2004-772 TOWN OF QUIE E NSB URY
Fosi742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040772 Date Issued: Thursday, December 07, 2006
This is to certify that work requested to be done as shown by Permit Number P20040772
has been completed.
Tax Map Number: 523400-226-019-0002-026-000-0000
Location: 241 ASSEMBLY PT. Rd
Owner: KELLY FAMILY TRUST
Applicant: JOHN & HELEN JO KELLY III
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 bythe
pp 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
1FW
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040772 Application Number: A20040772
Tax Map No: 523400-226-019-0002-026-000-0000
Permission is hereby granted to: JOHN& HELEN JO KET,T,Y ITT
For property located at: 241 ASSEMBLY PT. 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: JOHN& HELEN JO KELLY III
on
9 FARM VIEW Rd Total
Value
Total Value
WAPPINGER FALLS, NY 12590
Contractor or Builder's Name /Address Electrical Inspection Agency
CRANDALL CHRISTOPHER
WOODCHUCK HILL ROAD
LAKE GEORGE_ NY
Plans&Specifications
2004-772
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 14, 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 the wn o uee ury, hi sd, , October 14, 2004
SIGNED BY lir \ for the Town of Queensbury.
Director of Building&Code Enforcement
Peintit NX6
Application for Demolition Permit Fee Pai0 P
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for a pci mit:
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.
1 Applicant Owner . _ Person R.espo. tsiblebfor W
f , _731,ek L-. 1\ma c // lI— On ��1{.I1n c KE/iV 4 Q'i clt! "'X C4VCit11td1�nZ
4 ZJ �r'tu�t� a.�, Lrs�k 12� 7.f 40,•,s-77 rh 6-e-4 Rif' ,( 3 c,eeici.uek /1i14'
T c' wq ..4t, i N X /257e Pe 1, u.u;c ) Ai/ /2s 47' � G'eer z /y /2 '.c
Pne„ 1, � O
ho
E ' aVs-- 7.2 -3 9 7/ 21 - 72 4i, -3'7/ s iI - 713 -a"-/3/
P � h 'v3'- 7 V - 32F7 Hs-- 72v _ 32- F7 Cs-4 t)
2 to A.fs.„. b/y 1P.71. -R4r
2. Location of demolition: Q,,,,.-t n s•b�Ty) Al Y 3. Tax Map No. 226. t`l'" 2 — 24
4. Where will demolition material be disposed of? /1/,r 6L.,, 4^y / Pro
5. Asbestos Information �� /4 r � ivy'
A copy of Asbestos Removal Report must be filed with our office before demolition begins
01) I,a�,.
;l. fA
a. Is there any asbestos within the building to be demolished? ri Yes ��o
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. Indicate which structure(s)will be demolished:
kesidence; (lgarage; [istorage building; ❑business; pother
b. Size of structure: .90 ft.by 3 e) ft.
c. Number of stories /
d. Foundation type: ❑full cellar; rawl space; ❑slab No Nc
e. Foundation: Swill be removed; Swill not be removed
f. Structure(s): Swill be replaced; Swill not be replaced
7. Utilities Information
Indicate utilities for this structure:
f lgas electric (propane flonsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes ENo NM
Have all utilities been disconnected? , Yes ENo
-�_ / �70friSignature of Applicant: Date: _____
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm art: am/pm
Date Inspection request received: Inspector's Initials:
NAME: \� IL/ � PERMIT#:
LOCATION: ?'C y / C'/.U,'t DATE:
TYPE OF STRUCTZ:
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 V2"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 / --"�,_
Okay to issue C/C or C/O [Temporary/Permanent] C f
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: // e G
Queensbury Building&Code Enforcement Arrive: amip Depart: pm
742 Bay Rd., Queenbbury, NY 128 Inspector's Initials:
CL2
NAME: — ,aeatt PERMIT#: "
LOCATION: Levu i �1 _ " SPECT ON: _I/ ems' �__
TYPE OF STRUC U b
mO u7>
Comments
— — — Y N N/A
Footings -------------------------- —
Piers
Monolithic Slab
Reinforcement in Place I
P
The contractor is responsible for owcw C Vl
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing D I4 To be k O
Foundation/Waterproofing
Type of Dampproofing/Waterproofing ______
Footing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Sueferningway\Building.Codes.Inspection.FORMSWoundation Inspection Report.doc January 28,2003
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;.csas „ Map
of lands surveyed for
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4-4r✓1 c.� c- r-C `40 John E. Kelly III
deprf0if- w n r. 85
'� : ` Helen-Jo R. Kelly
't- feoct (VI S i-Mc ?poi t''D Fas. �°BB Town of Queensbury*Warren County*New York
f ' k'i'k,•I• Scale: 1"=20' September 3, 2002
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' ttSfY(LJ S /Y Z Is16, 1'y6u1" —7(4 1_ t'7'LZlo -'fo I ,t 1� tC*IQ trSecck,:1 Survey and Mao by
Wayne R. Raymond
Licensed Land Surveyor
P f to i 1,-
C Fro It 67:'1 Glens Falls&Wevertown,N.Y.
F-31.WI