2008-198 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
r
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20080198 Date Issued: Wednesday, April 01, 2009
This is to certify that work requested to be done as shown by Permit Number P20080198
has been completed.
Tax Map Number. 523400-289-013-0001-055-000-0000
Location: 69 BIRCH Rd
Owner. CRESCENT PLACE, LLC
Applicant: CRESCENT PLACE, LLC
This structure may be occupie+kWIS FREDETTE
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080198 Application Number: A20080198
Tax Map No: 523400-289-013-0001-055-000-0000
Permission is hereby granted to: DENNIS FREDETTE
CRESCENT PLACE, LLC
For property located at: 69 BIRCH 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: CRESCENT PLACE, LLC
9672 SOUTH 700 EAST Suite 100 Demolition
SANDY, UT 84070-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2008-198
DEMOLITION OF EXISTING DOCK
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 21, 2009
(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; Wednesday, May 21, 2008
SIGNED BY X for the Town of Queensbury.
Dire uildin & o
r o orcement
. .. ,
i �if /._..S�OFFICE USE ONL i
+ TAX MAP N0. PERMIT NO. �J FEE P� y 200 +
Permission is hereby granted to the above named Applicant to demolish the building(s) ,
described herein as set forth in the Application below. !
I CF i ENSBPRY
2!B!U
ILDING & C0D
Director of Building&Codes Date ,
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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.
APPLICANT/BUILDER: NOWNER: De- h h
ADDRESS: ADDRESS: r 3 z s. 3k E -S�a k`/ uT
t-c �fyCi`�U
PHONE NOS. PHO
PERSON RESPONSIBLE FOR W R4�: U�kkho-w� / /f PHONE:
LOCATION OF DEMOLITION: ''
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? \k �''I fi"4e— Z 4P
ASBESTOS INFORMATION: r /�
✓ 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
t / STORAGE BLDG. OTHERJ_ t\
✓ Size of structure: _X _
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB O�
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED ��-
✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED
UTILITIES INFORMATION: Y /
✓ Indicate utilities for this structure: ELECTRIC PROPANE
PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER
W14
Have you notified the Town Water Dept. for public water
and
ublic sewer disconnect? YES_NO_
Have all utilities been disconnected: YES NO f " r,
QUESTIONS? CALL 761.8256 OR EMAIL
codesogueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensbumnet
SIGNATURE OF APPLICANT
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbur'y, NY 12804
Queensbury Building & Code Enforcement - Residential al ection
Office No. (518)761-8256 Arrive: a { : . :� a
Date Inspection request received: Inspector's Initials:
NAME: P T#:
LOCATION: D E:
TYPE OF STR C U E:
1-k- Comments:
Yes No NIA �� ` r
4" BuildingNumber Address visible from road !" f
Chimney,Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbin 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 deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railin s 34 inches to 38 inches
Deck Bracing/Handicappd Ram Cam tiant
Grade away from foundation 6 inches with 10 feet
6 inch dearance to sill plate
Gas Valve shut-off exposed/rq9ulator 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: Bette badku
Attic access 30 inches x 22 inches x 30 inches(height)in accessible 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 ress below grade
Gas Furnace shut-off within 30 feet or within Pane 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 Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/:"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door loser ✓
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure y1 «
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer De t. Ins ction sticker
Site Plan /Variance required
Flood Plain Certification,if re uired
Oka to issue C I C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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AREA VARIANCE No. 11-2007
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SITE DEVELOPMENT A 0 SCALE: 1"�10' ALTERATION OF THiS DOCUMENT EXCEPT' BY A upriisE.D PROFESSIONAL,
ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. _
TOTAL LOT AREA 18,904 SF 1 '
E c� 9 « i
�?�L�� PROPOSED CI-IANG�t� � � . , .,.- .�: ..• .... _
EQViQ S AREA; �+AP US,AREA i IMPERIPIOUS
STORMWATER DESIGN'CRITERIA _
1 . MAY 0 6 Z008 i
3085 SF (NEW HOUSE i
HOUSE 2292 SF �' 793 SF!
do GARAGE) 15.600± SF TOWN OF QUEENSBUR'Y
TOTAL DISTURBED AREA
C BUILI?l6VO CODES
ROAU 1725 SF 1426 SF ( 99 SF)
•_ TOTAL IN IN IMPERVIOUS AREA '
565 SF
2 �Z�j'� 1 REVISED FOOTPMNr. ISSUED FOR BUILDING PERMtr 5/3/07
DRIVEWAY 768 SF s �" S_ � �� 3 0 ISSUED 1'0 QBY ZBA 1/16/07 i
"-..-.- QUEENSBUIRY SIZING CRITERIA •- 147®9(A)' 1.5 GPD/SF f
- o. Revisions : Date
SHEDS 833 SF 0 (833 SF) � �- °�-� PLAN
RETENTI ON.VOLUME REQUIRED 848 GALS 10 CF /e/7� PROPOSED SITE Pi AN
PATIO & WALKWAY 0 ,v 5�47 fSF '547 SF /
n , 122 CF IPar�d tor. I
RETAINING MAIL ® - , 68 SF 68 SrT 3'x3'x34' STONE LINED TRENCH
Cr�seni: Place, LLC
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3'x3'x15' STONE LINED TRENCH 5�4 CF � S ,e®�® _ _ , 69 I3lrch Road, ten Lake,,'
1'07AI IMPERVIOUS 5618 SF 6183 5F 565 SF'* 7
MAP REFERENCE Town or C111e!ewbury,Wtlrleet colmty.�IevuAYurk'
FOR COMPLEX SURVEY-INFORMATION, :SCE 'Ia'0LINDARY Drawn:LWU Checked: GTH ` Scolei 1"=10'• note. 0/7
To rAI. PERViOU a 13,286 SF 12,721 SF (Sus SF) 3 x3 x35 STONE LINED TRENCH 125
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