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1989-762 1' i r , CATE 0-F TOWN ON QUEENISSURY WARREN COUNTY, NEW YORK Date W April 12 14 ` 89- 762 'This is to certify tlork requested to be done as Shown by Permit No* has been completed, 1.4 ' xIIIIIIIIIII 6,6 ' Modular Home This IIIII [s',trructure 1may be occupied as a III1 l LOT 14 LEDGEVIEW VILLAGE Owner JOHN HUGHES Hy C)rder Town Hoard TOWN OF QUBENSDURY Building & Zoning Inspector x BUILDING PERMIT TOWN OF QUEENSBURY No. tN WARREN COUNTY, NEW YORK c t ry na PERMISSION is hereby granted to Jahn Hu hes OWNER of property located at Lot 14 Led evi ew Village Street, goad or Ave. in the Town of Queensbury, To Construct or place a 14 ' x 66 " Modular Home at the above location in accordance to application together with and plans and O Bothe information hereto filed and approved and in compliance with the Town of Queensbury g g inance- 4. OWNER'S Address is 1 RR#3 Box 3292 c Lake XXXXXX Oeorge , N . Y . 12845 c 2. CONTRACTOR or RUI LOURS Name p' C' Self 3, CONTRACTOR or BUILDERS Address Same 4. ARCHITECT'S Name r 0 rr 5. ARCHITECT'S Address to — C cm L rD c 6. TYPE of Construction — (Please indicate by X) ro i 1 Wood Frame i ) Masonry 11 Steel f I 'c ac 7. PLANS and Specifications 14 ' x 66 ' Modular Home as per plot plan , specifiCationO and No. application , X'i I(MIUN CONDITIONS : MAINTAIN 10 ' SEPARATION BETLd£EN S_ Proposed Use 14 ' x 66 ' Modular Home � a April 1 1990 $ y 4Fi 40 PERMIT FEE PAID — THIS PERMIT EXPIRES _ to the Building and Zoning inspector of the (If a longer period is required an application for an extension musk be made town of D.ueensbury before the expiration dare) z September �e 89 Dated at the Town of Queensbury this 26th Day of SIGNED $Y tC. �f +� r ' -- — for the Town of Queensbury r —' Buiiding and Zoning Inspector �,,,r+C— TOWN OF QQUEENSBURY REVIEWED SY 46 ^-•. FEE PAM S r PERN1T NO. -•�! Eo - BUILDING PERMIT APPLICATION A PERhar MUST BE OBTAINED BEFORE 8EGLNNUIG CONSTRUCTION- NO INSPECTIONS WILL BS MADE UNTM APPLICANT HAS RECEIVED A VALID 13UTLOING PERMIT_ All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. r s i E i i i ■ i * # ■ r s w w r s w s w w w # # s r r w: i tM ! a r w w w w w ■ The owner of this property is: _ P .O. Address ,2 A2 a 13 e+ k Tel. 7 99 6 6 Property Location T tV9 L e_ alr,_ .a _..-} cr . , tRa Tax Map No. ter „ ! Has there been any split of this property since October 1 . 1988 ? / If yes Planning Board Review is necessary , yes no SUBDIVISION NAME , IF APPLICABLE J � _ , f �' .� v�,i+�,� LOT NO . 1 y THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NATURE OF PROPOSED WORK : ESI',MATED MARKET VALUE OF _Construction of a new building ,. CONSTRUCTION* S + COMPLETE INFORMATION REQUIRED BELOW: Addition to a building ar c� ' Size of property 4 c, ft x ft, Alteration to a building * Existing Buildings( 3 ) Size ft. x ft. (no change to exterior dimensions) # Proposed building - distance from property line: Other work (Describe) ` Front yard j 5 fte Rear yard 60 -5 _ ft. Side yard J f ft. and ft. GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor 9 q sq. ft. OCCUPANCY INFORMATION 2nd Floor sq. ft, Primary Building Other Floors sq. ft. • 4 One Family Dwelling [not cenar or omens Two Family Dwelling TOTAL FLOOR AREA q. ft. " '.Multiple Dwelling/Number of units Size of new structur+e.�ft x r!f ft* Business Foundationmp4or/slw� il/partial/fu ` Industrfal (circle one) • Other • F -f stories (habitable space) a Height (grade to ridge) _ft. » If addition, what will use be! If residential► no. of families Nos of roome(oxciuding baths) Lil • Accessory ]3uitdfaE No* of bedrooms CO) a Detached Garage ON�'WO Car No. of bathroones Attached Garage ONE/TWO Gar Primary heating system Type of fuel " Private storage building' Noo of nrepleclos to be inetalliod n + n..+r� ` * Other Will a wood stow be installed r, n i Central Air conditioning o O'V' ER SUILOINC PERRMIT Appr )CATION �- JNTEtN �' EL) - BUtLOING }PF:CIFrCATIONS. Type of construction, wood frame, fire safe. etc. � LC:t ,, u � mc,; Will any second-hand or upgraded ltimtxerbe used ? If so, for what ? Foundation wall material [� � ,z , , Ab ) dLs C Thickness g `' Depth of foundation below grade ( to bottom of footing) jr Will there be a cellar? /vL, Heated or unheated? Floor sq. footage ft . Will there be a basement ? Will any portion be used as living space ? 