2008-618 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Penn it Number: P20080618 Date Issued: Tuesday, February 03, 2009
This is to certify that work requested to be done as shown by Permit Number P20080618
has been completed.
Tax Map Number: 523400-239-007-0001-034-000-0000
Location: 175 ASSEMBLY PT. Rd
Owner. STEVEN CARDONA
Applicant: STEVEN CARDONA
This structure may be occupied as a:
Demolition
By Omer 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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080618 Application Number. A20080618
Tax Map No: 523400-239-007-0001-034-000-0000
Permission is hereby granted to: STEVEN CARDONA
For property located at: 175 ASSEMBLY PT. Rd
in the Town of Queensbury,to constrict 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: STEVEN CARDONA
397 ANTHONY St Demolition
SCHENECTADY,NY 12308-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-618
DEMOLITION IN 2 PHASES: 1)building with attached deck&building directly below it to be demolished
first 2)building on right to be demolished a couple of weeks later ...still being lived in
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 19, 2009
(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 own Quee bupv; dnesday,November 19,2008
SIGNED BY a for the Town of Queensbury.
Director of Building&Code Enforcement
� •/ -- / -OFFICE US.
EwON ........................ . ......... ...__.....,
o TAX MAP NO. PERMIT NO. 661 FEE PA1fftoo`al
, r
Permission is hereby granted to the above named Applicant to demolish the building(s)
described herein as set forth in the Application below. ; ; NO V 20
08
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. n
APPLICANT/BUILDER: F-yel'i C-6go(n4,119 OWNER:
ADDRESS:JIG A SS&gd<H ADDRESS: 1xs go. 1A4
PHONE NOS. 65&-W77 PHONE: .3415
PERSON RESPONSIBLE FOR WORK: �rcyr&j(3�goaN-A- PHONE: 345-70/
LOCATION OF DEMOLITION: 175 VA%6v ono d Pav,4 ?O LprCc C'e02q C:
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? R i-t4Q, bo^ke. 1: - ANn!
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 ✓GARAGE BUSINESS^
STORAGE BLDG. OTHER
✓ Size of structure: X
✓ 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-4
Have all utilities been disconnected: YES ✓NO
QUESTIONS? CALL 761.8256 OR EMAIL
codesagueernsbumnet
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
SIGNATURE OF APPLICANT
Town of Queensbury• Community Development Office • 742 Bay Road, Queenshury, NY 12804
Queensbury Building & Code Enforcement - Residential F' ins ection
Office No. (518)761-8256 Arrive: a m pa a /pm
Date Inspection request received: Inspector's Initials: s
NAME: PE IT#:
LOCATION: TE:
TY OF STRUCTURE: Cyr
Comments,
wq 0 Yes No NIA
,V Building-Number visible froWpad
Chimney Height/"B°Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/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 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 exposed/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: Batter
backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.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. ��
Emergency ress below grade G
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/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A7 Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Dud worts 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
Site Plan /Variance[qguired
Flood Plain Certification,if required
Okay to issue C/C or C 10[Temporary I anent
LABuilding&Codes Forms\Building&Codes\Inspection Forrns\Residenti Vinalnspection Fomti_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08