2011-408 IA TOWN OF QUEENSBURY
too742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110408 Date Issued: Tuesday, September 20, 2011
This is to certify that work requested to be done as shown by Permit Number P20110408
has been completed.
Tax Map Number: 523400-227-013-0002-039-000-0000
Location: 90 ROCKHURST Rd
Owner: LARRY CLEVELAND
Applicant: LARRY CLEVELAND
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 Enforcement
Planning Board or Zoning Board of Appeals.
1
4101111% TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110408 Application Number: A20110408
Tax Map No: 523400-227-013-0002-039-000-0000
Permission is hereby granted to: LARRY CLEVELAND
For property located at 90 ROCKHURST Rd
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: LARRY CLEVELAND Demolition
JOHN SHINE Total Value
32 NORTHWAY Ln
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
A J CATALFAMO CONSTRUCTION
747-6659
5 SIXTH St
HUDSON FALLS NY 12839-0000
Plans&Specifications
2011-408
demolition of residence
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 23,2012
(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 Tt i o eensl6itry;/! ,TUesdayyAugust 23, 2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
-7 � OFFICE USE ONLY. . . r ..�
TAX MAP NO.---1PERMIT NO. / ,-- }/(I, _FEE PAID
to
Permission is hereby granted to the above named Applicantdemolish
the building(s)
AUG � � 11
described herein as set forth in the Application below. 1
TOWN OF QUEENSBUfy
Director of Building&Codes Date guiLDlNG & CODES
APPLICATION FOR DEMOLITION PERMIT:
Fill in 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.
APPLICANT/BUILDER: j"1)(A-i-WW o}fno coostrockori OWNER: /tilC{-e ( ca-A I i.w?O
ADDRESS: S 6 '4 Si ADDRESS: c ‘141S-7 /J jcl scfr, / /(c
PHONE NOS. cI 7'17 66.5- 1 PHONE:
PERSON RESPONSIBLE FOR WORK: /?Obeff L.StiC nC PHONE: Sly g60
LOCATION OF DEMOLITION: CTD /' c 1-C 1 UV j f a Ci
WHERE WILL DEMOLITION MATERIAL BE DISF,)SED? 6.91,CI
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE:A copy of Asbestos Removal Report must bt?filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE kly GARAGE BUSINESS
STORAGE BLDG. OTHER
✓ Size of structure: 2C) x
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB
✓ Foundation: WILL BE REPLACED h WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED X WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS _ ELECTRIC X PROPANE
PUBLIC WATER ONSITE WELL-WATER PUMP X PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO X
tee /6)011,
011,
Queensbury Building & Code Enforcement - Residential Final Inspection /0-0-pc
Office No. (518) 761-8256 Arrive: am/p Depart: am/pm
Date Inspection request received: 46/i Inspector's Initials:
NAME: 9)011 PERMIT#: p �-�C�J
LOCATION: DATE: 7IMRJI ' e
TYPE OF STRUCTURE: � --
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete!Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
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 /y9j r? 1/g;
Interior Smoke Detectors!Carbon Monoxide Detectors _
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W 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 a
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System!Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent] eli)f
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6!26/08;Revised 12/22/10
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