96-510 k
f �
CERTIFICATE OF C +C+CT�.�I''AN +C' '
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
� I
Date 19 -99
k �
1 Thu is to certify that work requested to be done as shown by Permit No.
has been completed.
{
T7zis structure may be occupied as a SINGE FAMILY DWELLING
2 CRESEN'T VIEW DRIVE
Location
C+�rner HIGH E S
f
By Order Town Board
TAX MAP NO . 30 . 1 - 27 . 1 / 839
TOWN OF QUEENS13URY
��•M
X
Director of Bldg. lfc Code Enforcement
BUILDING PERMIT
VALUE $ 450eJTOWN OF CQUEENSBURY No_ 96510
TAX MAP NO , 30 . - 1 - 27 . 1
WARREN COUNTY, NEW YOiFiK
HUGHES , JOHN
PERMISSION is hereby granted to
FARM TO MARKET RD . Street, Road or Ave.
OWNER of property located at
in the Town of Queensbury, To Construct or place a
SINGLE FAMILY 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,
1. OWNER'S Address is
R . R . # 3 BOX 3293 - 2
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
HUGHES . JOHN
3. CONTRACTOR or BUILDERSS Address
1 ROCKLAND RD .
LAKE GEORGE , NY 12845
4_ ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE , NY 12836
6_ TYPE of Construction — IPlease indicate by xi SINGLE FAMILY DWELLING
{ } wood Frame I ) masonry I } Steel ( }
rP
LANS and Specifications960 oFT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
roposred Use
SINGLE FAMILY DWELLING
120 August 21 19 98
$ PERMIT FEE PAID - THIS PERMIT EXPIRES
(If a longer period is required an application for an etrtension must be made to the Building and Zoning inspector of the
town of atioensbury before the expiration d ate.l
21 August jg 96
Dated at the Town of Queensbury this Day of
for the Town of Queensbury
SIGNED f3Y
Building adronil"I l ctor
TOWN OF QUEENSBURY REVIEWED BY :
COMMUNITY DEVELOPMENT DEPARTMENT FEE PAID *
"� ' '
BUILDING & CODE ENFORCEMENT
531 BAY ROAD PERMIT NO .
QUEENSBURYr NEW YORK 12804
( 518 ) 745 - 4447
HUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A 'VALID BUILDING PERMIT .
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form .
OWNER OF PROPERTY :
Mailing Address : Home Other
Telephone Number ( s ) : Work -7
+
PROPERTY LOCATION : on � `� � I f
Tags. Map NUM er : Section � C7 B oc Lot
Subdivision Name : ,L � �,/ // � Lot No .
�e .r
NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE
CONSTRUCTION : $
NEW BUILDING :
RESIDENCE / COMMERCIAL OCCUPANCY INFClRMATION :
ADDITION TO BUILDING : PRIMARY BUILDING -
RESIDENCE /COMMERCIAL -t,- - 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 AUG 1 c 1a''6
GROSS AREA OF PROPOSED STRUCTURE :
1ST FLOOR — c> SQ . FT .
IF ADDITIONr USE OF NEW ADDITION *
2ND FLOOR SQ . FT .
OTHER FLOORS SQ . FT .
( not unfinished cellar or basement ) ACCESSORY
Detached LGarage - One /Two Car
TOTAL FLOOR AREA : SQ . FT . Attached Garage - One /Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
. 1 FEET X _ AZb FEET
Foundation Type : r c 2 tee tA - /ar t Will any second- hand or ungraded
Number of Stories : lumber be used.? If so , for what ?
( habitable space only )
Tyke of Heating
Height ( grade to ridge ) : / S feet g System :
Number of fireplaces and/or woodstove ( crrcle all which a lies )
to be Installed : fow� Electric / Oil / / Wood
rce Hot Ayr. / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS /PHONE : �"oH� / ) 9
NAME OF PLUMBER/ADDRESS /PHONE :
NAME OF MASON/ADDRESS /PHONE :
NAME OF ELECTRICAN /ADDRESS /PHONE : r
DECLARATION
To the best of my knowledge the statements contained in this appli -
cations 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 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 scaler showing actual location o pr je , n remises .
