2003-984 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERTIFMAIrE Ar com f1'r
%jai Vr PLIANut
Permit Number. P20030984 Date Issued: Thursday,December 07,2006
This is to certify that work requested to be done as shown by Permit Number P20030984
has been completed,
Tax Map Number. 523400-309.010-0002-003-000-0000
Location: 24 LUZERNE Rd
Owner. FOUR M LIMITED PARTNERSHIP LLC
Applicant: FOUR M LIMITED PARTNERSHIP LLC
This stricture 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,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code TnforcVnent
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: F20030984 Application Number: A20030984
Tax Map No: 523400-309-010-0002-003-000-0000
Permission is hereby granted to: F01 TR M L MITED PARTNERSNTA T T;C
For property located at: 24 LU.ZERNE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot playas 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: FOUR M LIMITED PARTNERSHIP Demolition
PO BOX 2016 Total Value
GLENS FALLS,NY 12801-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
SERVICES UNLIMITED
211-213 MAPLE St
GLENS FALLS. NY 12801-0000
Plans&Specifications
2003-984
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,December 05,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration-date.)
Dated at the TQvtin o tluieen i y, December 05, 2003
SIGNED BY �-I/L' for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No.03- tR'-!
Application for Demolition Permit Fee Paid ✓
Building&Codes Office—Town of Queensbury 742 Bay Ro ACtre@W__'fk1$TE904
(518)761-8256 DEC 0 " Notes:
Instructions/Requirements for a permit:
Fill in all applicable spaces and submit two(2)plot plans,drawTOMQhqWLVF�?,to
�iftes with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which,arg3tq be Tp gls] 6 i on the plot plan the location of all utilities.
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2. Location of demolition: ( O.9 ESA C- 9_ 3. Tax Map No.
4. Where will demolition material be disposed of? IA)AnT-6'
5. Asbestos Information
A copy of Asbestos Resnoval Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? E]Yes EN
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. structure(s)will be demolished:
N�= [-]garae; []storage building; F_�business; Flother
b. Size of structure: ft.by 12 ft.
C. Number of stories
d. Foundation type: El 11 cmwhT9c-Z; �ab t'10 i;5'j 0 OA-'1-1 6 1J
e. Foundation: Mwill be removed; Qwill not be removed
f. Structure(s): Elwill be replaced; ,Rwill not be replaced
7. Utilities Information
Indicate utilities for this structure:
Dgas Aelectric ❑propane CKonsite well-water pump
Rpublic water F-1public sewer
Have you notified the Town Water Dept, for public water* and public sewer disonnect? KYes ONo
Have all utilities been disconnected? es FINo
Signature of Applicant: Date:
Queensbury Building & Code Enforcement - ResidJent'417i al Inspection
nm
Office No. (518)761-8256 Arrive: a p1l art:
Date Inspection request received: Inspe6tor's Initial
'R NAME: ./�or . m bvv,; FqWeer�skp ERM!T#:LOCATION: -2 q C— 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 Railin,
,gs 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.-1 50 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
Furnacefflot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water TSLnp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofm /3/4hour 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 Cerlificatipn,if required
Okay to issFT for C70 r Temporary/Permanent V
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