'q (If so, what portion? eeeeeeeeee sq ft . Type of use ? C. Type of roof - sloped/flat /shed/other slay,, Material of roof ;a�; Size, wood studs V% "x r `* spacings" O. C. length ft . Joists ( floor beams) 1st floor p[... "x .00 " spacingw,,, "o, c, span , t _ ft. Joist (floor beams) 2nd floor. x " spacing "o, c, span ft. Overlays (ceiling beams ) "x " spacing " o. c4 span ft. Roof rafters "x " spacing o. c. span ft. Roof trusses (pre-engineered) spacing yam" O. C. span j V ft . Exterior wall finish�l, � bI I �� � _ of what material ? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to hp an opening between garage and dwelling? .el, 0 If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? ^v Height above roof 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 separation application is necessary for any repair or new installation of septic system) NAME OF 8UILDER_ �+,y,4 /��, j.�ADDRESS 2 2 4 j?,,,P� / TEL. NO. NAME OF PLUMBER r ADDRESS TEL. NO. NAME OF MASON f ADDRESS ' i TEL. NO. NAME OF ELECTRICIANS:9 � u�ADDRESS TEL. NO.tr 7 9 ,;) DECLARATION To the best ,of my knowledge and belief the statements contained in this application, together with the Plans and speciflcatlons submitted, are a true and complete statement of all the described premises and that a work to be done on ll all other laved pertainnb WOvisions of the BUILDING CODE. THE ZONING ORDINANCE, and loch worn is authorize to the proposed work shall be complied with, whether complied " or not. and that by the owner. Stynature nor, owner's t, archlto t, contractor SPECIAL CONDITIONS OF THE PERMIT: BY 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 : r 1 . Gross floor area yy+ 2 . Type of heat C I_c- c_,7'r_rc. 3 , is the building mechanically cooled ? .00V C? _ 4 , Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heated spaces YES CN> a , Are foundation walls insulated. ? YES NO) 1 ,, If YES , what is the R value ? 3 , Slab on grade YES C05 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 B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions ,- `�k !R '0"- �L- 1 F 2 . R value of exterior walls 3 , R value of glazed area. � " $� • 4 , R value of doors t2 - 14W, 1S 5 , R value of floors over unheated spaces lid e C, 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulation. - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) , 4 , ,� 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation / ,ry s s' Co Controls 1 . Thermostat maximum heat setting 1725 D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES 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 2 . Temperature control setting maximum G . For Swimming Pool Only 1 , Maximum heating Telephone No . pplicant ' s signature } TOWN OF QUEENSBURY BUILDXNG AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 72809, TELEPHONE (518) 792-5832 BU I LD I N(, INSPECTOR ' S REPORT r '(T4 REQUES OR INSPE TrON RE,CErVED NAME _ — LOCATrON e : DATE PERMIT # () APPROVED YES NO FOOTING/P-T MONOLITHIC PO R FORMS FOUNDATION/D P—PROOFING BACKFILL APPR VAL ROUGH PLUMBXN FRAMING ELECTRICAL ROU H—XN INSULATXON: FOUNDATXON FLOORS WALLS � // CEXLXNG VFXNAL XNSPECTION: CHXMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TE S STAIRS—CLEARANCE XLS PLUMBING FIXTURES/ LIEF VALVE INTERXOR TRIM/PRXV Y DOORS FINISHED FLOORS GARAGE FXREPROOFX G DOOR CLOSERS) v SMOKE DETECTORS 4 FINAL ELECTRICAL X SPEC ON FINAL APPROVAL OF CONSTR CTXON A SIGNED CERTXFr A TE OF UPANCY MUST BE OBTAINED FROM T E BUXLDXNG EPARTMENT BEFORE THESE PREMLSES RE OCCUPIED REMARKS. f r" INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS L C)UEENSBURY, NEW YORK I2809- TELEPHONE (5I81 792-5832 BUILDING INSPECTOR " S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION / f DATE J�/ !