2012-552 TOWN OF QUEENSBURY
ET
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120552 Date Issued: Wednesday, November 21, 2012
This is to certify that work requested to be done as shown by Permit Number P20120552
has been completed.
Tax Map Number: 523400-309-013-0002-022-000-0000
Location: 481 BIG BAY Rd
Owner: STEWART'S SHOPS CORP.
Applicant: MARY ANN MARCICA
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, c J ;
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
742 Bay(toad,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120552 Application Number: A20120552
Tax Map No: 523400-309-013-0002-022-000-0000
Permission is hereby granted to: MARY ANN MARCICA
For property located at: 481 BIG BAY 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. Tyne of Construction Value
Owner Address: STEWART'S SHOPS CORP. Demolition
PO BOX 435 Total value
SARATOGA SPRINGS,NY 12866-(
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2012-552
Demolition -Mobile Home to be removed
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 20,2013
(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 of Queensbury; Tuesday,November 20,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Q 7 1 \ ,..-5-6,;\
r
TAX MAP NO.36 t ,(3rv1"oS PERMIT NOE ONLY /�_j`� FEE PAID 59
Permission is hereby granted to the above named Applicant to demolish the building(s) ;: 2012
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. _l
APPLICANT/BUILDER: I'�IGRyn-nre ill 19-0.C' fq OWNER: kWall Shops ��P.
ADDRESS: /O( Old S I- tLiz/erc,,CC,, kri. S ADDRESS: O L--57C CJS / S
(- .
49(rP
HONE NOS. Lib 3-----0 R 7C SJa�
PHONE: J / O X �/ 3C)
PERSON RESPONSIBLE FOR, (WORK:00.-nl .j g . is PHONE: � iL2 Lj 3
LOCATION OF DEMOLITION: `t g1 7/q ‘ ..6;g4..--r\- fRCx
111
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? 10/!4'
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 filed with our office before demolition begins.
STRUCTURE INFORMATION: .------
✓ Indicate which structure(s) will be demolished: RESIDENCE GARAGE BUSINESS
CgSTORAGE BLDG. OTHER
,/ Size of structure:t X
,INumber of stories: I r - S Re vno C3ea
rl
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB T '
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED
✓ StrUCtUreS(S): WILL BE REPLACED WILL NOT BE REPLACED i..----
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS kELECTRIc PROPANE PUBLIC WATER
ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES 1.--------NO
Have all utilities been disconnected: YES/ NO
QUESTIONS? CALL 761-8256 OR EMAIL
N1/4-Ai\T")\-4codesqueensburv.net
....c.1)
IGNATURE OF PPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Tom' of Queensbury • Connnunity Development Office • 742 Bay Road, Queensbury, NY 72804
Y Lt 6=3 d Co.(
Queensbury Building & Code Enforcement - Residential Final lnspectionc
Office No. (518) 761-8256 Arrive: i► _,.,,'*' r e►-rt:
Date Inspection request received: Inspector's Initia : .
NAME: r�� Cly P"MIT#: /9 -
LOCATION: 4/ / j ry l DATE:
TYPE OF STRUCTURE: m i2 - /y) }-f-
z txP evipoeQ1 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
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 to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification \�, (-7")
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 siteOil Furnace shut-off at entrance to furnace are ,702rFurnace/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 I%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
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/O[Temporary/Permanent]
L:IBuilding&Codes Forms1Building&Codeslinspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
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