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2004-535 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256- BUILDING PERMIT Permit Number: P20040535 . Application Number: A20040535 Tax Map No: 523400-279-013-0001-010-000-0000 Permission is hereby granted to: JONATHAN MONROE For property located at: 22 RED HOUSE Ln 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. si Tie of Construction Value Owner Address: JONATHAN MONROE 22 RED HOUSE Ln Demolition Total Value QUEENSBURY,NY '12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-535 PARTIAL DEMOLITION OF SINGLE FAMILY DWELLING $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 19,'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 tti� o of Qu a sb on y, July 19, 2004 SIGNED BY for the Town of Queensbury. r .y Director of Building&Code Enforcement Permit No. (L_ Application for Demolition Permit Fee Paid >>��- Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 11 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 licant C}wner y.. Per.`s�n.Re's onsible fort%ork.. Address �� A/O CC CC C �. 4 p Plioil ' fi '7V3 —/0 7� i 7el —�� 7 � 2. Location of demolition: e67) muse- 3. Tax Map No. 4. Where will demolition material be disposed of? 5. Asbestos Information A copy of Asbestos Removal Report must be filed with our office before demolition 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 fine removing asbestos: C. License number of firm: d. Indicate location where asbestos material will be disposed 6. Structure Information a. Indic which structures)will be demolished: esidence; ❑garage; ❑storage building; ❑business; ❑other b. Size of structure: 20 ft.by�ft. t-• y e. Number of stories d. Foundation type: 9ull ellar; ❑crawl space; ❑slab e. Foundation: will be removed; ❑will not be removed , F c3uP�0 f. Structure(s): ill be replaced; ❑will not be replaced O0G 6 7. Utilities Information j 6F JV 0 Indicate utilities for this structure: ❑gas electric propane nsite well-water pump f r !1 ❑public water ❑public sewer Have you notified the Town Water Dept. for public water and public sewer disoiiriect? ❑Yes [�o Have all utilities been d' connected? ❑Yes to //GL-e 'A!-7 , >1-5 e' ' Signature of Applicant: Date: ''� c© Foundation Inspection Report Office No. (518)761-8256 Date Inspection re es re ei ed: Queensbury Building&Code Enforcement Arrive: a p Depart: �� a 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. r NAME: ��, P IT#: LOCATION: Z,Z Q F L Ar,) INSPECT ON: 'j� — 1"1 TYPE OF STRUCTURE: J, Comments Y N N/A Footings Iers v� J 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 p2Tose on site. Foundation/Wallpour f 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 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Queensbuly Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p art:l ' e6am/pm Date Inspection request received: Inspector's Initials: C S35NAME: PERMIT#: O I` LOCATION: f DATE: �7 7,zk E7 —� TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location c - Fresh Air Intake Vewl 3 inch Plumb Vent through roof minimum 6" o Roof Complete/Exterior Finish Co m fete P�`^' �C Guard 30 in. or more(2 stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum ''/z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. 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 Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emer enc e ress below rade OV Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent] L:\PamW\Building&Codes\Insi)ection Forms\Res. Final Inso. form 2.docLast printed 2/12/04