2008-376 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE (3-AF COMPLIANCE
Permit Number. P20080376 Date Issued: Wednesday, January 28, 2009
This is to certify that work requested to be done as shown by Permit Number P20080376
has been completed.
Tax Map Number. 523400-226-012-0001-007-000-0000
Location: 303 CLEVERDALE Rd
Owner. DOUGLAS & SUSAN LIVINGSTON
Applicant: DOUGLAS & SUSAN LIVINGSTON
This structure may be occupied as a:
Demolition
By Oder of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ¢,/'
4 —
property owner of the responsibility for compliance with Site Plan, ®�
Variance, or other issues and conditions as a result of approvals y rovals b 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: P20080376 Application Number. A20080376
Tax Map No: 523400-226-012-0001-007-000-0000
Permission is hereby granted to: DOUGLAS & SUSAN LIVINGSTON
For property located at: 303 CLEVERDALE 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: DOUGLAS & SUSAN LIVINGSTO Demolition
5340 BALFOR Dr
VIRGINIA BEACH, VA 23464 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
JOE ROULIER
NY
Plans &Specifications
2008-376
DEMO OF RESIDENCE
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 14, 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 T o ee ry my 14, 2008
SIGNED BY �� for the Town of Queensbury.
Director of Building&Code Enforcement
�.....
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AP NO. OFFICE USE ONLY
. t,
PERMIT
Permission is hereby granted to the above named Applicant to demolish the building
described herein as set forth in the App( elo ' ; ? i I! j
r ,
r.
Director of Building ate i
-----------------------------------
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:_ � !`�.•.�„ OWNER: i ...�. �a�,✓
ADDRESS: ADDRESS: A�/e.t �.,��a/L� A-V-
!
PHONE NOSe,-1r4— s'YYT G A-^��1 PHONE: G.�"G — 9��•t3
PERSON RESPONSIBLE FOR WORK PHONE:
LOCATION OF DEMOLITION: .20347
�l••e���,� A�� �l„����� N.y
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building to be demolished? YES NO X _
✓ 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_
STORAGE BLDG. OTHER
✓ Size of structure:^!614'f X Jy-1
✓ Number of stories: Ql
✓ Foundation type: FULL CELLAR CRAWL SPACE X SLAB
✓ Foundation: WILL BE REPLACED V 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
Have all utilities been disconnected: YES NO^
CQUESTIONS? CALL 761-82EINFODRMATION
codesO) ueensbur
UR WEBSITE FOR MORwww.aueensbury
SIGNATUR F APPLICANT
Town of Queensbury- Conimunity Development Office - 742 Pay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential Fin I Inspection
Office No. (518) 761-8256 Arrive: �--/,,IS—a / .�am/pm
Date Inspection request received: Inspector's Initials:
NAME: I V J 1Cf E IT#: 1
LOCATION: TElie YE
: —
TYPE qF STRU RE:
J F Comments•
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4 BuildingNumber Address visi Yes N NIA -7/ble from road -I\� `I/ (..-
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 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 exposed/r ulator 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: 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 sq.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 line of site _
Oil Furnace shut-off at entrance to furnace area L�
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'h"Gypsum Y V
Basement stairs closed rise>4 inches Y �j
Garage Floor Pitched Q
Garage fireproofing/%hour fire door/door closer rl �
Dud work Sealed properly
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 Dept. Inspection Sticker Ir
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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