2005-864 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. P20050864 Date Issued: Thursday, January 10, 2008
This is to certify that work requested to be done as shown by Permit Number P20050864
has been completed.
Tax Map Number. 523400-308-008-0002-016-000-0000
Location: 9 LEO St
Owner. KATRINIA BRONZENE
Applicant: CLUTE ENTERPRISES
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
\j
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 Direc o uilding WSnfternent
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: P20050864 Application Number: A20050864
Tax Map No: 523400-308-008-0002-016-000-0000
Permission is hereby granted to: C;T ETE E,NTF.RPRTSES
For property located at: 9 LEO St
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. Tyne of Construction Value
Owner Address: KATRINIA BRONZENE
9 LEO St Demolition
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-864
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, November 15,.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 Town of Queens ues ay, November 15, 2005
SIGNED BY ('� VJ for the Town of Queensbury.
Director of Building Codenforcement
Permit No'``J 9 9 C
Application for Demolition Permit d,' -D.
Fee Pai
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.
;r A licant x :Owner ,,;= ^, ;` Per"son Res "onsib]e for!'Vork.z
Name Lv ztiAz;S e�
P •Tim �,; •j
=Address -:�
y
713 - 7y7-7
Phone; 7'-1 , D C��5
2. Location of demolition: L ,ems 3. Tax Map No. O�.
4. Where will demolition material be disposed of?
5. Asbestos Information RECEIVED
A copy of Asbestos Removal Report must be filed with our office before demolition begins.
OCT 2 8005
a. Is there any asbestos within the building to be demolished? ❑ Yes ❑ B%RY
If YES, our office needs the following information: TOWN OF QUEt
BUILDING FEND CODE
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:
'XResidence; ❑garage; ❑storage building; ❑business; ❑other
b. Size of structure: ft.by ft.
C. Number of stories
d. Foundation type: ❑full cellar; ❑crawl space; L.8islab
e. Foundation: ❑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 ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disolmect? ❑Yes ❑No
Have all utilities been disconnected? ❑Yes ❑No
Signature of Applicant:, Date:
Queensbury Building & Code Enf®rcement - Residential Final Inspection
Offi No.(518)761-8256 Arrive: �Mam/p a�part; am/pm
Date Inspection request received: Inspector's Initials:
NAME: (, vt� PERMIT M
LOCATION; DATE: /
TYPE OF STRUCTU —
Comments
Yes No Ij/A
Building Number/Address visible from road
Chimney Height PS"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 alazing
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 .1-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft sto2ping 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
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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 IGM(G
Okay to issue C/C or C/®[Temporary/Permanent]
L:1Building fir,Codes Forms\Building&Codes\Inspection Forms\R.esidential Final Inspection Form revised I00405.doc
Queensbury Building & Code Enforcement - Residential Fi Inspection
Office No.(518)761-8256 Arrive: PsInitia�
pm ep am/pin
Date Inspection request received; Inspecto
NAME: ' r��1 RMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE: N Comments
•. °,Building Number/Address visible from road Yes TAT® N/ACkV►`O
ChimneyHeight/"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: Batte backu :
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 i n
Oil Furnace shut-off at entrance to furnace area y(
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/%hour fire door/door closer
Duct work Sealed properly1
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Varian re uired
Flood Plain C ificat!on,i re uired
Oka to iss e C/ o /® [Tem or /Permanent
r
L:\Building&Codes Forms\Building&Codesllnspection Forms�Residential Final Inspection Form revised 100405.doe
FILE COPY
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data sources:parcels- Warren County Real Property Tax,2003 Tentative Roll
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