2009-429 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
�E:R.TIFICATE F COMPLIMN(I]E"
Permit Number. P20090429 Date Issued; Tuesday, February 08, 2011
This is to certify that work requested to be done as shown by Permit Number P20090429
has been completed.
Tax Map Number. 523400-309-009-0002-001-000-0000
Location: 200 LUZERNE Rd
Owner. HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY "
Issuance of this Certificate of Compliance DUES 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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090429 Application Number. A20090429
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE LP
For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P
Demolition
4294 ROUTE 5
CALEDONIA,NY 14423 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-429
84 ALPINE - DEMOLITION OF TRAILER
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 10, 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 QUer ury" Thursday, September 10,2009
g 'ai for the Town of Queensbury.
SIGNED BY � a' ti� 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
BUILDING PERMIT
Permit Number: P20090429 Application Number. A20090429
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P
Demolition
4294 ROUTE 5
CALEDONIA,NY 14423 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-429
84 ALPINE -DEMOLITION OF TRAILER
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 10,2010
(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 To7d-1q1ueens4j ry;j[<g, T� u da September 10, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
+ ......OFFICE USE�ONLY "--.. ..... :m� % v ;xN e;
TAX MAP NO, /. PERMIT NO.� FE Itl",
Permission is hereby granted to the above named Applicant to demolish the building(
described herein as set forth in the Application below. 2009
Q , gs
Director of Building&Codes 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.
f !
APPLICANT/BUILDER: OWNER: t `/A
ADDRESS:
ADDRESS: �y,�/�{ � e--
PHONE NOS. PHONE:: , Ae��.
PERSON RESPONSIBLE FOR WORK A , I PHONE:_ �9A/ 04)? 1
LOCATION OF DEMOLITION:
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? r� � 11<iI r✓✓lit
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 bEibre demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s) will be demolished: RESIDENCE Gi�RAGE BUSINESS_ /
STORAGE BLDG. OTHER
✓ Size of structure:�X� r A �
✓ 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 REPLAC-,D
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC ,/" PROFANE
PUBLIC WATER_,,--" WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO
� i/tip- C Z
Queensbury Building & Code Enforcement - Re 'denti al pection
Office No. (618)761-8256 Arrive: rt: a
Date inspection request received-
11 inspector's Init -�c-
NAME: P ' � IT#: � .1
LOCATION: z E:
TYPE OF STRUCTURE:
Comments:
4' Building Number Address visible from road /1
Chimney,Height/V Vent/Direct Vent Location
Fresh Air
3 inch Plumbing Vent through roof minimum 6 lndhes 9-W",
Roof C /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 indwes or more
Guard at dak,porches 36 inches or more
Handrail Termination at Newell Post or Wall
InterW/Exterior Railings 34 inches to 38 inches
Deck Brad /HandicappLW Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch dearanoe to silt plots
Gas Valve shut-off ggosed/regulator 18 inches above grade
Interior priv
M/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety i /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 ht in acoessible area
Crawl Spaces 18 inch x 24 inch access 1 MI.ft..150 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss draft stopping finished basement 1,000 sq.ft.
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
Fumac e/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Tra Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'Aw Gypsum
Basement stairs dosed rise>4 inches
Gars Floor Pitched
Garage fiWroofing/%hour fire door/door closer
Duct work Sealed proWy
Gas in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipq Bonding
As Built SeOlc System/Sewer Dept. Ins on Sticker
Site Plan /Variance uired
Flood Plain Certification if required
Okay to issue C/C or C 10 1 Temporary/Permanent
LABuilding&Codes Form"uilding&Codesunspec ion FormMesidential Final inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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