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2004-103 TOWN OF QUEEN.SBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. . P20040103 . Date Issued: Tuesday, December 05, 2006 This is to certify that work requested to be done as shown by Permit Number P20040103 has been completed. Tax Map Number. 523400-279-000-0001-056-000-0000 Location: 894 STATE ROUTE 149 Owner. DAVID A FISHER Applicant: . DAVID A FISHER This structure maybe 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, 4 b� 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040103 Application Number: A20040103 Tax Map No: 523400-279-000-0001-056-000-0000 Permission is hereby granted to: DANTM A FTSHER For property located at: 894 STATE ROUTE 149 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: DAVID A FISHER CIO J. PAUL FISHER Demolition Total Value 43 RIDGE St APT 1 GLENS FALLS, NY 12801-3688 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-103 DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, March 23, 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 T74 Queen u da arch 23, 2004 SIGNED BY U a for the Town of Queensbury. Director of Building&Code Enforcement Peanut No� I l 40 Application for Demolition'Permit Fee Paid 3 Building&Codes Office-Town of Queensbury 742 Bay zd= e s ry NY 12804 (518)761-8256 �' 3 Notes: r Instructions/Requirements for a permit: RA R Fill in all applicable spaces and submit two(2)plot plans,� t1 o Bale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on the property and indicate who�i rc�be'deinolisl�e6. Indicate on the plot plan the location of all utilities. ��( ir,ANQ CQpS Y x A licaxt _ � nerE 1'erQn,T2es'onsi6le fur Work,.., ' ,, 9* �� Address Phonee- ` 2. Location of demolition: /-r( 3. Tax Map No. "( . W- r f ! � 4. Where will demolition material be disposed of? S. 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 CO 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. Ind' ate which structure(s)will be demolished: EffResidence; ❑garage; []storage building; ❑business; []other b. Size of structure: ft.by ft. C. Number of stories '2 d. Foundation type: frill cellar; crawlVspa ; ❑slabe. Foundation:�f t,�� ❑will be removed; Ynot be removed C � W f. Structure(s): c7 ❑will be replaced; not be replaced 7. Utilities Information Indicate utilities for this structure: ❑gas ❑electric !(Propane o�nsite 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 ❑No p� Signature of Applicant: ���c�. �, i'L�L_ Date: 3 � l Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/ e art: am/pm Date Inspection request received: Inspecto4snitials: NAME: • _ll-- PERMIT#: 4-1e, z LOCATION: lJ � � DATE: TYPE OF STRUCTURE: 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 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 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/® [Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc 0 �a 3URI SOON QF f 1 r I 1 ,6,; s' -- - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - _ - - - - - - - - - - - - - - - - - - - - - - T - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - _ _- - - - -- -r - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - rt - - - - - - - - - - - - - - - - - - - r - - - - - - - - -_ _ - - - - - - - - - - - _ - - -F - - - - - - - -