2005-620 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. P20050620 Date Issued: Tuesday, October 23, 2007
This is to certify that work requested to be done as shown by Permit Number P20050620
has been completed.
Tax Map Number. 523400-239-007-0001-033-000-0000
Location: 171 ASSEMBLY PT. Rd
Owner. J. GARDNER & MARTHA HARRIS L.E.
Applicant: J. GARDNER & MARTHA HARRIS L.E.
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
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&CocM Enfoihment
Planning Board or Zoning Board of Appeals.
Pernut No.
Application for Demolition Permit Fee F.0
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Notes:
Instructions/Requirements for apgrmit:
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,
tcctrnt'-`" f;: pe q.�� S nsll)le'f41'
2. Location of demolition: i; 11't( 3. Tax Map No. 3 q•'7 3 j
4. Where will demolition material be disposed or f i rt,�g e,
5. Asbestos Information
A copy of Asbestos Removal Repor must be filed with our office before demolition begins.
a. Is there anv asbestos within the building to be demolished? ❑ Yes [X 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: �.
❑Residence; ❑garage; ❑storage building; ❑business; [other ti
b. Size of structure: 1-0 _ft.by -;L ft.
C. Number of stories /
d. Foundation type: ❑full cellar; [crawl space; slab
e. Foundation: Owill be removed; ❑will n=Oaa� ,t_E N S B U R
f. Structure(s): Rwill be replaced; ❑wil U s-
1 <� �;C )ES DEPT.
7. Utilities Information B 01 N &
Indicate utilities for this structure.
-- -
❑gas ®electric ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? [—]Yes &No
Have all utilities been disconnected? ❑Yes [NNo
Signature of Applicant: —i � � �Fj Date: 2-�S
Queensbury Building & Code Enforcement - Residential Final Ins ection
Office No. (518)761-8256 Arrive: am/pm De art: am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
—A�LOCATION: DATE:
TYPE OF STRUCTURE: —71"
�~ Comments
Yes No N/A
Building Number/Address visible from road
Chimne Hei ht/"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 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
Fumace/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
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed property
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
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