2004-972 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040972 Application Number: A20040972
Tax Map No: 523400-316-006-0001-013-000-0000
Permission is hereby granted to: JACK ARBF.RCTF,R JR
For property located at: 11 ARBERGER Dr
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
Orduiance. Tyne of Construction Value
Owner Address: JACK ARBERGER JR
Demolition
11 ARBERGER Dr
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-972
DEMOLITION OF SINGLE FAMILY DWELLING
$20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, January 14, 2006
(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 TnQueen ry; F i y, January 14, 2005
SIGNED BY for the Town of Queensbury.
Director of Building Code Y,nforcement
Pern-►it No
Application for Demolition Permit Fee Paid
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.
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r
'Address i/ erae/-AA/,�?c . Rd
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Phhe, �Y Sf37-316,67 79Z-77S?
,vel- 8026 `Cell [ ^ GCn
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2. Location of demolition: W 3. Tax Map No. tq
4. Where will demolition-material be disposed of? b)c?-Te_ 11 IG[n c, wg�7 y/y/y /7 114,Lv
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 firm removing asbestos:
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: RECEIVED
,Residence; ❑garage; ❑storage building; ❑business; ❑other
b. Size of structure: q7- " ft.by Z y' ft. DEC 2 0 2004
C. Number of stories
d. Foundation type: ull cellar; ❑crawl space; ❑slab TOWN OF QUEENSBURY
e. Foundation: will be removed; will not be removed DUILDING AND CODE
f. Structure(s): N,will be replaced; ❑will not be replaced
7. Utilities Information
Indicate utilities for this structure:
❑gas ❑electric ,®propane Xonsite well-water pump
❑public water ❑public sewer
Have you notified the Town Water Dept. for public water and public sewer disonnect? ❑Yes ❑No
Have all utilities been disconnected? " Yes ❑No
Signature of Applicant: lad ! a,4 0'_f_ J4 Date: 12-1f-0am
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm DqRart. �g9pin
Date Ins ection request received: _ �-3 L14LD5 Inspector's Initials:
NAME: (I,er —, .� �" 3 �7 PERMIT#: � � �J-
LOCATION: , ire— DATE: a CUB
TYPE OF STRUCTURE: VxNgn
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 '/2"
Gypsum
Grade awayfrom foun tion 6 in.with 10 ft. --�
Handrail Terminatio at well Post or Wall
6 inch clearance to s' 1 platk
Gas Valve shut-off x osed regulator 18"abov rade
Gas Furnace shut-o f within 0 ft.or within lin of site
Oil Furnace shut-of at entran a to furnace ar
Furnace/Hot Water Heater o e tin
Low water shut-off boiler
Relief Valves installed/Heat a /Wafer Temp 110
Interior privacy/trim/doors/ma en ance 36 in.
Bathroom/Kitchen watertight
Safety glazing_/Window in stairwelIX safety glazing
Interior Smoke Detectors:
Every level: / Eve1—tery
roo
Outside every bedroom area:
Inter Connected: / back
Carbon Monoxide Detector
Bathroom Fans, if no windo
Plumbing fixtures
Foundation insulation
Floor truss,draft sto in finished basement 1,000
Emergency egress beloh grRde
Basement stairs close rise>4 inches
Garage Floor Pitche _
Garage fire roofin /'/<hour fire door/door closer
Duct work Seale ro erl
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\lnspection Forms\Res. Final Insv. form 2.docLast printed 2/12/04
BPC Make Report Page 1 of 2
Building Permit Checklist(BPC)Support
Checklist Report
Parcel #31600600010130000000 (NEWSBL)
Tax map#:31600600010130000000
Current Zoning: 'WR-IA'
APA B1ueLine Status: Outside of APA
Manual Check:Flood Plain Status: Within: ❑ Not Within: ❑
Zoning setback requirements(effective-2002):
WR-1A-Waterfront Residential
Setbacks Required
Front 30 ft.front yard at road,50 ft @ shoreline
Side 25,20,15,12;varies with lot width (4)
Rear 25,20,15,12;varies with lot width(5)
Shoreline becomes front yard 50 Feet
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Jack Arberger Jr Property
http://gby2svr/gis/MAKEREPORT.ASP 12/20/2004