2004-679 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040679 Application Number: A20040679
Tax Map No: 523400-302-014-0001-048-000-0000
Permission is hereby granted to: GEORGE'& JENNIFER GOHN
For property located at: 5 PERSHING Rd
in the Town of Queensbury,to construct onplace'
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: GEORGE& JENNIFER GOHN Demolition
5 PERSHING Rd Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
i I
Plans&Specifications
2004-679
DEMOLITION OF GARAGE AND STORAGE BUILDING
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 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 Town of Queensbury Friday, September 03, 2004 .
SIGNED BY for the Town of Queensbury.
Director of Builde^&C 'Enforcement
Permit Ni'a(' / '
Application for Demolition Permit Fee Paid.)�. 06)
Building&Codes Office-Town of Queensbury 742 Bay Road Queensbury,NY 12804
(518)761-8256 Notes:
Instructions/Requirements for apermit:
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.
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2. Location of demolition: .5l G �/�k. i f 3. Tax 1VIap No.
4. Where will demolition material be disposed of? (�f'if/�/� ✓G//�.j✓ 4�1,11✓
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 XNo
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. Indicate which str ture(s)vi 1 be demolished:
❑Residence; f garage; In&torage building; ❑business; ❑other
b. Size of structure: IZ ft.by 77,-ZI ft.
C. Number of stories
d. Foundation type: ❑full cellar; ❑crawl space; ❑slab
e. Foundation: ill be removed; ❑will not be removed
f. Structure(s): ❑will be replaced; ❑will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas [ ectric ❑propane ❑onsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept, for publip water and public sewer disonnect? [:]Yes No
Have all utilities been isconnected? ❑Yes No
Signature of Applicant: G/�Ki Date: _�
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/dof��
am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: " 67
LOCATION: �� C�Sz�S, ��IJC� DATE: 2 D
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ 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
Emergency egress below grade
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 S aces 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 Pjct P n
As Built Se c S st /Sewer Dept.Inspection Sticker
Flood Plain Certifica 'on, if required
Okay to iss e C/C r C/O Temporary/Permanent
L:\PamWlBuilding&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04