2005-698 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLI-ONCE
Permit Number. P20050698 Date Issued: Tuesday, October 23, 2007
This is to certify that work requested to be done as shown by Permit Number P20050698
has been completed.
Tax Map Number. 523400-239-007-0001-008-000-0000
Location: 35 KNOX Rd
Owner JOHN & CAROL COLLINS III
Applicant: JOHN & CAROL COLLINS III
This structure maybe 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
(Et 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050698 Application Number: A20050698
Tax Map No: 523400-239-007-0001-008-000-0000
Permission is hereby granted to: JOHN& CAROL COI,I,INS III
For property located at: 35 KNOX 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& CAROL COLLINS III
Demolition
35 KNOX Rd
Total Value
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-698
PARTIAL DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 09, 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 T ueen ry' r' ptember 09, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No�)X5-i r�
Application for Demolition Permit '
Fee Pai
Building&Codes Office—Tovm of Queensbury 742 Bay Road Queensbury,NY 12804
(518) 761-8256 Notes: _
Instructions/Requirements for apermit: /��f ,
Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing 1ot1i36 i les 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?t► tit = : ? eon des `oisible:
ze � �►e,.
�
�.l-o �.a,,L li� eev� w �, c- o� a"614 GJ
Mode M — � ----
2. Location of demolition: 3. Tax Alap No.
t 1
4. Where will demolition material be disposed of? D cJ c j ov Aviv,
5. Asbestos Information
A copy of Asbestos Removal Resort must be filed with our office before demolition begins.
a. Is there any asbestos within the building to be demolished? ❑ Yes 'VNo
If YES, our office needs the following information:
b. Name of firth removing asbestos:
C. License number of firm: Tn W N l"16 a i rz
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 o er 1/0- cold,
b. Size of structure: ft.by ft. ����--
C. Number of stories I
d. Foundation type: ❑full cellar; ❑crawl space; Egslab
e. Foundation: 9will be removed; ❑will not be removed
f. Structure(s): v Mwill be replaced; ❑will not be replaced L6�
7. Utilities Information
Indicate utilities for this structure:
❑gas Melectric ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes KNo
Have all utilities been disconnected? ❑Yes ZNo
Signature of Applicant: Date: 711-'l bv :�-2
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm epart: am/pm
Date Inspection request
'received: _ Inspector's Initials:J� g'
NAME: (gyp (~ P((E��RMIT
LOCATION: DATE:
TYPE OF STRUCTURE:
Com ents ,
��l ��
BuildingNumber/Address visible from road Yes No N/A t�/!
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 v'
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight i `,
Safe glazing/Window in stairwells safetyglazing \
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batterybackup:
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 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s . 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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 110
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/<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]
L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form revised 100405.doc
Deed Reference
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I hereby certify to John J. C 111115, III and Carol D. Collln5, \
Fidelity National Title Insurance Company of New York,
FIr5t Republic Bank, It$ !PU=55or5 and/or a551gn5, that
I iiir. I-,Ial i,,, I rrI ar.'. I Ir, ,, pll awl iial, ni I It.-, .41„ini.l
according to record de5cr1pt1on5.
Lan�5 now or formerly of Gregg W, brown bzc-beth Bitner �.
Denrna L. Dlckln!5on, L.S. Date
(990/ 1 G5) QU 13
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