , enclost.. e , and self-closing device be provided?will a flue -11ned chimney be installed? A 'NiU0 Height abov6 roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in . �
Water supply - Municipal or private well 3*2 L #.V
SEPTIC SYSTEM _ Distance from ANY private well ding adjoining properties � c, c � ft .
(A separate application is necessary for any repai..r or new installation of septic system )
D E C L A R A T I O N
To the best of my knowledge U - belief the statements itained in
application, together with the plans anj specifications submittea , are a true
complete statement of all proposed work to be done on the described premises
that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
other laws pertaining to the proposed work shall be complied with, whether specif
or not, and that such work is authorized by the owner.
Signature
OwnefL owner's agent architect, contractor
SPECIAL CONDITIONS OF THE PERMIT :
---------- ... ...
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
i
1 . Gross floor area /�7yi3
2 _ Type of heat_ � 7riC:.
3 . is the building mechanically cooled ? 1ru
4 . Percentage of area of windows and doors
A , Over 16 % Only
1 . U value of gross area of walls , roof / ceiling and floors
o
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a , Are foundation walls insulated ? YES NO
1 . If YES , what is the. R value ?
3 . Slab on grade YES NO
a . If YES , what is the R value of insulation around
perimeter of floor ?
4 . Is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
a . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions .
2 . R value of exterior walls fC � �
3 . R value of glazed area
4 , R value of doors K� I"1
5 . R value of floors over unheated spaces w2 A ,5
6 . R value of slab edge insulation - unheated slab - A
7 . R value of slab insulation - heated slab /V • .q
S . R value of heated basement/ cellar walls ( above grade ) oVt?
9 . R value of heated basement / cellar walls ( below grade )
10 . Type of insulation
c . Controls
1 . Thermostat maximum heat setting 765
D . Duct Systems
1 . Is duct system installed in unheated spaces ? YES HO
a . If YES , R value of duct installation
b . R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F , Service Water Heating
1 . Performance efficiency Y3
2 . Temperature control setting maximum
G . For Swimming Pool Qnly
1 . Maximum heating
Telephone No * _.' '� Zo
( plicant ' s ignature )
0 C
BLDG. PERMIT NO. 89^ 930 I
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby* requested for the property
located at; Lot #5 - Ledgeview Village
for the following uses: Sin 1 e Family Dwelling
2122/ 9D
DATE SIGNATURE O APPLIC NT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED(( )DISAPPROVED
m l etea►"a9e
with the following conditions: 8ui l d deck ave s1 dewal k and co
flo
TEMPORARY CERTIFICATE OF OCCUPANCY FEPII 0 .00 DEPC S,kT: 09$100.00
received on 2^ 22^ g0
Date of Issuance Director of Bldg. & Code Enforcement
DAYS
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES
FROM THE DATE OF ISSUANCE,
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. " Code
Enforcement or his designee.
f
TOWN OF QUEENSBURY
BUILDING AND CODES DEPART ENT
BAY 6 HAVILAND ROADS
Q4ME ENSBURY, NEW YORK 12 01'
TELEPHONE (518 ) 792-583
BUILDING INSP CTOR' S REF T
REQUEST FOR INSPECTION ECEIVED
NAME _
IOCATIO ten ,
ERMIT #
DATE
APPROVED
YES I NO
FOOTING PIERS
MONOLITHIC POUR FORMS
FOI7NDATION/DAMP-PROOF NG
BACKFILL APPROVAL �
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLFOORS
WALLS
I CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S S
.STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES E IEF VALVE
INTERIOR TRIM/PRI AC DOORS
FINISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL NSPEC ON ---
FINAL APPROVAL O CONST CTION
OK To ISSL3E C/O R C/C
A SIGNED CERTIF CATE OF CUPANCY MUST BE
OBTAINED FROM T E BUILDIN DEPARTMENT BEFORE
THESE PREMISES RE OCCUPIE !
