2003-081 TO VN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
' .
Pennit Number. P20030081 Date Issued: Thursday, November 30, 2006
This is to certify that work requested to be done as shown by Permit Number P20030081
has been completed.
Tax Map Number. 523400-297-009-0001-003-000-0000
Location: 270 MEADOWBROOK Rd
Owner. JEFFERY GREENE
Applicant- JEFFERY GREENE
This structure maybe 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.
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030081 Application Number: A20030081
Tax Map No: 523400-297-009-0001-003-000-0000
Permission is hereby granted to: JEFFERY GREENE
For property located at: 270 MEADOWBROOK 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: JEFFERY GREENS
Demolition
270 MEADOWBROOK Rd
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builder's Name /Address Electrical Inspection Agency
DOCKS-N-MORE
JOHN BARNES
236A DIXON Rd
OUEENSBURY.NY 12804-0000 .
Plans&Specifications
2003-081
DEMOLITION OF GARAGE AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 27,2004
(It 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 f Quee bury; rsday,March 27,2003
SIGNED BY /' for the Town of Queensbuty.
Director of Buildin &Co`&Enforcement
TOWN OF QUEENSBURY
742 Bay Road
Queensbury, N.Y. 12804-9725
Application for DEMOLITION PERMIT
Permit No. a00 -og )
Instructions for completing the application Date:
1. All applicable spaces are to be completed. REUC
2. Two plot plans are to be submitted, drawn to scale, showing:
a. lot boundaries, with dimensions and adjacent roads and streets. MAR 9. 0 2003
b. all existing structures, indicating which are to be removed.
c. location of all utilities. TOWN OF QUEENSBURY
3. Fee submitted per current fee schedule. BUILDING AND CODE
Owner of property: S�FF C�)(LF-,r,(l)F Property Location: 276 /L��Tkt7Dtu�Qpy� ( •
Mailing Address: 2-70 ocK- Tax Map No. section &(}, Block ,I,ot
Person responsible for work: '-yo H iJ 1 ft"VS --74C -N-Acc L Telephone No. -%o l -0,{2,:5
Mailing Address: 2,,3& A )ty-0 J
J St3V to IJ• (Z�'dE�
Where will demolition material be disposed of?
Is there any asbestos within building to be demolished? Yes / No
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of:
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
* A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.
The following building(s) located on property described above are to be removed:
Previous use of building (circle one): residence garage storage business other
Have all utilities been disconnected? gas 4� , electric N t� , propane k , water A) 14
Size of building(s):
1. 3 ( ft. by IC & ft. Location on property AMSAC,E T 'f'O kot6e:
2. ft. by ft. Location on property
3. Number of stories: 1 _
4. Foundation type(circle one): full cellar crawl space
Foundation will REMAIN BE REMOVED
5. Another structure WILL ✓ WILL NOT , replace this building.
NOTES:
Signature of Applicant: t ,
wrxr, owner's agent Wchitect contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm,_DeDa am/pm
Date Inspection request received: Inspector's Initials: (1
NAME: 0!9
PERMIT#: 2 O�
LOCATION: 9 J DATE:
TYPE OF STRUCTURE:
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 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s . ft.
Emergency a ess below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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/Q [Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doe
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ,
Queensbury Building& Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: 191a\,e 41Z-7�J In' 41vK— INSPECT ON: 3 (�
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
C"L�
Headroom 6 ft. 8 in.
Notches/Holes/Bearing-Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation,1 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pW(,/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT'PERMIT#:
LOCATION: INSPECT ON: 7� d
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings -
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for (r 1 6OC�4v�-O
providing protection from freezing \ J1
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofmg
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.
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