2004-642 TOWN OF QUEENSBURY
ET 431
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040642 Date Issued: Thursday, December 07, 2006
This is to certify that work requested to be done as shown by Permit Number P20040642
has been completed.
Tax Map Number: 523400-289-017-0001-015-000-0000
Location: 76 ASH Dr
Owner: OLGA SAITO
Applicant: OLGA SAITO
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 (--" J
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
TiF., ,
*I 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040642 Application Number: A20040642
Tax Map No: 523400-289-017-0001-015-000-0000
Permission is hereby granted to: OLGA SAITO
For property located at: 76 ASH Dr
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: OLGA SAITO
Demo
76 ASH Dr Value
Total Valueue
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-642
DEMOLITION OF SINGLE FAMILY DWELLING AND GARAGE
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 19, 2005
(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 Que by�y; 1,� : ;y,August 19, 2004
gib, �'Q/ 1
SIGNED BY t for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. 014 P
Application for Demolition Permit Fee Paid a'vO
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for a permit:
Fill in all 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.
1.
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", ocat o rof o1i th : `7�' /' i ::�& 3. Tax Map No. 28 C, / .7 _. /
4. --' W re will emolition material be disposed of? r-97I f%i:
5. Asb o Information
A copy of s Removal R p.art must be file•fi';` -• •u office before demolition begins.
a. Is there any asbestos within the building to be de olished? ❑Yes io
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:
fesidence; [garage; ❑storage building; business; ❑other
b. Size of structure: ft.by ft.
c. Number of stories / 1,10.„fz,:7
d. Foundation type: ❑full cellar; Qcrawl space; ['slab me°s w�S
e. Foundation: [will be removed; ['will not be removed (175b1^
f. Structure(s): Ewill be replaced; Elwin not be replitcec�1 =; ,n, �led a 0r
7. Utilities Information „ Ai : e ol't�6,n q vw I `
Indicate utilities for this structure: i e 060+3 n t r 11 t o V A ti a.
;. a►()k44becl u/4(45 a
Al
Egas {electric propane no to well-watet.pum� �;
Dpublic water ❑public sewer ' it .
a ; `�rli'6
f
Have you notified the Town Water Dept„for public water and public sg 'er disonnect? ['Yes ' To
1
Have all utilities been disconnected?- ]Y s ENo <��,.a ;-/ ,,,..) ;4. 1- t,,,''''(l.
Signature of Applicant: ;' Date: a/47/0 6.7
Queensbury Building & Code Enforcement
/- Residential Final Inspection
Office No.(518)761-8256 Arrive: J `[ Oam/p epart: _ am/pm
Date Inspection request received: Inspector s Initials:
NAME: j2 i ' � PERMIT#: _2c ,c i 2
LOCATION: 6 /-5k. br1 v L DATE:
TYPE OF STRUCTURE:
L al 0 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,porches 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 sq.ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/2"Gypsum
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 Dept.Inspection Sticker
Site Plan /Variance required
_Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
Queensbury Building & Code Enforcement - Residential Final Inspection n
Office No. (518)761-8256 Arrive: am/ D : kt EC) a pm N{
Date Inspection request received: Inspector's Initial •
NAME: C. P IT .
LOCATION: ` _ E:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" VL .(\
Roof Complete/Exterior Finish Complete
n (\(\4C \
Guard 30 in.or more @,stairs,decks,patios
Guard at stairwell at 34 in. or more ,''"-
Guard at deck,porches 36 in.or more S "
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum 'A"
Gypsum
Grade away from foundation 6 in.with 10 ft. 'Cc2C
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate '(�
Gas Valve shut-off exposed/regulator 18"above grade O\K,
Gas Furnace shut-off within 30 ft. 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
Interior privacy/trim/doors/main entrance 36 in.
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: /^ /� Q
Carbon Monoxide Detector � `�
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04