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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 __BUILDING & C D To EVIEWEYD B - __ �Ew o► ��� 1 ATE APR Z993 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. rn COPYUS I v I � a8 16RCOM G