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98-638 f i 1 C CERTIFICATE C�►F ]C��'� N C'Y TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK } 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 CT- � I 4pp pV: V V i I , 5� i r