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2004-983 TOWN OF QUE E NSB URY IF4TO742 Bay Road, eensb NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20040983 Date Issued: Friday, January 05, 2007 This is to certify that work requested to be done as shown by Permit Number P20040983 has been completed. Tax Map Number. 523400-226-016-0001-048-000-0000 Location: 262 CLEVERDALE Rd Owner: STEVEN ROSEN Applicant: AGNES & STEVEN ROSEN 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 cF 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040983 Application Number: A20040983 Tax Map No: 523400-226-016-0001-048-000-0000 Permission is hereby granted to: AGNF,S & STEVEN ROSEN For property located at: 262 CLEVERDALE 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: STEVEN ROSEN Demolition AGNES VINCZE ROSEN Total Value 309 BLESS Ct RICHBORO, PA 18954-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-983 DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, January 12, 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 Tlueens ury; ednesday, January 12, 2005 SIGNED BY for the Town of Queensbury. Director of Building Cod nforcement Permit N o`OC)UI Qd Application for Demolition Permit Fee PaidC30 , °° Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 Notes: Instructions/Requirements for a petm it: 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. � � c �ApA E qq. 1 1 6 tTh a-) —TO aty - 1 L 14\C( � C _.�� mod) C ' R ,C.1rkt. ,<r 11 2t -3 � , _.c-,- .Ili• Phone,. J"t 2. Location of demolition: to2. ti ct ( 3. Tax Map No. 2 ate 01 (c- ( - L/(? 4. Where will demolition material be disposed of? 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? ❑Yes ( To 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; ngarage; ❑storage building; ❑business, pother b. Size of structure: ft.by ft. ?,oa-t; Sco FT c. Number of stories -2_ d. Foundation type: ❑full cellar; scrawl space; ❑slab e. Foundation: ❑will be removed; Elwin not be removed f. Structure(s): Elwin be replaced; ❑will not be replaced 7. Utilities Information Indicate utilities for this structure: ngas e ectric fgpropane nonsite well-water pump ❑public water Illpublic sewer Have you notified the Town Water Dept. for publi water and public sewer disonnect? ❑Yes k o Have all utilities been disconnected? ❑Yes 31No Signature of Applicant: / ,}, Ak Date: Lb. -(0 9 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: / am/pm, .part: am/pm Date Inspection request received: Inspector's Initials: "J/ NAME: /eG.�N © PERMIT#: LOCATION: L e fr/ `Q. & A3� DATE: e' 62 TYPE OF STRUCTURE: Comments Yes No N/A _ Building Number/Address visible from road 7 7A T``' S 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 ,/�,� 6/W4/446-re— 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/'/a 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 f Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] t L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection e Office No. (518)761-82564... � Arrive: am/p De art:`« axj/pm Date Inspection request rece" ed: Inspector's Initials: Air 4, n p NAME: �rP r D� PERMIT#: o .., —!e LOCATION: c c �.�i [ / DATE: TYPE OF STRUCTURE: l ) (�� n-- Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location bp) 1 e Fresh Air Intake _ 3 inch Plumb Vent through roof minimum 6" Bi / Cta/SRoof Complete/Exterior Finish Complete _1 Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more { Guard at deck,porches 36 in.or more ti Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site 0 . ' Oil Furnace shut-off at entrance to furnace area /.fL /C/ 711- 66141/4-1(1) Furnace/Hot Water Heater operating . Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: i Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/<hour fire door/door closer ! Duct work Sealed properly Gas Logs 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, 1 sq. ft.-150 sq. 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/0 [Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04