2003-915 �1 TO" OF QUEENSBURY
742 Bay Road,Queensbury;NY 12800902 (518)'761.8201
Community Development-Building&Codes (518) 761.8256
utw1.FICATE .v'.r COMPLIANu'
Permit Number: P20030915 Date Issued: Tuesday,Decemba 05,2006
This is to certify that work requested to be done as shown by Permit Number P20030915
has been"ompI dj
Tax Map Number. 523400-302.014-0003-057-000-0000'
Location: 12 PARKYIEW Ave
Owner. RMG PROPERTIES,L.L.C. '
Applicant: PAMELA WEBB&OTHERS
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&Code nfocc ent
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: P20030915 Application Number: A20030915
Tax Map No: 523400-302-014-0003-057-000-0000
Permission is hereby granted to: PAWl,A WEBB & OTffRR,4,;
For property located at: 12 PARK VFW Ave
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: PAMELA VVEBB &OTHERS Demolition
C/O RENEE LEGUIRE Total Value
163 LAPP Rd
CLIFTON PARK, NY 12065
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-915
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERM-IT EXPIRES: Friday,November 05, 2004
(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 Quee s nesday,November 05,2003
SIGNED BY for.the Town of Queensbury.
Director of Building&Co c e Enforcement
Permit NoC)3 l 13
Wplication for Demolitibn Permit. Fee PA:�O
Building&Codes Office-Town of Queensbury 742 Bay Road Queen sbury,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.
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2. Location of demolition: / PQrktliezy 67il e',n L[e- 3. Tax 1VAl3a"p No.
4. Where will demolition material be disposed of? 'F U" O L- 'ak(,jLz0rs/
5. Asbestos Information RECEIVED
A copy of"Asbestos Removal Repof t must be fled with'our office before demolition begins.
(1l; i :? 0--2003.
a. Is there any asbestos within the building to be' demolished? ❑`Yes
If YES, our office needs the following information: TOM`r;-Ql1EENSBURY
BUILDING.AND 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:
FResidence; [lgara e; ❑storage building; Qbusiness; Mother
b. e of structure: �1 ft.by 38 ft.
C. Number of stories on 'C, / ) -
d. Foundation type: _Z]full cellar; ❑crawl space; ❑slab
e. Foundation: Owill be removed; []will not be removed
f. Structure(s): Twill be replaced; Qwill not be replaced
7. Utilities Information
Indicate utilities for this structure:
(]gas [electric ['propane ❑onsite well-water'pump
2 fpublic water public sewer 00 ' 'r''
Have you notified the Town Water Dept. for public water and public sewer disonnect? Yes [:]No
Have all utilities been disconnected? [ Yes QNo
Signature of Applicant:��� �y 4r -(irezv Date: /0 --31 -0
Queensbury Building & Code Enforcement - Residenti .l- inal Inspection
Office No. (518)761-8256 Arrive: ii p D art: am/pm
Date Inspection request received: Inspector's Initials: ;
NAME: I f�' PARMIT M
LOCATION: 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/W hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical C
Final Survey Plot Plan j
As Built Septic System!Sewer Dept.Inspection Sticker /
Site Plan /Variance re' uired
Flood Plain Cw cations if required
Oka to ' 'C/C z'',�.. -O[Temporary/Permanent 3 V
L:\Building&Codes Irms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised I00405.doc
TOWN O F Q U E E N S B U RY
B U Z L D Z N G � CQ D E E N F O RC E M E N T
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RHM Engineers e Planners * Architects
Harlan-McGee of North America Malta Ridge Professional Building
4000 Silver Beach Road 9 Malta,New York 12020
CERTIFICATION
This is to certify that the Asbestos Inspection Program for the residence located at the 12 Park
View Avenue in Glens Falls, New York has been conducted in accordance with the
requirements of the New York State Attorney General Asbestos Inspection Guidelines; the
New York State Department of Labor; and the requirements of the New York State Uniform
Fire Prevention and Building Code. The data presented in this report is accurate to the best
of my knowledge.
I am a registered professional engineer licensed by the New York State Education
Department; a registered Asbestos Abatement Designer licensed by the New York State
Department of Labor, and; have a minimum of twenty-five years of design and analysis work
experience in building systems.
I am free from financial interests, which may conflict with the proper performance of my
duties.
October 14, 2003
mest J. Gai or, P.E. Date
Firm -McGee of North Amefica.
Firm Name: an RECEIVED
Address: 4000 Silver Beach Road
Malta, New York 12020 OCT 3 b'20,0.3
Telephone: (518) 584-1300
Fax: (518) 584-1374 TOWN-OF QUEENSBU D CRY
BUILDING ANODE
New York State License Number 059460
New York State Department of Labor AH 94-03601
Professional Stamp:
Phone: (518)584-1300 Fax: (518)584-1374 Email:info@harian-mcgee.com
RECFINED
EXECUTIVE SUMMARY OCT 3 0'2003'
TOWN OF QUEENSBURy
NARRATIVE
The residence is located at 12 Park View Avenue in Glens Falls, New York. This report and
inspection dealt with one building comprising a single-family residence..
The type of construction is that expected for an older residential building. The building is
wood frame construction. Older building material has been used on all interior surfaces.
OBJECTIVE
The objective of this inspection was to determine the presence of asbestiform minerals in
suspect bulk samples. If these minerals are detected, they are identified and quantified.
Identification is made as to which mineral and/or minerals are present from the Serpentine or
Amphibole groups. These include Chrysotile, Amosite, Anthophylite, Crocidolite, Actinolite
and Tremolite.
SITE INSPECTION and MATERIAL ANALYSIS
Members of the staff of the Harlan-McGee of North America physically inspected each room
or habitable space of the structure. Additionally, all accessible areas were inspected. Bulk
samples of suspected insulation, mortar, wall/ceiling material, roofing and any other
suspected asbestos laden material was collected.
Bulk material samples were initially examined and grossly described. All remaining suspect
material is then studied under plane-polarized light and orthoscopic illumination to determine
refractive indices along specific crystallographic axes and antisotropishi. These studies
involve immersing the sample in known refractive index liquids and qualitatively
determining the mineral types by refractive index,- morphology, signs of elongation,
birefringence characteristics, and extinction angles. With this information, the mineral type
is ascertained.
A petrographic point counting technique is then applied to the sample under investigation to
quantitatively outline a percent composition of mineral fiber in the matrix of the bulk sample.
This counting involves representative sections of the entire material if it is homogeneous. If
the entire material under study is heterogeneous, each strata of the sample that can be isolated
as a homogeneous section is considered and treated separately.
RESULTS OF ASBESTOS INSPECTION
Members of the staff of Harlan-McGee of North America conducted the Asbestos Inspection.
Material samples were collected by the inspector on the basis of professional knowledge of
building materials and known areas of usage for asbestos material.
It has been determined from both on site inspection and laboratory analysis of the bulk
sainples taken during the inspection that asbestos material is not present.
Res ctfully Submitted,
es c ully uDIr.or,
M
est J. Gai r,P E.
1 October 14, 2
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RECEIVED
CH Ul; i 6.2003-
Q-�-1 TOWN OF QUEENSBURY
BUILDING ANC}CODE
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