2004-869 TOWN OF QUEENSBURY
ifilikk
etex 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040869 Application Number: A20040869
Tax Map No: 523400-227-013-0002-005-000-0000
Permission is hereby granted to: WTI,IJAM&BECKY DEGASPFNS
For property located at: 12 DUNCAN CV
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: JEANETTE VANNI Dem
on
194 NORTH CRESTNUT St Total
Value
Total Value
NO. MASSAPEQUA, NY 11758
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications I
2004-869 WILLIAM&BECKY DEGASPENS
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 08, 2005
(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 Tow( of rsh if Miry,,,Nlvember 08, 2004
i II
SIGNED BY Lair" 41 , A for the Town of Queensbury.
Director of Building&C de Enforcement
I
Permit No. 0/` 16(
Application for Demolition Permit Fee Pai • CO,
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Notes:
Instructions/Requirements for a permit:
Fill in all 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.
1.
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2. Location of demolition: P. `'"V‘LK(-4.►4 Gtie—; RA- 3. Tax Map No. )-�. 13 5
4. Where will demolition material be disposed of? (J (“k,-)ow, 4,1 c)- *\.c,. j (0`\A
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? ❑Yes o
If YES, our office needs the following information:
'b. Name of firm removing asbestos:
c. License number of furze:
d. Indicate location where asbestos material will be disposed <
6. Structure Information
a. Indic hich structure(s)will be demolished:
esidence; ❑garage; Listorage building; Ebusiness; [pother
b. Size of structure: SV:9 ft.by 25— ft.
c. Number of stories A
d. Foundation type: ❑full cellar; ❑crawl space; ❑slab 46 )1------
e. Foundation: ❑will be removed; ❑will not be removed p
f. Structure(s): ❑will be replaced; El not be replaced , �}
7. Utilities Information 1:44j2
Indicate utilities for this structure: derno )^
,: ,-
i 5
Egas electric (lpropane nsite well-water pump .11 -" O
public water public sewer I
Have you notified the Town Water Dept. for public�,��wr oater and public sewer disonnect? EYesr. j
Have all utilities been disconnected? ❑Yes tie----
Signature of Applicant: Date: I 0-Z ()`-,0
Queensbury Building & Code Enforcement - Resi• -nti. k inal Inspection -
Office No.(518)761-8256 Arrive: at pm D=.art: \\`. 6i4
Date Inspection request received: Inspector's Initials. 4, ,
NAME: � �,�a�a IT#:
LOCATION: I • E: _I --r
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location r
Fresh Air Intake /6"-' '
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
Platform a Interior/Exterior exRterior
34 in.to 38 in. �,
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2" 11 fr( 6 ,' E
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 D - j
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/Heat Trap/Water Temp 110
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: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Surve Plot Plan
As Built Se'tic S ste 1► , t.I .: tio Stic'-
Flood Plain Cer•ficat..n, if - ired VI 'V
i Okay to issue /C, r C/ ,Iem.orar�t .
L:\PamW\Buil ing&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p ►-pant: am/pm
f� `
Date Inspection request received: �, Inspector's Initials: ,,,,
NAME: PERMIT#: ot,(,
g
LOCATION: t DATE: E'_
TYPE OF STRUCTURE: "O9 �_ `s
V -SP." .
Comments ip
Y N N/A -10
Chimney Ht./"B"Vent/Direct Vent Location. ;i 4
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" )ems•,
Roof Complete/Exterior Finish Complete /no?
Guard 30 in.or more(a,stairs,decks,patios
Guard at stairwell at 34 in. or more ôa �
Guard at deck,porches 36 in. or more d
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 %Z"
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 P�
Gas Furnace shut-off within 30 ft.or within line of site R(1)&(2-
j aj
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating W i
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 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:Connected: I Battery backup: 0(.. 1 bt4
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched —
Garage fireproofing/3 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or GIass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required _
Final Survey Plot Plan 11.11
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0{Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04
I i
' . ' •fv, Town of Queensbury Fire Marshal
ATIA,\
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
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Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all IJL Listed,factory built appliances be installed according to the instructions
specifications contained hi the Installation Manual accompanying the appliance.No deviation from the mantrfactur
instructions or specifications is allowed, If
Permit# 04-g(09 /
Schedule Inspection 7,'\V)
Time \1; °0 at pm ,Ame 1
jr
Natneyzp(2-1.5_.Address ) Xl, Rough In_Foal_
Appliance Manufacturer_F-i 'c - . , Model# XI &' \
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated ,
' Yes No N/A Comments
Floor Protection
/
1
Clearances to Combustibles (all sides) 1
Firestop(s) Vertical Chase
• Wall Penetration
Vent Clearances to Combustibles - i
i
Vent/Chimney Termination
Chimney height must be 3 feet above roof , ..,,e-•
penetration;2 feet above any combustible ,7..
construction within 10 feet
Gas Shut-Off Valve /7
-# 4---
c---
---- c.----\
-.€-.'\
Combustion Air D. \ ‘' ---\' ‹..... -6:)
\--vvy-
Hearth Extension(if any)
1--)
....
Mantel
Height above f/p opening '
Witness Operation
Tank Placement(if LP)
- --
White-Building Dept. Yellow—Customer Pink—Fire Marshal
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