`�iF PERM r, +^ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING CKFILL APPROVAL OVGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS \ STASRS-CLEARAVCB & RAILS }- PLUMBING FIXT /RELIEF VALVE INTERIOR TRIMV.ACY DOORS FINISHED FLOOR, GARAGE FIREPRQbFING DOOR CLOSER (S SMOKE DETEC S FINAL ELECTRICAL INSPECTION FINAL APPROVAL ? OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS; INSPECTOR TOWN OF QUEPNSBURY BUILDING AND CODES DEPARTMENT �••+ BAY Se HAVILAND ROADS QUEENS'BURY, NEW YORK 12$0!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR PECTION RECEIVED NAME LOCATION VQ DATE f} �/� �PERMXT # .� "7 APPROVED _ YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING wIfFRAMI NG ELECTRICAL ROU —IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS—CLEARANCE & FAILS PLUMBING FIXTURES RELIEF LVE INTERIOR TRIM/PR ACY DOOR. FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSERS) .SMOKE DETECTO FINAL ELECTRICA INSPECTION FINAL APPROVAL F CONSTRUCTION A SIGNED CERT FICATE OF OCCUPANCY MUST BE , , OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED! REMARKS. AINSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVxLAND ROADS 5 QUEENSBURY, NEW YORK 1.28091- TELEPHONE (528 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR I SPECTXON RECEIVED NAME }-['C'``� - LOCATION f DATE C> - Cx. PERMIT # -- APPROVED YES INO FOOTING/PTkAS MONOLITHIC POUR FORMS &lPOUNDATION/D'*Vp-.PROOFING --- .--"BACKFILL APPRIQVAL ROUGH PLUMB-IN FRAMING ELECTRICAL ROU IN INSULATION: FOUNDATION FLOOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHES'/STEPS STAIRS-CLEARANCE & RAIL _ PLUMBING FIXTVRESIRE.LIEF ALVE INTERIOR TRI4j/PRIVACY DUO FINISHED FLgORS GARAGE FIRAfPROOFING DOOR CLOS R (SJ - " SMOKE DE . CTORS FINAL ELE , WXCAL INSPECTION FINAL APPWOVAL OF CONSTRUCTION i A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING ,DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ' QUEENSBURYf NEW PORK 7280& TELEPHONE (516) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED " 4 NAME _ LOCATIO , DATE _^C7� +-"1 PERMIT # =:A �r APPRO D YES kNO L/FOOTSNGfPIERS MONOLITHIC POUR FORMS _ FOUNDATION/DAMP'�`ROOFIN+G �_. ...... BACKFILL APPROVAA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: 1 FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION-0 CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & RA L PLUMBING FIXTURES/RE IEF ALVE _ INTERIOR TRIM/PRIVA DOO FINISHED FLOORS GARAGE FIREPROOFIN - DOOR CLOSER (S) SMOKE DETECTORS -- FINAL ELECTRICAL IN PECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED C.ERTIFI ATE OF OCCUPANCY MUST BE OBTAINED FROM T E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMAR - INSP TOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP n DATE l J r cay OR val.sGe + TQWNSHIP COUNTY - _ . Y G 1 G.. L•". i ..l Lk 7.J r e fa r' i�71 POLE NUMBER STREET ❑ n0.OR RLIAD BETWEEN WHAT TO CROSS STREETS 15 PREMISES LOZIA ED? SECDON fn-OCK LLYr W 04`CUPANT'S NAME BUILDING OCOVPANC! ER'S NAME AND ADDRESS HOME TE LEPMONE NVMBER CURRENT SUPPLIED BY FFIOM THEIR OFFICE WORK TELEPHONE NUMBER BVI LDING IS NEW pLQ ❑ fAYJNK IS NEW ❑ ADDITIONAL ❑ DEFE-CTS REMOVED ❑ Qr... LIST SELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na- of Fixtures & Mpg HF�41-ERS BRANCH OFFICE USE rSIDE Lamp Reoeptaclas CIRCUITS ONLY s;ae AtEGh'1 H.P WARTTS A.WG- Csilin9 Wall Recap 4s SWllch Pendant Bracket Na. Type Each NO- Each No, Gauge INSPECTION MENT FLFL . 2r'Itl FL. 3rd FL. REMARKS: LIST OTHER ELECTRICAL VEVPCES NOT SET FORTH ABOVE, THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EOUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SI$E OF MAINS FEEDERS ELECTRIC SIGN SILAMPS TOTAL WATTS eHARACTER OF WORK ._-II EXPOSED GAS TUBE SIGNfTRAN SFOR MERS OF VA _J GDNCEALE0 DATE yyD1'iK TO BE a'INZ'IED DATE COMPLETED 512E OF SIGN iNVMSERI �"L'P � SERVILE SINTERS B V ILdNG MANUF4x'T V RE R OF SIGN ❑ OvRBHFn UNDERGROUND 1 DATE INSPECTION REQUESTED ON SOH AS NEAIR AS POSSIBLE) MUST F ffER APPL IOENTIFICATION { i I E'I€ ya Wr INO LL AND RAT INFORMATION, A S MUST BE Nd APPi1CA MAY h'IETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION I ELEPHONE!NO. STREET ADDRESS ' s CITY OR POET OFFICE 71P CO17E LICENSE NO. WHEN APPLICABLE E:] 85 Jahn Street ❑ 41 State Street ❑ 570 Delaware Avenue O 217 Lake Avenue © 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 142021 ROCHESTERI NY 14606 SYRACUSE, NY 13206' THE NEW YORK BOARD OF FIRE UNDERWRITERS