2005-124 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. P20050124 Date Issued: Wednesday, January 10, 2007
This is to certify that work requested to be done as shown by Permit Number P20050124
has been completed.
Tax Map Number. 523400-226-019-000 1-0 10-000-0000
Location: 3 HONEYSUCKLE Ln
Owner. ANITA D. SULLIVAN
Applicant: ANITA D. SULLIVAN
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issyance 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&Co nfoRtrnent
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: P20050124 Application Number: A20050124
Tax Map No: 523400-226-019-0001-010-000-0000
Permission is hereby granted to: ANITA D. SIII,I,IVAN
For property located at: 3 HONEYSUCKLE Ln
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: ANITA D. SULLIVAN
Demolition
43-72 167TH St
Total Value
FLUSHING, NY 11358
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-124
Demolition of residence.
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 16, 2006
(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 TONr
of Q zpw
d , March 16, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Pern-►it
Application for Demolition Permit Fee Paid
Building& Codes Office—Town of Queensbury 742 Bay Road Queensbury,TX(J804
(518)761-8256 }" Notes:
Instructions/Requirements fora permit:
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale showing lot bouvaries 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.
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RK
� e PrEowAv-�, NY rases'
2. Location of demolition: 3. Tax Map No. .�(�.. �� —I
4. Where will demolition material be disposed or C)Lr„ l co
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? ❑Yes No
If YES, our office needs the following information:
b. Name of firm removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be disposed
6. Structure Information
a. Indicate which structure(s)will be demolished:
�esidence; []garage; []storage building; []business; ❑other
b. Size of structure: rft.by ft.
C. Number of stories_ _I_�
d. Foundation type: []full cellar; crawl space; ❑slab
e. Foundation: Flwill be removed; nwill not be removed
£ Structure(s): will be replaced; will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas _t&lectric Elpropane Jpnsite well-water pump
public water []public sewer
Have you notified the Town Water De t, for public water and public sewer disonnect? QYes 00
Have all utilities been disconnected?Ayes To
Signature of Applicant: Date: Lg/D
Queensbury Building & Code Enforcement - Resi 1 FJ' #Inspection
Off\No. (518)761-8256 Arriv , aml art: \ t �
Date Inspection request received: _ Inspelc or's Initi
NAME: '50 y a- ERMIT#: _ Z�
LOCATION: Q. DATE:
TYPE OF STRUCTURE: rN
Comments
Yes No N/A
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 Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porcbes 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
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:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backUP:
Carbon Monoxide Detector
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 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum "�"\ V 1
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer De ns ection Sticker
Site Plan /Variance uired
Flood Plain Certi;ic'atiqiCirequired
Okay to issue /,C r O[Temporary/Permanent
L:\Building Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc