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2005-831 i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050831 Application Number. A20050831 Tax Map No: 523400-226-016-0001-049-001-0000 Permission is hereby granted to: AGNES VINCZE-ROSEN For property located at: 260 Cleverdale Rd in the Town of Queens bury,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 Queens bury Zoning Ordinance. Type of Construction Value Owner Address: AGNES VINCZE-ROSEN JESSICA ROSEN Demolition 309 BLESS Cir Total value RICHBORO, PA 18954-0000 Contractor or Builders Name/Address Electrical Inspection Agency CIFONE CONSTRUCTION CO. INC. PO BOX 684 GLENS FALLS,NY Plans &Specifications 2005-831 DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, November 02, 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, November 02, OS /f SIGNED BY for the Town o ee s ury. Director of Building&Code Enforcement Application for Demolition Permit Building&Codes Office Town of Queensbury 742 Bay Road Quccttsbtxy,NY 12804 (519)761-8256 Notes: Instructions J Requirement,for a permit: Rill in all applicable spaces and submit two('2)plot phans,drawh to seu;e,sbowing lot boundaries with dinacnsions and adjacent roads 1 sireets. Show all cxistina structures oti the property and indicatc whioh ere to ba t[cirwl;sl ed. Indicate on the plot plan the location of ail utilities, X. w;ia...4`lut' J .is {'. i' ..v f r t ti'•' Sib - 9 a 30 2. Location of demolition.' Q_ C,�,cr aa� � _ 3. Tax Map cNo.raw. 4. Where will demolition material be dis-posed or pJ1"-Z 5. Asbestos Information A ropy of l#,shestgs RettLgv 12?Wcrt must be filed wvitb our office beforc dcrPolition hegira;. a. is there any asibe6tcas within the building to be demolished? Q Yes ❑NO If YES, our cffice needs the following information: b_ Name of firrai reanoving asbestos, c. Licensc nuinbcr of firm:_ _ d. Indicate location where aabcstos rnatenai will be disposed _ 6. Structure Information a. Jndk-,atc which stTucture(s)will be demolished: IRPIcsidence; ❑garage; ❑storfage building; ❑business; ❑other b. Size of structure: gccz_ft.by 3�r_....ft. C. Number of sto:its_ d. Foundation type: Elfull cellar; Xcrawl space; ©slab C. Foundation: will be removed., L]will ag�t be removed f, Structure(s): ;will be replaced; DwOl not be replaced 7. Utilities Information Indicate ut.ilitics for this situcture: 0gas electric [,propane [lonsite well-water pump ®public water public scwcr Have you notif ed the'Town Water Dept.for public water and public sc.w cr disonnect? QYes ❑No Have all utilities been discotniected' ❑z'es �o Signature of Applicant: _ Date: �O Rough Plumbing / Insuletio Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Amve:1-55 am/pw Depart: amlpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: . NAME: poyj�\ PERMIT#: - LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N I N/A Rough PlumbiijjTkail Plates T t ,; ent/Vents in Places 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum ieanout every 100 feet/change of direction Pressure Test Drain /VentG�� Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head L t� 50 P.S.1 for 15 minuty"',�� Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Sup&for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing insulation Report-revised Nov 17 2003, revised February 15,2005, revised.January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date lnspection,request received: Queensbury Building &Code Enforcement Arrive: amipm impart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initials: NAME: is PERMIT #: LOCATION: �Z 4' _._ -�- �� INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rou h Plumbing/Nail Plates Plumbi Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout eve 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.{ for 15 minutes ? Insulation/Residential Check 1 Commercial Check '/�y ,,Tyyek or Similar E)derior Sealant -----�" Proper Vent, Attic Vent '�� ;�, - f� Door/Window Sealed No Insulation Duct/Hot Water Piping Insulations If uired unheated spaces ` S Combustion Air Supply for Furnace Duct work sealed propeyl I No duct tape COMMENTS: Rough Plumbing Insuiaaon Report.revised Nov 17 2003, revised February 15,2005, revised Januwy 7,2008 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 t Arrive: 6am1pm `am/pm Date Inspection request received: 7 lo�C7 Inspector's Initials: rj e art: / / 3 NAME: C% P C al V � Src� PERMIT#: LOCATION: Q Cc(7 L DATE: ) TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location j Fresh Air Intake ? 1 1 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Y ` 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 glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery back-up: 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,draftstopping 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%2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/Y4 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.Ins ection 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 I00405.doc