98-638 f
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1
C
CERTIFICATE
C�►F ]C��'� N C'Y
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
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I7,ate 19 _ 99 l
I
Thi■ is to certify that work requested to be done as shown by Permit No.
i
has been completed.
RESIDENTIAL ADDITIQ UE T FIRE �
This structure rnaV be occupied as a
Location
{ HUGHES JC. HN
�1'Mner
By Order Town Board
TAX MAP NO . 30 . - 1 -- 27 . 3 / 833
-ro%VN OF QUEEN58URY
Director of Bldg. do Code Enforcement
I
BUILDING PERMIT
VALUE $ 60000 TOWN OF QUEENSBURY No. _ 9 xia
TAX MAP NO . 30 . - 1 - 27 . 1 / 80A,RREN COUNTY, NEW YORK
PERMISSION is hereby granted to HUGHES
OWNER of property
located at 5 LEDGEVIEW-C Street. Road or Ave.
in the Town of Oueenslx+ry. To Construct or place a RE
c'rrs>+ NTT AnD.IrrT UE TO V�% rie .
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
1 ROCKLAND DR .
LAKE GEORGE , NY 12845
2, CONTRACTOR or SUILOER"S Name
HUGHES , JOHN
3. CONTRACTOR or BUILOER'S Address,
1 ROCKLAND RD .
LAKE GEORGE , NY 12845
s, wor._14l"rECT'S Name
fi. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X) RES . ALTERATION & ADDITION
( ) Wood Frame ( I Masonry s I Steel I I
7. PLANS and Spells
240ra9 FT RESIDENTIAL ADDITION AND 1038 SO FT ALTERATION DUE TO IRE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use
RESIDENTIAL ADDITION/ALTERATION DUE TO FIRE
October 16 2000
68
PERMIT FEE PAID - 'PHIS PERMIT EXPIRES a 19
S (t( a lor+Osc period is squired an application for an extsnrion ,sue be made to the Build(ne and Zoning inspector of the
sown of Oueensbury before the expiration date.) 19,98
21 October
Dated at the Town of Quaensb+ury this
Day of 19
for the Town of Queensbury
SIGNED BY Bulidieg and nifsy Inspector
0-OMMO- .Building Permit App►liccxtia►n
Town of QuE'ensbllty - Dept. of+Ca ninunity Development, 742 Bay Road, Queensb"ry, NY 12804 [761-82561
BUILDING & CODE ENFORCEMENT
INGTICE Requirements prior to issuance C`
of this permit- PERMIT' FILE NO.
A permit must be obtained before C�C7
beginning construction. No inspections ZonPERMIT FEE PAID $
will be made until applicant has received
Tn ` Aclivn
a VALID BUILDING PERMIT. All Area I Use RECREA77ON FEE PAID $
applicants' spaces on this application
MUST be completed and- the signature Q Planning Board Action REVIEWED BY.•
of the applicant must appear on the SPR I Subdivision 1 Other Building fnsf,ecror
plication form. r,a.k ,aw- Recreation Fee Payment
Applicant: =,c> / rJ 2/ ry.1'r e S Owner:
Address: ,A2 /009 A-,' '/ Doe"r .-' e.. Address:
Phone # ( ) _/��„ts' - / -- Phone # ---_-} - - _
Property Location : rrG t T a/ir• t7 c' __- ---- 1 cif / '•
"Tax Map Number___
Subdivision Name: _ -���or° p r� 1st / � � � . Section Mock 1 .nt
NATURE OF PROPOSED WORKS ESTIMATED MARKET 'VALUE OF THE
New Building : CONSTRUCTION : $
� residence / commercial
_- A`tidition to Building :
rE*-siden�e / commercial OCCUPANCY INFORMATION :
— n. primary Building -
Alteration to Building : L!i•
residence / commercials V'' Single Family Dwelling
- - Resi ence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work ( describe below ) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE :
If ADDITION , what will use
let Floor , . . . . . . sq . ft . of new addition be ? :
2nd Floor , . . . . . . sq . ft . / s11.7e
Other Floors . . . . v sq . ft . _
( not unfinished cellar or basement ) ACCESSORY BUILDINGS :
„ •'•"" Detached Garage [i), 2 car
TOTAL FLOOR AREA : 7a- 26' SQ , FT . Attached Garage 1 , 2 car
- Private Storage Building
SIZE OF NEW STRUCTURE : 3 Commercial Storage Building
Other
_ 3e FEET X .3`y1 e 5+ " FEET
Foundation Type : c-� Will any second- hand or ungraded
Number of Stories : 1 lumber be used? If so , for what ?
( habitable space only )
Height ( grade to ridge ) ' r feet TYPE OF HEATING SYSTEM :
Number of fireplaces and/ or�wcoockstove (circle all which, ap i s )
to be installed : r� �� £ Electric / Oil /t G / food
w ed—llo / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : '.." � =r,a� 14 . *
Name Addresse Phone
Builder :
Plumber : rr
Mason : r
Electrician * er
DECLARATION Please sign below after yvu have CeWIy read the sAVemuent.
