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Seelye Rd TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20050774 Date Issued: Wednesday, January 10, 2007 This is to certify that work requested to be done as shown by Permit Number P20050774 has been completed. Tax Map Number. 523400-227-017-0002-011-000-0000 Location: SEELYE Rd Owner. DAUREEN CAIAZZO Applicant: DAUREEN CAIAZZO This structure maybe occupied as a: Demolition By Oder 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 tent Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050774 Application Number: A20050774 Tax Map No: 523400-227-017-0002-011-000-0000 Permission is hereby granted to: DATTRF,F,N CATAZ,ZO For property located at: SEELEY 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. Tyne of Construction Value Owner Address: DAUREEN CAIAZZO & OTHERS Demolition Total Value 287 BURT Rd FT. EDWARD, NY 12828-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-774 DEMOLITION OF 2 SHEDS DUE TO FALLEN TREE DAMAGE Demolition of shed 4 & shed 5 $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 28, 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 ueensbury; Wednesday, September 28, 2005 SIGNED BY C for the Town of Queensbury. Director of Building& n rcement Pernut No. Application for Demolition Permit Fee Pai 7' Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 1 Notes: Instructions/Requirements for a permit: Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showg t'ot lioFind3 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. AN is Iat_ }v >".son Rr~s onsil?I CZ/> .e64Ce A/'C it P y , Plloftcq" Faxes 2. Location of demolition: &14l S i v,�Am 3. Tax Map No. as 7. 1 7 --3 1 1 4. Where will demolition material be disposed of? d^ D9 a�'� &Z-PA /leT, 9 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 ®No 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 b. Size of structure: _ ft.by ft. C. Number of stories 1 d. Foundation type: ❑full cellar; ❑crawl space; ®,slab e. Foundation: ❑will be removed; ❑will not be removed f. Structure(s): NQwill 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 AI MA 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: �' — _ Queensbury Building & Code Enforcement - RcsidpatiaVin nspection Office No.(518)761-8256 Arrive.. t 1! Date Inspection request received: Inspector's Initia s: E -� NAME: � (L.`Z � RMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Yes No NIA 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 waterti ht Safety Elazing/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 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 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 k) l� Final Electrical Final Survey Plot Plan A Se tic S s /Sewer De t.Ins ection Sticker /Vari ce re wiredain C ificati n f re wiredissu C!C 1 O Tempor /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Resi Lntial%' al Inspection Form revised_100405.doc o � � y o: veys 77 /rvdg .5' PaH.S gone �? N