2004-638 l TOWN OF QUEENSBURY
'� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
WO
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040638 Application Number: A20040638
Tax Map No: 523400-289-017-0001-013-000-0000
Permission is hereby granted to: RONALD & TANF,LINSAI,ATO
For property located at: 80 ASH Dr
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: RONALD & JANE LINSALATO
Demolition
47 GREENPORT Ave
Total Value
MEDFORD, NY 11763-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2004-638
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 19, 2005
(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 t To d
sty; 41 i ay,August 19, 2004
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No(0.3 S
Application for Demolition Permit Fee PaidQa____
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Notes:
Instructions/Requirements for a permit:
Fill in all 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.
1.
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RECEIVED
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TOWN OF QUEENSBURY
BUILDINGUG AND CrODE04
2. Location of demolition: 80 1' h ICY 3. Tax Map No.ogq. ` 7 1 - l 3
LX C-eorS e fry i?&(S"
4. Where will demolition material be disposed of?
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? (l Yes
If YES, our office needs the following information:
b. Name of firm removing asbestos:
c. License number of firm:
d. Indicate location where asbestos material will be disposed
6. Structure Information
a. Indi to which structure(s)will be demolished:
keesidence; _garage; ❑storage building; ❑business; [1]other
b. Size of structure: _y 7 ft.by ft.
c. Number of stories
d. Foundation type: ull cellar; Scrawl space; nslab
e. Foundation: ill be removed; Swill not be removed
f. Structure(s): ill be replaced; swill not be replaced
7. Utilities Information
Indicate utilities for this structure:
as electric npropane onsite well-water pump
public water public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? EYes ❑No
Have all utilities been disconnected? ("Yes ❑No
Signature of Applicant: r / WI-F'.-a`� ,4 Date: ce `/ ,_ eY
/ Town of Queensbury Fire Marshal ! 'fl L - `
40l
742 Ba Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instruction ii d
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manuf, . , s
instructions or specifications is allowed.
Permit# 014- (93 8 Schedule Inspection 2I-0 5 Time \di' 0 G p ytime
Name )--.\N- ,\ AddressCO -- -\\ K _ Rough 'Final
_
Appliance Manufacturer , tJ Model#__.__L -- CAP -S --11-k--4 1c1
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
__ Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase_ r I U
Wall Penetration
Vent Clearances to Combustibles
" i
Vent/Chimney Termination /
Chimney height must be 3 feet above roof ✓
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air /
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
Widte—Building De — _ _ __ Yellow—Customer Pink—Fire Maraiud
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/ epart: am/pm
Date Inspection request received: 10 12 C Inspector's Initials:
NAME: PERMIT#: CC
LOCATION: 0 hi DATE: G _
TYPE OF STRUCTURE: Untn
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air IntakeTC510-0„.. ' , l
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more p,stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. 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 Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'A hour fire door/door closer
I Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent] \ b ))eiwo
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04