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2004-231 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. P20040231 Date Issued: Thursday, December 07, 2006 This is to certify that work requested to be done as shown by Permit Number P20040231 has been completed. Tax Map Number 523400-226-015-0001-001-000-0000 Location: 174 LAKE Pky Owner. JANE & BERNARD MANN Applicant: JANE & BERNARD MANN This structure maybe occupied as a: Demolition By Order of Town Boatel 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,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040231 Application Number: A20040231 Tax Map No: 523400-226-015-0001-001-000-0000 Permission is hereby granted to: JANE&BERNARD MANN For property located at: 174 LAKE Pky 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: JANE&BERNARD MANN Demolition 14 HUGHES St Total Value ROCKVILLE CENTER, NY 1157 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-231 DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 03, 2005 (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 Queen o day,May 03, 2004 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement Pen-rut No. Application for Demolition Permit Fee Paid C)(' Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 Notes: I ---- - J Instructions/Requirements for a permit: 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. A` I` 't , E? tier" ,." h 't ;` Per oai Res`onsib:lc`"for Work ;Name Sc ,�\� r - >L cleil 4 `\ ::Phone.= 2. Location of demolition: �1`\ �'"'�'`z-�` 3. Tax Map No. 4. Where will demolition material be disposed of? ��'�'�s� �iZ'gwj F:' 5. Asbestos Information O �1po % 2.Ott A copy ofAsbestos Removal Report must be filed with our office before demolitip 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. In icate which structure(s)will be demolished: Residence; ❑garage; [storage building; ❑business; ❑other b. Size of structure: _�v ft.by Nko ft. C. Number of stories 1- d. Foundation type: []full cellar; [&brawl space; ❑slab e. Foundation: will be removed; ❑will not be removed AA ® WOT s f. Structure(s): 5will 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 Have you notified the Town Water Dept, for public Ovate and public sewer disotinect? ❑Yes ❑No � Have all utilities been disconnected? ( Yes ❑No ��'ic Signature of Applican . Date: Queensbury Building & Code Enforcement, Residential Final Inspection Office'.No. (518)761-8256 Arrive: �m/pnrjDppart: am/pm Date Ins)ection request received: Inspectors Initials: NAME: 61.V` PERMIT#: / LOCATION: L,i DATE: TYPE OF STRUCTURE: Comments Yes No N/A 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 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 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 Y2"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 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/® �Tem Temporary/Permanent � L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised_100405.doc 3t4L) Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 0)rr am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: QU: NAME: _'W\, (W�J^ PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in-Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backf Approval umbing Under Slab PVC/Cast/Copper �fl Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\roundation Inspection Report.doc January 28,2003 Print at: Thursday, April 29, 2004 08:55:39 AM Host: SUE_HEMINGWAY User: Sue F1e Edt Vieva xavto�ngte5 noon Help ' ors ,�,,11(( y Y� s7. , i C=Back' .4 s5r tn,'I Searckr ( FavoritesMe Zia.&f?l; +_dt 4 AdCG'eSSi, http:(�gby2svr/aerial app/viewer.htm - __ 'cwjr;+Go�4LIn�CS s: • • !� - - • • s • • • A1o4 � sa #c �� a WoEsc � APA Wetlands is now the Active Layer TOW I Gr( ll>� -- - - . a .gar._ Mfap 71576946 lb6 { a,4fr ;4 6 6 a n x 7 c � ltiC�l..... f :..... r..... 1_ art ..(3 .t v r rtiNuidows, To-"Y' bui..: n t ue spa_�s�5f vb�GroupUti�se .. : � m_ 9 55 al RATE TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on oUr limited examination, compliance with our comments shall no flspeci fi rZi�e —0 sand spe#bAcations are i U ocom f N ceP�I�t t e.B ig Code, IZU(e V*j 4 0 7&I - e)22.-G, 'Tip sct-t"uLv E t Ns Pal7oly f L �aIJ SCiJtm�N� cviv t S ��c t NS T v' U.C I) 1Le' �(L t o IL -to k)VIA© J'.1 polo . 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