REMARKS
-mlvr_ 0
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280!&
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUES OR INSPE TION RECEIVED 17 b
NAME
LOCATIO
DATE PERMIT ,#
APPROVED
YES NO
FOOTINGIPIERS
MONOLITHIC POUR FOF$MS
FOUNDATION/DAMP-PROOFING
BACKFXLL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: t
FOUNDATION
x
FLOORS
WALLS
CEILING
FINAL INSPECTION.-
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STVPS
STAIRS-CLEARANCE & kAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS . -
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL iNSPICTION
FINAL APPROVAL OV CONSTRUCTION
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM ?fHE BUILDING DHPARTM*NT BEFORE
THESE PREMISES 11RE O CUPIED l
REMARKS: /� r
� r
- I PECTOR
TOJIN OF TMENT
�uEENssuR
BUILDING AND CODES DEPAR
,SAY ri HAVILAND
ROADS
x28a&-
QUEENSDURY. NEW
YORK
792- 5832
TELEPHONE t * S REPORT
Bu I LD iNG INSPECTOR
REQUEST FO INSPECTION RECEIVER__
NAME
LOCATION
PERMI
DATE AppROVED
YES NO
FOOTI2u'GI�'I E BUR F � S
MONOLITHIC � _�, OOFING
FOUNDATSONIDAM
RACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH
INSULATION:
FOUNDATION
FLOORS - 1
WALLS
CEILING
FINAL INSPECTION -
CHFMNEY HEIGHT
ROOFING
SIDING TEPS
EXTERNAL PORCH I RAILS
STAIRS�CLEARAN E
PLUMBING FIXT PRI RESRCYIDOORSLVE
INTERIOR TRI RS
FINISHED
FIRE ROOFI
GARAGE (S)
DOOR CLOSE
,SMOKE DETE TORS CTION�___�
FINAL ELEC CAL INS
FINAL APPRO AL OF CO FINAL
OCCUPANCY MUST
RTIFICATE BE
A SIGNED Na DEPARTMENT BEFORE
OBTAINED ROM THE BUI IED!
THESE PRE ISES ARE OCC
REMARKS :
F
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVIL.AND ROADS
QUEENSBURYr EW YO K518 ) 51280k
TELEPHONE l�
832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION A
NAME J
LOCATION 3 c
/rpr's PERMIT # -
DATE I �L-1 =--� APPROVED
YES NO
FOOTINGIP RS
MONOLITHIC POUR FORMS
FOUNDATION AMP-PROOFING
BACKFILL AP ROVAL�I�-
,N(ROUGH PLUMB G
'(FRAMING
ELECTRICAL RO GH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
.SIDING
EXTERNAL PORCHESIS $�
STAIRS-CLEARANCE & I� VALVE_
PLUMBING FIXTU
INTERIOR TRIMIPRIV Y
RS
FINISHED FLOORS
GARAGE FIREPROOFI G
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL I SPECTION-
FINAL APPROVAL OF CONSTRUCTI
A SIGNED CERTIF CATE OF OCCUPAN MUST BE
OBTAINED FROM T E BUILDING DEPAR ENT BEFORE
THESE PREMISES ARE OCCUPIED?
REMARKbS••,,
4. 3
2zbl
SPECTOR
TOWN OF QUE.ENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW PORK I280*
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT # -
APPROVED
YES NO
FOOTING/PIERS
MONOT.ITHIC POUR FO S
FOUNDAT ICJ N/DAMP--PROOFING_
ACKFILL APPROVAL
OUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: i
FOUNDATION 1
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH S/STE S
STAIRS-CLEARA E & LS
PLUMBING FIX RES/RELkEF VALVE
INTERIOR TRI JPRIVACY DOORS
FINISHED F RS d —
GARAGE FIRE ROOFING -
DOOR CLOSE (S)
SMOKE DETE TORS _ -
FINAL ELEC ICAL INSPECTS N
FINAL APPRO AL OF CONSTRU TION
A SIGNED RTIFICATE OF OC UPANCY MUST BE
( OBTAINED' ROM THE BUILDING EPARTMENT BEFORE
THESE PRE ISES ARE OCCUPIED
3
REMARKS:
9
i
1
i
1 `
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURYr NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR S,rPECTION ECEIVED
NAME
LOCATION / -
DATE I / ^ r% PARMIT # rf -
APPROVED
YES I NO
V, FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL AP VAL
ROUGH PLUMB
FRAMING
ELECTRICAL ROUGH-IN
INSULATION.
FOUNDATION
FLOORS
WALLS
-----------------
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEP5'
STAIRS--CLEARANC$ & RAILS
PLUMBING FIXTUIjtS/RELIEF' VALVE_
INTERIOR TRIM/PRIVACY DOO)&S
FINISHED FIAO S -
GARAGE FIR
FIND
DOOR CLOSER ( ) t'
SMOKE DETEC RS
FINAL ELECTRICSL INSPECTION wl
FINAL APPROVAI OF CONSTRUCTION ..
4
A SIGNED CERTX JCATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
t
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TOWN
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