Signature
( Owner , ow is a en architect , contractor )
FOR ANY SPECIAL PROVISIONS - SEE REVERSE DF. :
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY
9000 HEATING DEGREE DAYS
U 1G"
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
* Requires submission of worksheets
APPLICANT'S N yAME : PROPERTY LOCATION *
�-1 �'.Y d�J ��is E. C ,� 01 4 r'ES c w+.•?` ,��.'_.�cz r e c..� r -'J./�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
10 Gross Floor Area - 9d .5 square feet
2 , Type of Heat. - Electric Oil ✓r-Gas Other
3 * is building mechanically cooled ? Yes t,-�o
4 . Percentage of area of windows and doors Over 17 % ✓ Under 17 %
5 , R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED :
a , Roof R � g
b . Exterior walls R f �
c , Glazed areas R a, g
d . Exterior doors R , s
e , Floors over unheated spaces R
f , Edge of slab on grade ( heated building ) R
g . Basement / cellar walls ( above grade ) R
h , Basement. / cellar walls ( below grade ) R
i , Heating/ cooling-ducts -piping in unheated space R
6 . Service ( domestic ) hot water heating device
Conforms to minimum efficiency per code ,,. Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
App ' ca is Si nature Date Phone Number
IN ECTOR ' S REMARKS :
RESIDENTIAL FINAL INSPECTICIN REPORT
Office No. (518) 761-8256 Date inspection request received:
Building & Code Enforcement
Dept. of Community Development Arrive am/pm Depart am/pxtt
'Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 12MM f'�
NAME PERMIT it .[ ,.*� _ t_. /
LOCATION DATE
TYPE OF STRUCTURE
NIA YES NO CON Mjaq TS
Chimney Heightl"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Intenor/Exterior Railin 3D" to 36"
Exterior Handrails, tZconies, landing 18 in- or more
Interior Handrails sierra both sides 3 re risers /0 /{ (J ,/2 it f f4
Grade 2% away from foundation �
8" clearance to sill plate
Gas Valve shut-off exposeVreg for ve grade
Gas Furnace shut-off within 30 f or within line of site
Oil Furnace shut-off at entrance furnace area
Furnace/Hot Water Heater opera
Relief Valve(s) installed
Headroom, 6 ft. 6 in, on stairs
Basement mairs, 6 ft. 4 in.
Handrail exterior stairs bo ides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Llathroonr/K.itchen watertight
Interior Handrails Balconics/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door 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 Plan/Variance required
Final Survev Plot Plan
As Built Septic System layout required
Okay to issue CIC (Certif. of Compliance)
Okay to issue temp. C/0 (C:crtif of Occupancy)
Okay to issue permanent C/O (Certif. of Occupancy)
' RESIDENTIAL FINAL INSPECTIbN REPORT
Office No. (518) 761-8256 Date inspection request received: A6
Building & Code Enforcement
Dept of Community Development Arrive 1CO am/pm Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 128 AD
NAME PEPJvflT # ! tom' �J
LOCATION -'
DATE
TYPE OF STRUCT`{.JRE
YES NO COMMENTS
Chimney Height/"&" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
.Exterior Finish Complete
lnterior/Extenor Railings 30" to 36"
Exterior Handrails, balconies, landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2% away from foundation
8" clearance to sill platejr
Gras Valve shut-off exposed/regulator 18" abov grad
Gas Furnace shut-off within 30 fipet or within i' a of , to
Oil Furnace shut-off at entrance to furnace
Furnace/Hot Water Heater operat
Relief Valve(s) installed
Headroom, 6 fl. 6 in_ on stairs
Basement stairs, 6 ft_ 4 in.
