2009-256 TOWN OF QUEENSBURY
742 Bay Road,Queensbiny,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090256 Application Number. A20090256
Tax Map No: 523400-290-005-0001-048-000-0000
Permission is hereby granted to: ELIZABETH MILLER
For property located at: 1099 RIDGE 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. Tvne of Construction Value
Owner Address: ELIZABETH MILLER
1071 RIDGE Rd Demolition
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-256
DEMOLITION OF STORAGE BLDGS 26 X 34 AND 13 X 34
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 16,2010
(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 o �ee:PT u June 16, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CE RTIFICATE OF COMPLIANCE
Permit Number. P20090256 Date Issued: Tuesday, July 07, 2009
This is to certify that work requested to be done as shown by Permit Number P20090256
has been completed.
Tax Map Number. 523400-290-005-0001-048-000-0000
Location: 1099 RIDGE Rd
Owner. ELIZABETH MILLER
Applicant: ELIZABETH MILLER
This structure maybe occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ( j W
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.
� .......................I�III.- I
OFFICE USE ONLY ' C 18 n
(E-
T M NO. PERMIT NO. FEE PAI
Permission is hereby granted to the above named Applicant to demolish the building(s)
described herein as set forth in the Application below. JUN 12 209
Director of rildZingodesR:: Date OWN OF QUEENSBURY
BUILDING &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.
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y
APPLICANT/BUILDER: I ,Ile', ;, OWNER:
ADDRESS: ' ; ADDRESS: /0 /s.`af �aP
PHONE NOS. $, -A . F
PHONE:
PERSON RESPONSIBLE FOR WORK: hn't (`noA.4// PHONE: 9170
LOCATION OF DEMOLITION: /per �j ILi�(d/
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?
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_
ab 3(4 STORAGE BLDG.. " OTHER
✓ Size of structure: i3 X 3q
✓ Number of stories: —R
✓ 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 ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO
Queensbury Building.& Code Enforcement - Residential Fi In ction
Office No. (518)761-8256 Arrive: a
Date Inspection request received: Inspector's Initia s:
NAME: MIT#:
LOCATION: ATE: — --Q
TYPE OF STRU TORE:
Comments:
N N/A
4" Building Number Address visible from road C)
Chimney Height/"B"Vent/Direct Vent Location ,LSCUl�lJ1C
Fresh Air Intake ,
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete /
Platform at all exterior doors _ +l 1 dewc
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade f S e
Guard at stairwell at 34 inches or more Il
Guard at deck,porches 36 Inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracin I Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off expo
sed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safetv glazing/Window in stairwells safety glazing
Interior Smoke Detectors I 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 N.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress 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
Relief Valves installed/Heat Trapt Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stains dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed prop2rly
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Are Fault Breaker in Bedrooms
Flex Gas Pipe Bondin
As Built Septic System/Sewer De . Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay t
L:1Building&Codes FormslBuilding&Codes\lnspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/2601