2002-865 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: P20020865 Date Issued: Monday, October 28,2002
This is to certify that work requested to be done as shown by Permit Number P20020865
has been completed.
Tax Map Number: 523400-308-008-0002.022-0.00-0000
Location: 35 LEO St
Owner: DOLORES RODRIGUEZ
Applicant:
This structure may be occupied as a:
By Order of Town Board
Demolition TOWN OF QUEENSBURY
t
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Quecnsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020865 Application Number: A20020865
Tax Map No: 523400-308-008-0002-022-000-0000
Permission is hereby granted to:
For property located at: 3 5 LEO St
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: DOLORES RODRIGUEZ Demolition
35 LEO St Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
COMBS TRUCKING
96 VANDUSFN Rd
OUFFNSBURY_NY 12804
Plans&Specifications
2002-865
DEMOLITION of a 432 sq ft garage and two additions totalling 304 sq ft,per application.
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 28,2003
(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.)
Dated at the Tow of Qu nsb d O tober 28,2002
SIGNED BY —for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY OCT 0 8 2002
742 Bay Road
TO
Queensbury, N.Y. 12804-9725 WNC'
Application for DEMOLITION PERMIT Permit No.
Instructions for completing the application Date:
Fee Paid:
1. All applicable spaces are to be completed.
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. 0 C)
Owner of property:
-UaLZ&-_-6 Property Location:
Mailing Address: F--C) Tax Map No. secfion3CE-�%Iock—7,—,Lot
V-4 0 2N� 2-ZdA
Person responsible for work: 2) Telephone No.
Mailing Address:
Where will demolition tnaterial_be_disposed_of?_._
Is there.any asbestos within building to be demolished? Yes 1 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 WELL BE DISPOSED
A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS. %
,G -4 m — F 7—-D"R—
The following building(s) located on property described above are to be removed: --ry ob,
Previous use of building (circle one . �(2-q bayt,
garage, storage busffiessp1her
CH:a�e:ol u s electr
�t�it;e�n disconnected. zi lectric propane water
(Si2e-of-buildin
1. ft. by_ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one): full cellar crawl space slab
Foundation will REMAIN BE REMOVED
5. Another structure WILL WILL NOT replace this building.
NOTES:
owner, owner's agent,architect, contractor
Office Use
GENERAL, INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/p EP T am/pm Notes:
(518) 761-8256 Inspector's Initial
NAME: f`��R It C-o E-- PERMIT#
LOCATION: LEO S�� INSPECT ON(date): 1a
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Food s/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for �\�� '� `/�� �l�►���F
providing protection from freezing l`►
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofing
Backf ll 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
BracingBridging
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:\Suellemingway\Iiuilding,Codes.Inspeetion.FORNfS\GENERAI.INSPECTION REPORT.doc
Rodriguez ��;y j OU Page 1 of 1
()r U. 1 � �` Rodriguez
°'
W,
Im
.:
Tlm,
i ss u`d,
a
r ✓s i� r"' .e �, S
r}��tft�
t i o sg i X�����
; a
1 f y5 f1R+�k d f \Qf E}• �N
ilp
}i at �}; ^r t a i f g .ri • { �.� e 3,uelej Y ..,
`ram,s •r•a,k aY1 ; NS e.7k#,� . r ,�Ns£ b� r ; ��'s a° s t `�
.��•'E3'F x£ �R���#;"�"$i,7� ax �k. e`x✓ f �s�s����£e k�f k${
'v 'x i f
iz'E k �.T ti N k i �• ? YdN1.
�t tIs �rs j• ��r°z n £ »
3�. " Rf� u���n�{ i�s� s.�r 'fs „ � 3 ws€k4� tr h n �f�k 1}�'x€�a`'�•k,3;'�'.
f r�}�"'✓c{, r � .s..,,».i x.«,?n; '`'w ax x s t dy z4 �� .k3 S .) @x�� r:
)SE
,��d' §
Mn,
�
xt d r 1z3 Y„u•;,x t s ?nJ G t K : 5 F "s '•€ .«I
TH
' ian��� z��3v >, `��� ��✓,' �ytir«e«kseEn_ :.
• �� �+� x�,� fit;z,�tk€i3�x ;�r�Eie€� '� f5 ai �i �
A � sr d�`sai� i• �vys y cif prtvL s � p
.. .. •. 8� i ...i
t
� _� �Txi t a t< :z Tt.a zr9�no�tz„• .
i '
I
j Town of Queensbury
742 Bay Road ,'
Queensbury,NY. 12804-5902
•
k