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2001-643 TOWN OF QUEENSBURY too 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010643 Date Issued: Wednesday, September 19, 2001 This is to certify that work requested to be done as shown by Permit Number P20010643 has been completed. Tax Map Number: 523400-296-009-0002-028-000-0000 Location: 15 CEDARWOOD Dr Owner: DAVID & JULIANA LESKOW Applicant: DAVID &JULIANA LESKOW This structure may be occupied as a: By Order of Town Board Residential Alteration TOWN OF QUEENSBURY 41,t___ Director of Building&Code Enforcement TOWN OF QUEENSBURY f yro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010643 Application Number: A20010643 Tax Map No: 523400-296-009-0002-028-000-0000 Permission is hereby granted to: DAVID & JULIANA LESKOW For property located at: 15 CEDARWOOD Dr 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: DAVID &JULIANA LESKOW Residential Alteration 3,000.00 15 CEDARWOOD Dr Total Value 3,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency MARK HUGHES 25 TAYLOR St FORT EDWARD,NY Plans &Specifications 2001-643 (Twicwood Subdivision) ENCLOSE FRONT BREEZE WAY, MATCH EXISTING WINDOW&DOOR BRICK 1/2 OF WALL OTHER WORK-FIREWALL $40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 31,2002 (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 To of Quee sbury; Friday,August 31,2001 SIGNED BY -%./) for the Town of Queensbury. Director of Buil ' C Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File NocO/—to L 3 No inspection will be made until applicant has received a , Fee Paid $ - a valid building permit. All applicants' spaces on this Rec. Fee Paid $ ' application must be completed and must appear on the Reviewed By: application form. IJ Applicant: 4 r 11 V b 'Z S Owner: Oc UQ, j_ e 5 to W Address: q v ' Address: /5 C ea q r W ooa dr 0Y1- w v N Phone#(5)$ )-21/7- 0gy7 Phone# (Si i )7q3- 153Le RRP.e, ED Property Location: TCo Number: / / House Number /� / eed � 4 2001 Subdivision Name: i G l d — Tax Map Number: IPFf) -5 - A A eti /6-o a-`)- g TOWN OF QUEENSBURY ❑ New Building: residence /commercial Estimated Market Value of.Constiut .UIL IN ❑/Addition: residence/ commercial If an Addition,what will use of new addition be? id Alteration: residence commercial �c`o y ey a r1T 6 re e Z C lei ay mol�ch ❑ No change to exterior size: residence/com'1 o Other work(describe 4i'r e V)6 1 ) 'xi ;ri, IN i‘n 4 o + dov r 13r,ck a wa I Check . Occupancylnformation 1st Floor 2"d Floor Other floor Total ' Below sq.ft. sq.ft. sq.ft. Square Feet t 7 Single family dwelling • o Two family dwelling o Townhouse • ❑ Multifamily dwelling #of units ❑ Office a Mercantile a Manufacturing ❑ 1 car detached garage a 2 car detached garage ❑ 3 car detached garage • car attached garage 2 car attached garage a 3 car attached garage a Storage building- commercial • a Storage building- residential • a Other Whatis the proposed height of the structure feet inches. Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed • Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder VV1sakr H-Jq h€ 7 q77- (3T' 7 Plumber /J 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. 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 construction. Signature: 02�CV04-- 17 owner,owner's agent,architect,contractor i\jiy) RESIDENTIAL FINAL INSPECTION REPORT /4,f o Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept. of Community Development Arrive am/pm Depart/ n/,pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,1 _New York 12804 NAME o�(�Z) D 1 `�' 1 �-1, PERMIT LOCATION },; ���C,C C >`. V DATE TYPE OF STRUCTURE ( ) R9AcQn�� T N/A O COMMENTS Chimney Heightl"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete / Exterior Finish Complete 1/ Interior/Exterior Railings 30"to 6" Exterior Handrails,balconies,Ianding 1: in.or more Interior Handrails stairs both side,3 or ore risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regula or 1:'above grade Gas Furnace shut-off within 30 feet sr thin line of site Oil Furnace shut-off at entrance to i.ce area Furnace/Hot Water eater operating Relief Valve(s)ins . ed Headroom,6 ftft.6 in.on stairs Basement stairs,6 ft. • in. Handrail exterior stairs e s. ides mor- than 3 risers Interior privacy/trim/doors/main entrant- 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 .or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom ++ inter connected Bathroom fans Plumbing fixtures ‘17/' Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(' garage) Light ventilation per room Safety glazing 18"or less from floo Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) AjL. GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: J W/ Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive r)c',am/pm Depart I r / Inspector's Initi c NAME: t—�L eo o.eS K 6 PERMIT# I� 4s{� LOCATIO : � /Sl°2�• �o� V /DATE: 6U � TYPE OF STRUCTURE: '', ire ,A a-( 4€14..ed u� RECHECK N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpo:e s, site Foundation/Wallpour Reinforcement in Pla•- Foundation/Damppro o fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents 1;n-Place Rough Plumbing • Heating Rough-In Insulation Foundation Walls In -rior R- Foundation Walls E senior R • - Floors R- Walls /2,v4F Aik R- 1k Ceiling '- Duct work obi piping m unheated spaces R- Px Vent,Attic Vent ranun ack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping ilia �_ GENERAL INSPECTION REPORT 1 y2-p5'4? ( 518 ) 761-8256. Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 4k) am/pm Depart aip/pm Inspector's Initials '.�./, NAME: \....... . \ c-1 C_S�1�`- PERMIT# —6 t`t�c 3 LOCATION:4�j - ) �v D — 1 TYPE OF STRUCTURE: -;1-y-.1(c o c� RECHECK N/A YES NO COMMENTS Footings/Piers r---1: 1 Monolithic Pour Form /��r`�� Reinforcement in Place \ /' / The contractor is respo ible f or i J ' �. providing protection fro free ing tt /l 5 � /� /�'� e ` s I_ for 48 hours following th- placement ll of the concrete. w��F U�yT G� Sidi S�'4��7 -I r Materials for this purpose on ite //� / Foundation/Wallpour ! , �`t ,.� , fr . 7rtriFi� Reinforcement in Place /� �J` r ti� J J Foundation/Dampproofing Backfiill Approval Plumbing Under Slab Plumbing Vent/Ven ' ace 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 1 Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping . ,. • . . . . . .--* „ ,. •-•'...' , 1-6 Q_Qa oky-' 000c)e . .Xr v-( • . . . - . . . .• , • . .. . .. . . _., . . _. .. . .. _ .. _ ._ . • ..-.. . _ _ .. . . oe k -----ii----- -/j- ., ,, • -1 ---='9------/-1— ' • • •,1 ,,, , / / i -1 / 1 • i ' - 1.--) diN pat Ileu 5 5 f..5 .,= p , . , . 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