Handrail exterior stairs both sides more th 3 risers
Interior privacy/trim/doors/main entrance 3 "
Floor Finish
Batliroom/Kilchen watertight
Interior Handrails Balconees/l.,attding 18 or more
Railing across window in stairwells
Smoke Detectors-
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safely glazing 18" or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic Svstem layout required
Okay to issue C/C (Certif. of Compliance)
Okay to issue temp. C/O (C:ertif of'Ck:cupancy)
Okay to issue permanent C/O (Certlf. ol Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received
Building & Code Enforcement
Dept. of Community Development Arrive =,6(g) am/pm Depart amtpm
Town of Queenshury Inspector's initials ,� ^_
742 Bay Road
Queensbury, New York 12804
�NAME /i,c CTisr4 4�i� _ PERMIT # - + '
LOCATION _ne?...__ e. iiesJ
DATE ... ..r.... ......_
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heightl"B" VentlDirect Vent I.,ocation
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
InteriorlExterior Railings 30" to 36"
Exterior Handrails, balconies, landing i or mo
Interior Handrails stairs both sides 3 or ore riser
Grade 2% away from foundation
8" clearance to sill plate
Cias Valve shut-off exTeeor
above grade _.._ .....
-- --- ---
Gas Furnace shut-off wee or within line of site
Oil Furnace shut-off att fiuttace area
Fun�acelllot Water He
Relief Valve(s) install i'
Headroom, 6 ft. 6 in. oBasement stairs, 6 ft. 4Handrail exterior stairs more than 3 risers
Interior privacy/trim/dentrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails BalconiesCL.anding 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing 1 R" or less from floor
Final Electrical
Site Plan/Variance required
Final Survev Plot Plan
As Built Septic System layout required
Okav to issue CIC (Certif. of Compliance)
Okay to issue temp. C/O (Certif. of Occupancy)
Okay to issue permanent CIO (Certif. of Occupancy) /
(518) 761 -8256
TOWN OF QUEENSBURY - -
BUILDING & CODE ENFORCEMENT
742 BAY RD . , QUEENSBURY NY 12844
INSPECTOR ' S REPORT : ARR DEPAR4 „TINT I Z
000e
REQUEST FOR INSPECTION RECEIVED :
NAME F'[ -6 !7
LOCATION ( /,/1� .40- t �"'"' .,
DATE J PERMIT 1 - J
740
TYPE OF STRUCTURE :
RECHECK APPROVED
YES NO
FQQTINGSZP'3.ER.S
MONOLITHIC POU Rl
REINFORCEMENT IN PE
THE CONTRACTOR IS_/1 ESPONSIHLE FOR
PROVIDING PROTE.--r.FIom FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
. RENT OF THE CONCRETE ,
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION /WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION /DAMPPROOFING
SACKFILL APPROVAL
�UGHIPLIIMBNNGVENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING :
JACK STUPS/HEADERS
BRACING/BR. IDG_ ING _
JOIST HAk?GERS
JACK POSTSIMAIN SEAM Al INFILTRATION BARRIER
HEATING ROU.,H- IN
INSULATION :
FOUNDATION WALLS INTERIOR R-
FOUNDATIOCi WALLS E3fTERIQA R-
FLRS R-
WALLS R-
CEILING _ R_
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-"6
TOWN OF QUEENSDURY
BUILDING & CODE ENFORCEMENT -� `
742 BAY RD . , QUEENSBURYY] NY 12804
INSPECTOR ' S REPORT : ARR�V DEPAR ,Try NT �-J
REQUEES'1' FOR WSPECTION AEC VED : (_.�--,_s
NAME I
LOCATION
DATE � L7 .9 PERMIT 1
TYPE OF STRUCTURE : . �
cam^-'---
' RECHECK A F OVED
N/A YES NO
FOOTINGS/ ERS
h NOLETFiIC PO FORM
REINFORCEMENT PLACE
THE CONTRACTO IS ESPONSIBLE FOR
PROVIDING PRO E TI N FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE .
