2008-513 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (3NIF COMPLIANCE
Permit Number. P20080513 Date Issued: Thursday, January 22, 2009
This is to certify that work requested to be done as shown by Permit Number P20080513
has been completed.
Tax Map Number. 523400-308-005-0001-044-000-0000
Location: 45 LAUREL Ln
Owner. PHILIP & PATRICIA POTTER
Applicant: PHILIP & PATRICIA POTTER
This structure maybe occupied as a:
Demolition
By Order of Town Boat
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&V6 PeA&=-ement
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: P20080513 Application Number. A20080513
Tax Map No: 523400-308-005-0001-044-000-0000
Permission is hereby granted to: PHILIP & PATRICIA POTTER
For property located at: 45 LAUREL Ln
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: PHILIP &PATRICIA POTTER
45 LAUREL Ln Demolition
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
DJ BUILDING & CONSULTING
PO BOX 2246
MALTA, NY
Plans &Specifications
2008-513
DEMOLITION OF STORAGE BUILDING
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 30, 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 Quee bu q sda , September 30, 2008
SIGNED BY for the Town of Queens
bury
ury.
Director of Building&Code Enforcement
�................ .. ....... .. .. ...........
OFFICE USE ONLY
o TAX MAP NO. RMIT NO. FEE PAID i
Permission is h eby ran d o the ab ve med Applicant to demolish the building(s) ;
described he In as t f n the A li elow. 001
. ,
Dir r ulld g&Codes, D to ! ;
.j.
t
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: 490 LL
ADDRESS: 2 2 G Kfl'L4-_-aAj ADDRESS:� S- a-u a��� L k
PHONE NOS. PHONE: 2 7- 2
� ---
PERSON RESPONSIBLE FOR WORK: f (f. !�'J:ff (rC> PHONE:
LOCATION OF DEMOLITION: L- L _ a
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? A' LZ t Z l.t? i -s I-"
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_
STORAGE BLDG2C_ OTHER
✓ Size of structure: 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 pubic water and public sewer disconnect? YES_NO!
Have all utilities been disconnected: YES NO
QUESTIONS? CALL 761.8256 OR EMAIL
codes0gueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
wwwmueensburv.net
SIGNATURE OF PPLICA
Town of Queenshury- Community Development Office - 742 Bay Road, Queensburhy, NY 12804
Queensbury Building & Code Enforcement - ResidentiWmt
FM' aleckion
Office No. (518)761-8256 Arrive: T�am am/pmDate Inspection request received: Inspector's Initials:
NAME: PE M #: J
LOCATION: D
TYPE SJR it TRUCTURE-
iF' r) ,�- Comments:
Y No N/A �� �/�r
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbina Vent throunh roof minimum 6 inches
Roof Co late/Exterior Finish Complete J
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks tios 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 Brawn /Handicapped Ramp Compliant
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
Safeglazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batterybacku :
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sg.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 tine 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 �y
Gara a Floor Pitched v
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs 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
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008; Revised 6/2608
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Parcel Street Street ❑Current Property Owner- Owner Current Land 7Current Total SBL ID Number Name Acres Class (1) (2) Assessment Assessment Old SBL
30800500010440000000 3 b 45 Laurel Ln 0.94 21Q P ttler 34800 147400 53.7 l
http://gby2svr/GIS/main.asp?App=GEN 9/24/2008