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
ether 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 llwe shall submit prior to a
Certificate of Occupancy' or Certificate of Compliance being issued, an AS BUILT PLAW PLAN by
a licensed surveyor, drawn to scale, showing actual location of project on premises.
Signature.
)(owner, owner's ent, architect, contractor)
RESIDENTIA L L FINA INSPECTION REPORT f
Office No. (5IS) 761-8256 Date inspection request received: A
Building & Code Enforcement
Dept. of Community Development Arrive �am/pm Depart pm
"Town of Queensbury Inspector's Initialls�
742 Bay Read
Queensbury, New York 12804
NAME PER MTI' #
LOCATION DATE 7
TYPE OF STRUCTURE Akio
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing IS im o mar
Interior Handrails stairs both sides 3 or more sers
Grade 2% away from foundation
8" clearance to sill plate
Gas Valve shut-off exposed/regulator IS" abo a gra
Gas Furnace shut-off within 30 fee' or within 1 e o site
Oil Furnace shut-off at entrance to ace
F'urnaccJfiot Water Heater operating
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft- 4 in.
Handrail exterior stairs both sides more tl►an risers
Interior privacy/trinn/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing I8 in more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroorn fans
Plumbing fixtures
Foundation insulation
3/4 hour fire dooridoor closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room.
Safety glazing 18" or less from floor
Final Electrical
Site PiantVariance required
Final Suuvev Plot Plan
As Built Septic Svstem layout required
Okav to issue C/C (C:ertif. of Compliance)
Okav to issue temp_ C/O (Certif of Occuparicy)
Okav to issue permanent C/O (C crtif of Occupancy)
P -
TOWN OF QUEENSBURY
BUILDING742CBAY ROADRCEMENT
QUEENSBUR.Y NY 12804
(518) 751-9256
fLJ DEPART : INSP
ARRIVE :
rlwAL INSPECTION REPCiRT — RESIpE'NTIAL
DATE INSPECTION R,EQUES ' F CEIV" Da
LOCATION
PERMIT � �—=---
DATE
TYPE OF STRUCTURE FRAZ•1ING
DACKFILL
FOOTINGS_.., FOUNDATION
SBPTIC INSULATION
ROUGH PLUMBING WOODSTOVE OR FIREPLACE
FINAL ELECTRICAL �.
� ti A 286 NO
�"HIM�kiLIGH'T/8 VENT/FiFIG}iT
LU B NG VENT
R F NG
XTERIOR FI
ECK P RC H S E S
E IE VALV S
FURN C 110 W O ERATING
I O T M PR V Y DOORS
F NI LOO S :
j SAT" 'xTH T HE TERTI
1 OT_HER. FLOORS SWEEP BL
li O HER FLOOR CARP ED
ll STA R CLEARANCE RAI I S
1
I SMOKE DE EC ORS
I
T O A S
G F I RES -•----_'�__ .
U DA ON 3LNSU ON
G E r-IRE P 00 NG
� S
D00
ECT I'
= V R AN CS
F NAL SU VEY T P
O T ISSU C O C C
rvv
RESIDENTIAL. I"NA.L INSPECTION REPORT
office No. (518) 761-8256 I)ate inspection request received: � .
Building & Code Enforcement !
Dept. of Community Development Arrive f y a Inspector's
Depart pm
pevpm ctor's Initials
Town of Queensbury
742 Bay Road
Queenshury, New York 12804
PERMIT #
NAME DATE
E
LOCATION _
TYPE OF STRUCTURE
N/A 3(E5 NO CON0AENTS
Chimney Heightr"B" 'VenvDwect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
InteriorlExterior Railings 30" to
Exterior Handrails, balconies, 1 ding 18 in. r more
Interior Handrails stairs both si s 3 or mor risers
Grade 2°/n away from undati
8" clearance to sill pla g= above grade
Gas Valve shut-off a t
Cms Furnace shut-off within feet or within line of site
Oil Furnace shut-off at en ce to furnace area
ruMaceiriot `Water Heater a
Relief Valves) installed
Headroom, 6 ft. 6 in- on rs
Basement stairs, 6 ft. 4
I-landrail exterior stairs th sides more than 3 risers
Interior privacy/triru/d main entrance 367'
Floor Finish
Bathroom/Kitchen 'watertight
Interior Handrails BalconieanL anding 18 in, or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected.
