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2002-836 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020836 Date Issued: Friday,January 10,2003 This is to certify that work requested to be done as shown by Permit Number P20020836 has been completed. Tax Map Number: 523400-309-007-0001-026-000-0000 Location: 5 FELD Ave Owner: FRED WALDEN Applicant: CLUTE ENTERPRISES This structure may be occupied as a: By Order of Town Board Demolition TOWN OF QUEENSBURY Duector of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020836 Application Number: A20020836 Tax Map No: 523400-309-007-0001-026-000-0000 Permission is hereby granted to: CLUTRENTERPRTSES For property located at: 5 FELD Ave 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. T jVe of Construction Value Owner Address: FRED WALDEN Demolition EMMA LADD Total Value PO BOX 2718 GLENS FALLS,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency CLI JTF ENTFRPRISES ATTFNTION: LARRY CT.IJTF P.O. BOX 373 LAKF CTFORCTF-NY 12845-0000 Plans&Specifications 2002-836 Demolition of a 735 sq ft residence per plot plan and specifications. $20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 20,2003 (If a longer period is required,an application for an extension must be made to the code.Enforcement Officer of the Town of Queensbury before the expiration date.) s Dated at the Quee bu d ay,November 20,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY REC ENE D 742 Bay- Road* Queensbury, N.Y. -12804-972.5 OCT 0 2 2002 Application for DEMOLITION N PERMIT Permit No. TOWN OF QUEENSBURY BUILDINGfilk �i%nsj�)r completing the application. Date: Z'640 Fee Paid: I. All applicable spaces are to be completed. —$W021111- 2. Two plot plans are to be submitted, drawn to scale, showing: a. lot boundaries, with dimensions and adjacent roads and streets. b. all existing structures, indicating which are to be removed. c. location of all utilities. 3. Fee submitted per current fee schedule. Owner of prope Property Location: rty Z,09, 0-7 Mailing Address: Tax Map No. section Block Lot f I Person responsible for work: Telephone No. 79 1: 77 90 -7 Mailing Address- Cz� Where will demolition material be disposed of? A-U os--&D Is there any asbestos within building to be demolished? Yes— 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 j<e). residence garage storage business other Have all utilities been disconnected? gas electric—..) propane water Size of building(s): 1. ft. by ft. Location on property 2, ft. by ft. Location on property 3. Number of stories: 1 4. Foundation type(circle one): full cellar crawl space sla Foundation will REMAIN BE REMOVED 5. Another structure WILL WILL NOT replace this building. NOTES: lican Signature of App 0 owner's jn ;reliitcct,'contractor Off Use .GENERAL INSPECTION REPORT Inspector: [ Town of Queensbury Ready at time:. .:: Dept. of Community Development Request received: Meet. Building& Code Enforcement At 742 Bay Road Queensbury, NY 12804 ARRIVE -00am am/pm Notes-, (518) 761-8256 Inspector's Initia NAME: C PERMIT LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: 34-0 RECHECK N/A I YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site 'Foundation[Wallpour Reinforcement in Place Foundation/Dampproofing- Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing- Heating Rough-In,_ sulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in I unheated spaces R- Proper Vent,Attic Vent Framing Jack Stads[Hea'ders Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour Firestopping_ L:\SueHemingwaylouilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Offwe Use .GENERAL INSPECTION REPORT Inspector. Town of Queensbury Ready at time:.'.." Dept. of Community)Development Request received. ?/r-j Meet: Building& Code Enforcement Attime: fiSAf 742 Bay Road Notes: 'ARR T . ' aiVA Queensbutj� NY 12804 ARRIVE cn� (518) 761-825b Inspector's Initil s NAME: C, (0 PERMIT# 2CVZ- LOCATION: INSPECT ON(date): 2,/t 7- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site -Foundation[Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers BracinglBridgmig- Joist Hangers JackPosts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Scaled Fire Wall 2,3,4 hour Firestopping__ L:\SueHemiiigway'Building.Codes,inspection.FORMS\GENERAL INSPECTION REPORT-doe Inspector: Office Use .GENERAL INSPECTION REPORT Town of Queensbury Ready at time::Dept. of Community Development Request received: I P/26(62-- Meet: Building& Code Enforcement 1 At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-825b Inspector's Initials, A NAME: i PERMIT# LOCATION: INSPECT ON(date): TYPE OF.STRUCTURE: RECHECK tl-ev-Nj N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 'Materials for this purpose on site 'Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In,__ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Coiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridging ........... Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4.hour--- Firestoppmig-- L:\SueHemiiigway\Buildiiig.Codes.inspection.FORMS\GENERAL INSPECTION REPORTA00