2003-244 ,T
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20030244 Date Issued: Tuesday, December 05, 2006
This is to certify that work requested to be done as shown by Permit Number P20030244
has been completed.
Tax Map Number. 523400-265-000-0001-023-001-0000
Location: PICKLE HILL Rd
Owner. JEFFREY & JO ANNE MANN
Applicant: JEFFREY & JO ANNE MANN
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. -
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030244 Application Number: . A20030244
Tax Map No: 523400-265-000-0001-023-000-0000
Permission is hereby granted to: JFFFRF,Y&J() ANT MANN
For property located at: 50 PICKLE HILL 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: JEFFREY& JO ANNE MANN
P.O. BOX 4071 Demolition
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-244
DEMOLITION OF SINGLE FAMILY DWELLING AS PER APPLICATION
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 07,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To _ Queens ty; ednesday,May 07,2003
i„
SIGNED BY /5A69 for the Town of Queensbury.
Director of Building Code enforcement
Peanut No. "-aq
Application for Demolition Permit Fee Paid. ; f-
Building&Codes Office—Town of Queensbury 742 Bay.Road Queensbury,NY 12804
(518) 761-8256 Notes:
Instructions/Requirements for a hermit: E 6 V
Fill in all applicable spaces and submit two(2)plot-plans,drawn to scale,showing lot bours es with dimensions and adjacent roads/streets.
Show all existing structures on the property and indicate which are to RAynoll$ Indicate on the plot plan the location of all utilities.
00
1. TOWN OF QUEENS13URY
Person Res'`onsible`for Work ..
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vAddress ,
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FAX ;
2
I��C�CMap Location of demolition: r I w 3. Tax No.
4. Where will demolition material be disposed of? ,
— 4;6u,
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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 /KNo
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:
Residence; []garage; ❑storage building; ❑business; []other
b. P
e of structure: 'ft.by A4o` ft.
C. Number of stories VL
- d. Foundation type: till cellar; ❑crawl space; ❑slab
e. Foundation: will 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 electric ❑propane konsite well-water pump
❑public water`❑public sewer
Have you notified the Town Water Dep . or public water and public sewer disonnect? ❑Yes ,KNo
Have all utilities been dis nnected?/ es ❑No
Signature of Applicant: � "/G`'�� Date:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: , Part: am/pm
Date Inspection request received: Inspector Initials:
NAME: Aam bi PERMIT#: 7 —
LOCATION: �--Yle DATE:
TYPE OF STRUCTURE: .
(_ Conimeints
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 egress below grade
Gas Furnace shut-off within 30 feet 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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Lo s in Sealed or Glass Enclosure
Final Electrical 1A5
Final SurveyPlot Plan Gc" V"�" �,..f���
As Built Septic System/Sewer Dept.Inspection Sticker J (i I
Site Plan /Variance required
VV"
Flood Plain Certification,if required
Okay to issue C/C or C/® [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
. 3a
p AY 6 2003
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