2003-200 TOWN OF QUEENSBURY
742 Ba Road ueensbu NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20030200 Date Issued: Thursday, December 07, 2006
This is to certify that work requested to be done as shown by Permit Number P20030200
has been completed.
Tax Map Number: 523400-289-018-0001-001-000-0000
Location: 169 MANNIS Rd
Owner: MARY K O'KEEFFE
Applicant: MARY K O'KEEFFE
This structure may be occupied as a:
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
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Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030200 Application Number: A20030200
Tax Map No: 523400-289-018-0001-001-000-0000
Permission is hereby granted to: MARY K O'KEEFFE
For property located at: 169 MANNIS 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: MARY K O'KEEFFE
Demolition
49 HORICON Ave Total
Value
GLENS FALLS,NY 12801
Contractor or Builder's Name /Address Electrical Inspection Agency
R.J. TAYI,OR BUILDERS. INC.
1422 SARATOGA RD
BALLSTON SPA. NY 12020-0000
Plans &Specifications
2003-200
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 28,2004
(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 th o of Qu s ; y 0 i s y,April 28,2003
1 I
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No O O 3^"ZOO
Instructions for completing the application Date: { 3
Fee Paid: ,„a1). C>p
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing:
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current fee schedule.
Owner of property:: a'P1. 5 M P'ry k >%Q Property Location: l .C,ta►"� C ►'1'(�Q
28g f8
Mailing Address: 4q }�o r i CD AUV, Tax Map No. section , Block / Lot I
Person responsible for work: .,3",TA N ZO(Z - Telephone No.
Mailing Address: acre&A '
-raid Sp A, IJy . I2a2-1)
Where will demolition material be disposed of? 'DOMQ
Is there any asbestos within building to be demolished? Yes 11 / No
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
* A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.
The following building(s) located on property described above are to be removed:
Previous use of building (circle one)6Tesiden—ceD garage storage business other
Have all utilities been disconnected? gas , electric , propane , water .. L L ils 13
Size of building(s): �l iO/ `orl '
1. (ec ft. by 30 ft. Location on property 19..7r'rk tr-e-rj{- Cor,a-e/- idMurrj VY\t6f
2. ft. by ft. Location on property 3. Number of stories: 2 � � OAC C
4. Foundation type(circle one):(EliCella crawl space) slab t
Foundation will REMAIN BE REMOVED ✓� V(t� A( . enno Gd1uo
5. Another structure WILL t/ WILL NOT , replace this building.
NOTES: n c Coyly d"/
Signature of Applicant: ' 1 Z-t.ti /"' c (AC/4'‘,
owner. ner's agent,- rchitect contractor J nIL
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive:/Z-' am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: JX11 /
�7 1
NAME: V PERMIT#:
LOCATION: k)7 el l� 5 DATE: _
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
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
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
Interior Handrails @ stairs 2 or more risers
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 stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
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 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency 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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required �
Flood Plain Certification,if required I Okay to issue C/C or C/0[Temporary/Permanent] Co(A„,ip &I
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc