2009-074 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090074 Application Number. A20090074
Tax Map No: 523400-309-010-0002-015-000-0000
Permission is hereby granted to: DAVID & SANDRA BARLOW
For properly located at: 45 MAIN St
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 & SANDRA BARLOW
121 SANFORD St Demolition
GLENS FALLS, NY 12801-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-074
DEMOLITION of residence
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 01,2010
(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 theown Que b �� day, April 01,2009
for the Town of Queensbury.
SIGNED BY � Qu ury
Director of Building&Code Enforcement
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. P20090074 Date Issued: Monday, August 02, 2010
This is to certify that work requested to be done as shown by Permit Number P20090074
has been completed.
Tax Map Number. 523400-309-010-0002-015-000-0000
Location: 45 MAIN St
Owner. DAVID & SANDRA BARLOW
Applicant: DAVID & SANDRA BARLOW
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 Buildin &Cocli Enforcement
Planning Board or Zoning Board of Appeals.
----------------- ------- ------ ------- ---
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OFFICE U 4:77
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I I — - PEE PAU
P M� 7-1
Permission is hereby grantee.-the above named Applicant to demolish the building(s'
described herein q.-s set forTh in 4he Application below-
Director of Building&Codes Data
------------------------ ------------ ---------------
"PLICATION FOR DEMOLITION PERMIT.-
Fill in applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with
dimensions and adjacent roads I 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.
*btl'-A OWNER:APPLICANT/BUILDER: to-r (6'�
ADDRESS: W)- tkAs-,� fc. LA ADDRESS:
PHONE NOS.— (J- 5? �Ji -) 7 q -3 d7 PHONE:
PERSON RESPONSIBLE FOR WORK: PHONE: (�i
LOCATION OF DEMOLITION:
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? 171a-LJJ
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES, our office needs the following information:
• Name of firm removing the asbestos:
• License number of firm:
• Indicate where the asbestos material will be disposed:
NOTE: A copy of Asbestos Removal Repor#must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE Z'GARAGE BUSINESS
✓ Size of structure: 3c:) x STORAGE BLDG.— OTHER
✓ 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 PROPANE PUBLIC WATER
ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept.for public water and public sewer disconnect? YES NO
Have all utilities been disconnected: YES— NO
QUESTIONS? CALL 761-8256 OR EMAIL
codesftueensbury.n
SIGNATURE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION
"ice 742 Bail Road, Qucensburtl, NY 12804
Twun of*Qiieensburil - Conzinimit DeVehopment Qb y
t Queensbury Building & Code Enforce Vnt esldentjal Fi a fi pection
Office No. (518) 761-8256 Arrive: /p4n it: am/pm
Date Inspection request received: Inspector's initial :
NAME: PER IT ZZ
LOCATION: DATA: —7
TYPE OF STRUCTURE: . /�'
Iti, /F�we-L,-r Comments:
N N/A _
4° BuildingNumber Address visible from road Chimney Height/"B'Vent/Direct Vent location
Fresh Air Intake
3 inch Plumbina Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs decks atios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
tnterior/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 a osed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterfi ht
Safety glazing/Window in stairwells safely glazing
interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic amass 30 inches x 22 inches x 30 inches(height)in acoessible area
Crawl Spaces 18 inch x 24 inch access 1 .ft.-150 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 .ft.
Emergencv egress below grade
Gas Furnace shut-off within 30 feet or within One of site
Oil Furnace shut-off at entrance to fumace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fire roofin /%hour fire door/door.closer
Duct work Sealed properly
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan _
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker j
Site Plan /Variance required
Flood Plain C ' ion,if required
Okay to L90 C 1pbr C 10 1 TemporaryrPermanent
LABuilding&Codes Forms\Building&Codes\lnspec ion FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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