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2004-490 TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20040490 Date Issued: Tuesday, December 05, 2006 This is to certify that work requested to be done as shown by Permit Number P20040490__ .. has been completed. Tax Map Number. 523400-296-019-0001-003-000-0000 Location: 2 COUNTRY CLUB Rd Owner. QUAKER COUNTRY CLUB ASSOCIATES LLC Applicant: QUAKER COUNTRY CLUB ASSOCIATES LLC 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 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: P20040490 Application Number: A20040490 Tax Map No: 523400-296-019-0001-003-000-0000 Permission is hereby granted to: OTTAKER COT C;TJTR ASSOCIATES TJ,C For property located at: 2 COUNTRY CLUB Rd in the Town of Queensbury,to constrict 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: QUAKER COUNTRY CLUB ASSO Demolition 784 TROY SCHENECTADY Rd Total Value LATHAM, NY, 12110-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-490 DEMOLITION OF ONLY INTERIOR NON STRUCTURAL WALLS $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, June 28, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the o wn o ueerisl5uz June 28, 2004 7 SIGNED BY a. for the Town of Queensbury. Director of Building&Code Enforcement T I Perri-fit .t / q"10 Application for Demolition Permit FeePaido—Q , Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8256 Notes: Instructions/Requirements for a permit: Fill in all applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. 1. A lica-nt:., `CDdvner " "Y Pers"on Res"',onsihle.for `Name: �'1AIr- �Cf- !�L1 C Ub C/61 fi... t SonS Tel Address -.2-Co (fin C l vb r� ` L (J$ F4�i11/� Qv2e')ns ka-vr L� rvD— avin D— C� PhoS�e 36$ - 63©3 ZJ Phone, ?R-3 — 2. Location of demolition: a r G �bU� � C[A Rd 3. Tax Map No. 2 c) 4. Where will demolition material be disposed or Qp�✓jp✓oc PEA C� F 1 I lJ 5. Asbestos Information A copy ofAsbestos Removal Report must be filed with our office before demolition beginK a. Is there any asbestos within the building to be demolished? ❑ Yes ©N�IJ N 2 4 2004 If YES, our office needs the following information: TOWN OF QUEENSBURY b. Name of firm removing asbestos: BUILDING AND CODE 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: ❑ Li �/ i n ►Or n d n ❑Residence; [:]garage; [-]storage building; business; other on I b. Size of structure: �Z ft.by 60 Ins 1/J G �S C. Number of stories d. Foundation type: ❑full cellar; ❑crawl space; ,slab e. Foundation: N IPY ❑will be removed; ❑will not be removed f. Structure(s): m/F1 ❑will be replaced; ❑will not be replaced 7. Utilities Information Indicate utilities for this structure: 99as []electric ❑propane ❑onsite well-water pump ❑public water ❑public sewer Have you notified the Town Water Dept, for publig,water and public sewer disonnect? ❑Yes ®Non dl}- b Have all utilities been disconnected? ❑Yes [JNo V� l n a+ be Signature of Applicant: Date: L o`� COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL C�(� Permit No........................................Cert. N 2 76067 Cut-in Card No.............................. . . Owner................ ....t .....�..�........../.....................................................I�...... ............ Location. �-p771-� 1�Y` ....................................... ..................... ... ................................. ............. ............................... Installation Consisting of.. 1 �/ 9S Aeze... l 7� 1.,. ... ....... ?D T7U!t ....................................................................................................... ............................y.............. .. ............................................................................................................, Installed By.... .!......... Q. : X ........................Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki i spections at any time, and if its rules are violated,the Company shall have the right to r ke t ' ificate. ............ INSPECTOR................. ......:................................................................... Memher N.RP.A..I.A.E.I. Commercial Final Inspection Report 0,Fee No.: (518) 761-8256 Date Inspection request recei�d: Queensbury Building&Code Enforcement Arrive: 1 :am/pm` 11 y Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials;-- aa-kc-r coo NAME: ' _c 6je- 5 PERMIT#: LOCATION: J } cf /i DATE: ;; l�[ U COMMENTS: Y N IOTA Chimney/"B"Vent/Direct Vent Location Plumbing Vent'Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44" (1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Oka _ Relief Valve,Heat Trap/Water Temp.I10 Degrees Maximum Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers _ Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors > 10%> 1000 s . ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . ft. Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous!12 in.Beyond [Both sides] Active Listening System and.Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler BuildiEg.Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue-T="mp:o Permanent C/O Okay To issue C/.__. r C-Jl L:\Buildin -&--C es Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc