2009-450 ��- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
uh R.'TIFI ATE 017'r C0MPL1-A-Nk(.'%E
Pernut Number. P20090450 Date Issued: Wednesday, May 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20090450
has been completed.
Tax Map Number: 523400-289-010-0001-018-000-0000
Location: 23 JAY RD. WEST
Owner. EDWARD &PHILOMENA VAN PUTTE
Applicant: EDWARD & PHILOMENA VAN PUTTE
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 Enforcement
Planning Board or Zoning Board of Appeals.
i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12904-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090450 Application Number. A20090450
Tax Map No: 523400-289-010-0001-018-000-0000
Permission is hereby granted to: EDWARD &PHILOMENA VAN PUTTE
For property located at: 23 JAY RD. WEST
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: EDWARD &PHILOMENA VAN P
78 FARLEIGH Ave Demolition
ROCHESTER,NY 14606 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
SPEARS CONSTRUCTION
NY 12804-0000
Plans &Specifications
BP 2009-450 Demolition of seasonal residence
Edward VanPutte
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 22,2010
(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 rWR Quee bu ipsday, September 22,2009
SIGNED By
'a for the Town of Queensbury.
Director of Building&Code Enforcement
•'OFFICE USE ON Y 0
o TAX MAP NO.y - PERMIT NO. t�J I— dS V_FEE PAIDX �
Permission is hereby granted to the above named Applicant to demolish the building(s)
described herein as set forth in the Application below. ; + ti T
0 ,
� i
Director of Building&Codes Date 0 ; a
------------
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. ��77
APPLICANT/BUILDER: >R;4)cs �onSi _ OWNER: �li�,4(ZD VAVI'�"J
5
ADDRESS: 83 !`1�t AXo _ ADDRESS:_ d>
PHONE NOS. V9o2-3.3.3a2 PHONE:
PERSON RESPONSIBLE FOR WORK: I PHONE:
LOCATION OF DEMOLITION: _ 1_;?3 JlZ j�it ��c-zWO
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? 6Fr.5!%C iiJslSi� ,441c;Y�
115�,966,116V 7—
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
✓ Size of structure: X 0 STORAGE BLDG. OTHER
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE s-_ SLAB
✓ Foundation: WILL BE REPLACED ✓ WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED_ WILL NO` 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 Final inspection
Office No. (518) 761-8256 Arrive: _ZT0am/pm,h Curt: am/pm
Date Inspection request ecceived: Inspector's initials: �-
NAME: tti K PERMIT#:
LOCATION: 2.c, DATE:
TYPE OF STRUCTURE:
Comments:
Yes No A
4' Budding Number 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 deckspatios 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 a sed/regulator 18 inches above grade
Interior priM/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safetv glazing/Window in stairwells wf-elty glazirng
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Bane backu :
Attic access 30 inches x 22 inches x 30 inches et ht in acoessible area
Crawl Spaces 18 inch x 24 inch access, 1 qg.ft:150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I 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 fumace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve s installed/Heat TraI Water Temp 110
Ended Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garag2 Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed prop9dy
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Are Fault Breaker in Bedrooms _
Flex Gas Pip2 Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 1 Temporary I Permanent
L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form revised 100405.doc;Revised
January 7,2008;Revised 8/2M
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IN
IMME, 0 523400 Queensbuty Actrve R/S:1 School: Lake George]C
VanPutte,Edward Roll Year:F2009 Prior Year Seasonal re*/WtFft Land AV- 112,800
23 Jay Rd.West Land Size.0-10 acres Total AV 185,000
owner Totat 2 Site Total I
flame:, Edward VanPutte Prpcls: Nbhd Cd: Sewer: Water: Utilities:
kddlAddr: Seasonal Fi 123 private Private Electric
34eot 78 Farteigh Ave
:10 Box:
:ity Rochester,NY Zjv. 14606-
Taxable Value Miscellaneous Land Totat 1
County. 185,000 Book: 1127 Type: FR Depth. Acres: Scift:
Muni: 185,0W Page: 249 Watedroi 47.00 108-00 0
Schoot 185,000 Modg
Bank:
Schl,after star 185000 Acct No:
;A6, Totat 1 Building Total: 0
300k page Sale Date Sate Price Owner
249 00105/99 80.000 Vanputte,Edwai
Improvement f otal: 4
txemption Totat, 0 Term Own
Amount Year Pct Type Name Dhl Dim2 SQFT Yt Wit
FC1 Shed-machi 5-00 9.00 .001928
RC1 Carport I0.00 17.00 .001928
RP4 Porch-encl: 5.00 1100 .001928
P4 Parch-enct- 0
0 121.001928
too,ciall District Total; 3 Value
code Units Pot Type Move Tax
E14001 Emergency m -00 -00 -00
FP007 Firs protection .00 .00 .00
LB001 Crandall fibrar .00 .00 .00
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The Town of Queensbury does not warrant the correctness or accuracy of this data or assume any
responsibility for any explicit or implied uses.
-. ..w Town of Queensbury
} 742 Bay Road
Queensbury, NY. 12804-5902
http://gby2svr/GIS/printdis.asp 9/16/2009