2012-202 411111h4haa TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120202 Date Issued: Thursday, March 21, 2013
This is to certify that work requested to be done as shown by Permit Number P20120202
has been completed.
Tax Map Number: 523400-309-009-0003-074-000-0000
Location: 14 VERMONT Ave
Owner: CLUTE ENTERPRISES, INC.
Applicant: CLUTE ENTERPRISES, INC.
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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: P20120202 Application Number: A20120202
Tax Map No: 523400-309-009-0003-074-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES. INC.
For property located at: 14 VERMONT 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: CLUTE ENTERPRISES, INC.
Demolition
6 HOLDEN Ave
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-202
Demolition of mobile home
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, April 30,2013
(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 Town Quee bury 41VI0 s a /- , 30, 2012
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
2 Q OFFICE USE ON1
TAX MAP NOr� 1"3_74.)
PERMIT N0. 1a-- AV p2FEE PAID
Permission is hereby granted to the above named Applicant to demolish the building(s)
described herein as set forth in the Application below.
VP, 7 2012
Director of Building&Codes Date
APPLICATION FOR DEMOLITION PERMIT:
Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot
boundaries with dimensions and adjacent roads / streets. Show all existing structures
on the property and indicate which are to be demolished. Indicate on the plot plan the
location of all utilities.
APPLICANT/BUILDER: C.\J\€.--✓ c) WC__-_ ,.A€VoNERC__-_ ,.A€ADDRESS: ( ,�-Qs) ,� �,� i ..p,/ ADDRESS:
PHONE NOS. —79 :S -La-77 _ / PHONE:
PERSON RESPONSIBLE FOR WORK: L.C.LCrk_f PHONE: (:G--)( G
LOCATION OF DEMOLITION: t C.( '�e_r-1--�,;, •A, J(,
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE:A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s) will be demolished: RESIDENCES GARAGE BUSINESS
STORAGE BLDG. OTHER
✓ Size of structure: 0-4 x 2(p
✓ Number of stories: I
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB •
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC �S PROPANE
PUBLIC WATER K ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES ‹ NO_
Have all utiliti s-seen disconn-cted: YESKNO
QUESTIONS? CALL 761-8256 OR EMAIL
/ codes(i�queenspprv.net
'� �/
çVISITOURBFORMEINFION
www,queensbury.net
SIGNATURE OF APPLICANT
Q0 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
S ` -��--
Demolition Inspection Report
Office No. (518) 761-8256 Date Inspection request re i -d:
Queensbury Building &Code Enforcement Arrive: \D'.'-lfl pm 'e•.rt:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: --
�)�
�
NAME: C PERM NO/.: / 4.)<--(7V1-)c-
LOCATION:
4.)<-`(7LOCATION: /y t1 orme,n-f- 4 v INSPEG (ON: 3—zr-13
Comments and/or diagram
Y N N/A
Gas Shut-off
Water Shut-off
Electric Disconnected ,/
Asbestos Removed/ Documentation i/
Property Cleaned Up and Graded
Okay to Issue Certificate of Compliance t
Demolition Inspection Report_11 27 12
-� hk. �I 1/ � i �
13",/
Queensbury Building & Code Enforcement- eside ial Final Inspection
Office No. (518) 761-8256 / Arrive: 1 10 11,1,,. -- a ►•
Date Inspection request received: 5; "1-0/.)-- Inspector's Initial• _
NAME: LLIC J 36o 3So 'MIT#: 4J.,) -( Qc)-
LOCATION: ( f 'ATE:
TYPE OF STRUCTURE: -1 '
_ Comments:
Yes No NIA
4" Building Number Address visible from road A-VC_
Chimney Height/"B"Vent/Direct Vent Location 106(1J-e/
Fresh Air Intake / ').-)
3 inch Plumbing Vent through roof minimum 18 inches r
Roof Complete/Exterior Finish Complete / f�1 rl' c
Platform at all exterior doors (� C `(—� L
Handrail 4 or more risers / t
Guards at stairs,decks, patios more than 30 inches above grade C A-f /1(...
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy I trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors l Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing I%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure �- ^
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
FloodPlain Certification,if required
Okay to issueC/C or C!0[Temporary
/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised_1004405.doc
January 7,2008; Revised 6126/08;Revised 12/22/10, Revised 04/13/11
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SWIS : 523400
Print Key : 309 . 9-3-74 TC,,V;.,OF01_!-.ENSEiURY
Comment : Photo urBUILDINGilm11",?..ar�,R tion, T
Based on our Invited xrr.ination,compliance
with our comrlents shall not ha construed as
indicating the plans and specifications are in
full compliance with the Building Codec of
New York State.
TOWN OF QUEENSBURY
BUILDING & CODES DEPT.
Reviewed By: . VL& __
Date: 41.74.