MATERIALS FpR 'PHIS PURPOSE ON SI E
FOUNDATION /WALLPOUR
REINFORCEMENT IN .PLACE
FOUNDATION /QAM.PFROOFING
BACKFILL I�FPROVAL
PLUMBING VENT/VENTS iN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING :
JACK ST[IDS/HEADERS
BRACING BRIDGING
JOIST HANGLRS
JACK OSTS MAIN BEAM
AIR INFILTRA ION HARRIER
H TING ROUGH- IN
INSULATION •
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXT-> RIOR R- _
FLO RS R
WALLS R_
CE ING R-
DUCT WORK OR PIPING IN
UN ED SPACES R-
e:m � � o
(A,) I Ar D6 w S7&01=7zw ' S
/'(
(518) 76I-8256
TOWN OF QUEENSDURY
BUILDING & CODE ENFORCEMENT
742 BAY RD . , QUEENSOURYYmy 12604
INSPECTOR ' S REPORT : ARR t DEPART INT�
REQUEST FOR INSPECTION RECEIVED : �'000000 j
NAME
LOCATION
DATE PE IT /
TYPE OF S UCTURE : / C.
RECHECK d
_ ! A P OVED
NIA YE NO
t3OTINGS PI RS a(
MONOLIT IC OR F
REINFORCEMEN IN PLAC
THE CONTRACTO IS RS PONSIBLE FOR
PROVIDING PRO TIO,N FROM FREEZING
FOR 49 HOURS F LLOW G THE PLACE—
MENT OF THE CO RET ,
MATERIALS FOR TFIS PURPOSE ON SITE
FOUNDATION WALLP F
REINFORCEMENT IN ACE
5
FOUNDATION/DAMPP O ING _
HACRFILL APP Ov
LUMBING V8NT/V NTS IN PLACE /
ROUGH PLUMBING
PLUMBING UNDER SLAB
M FRAING : ��-'"
JACK UDS H ABERS
BRACI BR IN
JOIST HA GERS
JACK POSTS/MAIN BEAM
AIR INFILTRA ON BARRIER
HEATING ROUG — IN
INSULATION :
FOUNDATIO WALLS INTERIOR
FOUNDATION WALK EXTERIOR R—
FLOORS R_ —
WALLS
CEILING R_
DUCT WORK OR ,PIPING IN
ll UNHEATED SPACES R—
r N zoi I°t�— �— /�—+��4 t 4 �4 T �c�Av> U i�
i
(518) 761-8256
TOWN OF 4ueENSBURY
8UILDZNG 6 CODE ENFORCEMENT
742 BAY RD , 00KENSBURY NY 12004
INSPECTOR ' S REPORT : AR90' DEPA a
REQUEST FOR NSPECTION RECEIVED :
NAME
LOCATION
DATE
TYPE OF STSRUCTURE : L•'--y`=-"7�"�.L_.___L
RECHECK
A PROVE
Y N
FC?OTINGS PIERS
MONOLITI[IC POUR FORM _
REINFORCEMEN iN PLACE
THE cOUTRACTOR IS RESPOH $LE FOR
PROVIDING PROTE TION FROM FRZI
EEF0:R
FOR 4 $ HOURS FOLLpWING TH PLACE
MEWS' OF THE CONCRETE .
j MATERIALS FOR THIS PURPOSE ON SI
FOUNDA ION WALLP[7U" --
j REINFORCEMENT IN PLACE
s
FOUNDATION D PPROOFING j
$ACKFILL APPROVAL
PLUMBING VE�NTS IN PLACE
ROUGH PLUMBING
UMBING UNDER SL`gy___�
FRAMING : ' _
.SACK STUDS EA ERS
HRAC N
JOIST
JACK P05TS MAN BEAM
IR INFILTRATION BARRIER
HEATING ROUG - IN
INSULATION -
FOUNDATION WALLS INTERIOR R-
FOUN A ION F WALLS EXTERIOR R
LO RS R ----- _
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEA EI1 SPACES R_
(S18) 761-8256
TOWN OF QUEENSSURY
BUILDING 6 CODE ENFORCRMENT
742 SAY RD _ QUEENSBURY NY I2804
INSPECTOR ' S REPORT : A,RF
DEPART I
REQUEST FOR P TION REC I ED !
