2003-396 TO" OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761.8256
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CEIR'I'l F I C.j alTi E O)F 1C'0 M L I A N u t
Permit Number P20030396 Date Issued: Thursday, December 07, 2006
This is to certify that work requestedto be done as shown by Permit Number P20030396
has been completed.
Tax Map Number. 523400-296-015.0001-009-000-0000
Location; 59 COUNTRY CLUB Rd
Owner. MANUEL&MARGARET ORTA
Applicant; HAYES CONSTRUCTION GROUP,LLC
This structure may be 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&Cod nfo ent
Planning Board or Zoning Board of Appeals.
July 18, 2003
Daniel W. Ryan, P.E.
Hayes Construction Group
395 Big Bay Road
Queensbury, NY 12804
Town of Queensbury
Building &Codes Department
742 Bay Road
Queensbury, NY 12804
RE: Building permit application for 59 Country Club Road
We are pleased to submit the following percolation test results for the above referenced
project.
Location Percolation Rate
Country Club Road 19min./in.
Please Ao not hesitate to call if you have.any questions. I can,be contacted at 792-9142.
Thank you for your time and consideration in this matter.
Sincerely, N fib,
Daniel W. Ryan, P.E.
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"I have seer or observed, _,vdence,of,
all objects st ch .as ho se. etc.,
shown on th s d:)cuFr1-. i ,.,I.t,l/have 03_ )
personally a easured t ystarice .wk turth on the dia ram:' `
DATE
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"I have een or observed, or believe 1 saw evidence of,
all objec s such as houses, welts,trees,fences,etc.
shown o 1 this document I'also represent that I hai e
persona ly measured the distances et forth'on the diagram:' ! i} 7(v / r
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To
OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development»Building&Codes (518)761-8256
F5 .
BUILDING PERMIT
Permit Number: P20030396 Application Number: A20030396
Tax Map No: 523400-296-015-0001-009-000-0000
Permission is hereby granted to: HAYES CONSTRUCTION GROUP;LLC
Forproperty located at: 59 COUNTRY CLUB 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 C'otistruction Value
Owner Address; HAYES CONSTRUCTION GROUP,: Demolition
P.O. BOX 109 Total value
GLENS FALLS,NY 12801.0000.
Contractor or Builder's Name f Address Electrical Inspection Agency
it}
Plans&Specifications
2003-396
DEMOLITION OF SINGLE FAMILY DWELLING AND PUMP HOUSE AS PER'PLOT PLAN
SPECIFICATIONS
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 17,2004
(If a longer period is required,an application for an extension riiusi be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the wn Quee ury' uesday,June'17,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Co Enforcement
Permit No
Application for Demolition Permit Fee Paid
Building&Codes Office—Town of Queensbury 742 Bay Road Queensbury,NY 12804 1
(518)761-8256 Notes:
Instructions/Requirements fora ngpift: J
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: . ! 4', . 3. Tax Map No.x;?
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4. Where will demolition material be disposed or. 1!!!:611� ............Aumo rkf
5. Asbestos Information
A copy of-Asbestos Removal Report must be filed with our office before demolition begins RECOVED
a. Is there any asbestos within the building to be demolished? ❑Yes
If YES, our office needs the following information: 'q NAN 0 6 2003-
TOWN OF QUEENSBURY
BUILDING AND CODE
b. Name of firm removing asbestos:
C. License number of firm:
d. Indicate location where asbestos material will be dispose/
6. Structure Information
a. icate di which structure(s)e(s)will be demolished:
I(
El ,� /21"i'Residence; garage; [:]storage building; business;
b. Size of structure: —<b—ft.by1>ft.
C. Number of stories
d. Foundation type: Mfull cellar; f4crawl space; Dslab
e. Foundation: will be removed; Dwill not be removed
El
f. Structure(s): Nwill be replaced; will not be replaced t'."
Cx1le
7. Utilities Information
Indicate utilities for this structure:
as E]electric (propane ❑oiisite well-water pump
Public
water Elpublic sewer
Have you notified the Town Water Dept, for public water and public sewer disonnect?/VYes FlNo
Have all utilities been disconnected? E]Yes ONO
Signature of Applicant: Date:
Queensbury Building & Code Enforcement - Resident' 1 Final Inspection
Office No.(518)761-8256 Arrive: mtp�m�.'IDe� am/pm
Date Inspection request received: Inspector's Initials -
NAME: P PERMIT M 71f0,j �
LOCATION: - 1 , 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 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 Shectrock Underside minimum%s"Gypsum
Basement stairs closed rise}4 inches
Garage Floor Pitched
Garage fireproofing/'/a hour fire door/door closer
Duct work Sealed properly
Gas Los in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan i'r
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required - 'l
Flood Plain Certificat' n,ifte aired
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Okay to issue`C/Q6r'C/m Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Formsaesidential Final Inspection Form revised 100405.doc
JUN 0'6 2003
OWN OF QUEENSBURY
fol BUILDING AND CODE
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