2010-424 TOWN OFQ UEENSBURY
virs742 Bay Road Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100424 Date Issued: Friday, February 11, 2011
This is to certify that work requested to be done as shown by Permit Number P20100424
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: 200 LUZERNE Rd
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
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, � � uY
`-4-~y r r P'
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.
441.k TOWN OF QUEENSBURY
Fos 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100424 Application Number. A20100424
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P
4294 ROUTE 5 Demolition
CALEDONIA,NY 14423 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2010-424
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 24, 2011
(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 T �Quee ury;,, ,1ue day,August 24,2010
SIGNED BY c 4),(4,4 Azi �� for the Town of Queensbury.
Director of Building Code nforcement
OFFICE USE ONLy �j�
TAX MAP NO. PERMIT NO. / 112_-'1/ FEE PAIDL,C)
Permission is hereby granted to the above named Applicant to demolish the building(s)
described herein as set forth in the Application below.
Director of Building&Codes Date
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.
{ �/ i
APPLICANT/BUILDERj: 1 cS�zLt-
Au.Ie� c OWNER: r ‘` I4.s— 0Q1 T
ADDRESS: 700 1 0 Z-ec y..s_ 0--A ADDRESS: 67 A\ c ir&. t Ni
PHONE NOS. I- $ SS- 303- 2,l I PHONE: Ni/I
PERSON RESPONSIBLE FOR WORK: ? So \A �
- LA te_ am
vN c - PHONE: N//
A
LOCATION OF DEMOLITION: /CalA�,(�‘ _ K. (((
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? rn93 kAc ),}-5�2jlArwleik ,
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 be fled with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s) will be demolishec: RESIDENCE V GARAGE BUSINESS
STORAGE BLDG. OTHER
V Size of structure: J 5/ X ly
✓ Number of stories: / /
/ Foundation type: FULL CELLAR CRAWL SPACE ✓ SLAB '
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED
/ Structures(s): WILL BE REPLACED V WILL NOT BE REPLACED Illt -
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC ✓ PROPANE
PUBLIC WATER AZ ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO
T, . / t_z ;
i ___
Queensbury Building & Code Enforcementx Residential Fin- spection
Ayr
Office No. (518)761-8256 Arrive: Z-",00 a ;37) t -part: am/pm
Date Inspection request received: Inspector's Initials:
NAME: / ii):c-) Sie,-,,,-/-_›-/ eR MIT#:
LOCATION: (1 74 /y7/
), i--..,_7 _i- DATE: 7_- I c'• - Vk
TYPE OF STRUCTURE: / i
- ---)11. /- ,) / /I 7.C-1- J Comments:
Us Ns WA
4$ Building Number Address visible from road ( \e,_'/) //i-- )
V
Chimney Height/' Vent/Direct Vent Location
Fresh Air Intake
II
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co . eta/Exterior Finish Com.ete
Platform at all exterior doors MI
Handrail 4 or more risme 1111111
Guards at stairs decks •: las more than 30 inches above .rade IIIII
Guard at stairwell at 34 inches or more
111
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches Illii
Deck : - — /Handica..,. Rem. Corn.-nt 11111
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
II
Gas Valve shut-off exposed I regulator 18 inches above •rade
Interior privacy(trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: satt7—badcu.:
Attic access 30 irvhes x 22 inches x 30 inches : !ht in accessible area 111111
Crawl S'aces 18 inc.h x 24 inth access 1 ....ft.-150 -..ft.vents 1111
Bathroom Fans if no window IIIII
Plumbin. fixtures IIIII
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 ss 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
Fumace/Hot Water Heater operating
Low water shut-off boiler MI
Relief Valve(s)installed/Heat Trap/Water Temp 110
II
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
(.) 4
Basement stairs dosed rise>4 inches
Garage Floor Pitched 1111111111 ,,,cm\SX\3-
Gara.: ,.roofi . 13/4 hour fire door/door doser Ell
LY
Duct work Sealed properly
ll
Gas Logs in Sealed or Glass Enclosure y kx.0
Final Electrical
Final Survey Plot Plan all c<1.
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker III"l&II
Site Plan /Variance -uired
Flood Plain Certification,if required 44.111411111nra
Okay to issue C I C or C/0[Temporary/Permanent]
illppl
LABuilding&Codes Forms\Building&Codesfinspedion Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
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