2006-438 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060438 Application Number. A20060438
Tax Map No: 523400-279-015-0001-004-000-0000
Permission is hereby granted to: KEITH HARRIS
For property located at: 19 MUD POND 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: KEITH HARRIS Demolition
1671 BAY Rd Total value
LAKE GEORGE,NY 12845-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2006-43 8
DEMOLITION OF SINGLE FAMILY RESIDENCE
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 10, 2007
(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 f Que bu M a J 10, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
i
TOWN OF QUE E--4' NSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development- Building &Codes (518) 761-8256 j
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CERTIFICATE OF COMPLIANCE
Permit Number. P20060438 Date Issued: Wednesday, January 10, 2007
This is to certify that work requested to be done as shown by Permit Number P20060438
has been completed.
Tax Map Number. 523400-279-015-0001-004-000-0000
Location: 19 MUD POND Rd
Owner. KEITH HARRIS
Applicant: KEITH HARRIS
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
property owner of the responsibility for compliance with Site Plan,
P tY
Variance, or other issues and conditions as a result of approvals by the Director of Building&Co nfo ment
Planning Board or Zoning Board of Appeals.
..... ._.. / l OFFICE USE ONI , /� I„ 7j!''y . ., ._ . _ _ ._....%
TAX MAP NO. PERM11 NO._`fv//ten _ =E E PF,� .,�Isr/ i y, le�E "
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Permission is hereby granted to the above named Applicant to demolisn the building(s) ;
described herein as set forth in the Application below. JUN 2 2 Z006 "
"
dSBURY
' Director of Building &Codes _ Cate r. ,
--- ---------------.-----------..__.. .......... ------------
APPLICATION
.h ATI N FOR DEMOLITION PERMIT: a �• 5 ��
E
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. jj ii
APPLICANT/BUILDER: Sovnc, � t7�� _.�. OWNER: e+`�'�1 L- `iAcLt- iS
ADDRESS: ADDRESS:
PHONE NOS. i PHONE. c>j f& � L1131r 0351
PERSON RESPONSIBLE FOR WORK: k e I� k L- ci rt-i _ PHA" ,3Ca 1 q 3 ! 1
LOCATION OF DEMOLITION: 19 ►V kd -� Port(
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? or� 1 Chu rll/� (.��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_
Aepkvl1 ( r STORAGE BLDG. OTHER
✓ Size of structure: X 0
✓ 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 t----
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_
Have all utilities been disconnected: YES__ NO_
QUESTIONS? CALL 761-8256 ODEMAIL
/�,���'` codesra�gueensburv.netVISIT OUR WEBSITE FOR MORE INF
www.aueensbury.net
SIGNATURE OF APPLICANT
��- Town of Queensbury - Community Development Office - 742 Pay Road, (>neensbury, NY 12804
Queensbury Building & Code Enforcement - Resid ntial Final Inspection
Office No. (518)761-8256 Arrive: t " e art:
Date Inspection request received: _ Inspector's itials: _ 2
NAME: 1 IT M
LOCATION: AMC) DATE: 1-10
TYPE OF STRUCTURE:
Comments
Yes No N/A DDYC
Building 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
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
Interior Handrails @ stairs 2 or more risers
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
Safe lazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batte backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/2"Gypsum �\
Basement stairs closed rise>4 inches `fit
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Ce on,jf re uired
Okay to issue /C r /O f Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc