2005-387 i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050387 Date Issued: Wednesday, December 14, 2005
This is to certify that work requested to be done as shown by Permit Number P20050387
has been completed.
Tax Map Number. 523400-302-014-0003-033-000-0000
Location: 28 JEROME Ave
Owner. HARRY & ALBERTA LEON
Applicant: HARRY & ALBERTA LEON
This structure may be occupied as a:
Porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050387 Application Number: A20050387
Tax Map No: 523400-302-014-0003-033-000-0000
Permission is hereby granted to: HARRY& ALBERTA I,FON
For property located at: 28 JEROME Ave
in the Town of Queensbury,to constrict or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: HARRY& ALBERTA LEON
28 JEROME Ave Porch $15,329.00
Total Value $15,329.00
QUEENSBURY, NY
Contractor or Builder's Name /Address Electrical Inspection Agency
ADIRONDACK SIJNROOMS
324 OIJAKER Rd
OIJEENSBIJRY. NY 12804-0000
Plans&Specifications
2005-387
192 SQ FT ENCLOSED PORCH
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, June 06, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiratioq date.)
Dated at therowin ) ue )4; onday, June 06, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. 3,3(3&
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 0
742 Bay Road,Queensbury,NY 12804 "
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Accessory Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck,
etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder iro'.4 ci t J Owner: AIlaeri&_ eQA
Address: .rv- Address: rV% 'hr.
veeu�,s a-go 4fOut e .�Sb�Ty nsJr IoZ&'d<J
Home Phone: Ylqg- o?a(c t Home Phone:
Email Address: Email Address:
Cell Phone: 9(0,0- 3-t'e S Cell Phone:
FAX Phone: '/lfS - o70 q FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: AA fU LV cJ:
Address: --m9g, Ra. 5sj'k t Phone
Location of proposed construction: Lot No. Legal Address:
I h I /ty - 3_L33 Tax Map Number: Subdivision Name:
Estimated Cost of Construction: $ 3 6?9
—� MAY `?_11Q5
Does an accessory structure currently exist on the property? '�Yes / _No TOWN OF QUEENSBURY
If YES, list all existing accessory structures: SA-e BUILDING AND CODE
Proposed Construction i 1st floor 21d floor Total Proposed Height
sq.ft. sq.ft. S ff. ft.&in.
Open Porch
Covered nclosed Porch .-
(considered fli mply to FAR [Floor Area Ratio]
requirements if the structure is located in the Waterfront � �
Residential zone. c�
3-season porch is considered an enclosed porch.
Deck
Boathouse
Boathouse with sundeck
DOCK
Shed
Pole Barn
Detached Garage 1, 2, 3 car
Other Accessory Structure:
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new cons on.
Date: ' 6 S Applicant/Builder Signature:
The application of dated is hereby approved and'
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above. �--
Date: e
Authorized Signaturec"
L:\Sue Hemingway\Building.Permit.F RMS\Accessory Structure Permit Application.doc V:12/28/04
�{ Queensbury Building & Code Enforcement - Residential Final Inspection
�'C3t�-ict No. (518)761-8256 Arrive: am/p De art: � m/pm
Date Inspection request received: Inspector's Initials: `L "G _
NAME: , (�
PERMIT#:LOCATION: e DATE:
TYPE OF STRUCTURE:
Comments , .
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location 1
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
! Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/a"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Ternp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: I Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
EmerRency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical /�I4(i `E
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\BuildinQ&Codes\lnsvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
i
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: i
Queensbury Building& Code Enforcement Arrive: anv'prn�y�7/ Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:�.J/ Z�
P
QV
NAME: _— / PERMIT#: _
LOCATION: �� ;.���( � --� INSPECT ON: a�:: = _
TYPE OF STRUCTURE:
Comments
Y / N tN/A
ogs------—------------
Piers i
Moil4ithic Slab I
Reinforcement in Place i
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. I
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation!Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper'
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
LASueHemingway"Building.Codes.InspectionTORM SToundation Inspection Report.doc January 28,2003
12/15/2005 10:07 5
1 -..ate ... 188826140 RICKMOONTHEINSPECTOR
PAGE
01
THE INSPECTOR, LLC 0
c,
RICHARD MOON
ELECTRICAL INSPECTOR
OFFICE 518-882-6140
FAX 51.8-882-6140
CELL 518-857.-6233
TO: THE INSPECTOR
A certificate evidencing compliance for the
electrical installation covered in application
noted below is being processed.This
certificate will last detail of the inVA116sion
inspected on
Townm11air1Crty
Appii io m r
laapector
RE EIVED
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DEALER: ADRONDAK 05W6367 PH. ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE
LEON, ALBERTA 20400 HALL RD 20400 HALL RD
28 JEROME DR. CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
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DEALER:ADRONDAK 05W6367 PH. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE
LEON, ALBERTA 20400 HALL RD 20400 HALL RD
28 JEROME DR. CLINTON TWP, MI 48038 CLINTON TWP, MI 48038
QUEENSBURY, NY 12804 PHONE: (586) 286-0410 (877) 218-8366 X287
DRAWN BY: MIRHET MELKIC DATE:05/20/05 1 SCALE:1/4"=1' FAX: (586) 286-5409 LIC #082300-1