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2011-295 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: P20110295 Date Issued: Wednesday, February 20, 2013 This is to certify that work requested to be done as shown by Permit Number P20110295 has been completed. Tax Map Number: 523400-289-014-0001-020-000-0000 Location: 85 FITZGERALD Rd Owner: JOHN W GARDNER Applicant: JOHN W GARDNER 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&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 C BUILDING PERMIT Permit Number: P20110295 Application Number: A20110295 Tax Map No:. 523400-289-014-0001-020-000-0000 Permission is hereby granted to: JOHN W GARDNER For property located at:_ 85 FITZGERALD 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. Tyoe of Construction Value Owner Address: JOHN W GARDNER 528 HIDDEN RIVER Ave Demolition PALM CITY, FL 34990-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-295 demolition of camp $30.00, PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 20,2012 (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 th own f Qu a sb pry; nday,June,20,2011 SIGNED BY for the Town of Queensbury: Director,of Building&Code Enforcement --------------------------------- `�„��•—� OFFICE USE ONL 'T 'I I'I'a TAX MAP N 27 PERMIT NO. FEE PAIDr 7Mn„ Permission is hereby granted to the above named Applicant to demolish the building(s) o v described herein as set forth in the Application below. JUN 16 2011 Director of Building&Codes Date i + :_______________________________________________________________ � 1-T015/aL0F QIJ6&N8811RX__! APPLICATION FOR DEMOLITION PERMIT: BUILDING&CODES Fill in 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. APPLICANT/BUILDER: J0 Are G01 rCA;I e V- OWNER: \To An Ga(-Ca n e-r- ADDRESS: Jc�ffZcler�c�(GQ Rol. ADDRESS: RS /�/ ZOIe�0.IG( 1U, PHONE NOS. 51?-793- c)q-70 PHONE: S1?-793-0 0/70 PERSON RESPONSIBLE FOR WORK: Sohn GcrCAne-r PHONE: 51 g r 79 3-0970 LOCATION OF DEMOLITION: WHERE WILL DEMOLITION MATERIAL BE DISPOSED? !`o I - ©-�-� Servece ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? YES NO__�(_ ✓ If YES, our office needs the following information: o Name of firm removing the asbestos: o License number of firm: o Indicate where the asbestos material will be disposed: NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(S)will be demolished: RESIDENCE GARAGE BUSINESS Cck,+P ✓ Size of structure: X L// STORAGE BLDG. OTHER ✓ Number of stories: ✓ Foundation type: FULL CELLAR CRAWL SPACE �1/ SLAB ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP�U _ PUBLIC SEWER Have you notified the Town Water Dept.for public water and public sewer disconnect? YES NO AIA Have all utilities been disconnected: YES--�L NO QUESTIONS? CALL 761-8256 OR EMAIL codesOlgueensbury.net SIGNATURE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Town of Queensbury• Community Development Office- 742 Bay Road, Queensbury, NY 12804 s< Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins "on re iv : Queensbury Building&Code Enforcement Arrive: m/pm a rt: am/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initia . NAME: PERMIT#: - LOCATION: INSPECT ON: — TYPE OF STRUCTURE: ---AL c--F)M P Framing Y N WA COMMENTS: Attic Access 22" x 30" minimum 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % 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 water 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's inch or 5/8 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 s#grade L'Muiiding&Codes Forms-OLDSuiiding&CodesUnspection FormTraming Firestopping Inspection Report.doc Revised January 7,2008 ti o 16' `� s t ! a ao` ao i -760 7 OF ING, ! o.�,.��---���i _.rw,,..r•-Y'..r--� &�`.'6:'f�Cz�f, ,�,re ^y ,,� "�� ��lVewayOP4 ` {� GI { x icti�t I el d as noted. _ Silt fence fie be leted &inspected { installation must be comp r��co beginning demolition. , a f i F Please contact this c;fice to schedule an ` y demolition: ' s n to an inspection of 4�e site i r"ul t� •cam+&`��\VO�,v o� �v ?. I e r%e— s� z 2 � \rnp in Cif L s.