2004-771 Asa` TOWN OF QUE EN SB URY
742 Ba Road eensbu NY 12804-5902 518 761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040771 Date Issued: Thursday, December 07, 2006
This is to certify that work requested to be done as shown by Permit Number P20040771
has been completed.
Tax Map Number: 523400-226-019-0002-027-000-0000
Location: 245 ASSEMBLY PT. Rd
Owner: JOHN & HELEN-JO KELLY TRUSTEES III
Applicant: JOHN & HELEN-JO KELLY TRUSTEES 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 (-3J
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
F.F0
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040771 Application Number: A20040771
Tax Map No: 523400-226-019-0002-027-000-0000
Permission is hereby granted to: JOHN& HET,EN-.TO KET,T,Y TRIJSTEES TIT
For property located at: 245 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 TRUST
on
75 MOUNTAIN CREEK Rd Total
Value
POUGHQUAG, NY 12570-4811 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
CRANDALL CHRISTOPHER
WOODCHTJCK HILL ROAD
LAKE GEORGE_ NY
Plans&Specifications
2004-771
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 13, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the TownforWansbliil A w p f�i a October 13, 2004
SIGNED BY �,�/ v�+f for the Town of Queensbury.
Director of Building&Code Enforcement
Permit NoOq- !7
Application for Demolition Permit Fee Paid .O6
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for a permit:
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities.
1.
AfifiltOnt !_.. P��lesp iu ibie fo 8v4it
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2. Location of demolition: 6/we-ek.s b ey / /try 3. Tax Map No. 2 2 6 �19 - .2 - 27
4. Where will demolition material be disposed of? ger 4-4 C k.7„ r y e p-0 c-ess,l_
e4 I "$t iqrpi �y
S. Asbestos Information
l F�
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? ri Yes No
If YES, our office needs the following information: ;
b. Name of firm removing asbestos: ;, 4 ; ��n
c. License number of firm:
d. Indicate location where asbestos material will be disposedTOWN
f'si
6. Structure Information
a. Indicate which structure(s)will be demolished:
pKIResidence; f lgarage; ❑storage building; Ebusiness; [other
b. Size of structure: 3 o _ft.by 3 d ft.
c. Number of stories /
d. Foundation type: ❑full cellar; ❑crawl space; flslab Nonce
e. Foundation: Ewill be removed; Elwin not be removed
f. Structure(s): Ewill be replaced; ❑will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas f C electric f 1propane f onsite well-water pump
❑public water public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? f lYes ❑No jJ/q
Have all utilities been disconnected?yfres nNo
Signature of Applicant: i Date: 9/,z6/ _
Queensbury Building & Code Enforcement - Residential Final Inspection
rrl
Office No. (518)761-8256 Arrive:/V' - m/pm ie1 rt: am/pm
Date Inspection request received: Inspect is Ini 'als:
NAME: t l/ PERMIT#: —7 !
LOCATION: 1�.> /13 lInt b)y P7L DATE:
TYPE OF STRUCTURE:
leirA.C") 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 /
CD
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Rough Plumbing / Insulation Inspection Report '
Office No. (518) 761-8256 Date Inspection request r ceived:
Queensbury Building& Code Enforcement Arrive: am/p iztart: ✓ iv-am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: Lc R f PERMIT #: o3-7 [
LOCATION: ?Dr rf , INSPECT ON: /<
TYPE OF STRUCTURE:
Y N N/A _
PVC: R-1,R-2,R-3,R-4 Drain/Vents
C t Iron,Copper Drain/Vent/Comm.
lumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 'A inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/ Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
co J Ot.:..--' L.--
Rough Plumbing / Insulation Inspection Report 'o ) Z
Office No. (518) 761-8256 Date Inspection request received: Z).- 0
Queensbury Building&Code Enforcement Arrive:742 Bay Road, Queensbury,NY 12804 Inspector's Initials:am/p part: t7A/510
NAME: U i PERMIT #: 2,00 :7
LOCATION: j 3) ' IC Je i,c i , INSPECT ON: a L(
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2, R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates V ��L ,�1/tl it
1 1% inch min.Drain Size
shing Machine Drain 2 inch min. / M L O ul
d or Air Supply Test L&i/C�rG_
Drain and Vents
ea
rst
75 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape ,
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
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..
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/p Depart: Z. 1 pm /
,)
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: " 03-7�
NAME: d-- (1'J i P _ PERMIT NO.:
LOCATION: •3\` �: v,(-).t,„ INSPECT ON: /p-- i-OL(
RECHECK:
Comments and/or diagram
Soil T e: and/Loa I
Type of Water: Municipal/Well Wat Waterline separation distance /Dv R-ii2-1-
-f-ft. )A
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length Z5U ft.
Length of each trench ----Oft. .----CDepth of trenches Z— -7j ft. Cd �"r& 1 I — ��
Size of Stone 2--- )�
Seepage Pits: Number J D2 Se—
Size: x
•
Stone Size:
Pi in Si Type POSE I �0/< A—Ff�5
Building to tank d� f`' c b
Tank to Distributio Box r,' .jc,› 2.4)
Distribution Box t eld/Pit ti L>("o5 -- PRE. CeiJ/>5
eii
Opening Sealed: N/Partial CAIR5
Location/Separations
Foundation to tank ZFt.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N— — �jb.& ,S— ?S Pz.„4/il
v► 4
Locatio . '\. stem on Property:
Front Rear Left Side Right Side
'•dle Front Middle Rear
System Use Status:
pproved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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t fI- Fc4 c +n i2C. twSfwitied rask-Di John E. Kelly III
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drv410(t.h0'f' .,rcf' s 1( 4 IIcw,cf (,1 ;in p/0cc v h}� 1*< < c� Helen-Jo R. Kelly
citt ,L.cf✓rtit,' atufS Oft. -if::f h1 '12tci,'
�� twee , Town of Queensbury Warren County New York
;,I.' Scale: 1" =20' September 3,2002
?�‘ c4t,UU i3(j/cc Foi414 7 6 i- $2.2C •g.v ,�+ ,'''-4)` '"
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t IA p'ec hg,i of ,,, 1 -Cvl(( e(ID( 1-e% efen1C 07 0-'1 • Survey and Map by
Wayne R.Raymond
Licensed Land Surveyor
Glens Falls&Wevertown,N.Y.
F.31,011