2009-409 �- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE 011F COMPLI-A-N- Ch'
Permit Number. P20090409 Date Issued: Friday, March 26, 2010
This is to certify that work requested to be done as shown by Permit Number F20090409
has been completed.
Tax Map Number, 523400-308-006-0001-013-000-0000
Location: 75 BURCH Rd
Owner: WILLIAM DONER II
Applicant: WILLIAM DONER II
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 E regiment
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090409 Application Number. A20090409
Tax Map No: 523400-308-006-0001-013-000-0000
Permission is hereby granted to: WILLIAM DONER II
For property located at: 75 BURCH 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: WILLIAM DONER II
58 RIDGE Rd Demolition
GLENS FALLS,NY 12801-0000 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2009-409
DEMOLITION OF MOBILE HOME
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,March 26, 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 To Quee Ur3k March 26, 2010
for the Town of Queensbury.
SIGNED BY7: � ur5'•
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
BUILDING PERMIT
Permit Number: P20090409 Application Number. A20090409
Tax Map No: 523400-308-006-0001-013-000-0000
Permission is hereby granted to: WILLIAM DONER II
For property located at: 75 BURCH 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: WILLIAM DONER II
58 RIDGE Rd Demolition
GLENS FALLS,NY 12801-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-409
DEMOLITION OF MOBILE HOME
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 26, 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 To of eens ,/I i arch 26, 2010
SIGNED BY /� for the Town of Queensbury.
Director of Building&Code Enforcement
�.... .. ../.............................................., .. ...........
/� OFFICE USE ONLY :' 0
o TAX MAP NO. PER IT NO. � FEE PA1DPei'
Permission is he by gralIted th abov i d Applicant to demolish the building(s)
described her ass et.fo in t Ap i b ow. 1
Dire o_ of iidi g&Codes e
APPL CATION 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: e y�%'u-i M S7 c)h)i U_ OWNER: A'ME
ADDRESS: —?S zo I'C ADDRESS:
PHONE NOS.— 1i PHONE:
PERSON RESPONSIBLE FOR WORK: �t iAM OD E�' ff, PHONE:
LOCATION OF DEMOLITION:
WHERE WILL DEMOLITION MATERIAL BE DIS=OSED?
ASBESTOS INFORMATION: /
✓ Is there any asbestos within the builc I Ig to be demolished? YES NO
✓ If YES, our office needs the following nformation:
o Name of firm removing the as estos:
o License number of firm:
o Indicate where the asbestos n 3terial will be disposed:
NOTE:A copy of Asbestos Removal Report m st be filed with our office before demolition begins.
STRUCTURE INFORMATION: f
✓ Indicate which structures will be dens)lished: RESIDENCE / GA GE BUSINESS
� b br! N _
° V" '. STORAGE BLDG. 70THER
✓ Size of structure: O—X_
✓ Number of stories:
✓ 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 pu water and public sewer disconnect? YES,NO,
l
APPROVED
A ticatio
_(012` ��
vV �,
Zoning Administrator
TK}VVit QF QUEEN56URY
j'
art - "I have seen o: observed,or WWje I aw> evidence of,
(.�"'i('r�.iCtsuch as houses eS, ' ees,#,,nces, etc.,
®n}}� �► : r. ° (i�15 ;�.�tec;it.`I resent that I have
P Ur., t6; CtanL -CJet .rth on the 1.S4raM.AP
"'Y
DATE
6�0f ry e �4r
l '26 40 T n {
CL
R�Pt#�at1o�
APPROVED
� a
Zon#ng Administrator
TOWN OF CUEENSBURy
ave seen observed,or believe t aw evidence of,
_,CD all objects such as houses,,wo0s; ees,fences, etc.,
Touw 1p ca, ,� shown o this ocuri resent that l have
,. pers „alit me r urO th stanc set rth on the diagram. �1
S GNATURE DATE
`1 28 2,93
a a ,�j
CASHIER'S DEPARTMENT - TOWN OF OUEENSBURY
BUILDING&CODES
✓ Code No. Title Fee Fee Reason for Refund Staff
Collected ted Refunded Initials
01-51670(210) Demolition Permit �`_ - '
01-52122(211) Sewer Variance
01-52555(212) Building Permit
01-52555(212) Sign Permit
01-52555(212) Septic Permit
10-30(213) Temporary Sign
Deposit
10-30(213) Temporary C/O
Deposit
01-52655(230) Miscellaneous
PLANNING&ZONING
01-52110(220) Zoning Fees
01-62115(221) Planning Fees
01-52115 (221) Site Plan Review
01-52115(221) Subdivision
01-380 (222) Technical Assistance
Invoice#
01-52655(223) Miscellaneous
Revenue
01-52002-0061 Recreation
(224) Assessments
FIRE MARSHAL
01-51560(190) Public Safety
01-52655(230) Minor Sales
NAME&ADDRESS OF CUSTOMER/RESIDENT PROJECT NAME/NUMBER
;� r
r$
OFFICE USE ONLY
4CHECK TQTAL.FEE(S) TOTAL FEE(S)
CASH NO CQLLECTID: $ REFUNDED: s
TOWN CLERK/ Date:
DEPUTY'S SIGNATURE:
Prepared by: ❑ Building &Codes ❑ Planning ❑ Zoning ❑ Fire M
Original(Town Clerk) Canary(Town Clerk) Pink(Customer) Gold(Return to Dept.checked ab
Queensbury wilding & Code Enforcement - Residential Final Inspection
Office No. (618) 761-8256 Arrive: L Q a / m am/pm
Date Inspection request received: Inspector's Initials:
NAME: V,)i \.fit Aft �F-R, P IT#: -- LI I
LOCATION: _ 3 �p8� ATE: _ �j� �=-f---
TYPE OF STRUCTURE:
Comments:
9 rv/a
4" BuildingNumber Address visible from road
Chimney Height/"B"Vent/Direct Vent location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 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 deckporches 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 qNm2g/rye ulator 18 inches above grade
interior /trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Sa Ig n /Window in stairwells salety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batts baccu .
Attic access 30 inches x 22 inches x 30 inches eight in acce"le area
Crawl Spaces 18 inch x 24 inch access 1 .ft:150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency Tess 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 Tra 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
Duct work Sealed pjqMf1j
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer De . Inspection Sticker
Site Plan /Variance mquired
Flood Plain Certification,if required
Okay to i / /13 Te nt
L:1Building&Codes Forms\Building&Codes\Inspection ForrnsWesidential Final Inspection Fomm_reisli 10I) 6.c ; evisedd
January 7,2008;Revised 6/26108
C -.CD