2010-217 4411LN TOWN OFQ UEENSBURY
FOO742 Bay Road, NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100217 Date Issued: Friday, August 26, 2011
This is to certify that work requested to be done as shown by Permit Number P20100217
has been completed.
Tax Map Number: 523400-308-014-0001-052-000-0000
Location: 183 PITCHER Rd
Owner: ARC COMMUNITIES 14 LLC
Applicant: ARC COMMUNITIES 14, LLC
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
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0/1
property Pro ertY 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.
��` TOWN OF QUEENSBURY
`oc 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100217 Application Number. A20100217
Tax Map No: 523400-308-014-0001-052-000-0000
Permission is hereby granted to: ARC COMMUNITIES 14, LLC
For property located at: 183 PITCHER 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: ARC COMMUNITIES 14, LLC
900 Demolition
PO BOX 790830 Total Value
SAN ANTONIO, TX 78279-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-217
demolition of 11 B
QST
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, May 10, 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 Town eensbtr; i IVAdnc� Vlyay 10, 2010
SIGNED BY a' - JJ /t;�J '; % for the Town of Queensbury.
Director of Building&Code Enforcement
.("6r
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: a.4 *Ira • OWNER: qv feS c -1Pox K
ADDRESS:W) xqO 1.a ICS 'bn S )a fl 9 ADDRESS: I ' 3 r 1 hP c 1 4 ateenSka
PHONE NOS. Aly '-1-d5O PHONE: 914 9 1-1(Q
PERSON RESPONSIBLE FOR WORK:—RO.LJflOr)CA Jo t'LQ S _ PHONE:c 7(g-4Q cl-0508
LOCATION OF DEMOLITION: . 054
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? 1-1-i ram I(D u) •
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO X
✓ 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:
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS
STORAGE BLDG. OTHER X
✓ Size of structure: X +1Y1 o 10 t t.e (4-6 YY1
'e-
✓ Number of stories: I
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED
✓ StrUCtUreS(S): WILL BE REPLACED WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC PROPANE PUBLIC WATER
-?Y \ O TieCO rnmitj, ,tq ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO /
Have all utilities been disconn cted: YES X NO (QUESTIONS? CALL 761-8256 OR EMAIL
1(\n A -
S NATURE AP (CANT VISIT OUR WEBSITE FOR MORE INFORMATION
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Queensbury Building & Code Enforcement - Resi eential Ft• = ns ion
Office No. (518)76143256 Arrive: 7—lX. a 14110 am/pm
Date Inspection request received: -74-1F-777(4)
inspector's initials: /00 .4.NAME: k} B{ {) cc\-- T#: .
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LOCATION: �_ s�� �� � _ *—
TYPE OF STRUCT 'E: i / �,
• )j i f p 10 i^.. i Comments:
Ye HQ iNit
f
4" Building Number Address visible from road✓" !l�' C'_�j _
Chimney Height/'B'VentlDired Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 8 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 38 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: • 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 ,
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
Ofi Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrodc Underside minimum 34'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door.closer
Duct wort Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical •
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms D v
Flex Gas Pipe Bonding `���
As Built Septic System/Sewer Dept.Inspection Sticker //��
Site Plan /Variance required C �
Flood Plain Certification,if required y_
Okay to issue C/C or C/O[Temporary/Permaneral--- "-by _,� �� 0
L:\Building&Codes Forms1Building&Codesllnspedion Forms\Residential Final Inspection•Form_revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
Queensbury Building & Code Enforcement— Manufactured / Moly-r Final Inspection
Office No.(518)761-8256 Arrive: -lam art a pm
Date Inspection request received: Inspector's Initials:
NAME: SRC_ C OtA ti\t) \ E J PERM #: / t O -- 2_1`1
LOCATION: \ \ D—j CSE_ DATE '. 1 , '—
Manufactured Home LZT.)Vit?�
Modular Home
Footings_ Foundation_ Backfill_ Framing_
Comments:
Yes No N/A
Foundation support,pier spacing,
Per manufacturer
Anchoring per manufacturer 2'from ends
Water line shut off
Sewer line support @ 4 feet
Heating Crossover[doublewide}off grd.
Dryer vented outside
Skirting ventilated 1 so.ft.per 1.500 so.ft.
Hot water relief valve piping outside
Deck,porches,steps,railing
Fumace/hot water operating
Garage Fire proofing
Fire Door/Door losers
Plumbing Fixture/3"Vent through roof[Modular]
Foundation insulation of applicable]
Smoke/Carbon Monoxide Detectors 1 Interconnected
Final Electrical
Variance required
Data Plate okay
Manufactured HUD seal okay
Warranty Seal after January 1,2006
Installers Warranty Seal
18"x 24"access or 22"x 30"attic access
Vapor retarder under home 6 mil poly or other
911 Street num V--
tom
Okay to iss C M O e,t LE 1-;01`/1 -,E U �-L-
Model# Serial# L-01— IJ O -1 1 l 1 o
Manufacturer
Date of Manufacturer
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