2005-657 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050657 Application Number: A20050657
'fax Map No: 523400-239-007-0001-034-000-0000
Permission is hereby granted to: STEVF,N C'ARDONA
For property located at: 175 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: LOIS GARRAND
Demolition
58 WEBSTER MANOR Dr APT. 8
Total Value
WEBSTER, NY 14580-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-657 DEMOLTION OF BOATHOUSE STEVEN CARDONA
$20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 24, 2006
(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 Town of Queensbury; Wednesday,August 24, 2005
SIGNED BY for the Town of Queensbury.
e for of But din o nforcement
Permit NQ.05"�
Application for Demolition Permit Fee Paid
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Notes:
Instructions/Requirements for apermit:
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.
A t tUrrt .P.. rsan I "sra(Z-W&AA
rol�arne �
A tdR �'15 AS5Gm�J rT �Z�
I ooe S/Yj :36✓�'7U)3
fax 5� 3.16 778
Phone`:.
2. Location of demolition: J 1q5%&►f3trJ P+ TD, 3. Tax Map No. 2 31 1 -1 -34
4. Where will demolition material be disposed of? j4 l a,v D izc'�k Ol~ir C"M
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? ❑ Yeso`
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:
[]Residence; ❑garage; ❑storage building; [:]business; [other �p -r 4�OL"Sc
b. Size of structure: 1 5 ft.by 27 ' ft.
C. Number of stories 1
d. Foundation type: ❑full cellar; ❑crawl space; ❑slab 9'/CX%13
e. Foundation: [,]'will be removed; ❑will not be removed
f. Structure(s): [✓]will be replaced; ❑will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas electric ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes ❑No
Have all utilities been disconnected? ❑Yes ❑No
Signature of Applicant: Date:
tS- (UGc2
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 ( Arrive: am/pm Depart: o I/pm
Date Inspection request received: Inspector's Initials:
NAME: v - l G��)-t. PERMIT#: 5
LOCATION: DATE: Com
TYPE OF STRUCTURE: .�
ments
Y N N/A
y Chimne Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Co lete/Exterior Finish Com fete ��-
Guard 30 in.or more @ stairs,decks2-PAtios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Co ete GT-1.�< .
Interior/Exterior Raitidgs 34 in.to 38 in.
Platform at all exterior koors
Interior Handrails stairs or more risers
Enclosed Stairs Sheetroc Underside minimum %Z"
Gypsum
Grade away from foundatio 6 in.with 10 ft.
Handrail Termination at Ne ll Post or Wall
6 inch clearance to sill plate K
Gas Valve shut-off ex osed/r ulator 18' bove rade C)Gas Furnace shut-off within 30 k or witt6n line of site
Oil Furnace shut-off at entrance tkfur4be area — 'Dovto
Furnace/Hot Water Heater operatik
Low water shut-off boiler
Relief Valves installed/Heat TrdpWater Temp 110
Interior privacy/trim/doors/rptain a trance 36 in.
Bathroom/Kitchen waterti h
Safety glazing/Window in stairwells sAfety glazing
Interior Smoke Detectors:
Every level: very Bedroom:
Outside every bedroom rea:
Inter Connected: / Battery backu
Carbon Monoxide De Actor ,
Bathroom Fans,if n window
Plumbing fixtures
Foundation insul4fion
Floor truss,drafYstopping finished basement 1,0 0 sf
Emergency a ss below grade
Basement s ' s closed rise>4 inches
Garage Floqf Pitched
Garage fir roofing/%hour fire door/door closer
Duct wo Sealed properly
Gas Lois 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, I s . ft.-150 s . 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/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Farms\Res, Final Insp. form 2.docLast printed 2/12/04
175 A:Z6-0'd1-,y
..........
...........
WOC4-..
ZoArgousE Asvie
1?6M4VFL IE-*Sts'Tlt44 -CR%e, SOCK
7-1
lit
ZSur
fi;x W t
:t
14
4F
w
'4.
t
IIII -
� f
f4 .
a�:
Nec.� Yo �'' State Department of REGISTRATION OF EXISTING 7HARF G
En�F olmental Conservation ; Registration Number
Warrensburg, New York 12885
This registration form is to be used only for wharfs in existence on Lake George prior to
the eff ective date of the Lake George Recreation Zone Regulation (6 NYCRR Part 646) .
I. Name of Applicant: -t- L__C: \,, l lC1`tP,CLuPv
2. Applicant is a/an: /, / Individual / / Corporation / / Association / /Municipality
3' T _ -- T eiephbne Number:
dame: L o L 1V�-
Address: L111� r,' 0 pi)c34 Home: S��I
Post Office LN�� �.Lc,`L`� t�, v
Business: G
�x tom,
�4. Project Location: P, et-16L- U r 4 _
�' Include a location sketch of site, a sketch
City or Village �i3\L\: C: c l - of wharf or. site and a photograph of existing
structure.. (Include dimensions and distances
Town L��t�ti ��� County �ifA( ,Q to adjoining properties.)
5. Was a DEC Protection of Waters permit (Article 15, Title 5) required? I / Yes LN No
If yes, what was permit number: (If yes,information listed in
#4 is not required)
6. Date wharf was constructed or first installed jcpso
7. Has an O.G.S. Grant of Easement been issued? L717 Yes /77 No
If yes, what is O.G.S. Easement Number? -
8. Is wharf removed from the. water annually? /7 Yes 5/ No
9. Certification:
I hereby affirm that the information provided on this form and all
attachments submitted herewith is true to the best of my knowledge and belief.
As a condition to the issuance of a permit, the applicant accepts
full legal responsibility for all damage, direct or indirect, of whatever nature, and
by whomever suffered, arising out of the project described herein and agrees to indemnify
and save harmless the State from suits, actions, damages and costs of every name and
description resulting from the said project.
_r
Date Signature
For Department Use Only
CERTIFICATE OF REGISTRATION
i
The wharf described 'herein meets the requirements of qualifying as a pre-existing
structure and no permit is required to re-install or maintain the existing structure.
A registration marker provided with this certification shall be attached to the wharf
in a conspicuous location easily visible from the lake and permanently maintained. A
new permit is required for any work that alters the size, shape or location of the
wharf.
Regional Permit Administrator ' Date