2004-705 TOWN OF QUE E NSBURY
w 742 Ba Road eensb 1��� y ,Qu ury,NY 2804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20040705 Date Issued: Tuesday, December 05, 2006
This is to certify that work requested to be done as shown by Permit Number P20040705
has been completed.
Tax Map Number. 523400-240-006-0001-015-000-0000
Location: 33 HANNEFORD Rd
Owner. KIM T HANSON
Applicant KIM T HANSON
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 Directo wilding&Co nfo ent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
FIT,141 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040705 Application Number: A20040705
Tax Map No: 523400-240-006-0001-015-000-0000
Permission is hereby granted to: KIM T HANSON
For property located at: 33 HANNEFORD 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: KIM T HANSON Demolition
134 SPRING HILL Rd Total Value
HARWINTON, CT 06791
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-705
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 15, 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. , of eens e'!`1• y, September 15, 2004
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Permit Nol )7-fdam
Application for Demolition Permit ' Fee Paid �0.
C'
Building&Codes Office—Town of Qucensbury 742 Bay Road Queensbury,NY 1.2804
(518)761-8256 Notes: _
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 I 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.
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2. Vocation of demolition: 3. Tax Ma No, l
4. Where will demolition material be disposed of? ''Du PI-.IOS±c.r" - W 1
5. Asbestos Information
A copy of Asbestos Removal Report must be filed with our office before demolition begins. RECEIVED
a. Is there any asbestos within the building to be demolished? ❑Yes [ o SEP Q 9 2Q04
If YES,our office needs the following information:
b. Name of firm removing asbestos: TOWN OF ( " E .NSBURY
c. License number of firm: BUI ,r� D______-______
d. Indicate location where asbestos material will be disposed
6. Structure Informattion
a. Indicate which structure(s)will be demolished:
1:1Residence; Ogarage; Ostorage building; Qbusiness; pother
b. Size of structure: 33 ft.by- 30 ft.
c. Number of stories t
d. Foundation type: []full cellar; Plerawl space; Oslab
e. Foundation: []will be removed; Agwill not be removed
f. Structure(s): ►�will be replaced; Qwill.not be replaced
7. Utilities Information
Indicate utilities for this structure:
( gas ,electric (propane aronsite well-water pump •
Opublie water Opublic sewer
Have you notified the Town Water Dept.for public water and public sewer disonnect? []Yes []No N
Have all utilities been disconnected? []Yes KNo
Signature of Applicant: _____ DP-- Date: q/7/°7
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: 1---24am/pm De art: am/pm
Date Inspection request received: Inspector s Initials:
NAME: ce,,s t PERMIT#: ^ 7
LOCATION: �� �-rkNt1 f�'r- DATE:
TYPE OF STRUCTURE: —t
`� i-) 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 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%s"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer EJ
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure /x �--
Final Electrical ( c _ l C--
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/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
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