2009-114 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090114 Application Number. A20090114
Tax Map No: 523400-3 08-008-0002-011-000-0000
Permission is hereby granted to: JEFFREY W DICKINSON
CLUTE ENTERPRISES, INC.
For property located at: 501 SHERMAN 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: JEFFREY W DICKINSON
38 ARBUTUS Dr Demolition
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-114
demolition of 12'x 60'residence
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,April 20, 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 the Tq�n of Queens
ry /'q .0ay,Apri120,2009
SIGNED BY = for the Town of Queensbury.
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 COM P L I-A-N- CE
Permit Number. P20090114 Date Issued: Thursday, July 29, 2010
This is to certify that work requested to be done as shown by Permit Number P20090114
has been completed.
Tax Map Number. 523400-308-008-0002-011-000-0000
Location: 501 SHERMAN Ave
Owner CHRISTOPHER TARR
Applicant: JEFFREY W DICKINSON
This structure may be occupies 1!&E ENTERPRISES, INC.
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, " l 4
iIA
Variance, or other issues and conditions as a result of approvals by the Director of Building&C(;cW Enfo ment
Planning Board or Zoning Board of Appeals.
OFFICE............ ....
ffICE..... .. -- ...._.. .._.. ,-................... ..
fAX MAP NO. USE •- � 1+ -.• ,
00 PERMrr NO ;
. ' FEE PAtD♦p2 s(.�; +
00 Permission is hereby granted to the above named Applicant to demolish the building(s)described herein as set forth in the Application below. r ;
' Director of Building&Codes
f 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: OWNER:
V \/ , \Lai ✓�� fr�
ADDRESS: Cow\ �,,�Q,y �� ADDRESS:
PHONE NOS. �'cj `7-7
PHONE:
PERSON RESPONSIBLE FOR WORK LjaXf
PHONE: Z�
LOCATION OF DEMOLITION:
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES
NOx—
✓ 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: RESIDENCEZGARAGE BUSINESS
✓ Size of structure: V"-X
STORAGE BLDG. OTHER
✓ Number of stories: 1
✓ Foundation type:
w�
✓ 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 Xl/ PUBLIC SEWER
Have you notified the T ter Dept.for public water and public sewer disconnect? —
Have all utiliti een disco�� %'1YE NO
B ildin - tial Final InspectionCodeLoIrcement - ResidQueensbury u g ��
Office No. (518)761-8256 Arrive: am/phi rt: am/pm
Date Inspection request receive : Inspector's Initials:
l �
NAME: PERMIT
LOCATION: a DATE: _
TYPE OF STRUCTURE:
�J Commends•
Y No NIA
4° Building Number Address visible from road
Chimney Height/"B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inclines 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 ex ed!Mulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen water6 ht
Safety lazi /Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic aocess 30 inches x 22 inches x 30 inches(height)in accessible 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 s .ft.
Emeraency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed g2p rl
Gas Logs in Sealed or Glass Enclosure
Final Electrical V
Final Survey Plot Plan f✓
Arc fault Breaker in Bedrooms \
Flex Gas Pi Bonding
As Built Septic System/Sewer Deg. lns ction Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 1 Temporary I Permanent
L:1Building&Codes FormslBuilding&Codesllnspec ion FormslResidenbal Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 612601
501 SHERMAN AVE - QSBY - JEFFREY DICKINSON
Tax Old Property'Property Physical Deed Deed Owner Add naW Address ZIP Land Total Sale 'Sale School
Map Parcel Class Class Address Book Page Owner 1 2 1 2 City$Sbbe Code .Value Value Date Prate District
Number ID Code Description a
1
1308.8- 120: 501
270 Mfg SHERMAN No No DICKINSON, No AArrbutus No Queensbury 12804 16500 30200 No 0 Queensbury 0.
12-11 1-64 housing AVE Value Value JEFFREY W Value Dr Value NY Value Un.fr.sd
a'i q "
Upp
0 293tt
3Si8.8-2 11
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the Building Codes of
New York State.