2005-945 TOWN OF QUEENSIBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pemut Number. P20050945 Date Issued: Tuesday, October 23, 2007
This is to certify that work requested to be done as shown by Permit Number P20050945
has been completed.
Tax Map Number. 523400-239-007-0001-014-000-0000
Location: 67 KNOX Rd
Owner. RICHARD SALOMON
Applicant: RICHARD SALOMON
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
742 Bay Road,Queensbuiy,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050945 Application Number: A20050945
Tax Map No: 523400-239-007-0001-014-000-0000
Permission is hereby granted to: RTCHARD SALOMON
For property located at: 67 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: RICHARD SALOMON
Demolition
32 BAY Pkv Total Value
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-945
DEMOLITION OF CAMP AND SHED
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, December 15, 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 Tow eensb T rs ay, December 15, 2005
SIGNED BY for the Town of Queensbury.
/1911 IN
Director of Building& ode Et rode
j
I --------------------------------
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-- 5�7--, ----------------=-----
OFFICE USE + � i
TAX MAP NO. PERMIT NO. � FEE PAI�_
Permission is hereby granted to the above named Applicant.to demolish the building(s) �i1 :
o described herein as set forth in the Application below. ; i 0
, ' ' DEC 1 4 20
Director of Building&Codes Date i 0 M 01'RY 0
qVy\11
_________________________________________________________ !J0tn �rnP ___
APPLICATION FOR DEMOLITION PERMIT:
Fill in 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.
APPLICANT/BUILDER: Kc2JI�+E�f lsc�sf ��
-------�._ _ OWNER: - SU�G,Ly-----_-_- -
ADDRESS: lUU S�(fc�� /?G�• CI� Jtv�, ��„ -GL`1/zC'ADDRESS: 33, 13o ,r�ltlCciJ_v__C_� GEc �
-- ---
PHONE NOS._ 1 - 3'S l S _ PHONE: Sly� . 1�'V 9 -----__—_--
PERSON RESPONSIBLE FOR WORK ----PHONE:__3�Ui�n�
�----- ----------- T
LOCATION OF DEMOLITION: 6'S' P.--
-------- ----- ----- --
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?_Co (./, %a (zv r t viS CU:,Ia,�u
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building.to be demolished? YES NO—X_
✓ If YES, our office needs the following information:
o Name of firm removing the asbestos:__—__=__—___—
o License number of firm:
o Indicate where the asbestos material will be disposed:___
NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE--)(. GARAGE _ BUSINESS
�. STORAGE BLDG.=1 OTHER__
✓ Size of structure:_ C�_X
✓ Number of stories: r.
✓ Foundation type: FULL CELLAR__— CRAWL SPACE SLAB P ' S"
✓ Foundation: WILL BE REPLACED X WILL NOT BE REPLACED
✓ Structures(s): .WILL BE REPLACED__, WILL NOT BE REPLACED--
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS ELECTRIC—_ PROPANE /V PUBLIC WATER__
ONSITE WELL-WATER PUMPX PUBLIC SEWER
Have you notified the Town Water Dept.for public water and public sewer disconnect? YES ___ No
Have all utilities been disconnected: YES NO
----- QUESTIONS? CALL 761-8256 OR EMAIL
codes Mgueensburv.net
_ ,/_r_�
SIGNATURE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION
www.oueensburv.net
Town of Queensbury- Community Development Office• 742 Bay Road, Queensbury, NY 12804
Queensbury Building &Cede Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive; am/pm Depart: pm
Date Inspection request received: Inspector's Initials: `
NAME; V 1"" PERMIT M 9-
, /• 7
LOCATION: - �— _ DATE: -,
TYPE OF STRUCTURE:
e Comments
Yes No N/ALo�� IC
ff
Building Number/Address visible from road _
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake "l
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 r
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 safe _glazing Z9
Interior Smoke Detectors: l
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Batteg 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 sq.ft.
Emergency egress below grade I
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 Tern 110
Enclosed Stairs Sheetrock Underside minimum''/a"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed ro erl
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Surve 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/®[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
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