2008-581 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE (.3"dUE7 COMPLI-ANCE
Pernut Number. P20080581 Date Issued: Thursday, November 06, 2008
This is to certify that work requested to be done as shown by Permit Number P20080581
has been completed.
Tax Map Number. 523400-290-010-0001-03 1-000-0000
Location: 980 RIDGE Rd
Owner. TABASSUM SHEIK
Applicant: TABASSUM SHEIK
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
property owner of the responsibility for compliance with Site Plan, )aWP/V
zk7
Variance, or other issues and conditions as a result of approvals by the Director of Building& de E rcement
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: P20080581 Application Number. A20080581
Tax Map No: 523400-290-010-0001-03 1-000-0000
Pernussion is hereby granted to: TABASSUM SHEIK
For property located at: 980 RIDGE 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: TABASSUM SHEIK
980 RIDGE Rd Demolition
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
DAVID JACOBSON
219 HOG TOWN Rd
FORT ANN,NY
Plans &Specifications
2008-581
demolition of garage &breezeway
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, November 05, 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 jv
ay, November 05, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
V `IOFFIC USE ONLY . .................... ..,.. ......................
r TAX MAP N0. PERMIT N0. �✓ FEE PAID r
r r ,
Permission is hereby granted to the above named Applicant to demolish the building(s) ;
described herein as set forth in the Application below. r r
, r
Director of Building&Codes Date
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. /
APPLICANTIBUILDER: ITS• ti� �4c��k�5c�, OWNER: GbctSSLi�I sLl 'C /1CA
ADDRESS: 2 i ci H°9 Tt Us-, A TH A,,, ADDRESS: /50 d cl C o 419
PHONE NOS. YS S Z. 57 "%y 2 PHONE:
PERSON RESPONSIBLE FOR WORK:-DLI,,[) 7.5h(a6
n3,c, PHONE: �SSZ-
LOCATION OF DEMOLITION: 9 X-C) 9,cf C
WHERE WILL DEMOLITION MATERIAL BE CISPOSED? ni FZ 1 i r1 ACC Carzrti �F
ASBESTOS INFORMATION:
✓ Is there any asbestos within the l;uilding to be demolished? YES NO
✓ if YES, our office needs the following information:
o Name of firm removing tl;a 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 ✓ ?,rcQZ1- W
✓ Size of structure: '2C X_
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB
✓ Foundation: WILL BE REPLACED ✓ WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED_Z"'WILL NOT BE REPLACED S 73
P 2cL8 �
UTILITIES INFORMATION:
✓ Indicate utilities for this structL,e: GAS ELECTRIC ✓ PROPANE
PUBLIC WATER ONSITE WELL-WATER PUMP y� PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES,NO
Have all utilities been disconnected: YES V NO -'""�"--^i`
CQUESTIONS 7 CALL 761.8256 OR EMAIL
codesCu gueensburv.net
UR WEBSITE FOR MORE INFORMATION
www clueensburv.net
SIGNAT RE OF APPLICANT
Town of Queensburi • Community Deuelof,meltt Office • 742 ,P)ay Road, Queensbury, NY 12804
Queensbury Building & Code Enforcement - Residential I In ection
Office No. (518) 761-8256 Arrive: (a m
Date Inspection request received: �v �� G Inspectors Initials:
NAME: S�r . _ P RMIT#:
LOCATION: ATE:
TYPE OF STRUCTURE:
Comments-
____ _ Yes No _N/A �
4° Building Number Address visible from road
Chimney Height/"B"VenVDirect Vent Location
Fresh Air Intake j CGS.re C_-'(
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _ S:,bre5 w J
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/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight__
Safety glazing/Window in stairvells 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.
EmeEgency 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'/s'Gypsum
Basement stairs closed rise>4 inches
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
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/Offyrap6fa
L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08 J
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TOWN OF QUEENSBUR py
BUILDING & C PT. n
Reviewed By: G
Date:
http://qby2svr/GIS/RPSI/TO00044/523400290010000103100000000001.JPG 10/30/2008