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2004-255 elaki TOWN OF QUE EN SB URY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20040255 Date Issued: Tuesday, December 12, 2006 This is to certify that work requested to be done as shown by Permit Number P20040255 has been completed. Tax Map Number. 523400-289-013-0001-019-000-0000 Location: 27 BIRCH Rd Owner. GARY WEST Applicant GARY & JUDITH WEST 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 (-- 4,„P 4 11 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 �� .1111.4h.1 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 ' �� Q rY, Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040255 Application Number: A20040255 Tax Map No: 523400-289-013-0001-019-000-0000 Permission is hereby granted to: GARY& Ji 1DITH WEST For property located at: 9 GARRETT 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: GARY WEST on 7 GARRETT Ln Total Value Total Value LAKE GEORGE, NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-255 Address: 27 Birch Road, [not 9 Garrett Lane], the parcels (R.O.W.) goes thru property directly in front, and on Birch Road. DEMOLITION OF SINGLE FAMILY DWELLING(year 1930 camp-seasonal dwelling) (year 1930 seasonal residence) $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 05, 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 To ueens ; d sday, May 05, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Permit No.Cgakl_ Application for Demolition Permit Fee Paid cOe `'c) Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 � (518)761-8256 Notes:011�45 5 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. P a l .es o sible f or �,,�pplic �t • ©�>l�t�.. � r_,A ��n,. P..� � ,� diesc(z-'f LZ/& f" Addrs� ,67,4 '4'c / L-4-/- 7 or-Tr z A-) 21 /1C�= !; a c=A.y /Ag Phone _ _ _ Fax 7 t� 1 ACe'' 2. , Locati f emolition: 3. Tax Map No. -/01 4. Where will demolition material be disposed of? 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 followin information: b. Name of firm removing asbestos: j c. License number of firm:_ f d. Indicate location where asbestos rhatertal ire di osed 6. Structure Information j a. Indicate which structure(s)will be demolished: G NiResidence; [igarage; ❑storage building; ['business; ❑other b. Size of structure: ft.by ft. c. Number of stories z,. d. Foundation type: [full cellar; N crawl space; nslab e. Foundation: N Will be removed; ❑will not be removed f. Structure(s): [will be replaced; ❑will not be replaced 7. Utilities Information Indicate utilities for this structure: ❑gas electric npropane flonsite well-water pump ❑public water public sewer Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes IVINo Have all utilities been disconnected? 5-ifes ❑No Signature of Applicant: _ Date: ry' �i�'9�'iG 'f Queensbury Building & Code Enforcement - Reside F. Inspection —1 i Office No.(518)761-8256 Arrive: • a m art: am/pm Date Inspection request received: Inspector's Ini als: NAME: VP-S PE IT : 2.(2: , LOCATION: Z e rck_ 1Zd D E: '7/"'12- -1 TYPE OF STRUCTURE: D 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 U, - Enclosed Stairs Sheetrock Underside minimum'A"Gypsum (. ( )� `-' Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer \\v �� 7 .s1.., Duct work Sealed properly i�� 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 Certifi '•.,if r-•. e* Okay to issue 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc