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2009-206 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090206 Application Number. A20090206 Tax Map No: 523400-279-017-0001-044-000-0000 Permission is hereby granted to: MATTHIAS &ANN GREENE For property located at: 21 HEWITT 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: ELWOOD & IMILDA GREENE SR 21 HEWITT Rd Demolition QUEENSBURY, NY 12804 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-206 DEMOLITION OF 500 SQ FT RESIDENCE $20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 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 the Town of ens V 04' , une 01, 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 COMPLIANCE Permit Number: P20090206 Date Issued: Friday, April 20, 2012 This is to certify that work requested to be done as shown by Permit Number P20090206 has been completed. Tax Map Number: 523400-279-017-0001-044-000-0000 Location: 21 HEWITT Rd Owner: MATTHIAS P GREENE Applicant: MATTHIAS & ANN GREENE 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. OFFICE USE ONLY- TAX MAP NO, PERMIT NO. D�FEE PAID LLf Permission is hereby granted to the above named Applicant to demolish the building(s) described herein as set fp App�ionbelovw ; Z , ' LM 9 Director of Buil i C d s D 0 + _T_0VVb1_0F_0t1&9p/&E3 U R ����� BUILDING & CODES �J 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: ,/4 czil1 f Q (rr OWNER: Mn 4 t1 i c:S P Gr rr� ADDRESS: ADDRESS: 1�) Sv n n s tc)e A/c,44 PHONE NOS. -7 !l/G l 7 JG 2.I fo PHONE: PERSON RESPONSIBLE FOR WORK: Fire d S r n, r PHONE: 7 9 y - /F M LOCATION OF DEMOLITION: a I Ft e w r 44 9 f/'1 ' WHERE WILL DEMOLITION MATERIAL BE DISPOSED? i ra m tin 1ly W lac n C e y 004, A1q 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: RESIDENCE_X GARAGE BUSINESS STORAGE BLDG. OTHER ✓ Size of structure: �� X ✓ Number of stories: ✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED X ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED -4 UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC_ PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP k PUBLIC SEWER 11 �p Have you notified the Town Water Dept.for public water and public sewer disconnect? YES NO �r Have all utilities been disconnected: YES NO _ QUESTIONS? CALL 761-8256 OR EMAIL + codes0gueensburv.net SIGNATURE O APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensburv.net Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: a art: a Date Inspection request received: Inspector's Initia T NAME: 0— e- P MIT#: C) [ — D r%O LOCATION: ATE: TYPE OF STRUCTURE: Comments: Yes 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 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 Endres above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wail Interior/Exterior Raflin s 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/trim/doors/main entrance 36 inches Bathroom/Kitchen waterfight Safety glazing/Window in stairwells safety lain 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 Spaces 18 inch x 24 inch access, 1 s .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 ress below grade Gas Furnace shut-off within 30 feet or within fine of site Oil Furnace shut-off at entrance to fumace area Furnace/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 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 Flood Plain Certification,if required / Okay to' T ra L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Queensbury Building & Code Enfor ment - Residential Vnaspection Office No. (518) 761-8256 Arrive: Pm am/pm Date Inspection request received: Inspectors Initia NAME: PE T#: LOCATION: D TYPE OF STRUCTURE: yew 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 Q S Roof Complete/Exterior Finish Complete Platform at all exterior doors _ dco Handrail 4 or more risers Guards at stairs decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inures or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bract /Handicapped Ramp Compliant Grade awav from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off a sed/Tgulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches it � Bathroom/Kitchen watertight Safetyglazing/Window in stairwells safe glazing f" Interior Smoke Detectors/Carbon Monoxide Detectors �� Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batterybackup: Attic access 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 sq.ft. v 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 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 1 Garage Floor Pitched Game fireproofing/%hour fire door/door closer Dud work Sealed pioporly \ Gas Logs 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 Site Plan /Variance required Flood Plain Certification,if re uired Okay to issue C I C or C/® Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Forrm_revisecl-100405.doc;Revised January 7,2008;Revised 8/26/08