2009-126 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIIA►NCE
Permit Number. P20090126 Date Issued: Tuesday, August 03, 2010
This is to certify that work requested to be done as shown by Permit Number P20090126
has been completed.
Tax Map Number. 523400-302-008-0002-066-001-0000
Location: 294 QUAKER Rd
Owner. LITTLE TREE PROPERTIES, LLC
Applicant: JAMES CULLINAN
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
9
Issuance of this Certificate of Compliance DOES NOT relieve the d
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: P20090126 Application Number. A20090126
Tax Map No: 523400-3 02-008-0002-066-001-0000
Permission is hereby granted to: JAMES CULLINAN
For property located at: 294 QUAKER Rd
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: JAMES CULLINAN
5 CHARLTON Rd Demolition
SCOTIA,NY 12302 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-126
DEMOLITION OF HOUSE DESTROYED BY FIRE
$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 T77)
Quee ury;� IVto
I�day,April 20, 2009
SIGNED BY �`-: "tv f__�' ,' aee for the Town of Queensbury.
Director of Building�Code�Enforcement
............................. ......._
OFFICE USE ONL • "'"
TAX MAP NO. PERMIT N0. - `T
� �� FEE PAID
Permission is hereby granted to the above na t demolish the building(s)
' desc' he Ina .. e>Irfo in the Appllca' I '
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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: dim
�f�
ADDRESS: ADDRESS: 1S// f— 40
PHONE NOS. >1 PHONE; - �1 �y- y.��y �Xy�- 7
PERSON RESPONSIBLE FOR WORK / PHONE:
LOCATION OF DEMOLITION: fie ) Av e
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? .
S B E VTO S A N FORMAT_ION:
✓ Is there any asbestos within the building to be demolished? YES NO n
✓ 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: RESIDENCE GARAGE BUSINESS
✓ Size of structure: X STORAGE BLDG. OTHER_
✓ Number of stories:
✓ 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 INFORM TION:
✓ 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 7 CALL 761-6256 OR EMAIL
codosgUl ueensburv.not
VISIT OUR WERSITE FOR MORE INFORMATION
SIGNATURE OF APPLICANT uobu
rvmat
Town of Queensbury- Community Development pace• 742 Bay Road, Queensbury, NY 12804
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Queensbury Building & Code Er4orcement - Residential Final Inspection
D
Office No. (518) 761-8256 Arrive: -�_ nm rt: am/pm
Date Inspection request received: Inspector's Initials:
NAME: LAC- O / f s ti OcjAe-r-) PERMIT#:
LOCATION: DATE: XL
TYPE OF STRUCTURE:
eS r� Plm
N _
4' Building Number Address visible from roade—
Chimney Height/'B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Ca 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,p2rches 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 a sad/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/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 Spa 18 inch x 24 inch access, i .ft..-1 50 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 Sq.ft.
Emeraency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to fumace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches
Gana a Floor Pitched
Garage fireproofing/%hour fire door/door doser
Duct work Seated properly
Gas Logs in Seal«i or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms ��
Flex Gas Pi BondingN �� J j '�C-
As Built Septic System/Sewer Dept.Inspecton Sticker !�
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 1 Temporary/Permanent
L:\Building&Codes FormslBuilding&Codesunspection Forms\Residential Final Inspection Fornn_revised_100405.doc;Revised
January 7,2008; Revised 6/26108
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ZONING INFORMATION:
ZONED HC.� ACRE
MIN LOT S'PARED 150'
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