NAME
LOCATION
DATEIT�\A
I TYPE OF STRUCTURE :
RECHECK
A P OV D
OOTINGS PIERS
I
MONOLITT IC POUR FORM
i
REINFORC£MEN IN PLRCE -
i THE CONTRACTOR IS RESPONSIBLE FOR
'10PROVIDING PRO!' L
FOR 48 HOURSS Fpw ZING
MENT OF THE CON NO THE P g_
TE .
i
MATERIALS FO THIS PURPOSE ON,
FOUNDA ION LLPOUR
REINFORCE NT IN PLACE
FOUNDATION DAMPPROOFING
E`I L APP R.OV L
PLUMBING VEN VENTS IN PLACE
ROUGH PLUMBING
FLU - ING UNDER SLAB
FRAMING
JACK S UDS H AD, RS y,
BRACINr/SRrn,GING
JOIST HA E S
JACK PASTS MAIN B AM
AIR I14FILTRATI N BARRIER
i
HEATING ROUGH- IN
INSULATION ;
FOUNDATION WALLS INTERIOR R-
FOUNDATTON WALLS E3CTER O
FLOORS
WALLS R, -
C LING R-
DUCT WORK OR PIPING IN R
UNHEA ED SPACES
R` I
i
i
I
i
(518) 76 1-8256
I
TOWN OF 4QUEENSSURY
BUILDING & CODE ENFORCEMENT
742DAY RD . , QUEENSBURY NY 12804
INSPECTOR ' S REPORT : ARR L "
EpART i
'�
REQUEST FOR INSPECTION RECEIVED : '
NAME _ zs L 4A k �''+1A,%C-�.t--I r
LOCA T I ON y�cr:
DATE , PERMIT 1�
TYPE OF STRUCTURE : L
RECHECK
��- A PROVED
NLA ,. Y S 0
F O INGS P ERS
NOLITf[ iC P UR FORM
EINF RCEMENT IN PLACE
THE CONTRACTOR i5 R$SPONS E FOR
PROVIDING PROTE TION FROM EEZING
FOR 4B "OURS FOLLONINO THE LACE-
, MENT OF THE CONCRETE .
MATERTAN S FOR THIS PURPOS ON I E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE `
i
FOUNDATION/bAMPPROOFiNC
BACKFILL APPROV L
LUMBIN VENT fVENTS PLACE
ROUGH PLUMBING
i
PLUMBING UNDER SLAB
ING •
JACK STUD_ S1HEA1]8R5
RRAC,ING BRI GING —
JO S HRNG$RS
JACK P STS MAIN B
AIR rNFILTRATIiON BARRIER
_f#EATING ROUGH , IN
INSULATION • .
F—OUNDATION WALLS INTERIOR R- y
_..__._ _aOpRSION WALLS EXTERIOR R
wAsrtj R—
CE LING R—_
DUCT WORK OR PIPING IN R
UNffEATED SP CES
R-
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY. NY 12804
(518) 761 ,8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
c7�)
NAME
}
LOCATION 3 ry 3 k
DATE PERMIT #
� 1
APPROVED
EXITS N/A YES I NO
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LI TIN
FIRE EXTINGUISHE
AUTO. EXTINGUIS ING SYSTEM
HOOD INSTALLA ON
AUTO. SPRINKL SYSTEM
ALARM SYSTE
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FWEPLACE - MASONRY
l.fifREPLACE - FACTO BUILT
40
REMARKS; ❑ OK THIS DATE
INSPSUP.PUB 1