Bathroom fans
P11,mhing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofin
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing 18" or less from floor
Final Electrical
Site Plan/Vanance required
Final Survey Plot Plan fJ
As Built Septic System layout required
Okay to issue C/C (Certif. of Compliance) Log
Okay to issue temp. CI() (Certif of Occupancy) ✓ � �, s . �yo- 7l��f, rp�r.�.rf
Okay to issue permanent CIO (Certif. of Occupancy)
GLNEIR.�1L INSF►ECTIIf71V REFUIR'T
Town of Queensbury
Dept, of Community Development Date inspection request received&
Building & Code Enforcement /
742 Bay Road Depart?Queensbury, NY 128" Arrive am./pinVZA
Imspector•s 1n' as Q
NAME: PERMIT #DATE
LOCATI1IN:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The niractor is responsible
previ protection fro In
for 448 urs followin a pl ent
of the con
Materials o-f-F s on site
Foundation/Wall
P infor�*aPt�L Place
Foundatio pp8
Backfill 1
Plumbing nder Slab
Plumbing VentfVents in Place
Rough Plumlrin
t^�g Rough-In
tion
Foundation Walls Interior R-
Foundation W GIs Exterior R-
Floors R-
Walls R wr
-
Ceiling R'
Duct work or piping in
unheated spaces R-
proper-Vent, -Attic Vent
Framin
Jack Studsllleaders
BracingBridgin
joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour —
Firestopping
GENERAL I1V,SPECTIUN REPORT
0
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement r 7
742 Bay Road 00
Queensbury, NY 12804 Arrive am/pm Deps� wntrnn
Inspector's Enitisis __ ''
NAME: PERMIT #
LOCATIO DATE :
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
Footings/Piers E
Monolithic Pour Form
Reinforcement in Place
The contractor is respo 'ble for
providing protection fro freezing
far 4$ hours fallowing th placement
of the concrete.
Materials for this purpose on 'te
FoundatianlWallpour
Reinforcement in Place
FoundatianlDamppraofin
Backfill ApproPval
Plumbing Under Slab
Pl ng vet ents in P
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-
oper-`,Dent; � ant
UF Jack Studs/Heade s
Bracing/Bridgirt
Joist Hangers
Jack Posts/Main Beare
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 27 3, 4 hour _
Firesto�in
GEIYERAE IJVSPECTI N REPORT
Town of Queensbury Date inspection request received:
Dept. of Community Development p�
Building &. Code Enforcement
742 Bay Read am
Arrive 1pm Depart amfpin
Queensbury, NY 12844 inspector's tiritials
PERMIT # ?g — &3 S
NAME: —3 P7 DATE : !" TLI_ —
LOCATION:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO C1OOM VffiwTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours follows the placement
of the concrete.
Materials for this purpose on site
Foundation/Wall
Reinfbreemer t in Place
Foiirit3ationll3ampproofin
Il Appronral
Plumbing Under Slab
Plumbing Vent/Vents in Place
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
Framin
Jack Studs/Headers
Bracing/Briclgirt
joist Hangers
Jack posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 32 4 hour
Firestoppin8_ --
GENERAL �vsP�e o�v
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensberry, NY 12804 Arrive am/pm Depart am/pm
luspectoes Lnitia'ls
NAME: PERMIT # V
..-
LOCATiON: DA
TYPE OF STR CTURE:
RECHECK
NIA YES NO CONIMENTS
Footi.ngs/Piers
Monolithic Pour Form
Reinfarcement in Place e e ave''- 1004 ,,*'s
The contractor is responsible for ��I / �+' _ /
providing protection from freezing ' , c G3'��' ca 'ce
far 48 hou following the placement 1
of the con
Materials for se on site
Foundation/Wallpour
_ Reinfiorcement in Place
FoundationlDam
Backlill Appra�ral
Plumbing U Slab
Plumbing Vent/Vents in Place
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 spates R-
c,"cn*. ,Attic Vent
Framing
Jack Studs/Headers
BracinglBrldging
Joist I3arlgel S
Jack. Possts(Main Seam
Air infiltration Barrier
Fire Separation 1. 2. 3. hour
Penetration Sealed
Fire Wall 2. 3, 4 Hour
Firestopping
ffAfVR
GENERAL IIVSPEGTlf�N 3'' 1 1
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road �� Depart
Queensbury, r e
NY }28Q4 Ave Inspector*s Initials
NAME: PERMIT #
LOCATION: TE : f
"TYPE OF STRUCTURE:
RECBECK
NIA O COMMENTS
ti -ers
onolithic Pour Form
Reinforcement in Place 47
'T / r c
he Contractor is responsible for
providing protection from freezing
for 48 hours following the placement r
of the Con te.
Materials for s purpo on site
FoundationlW po
Pwi�'fQ' ca it i__
Foundation/Da
Backflll
Plumbing Un Slab
Plumbing V tJVents in Place
Rough Plumbing
Heating Rough411
Insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces prupe"cui.-Attic Vent
Framin
Jack Studsa�P . Tc
Joist Hangers
Jack Posts(Main Beam '`ti
Air Infiltration Barrier
Fire Separation I, 2, 3, !tour
Penetration Sealed
Fire Wall 2, 3, 4 hour (4
( "•
Firestoppin
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