2003-192 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building.& Codes (518) 761-8256
a q.
. CER'I''IFICATE'.:OF ' COMPLIANCE
= " Permit Number: . .. :P20030192 = :-Date. Issued: . Monday, May 05, 2003
_ This'is to certify.that:work re' nested to be done as_shown-b Permit<Nurnber P20030192
y
- - - - -�_ _
has been completed. -
__ Tax Map Number: 523400-3U2=0'14-0003-033.=000-0.000 __ _ -
Location: 28 JEROME Ave
Owner: - HARRY&ALBERTA LEON.
Applicant: HARR
Y&ALBERTA-LEON
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
Director of Building&Code Enfo cement
TOWN OF QUEENSBURY
742 Bay Road,Queeiisbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030192 Application Number: A20030192
Tax Map No: 523400-302-014-0003-033-000-0000 .
Permission is hereby granted to: HARRY& AT.BF,RTA LEON
For property located at: 28 JEROME Ave
in the Town of Queensbury,to construct 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 Shed/Storage Sheds
Total Value
QUEENSBURY,NY
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-192
160 SQ FT SHED AS PER PLOT PLAN SPECIFI'CATIONS
$20.00 PERMIT FEE PAID--THIS PERMIT EXPIRES: Thursday,April 29,2004
(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 expiration date.)
Dated at the own o Que ,ApriL29,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
t
Summary record card generated on 4/24/200310:34:53 AM by Pam Whiting Page 1
Town of Queensbuiy
Tax Map # 523400-302-014-0003-033-000-0000
28 JEROME Ave, QUEENSBURY
HARRY&ALBERTA LEON Since Sep 2000
28 JEROME Ave
QUEENSBURY, NY
Class 210 One Family Year-round Res Roll Section 1 Taxable
Property Type 1 Residential Nbad 195 195
School District 520500 Glens Falls City schl Dis Zoning SFR-10 SFR-10
FY 2000
Bldg.Permits
Type Application Permit Certificate Estimated Cost Total Fee
Shed/Storage Sheds
A20030192 $20.00
4/21/2003
Purpose
Notes&Comments 2003-192.160 SQ FT SHED AS PER PLOT PLAN SPECIFICATIONS
Applicant name HARRY&ALBERTA LEON
Activities Started Date Completion On Status Ref#
Application Received 4/21/2003 100
Type Application Permit Certificate Estimated Cost Total Fee
Unknown
94495 94495
9/15/1994 1/23/1995
Purpose
Notes&Comments SINGLE FAMILY/
Owner FIORE,BARBARA M.
Applicant name BARBARA M.FIORE
Contractor RICHARD SCHERMERHORN
Activities Started.Date Completion On Status Ref#
Issue Permit 9/15/1994 9/15/1994 Yes 400
Issue C/C 1/23/1995 1/23/1995 Yes 800
Issue Permit 9/15/1994 9/15/1994 Yes 400
Issue C/C 1/23/1995 1/23/1995 Yes 800
Issue Permit 9/15/1994 9/15/1994 Yes 400
Issue C/C 1/23/1995 1/23/1995 Yes 800
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.:
No inspection will be made until applicant has received a Fee Paid: o� y
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: R r ri �-__d ry/ Owner: 64 r,r,
Address: 4 0 YjwY,I Address: a�v e ;eom� Yf✓��
Phone#: 3 _���J Phone#:
Tax Map Number: 30 _ 3
Subdivision Name:
(if applicable)
Lot Number: /House Number,22/Street Name <J co r pn,�
OR
Property Location: �J
❑ New Building: Residential/Commercial Estimated Market Value of Construction:
❑ Addition: Residential/Commercial If an Addition,what will use of addition be? V
ED
❑ Alteration: Residential/Commercial
❑ No change to APR 2 1 2003
Exterior size: Residential/Commee ial
o Other work: (describe ' OWN OF Cal EENSSURY
E91JILOIN AND CODE
Check Below Occupancy Info 1"floor sq.ft. 2° floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling
Two Family Dwelling ,
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
Storage Bldg.,Res.
Other
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
No. of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
Plumber 4
Mason
Electrician
Declaration: Please sign below after you have carefully read the statement: --.
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 other laws pertaining to
the proposed work shall be complied with, whether specified or noted, and that such work is authorized by
the owner Furth
99 pher, it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate
of ance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an
Astuilt Survey by a licensed surve or;drawn to sca e, showing actual location of all new construction.
Signature: (circle one: caner owner's agent,architect,contractor)
Residential Final Inspection II/i // "��. ✓ Ir�
. Office No. (518)761-8256 Date Inspection request received: 7
Queensbury Building&Code Enforcement Arrive: am/p am/p
742 Bay Rd., Queensbury,NY 1280.4 Inspector's Initials: `
NAME: ,ow A PERMIT#:
LOCATION: (Z- -Q r M DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
ChimneyHt./"B"Vent/Direct Vent.LocationT__
Fresh Air Intake — vi dil' �g
3 inch Plumb Vent through roof
Roof 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
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Batter backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 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 .
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer De't.Inspection Sticker
Flood Plain Certification,if required
4—
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
TOWN j' QUEENISFE .ICI
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TOWN or MSBURY
TOWN OF OUEENSBURY BUILDING DEPARTMENJ U
Based on odr limited examination
awith our comments shad
not nd p�e�ti�fica�tions'are in fi�iu c �
oomphaaoe wrath the Building Codes
of New York State.
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