2011-530 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110530 Date Issued: Wednesday, February 20, 2013
This is to certify that work requested to be done as shown by Permit Number P20110530
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: 200 LUZERNE Rd
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
This structure may be occupied as a:
Demolition
By Order of Town Board
3 up l'CNA ST (1% 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
FOW
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110530 Application Number: A20110530
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P Demolition
4294 ROUTE 5 Total Value
CALEDONIA,NY 14423
Contractor or Builder's Name/Address Electrical Inspection Agency
ROBERT LAWRENCE
(585) 303-5211
200 LUZERNE Rd
OUEENSBURY NY 12804-0000
Plans&Specifications
2011-530
Lot 3 -demolition of trailer
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, October 21,2012
(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 the Town'ofQgeensbuy; f r1day,O tober 21, 2011
SIGNED BY ' for the Town of Queensbury.
Director of Building&Code Enforcement
•
C-.% -2 - / OFFICE USE ONLY/7. ] r
T MAP N0. PERMIT N0. // $ e FEE PAID 0 e
Permission is hereby granted to the above named Applicantlito demolish the building(s) 4
described herein as set forth in the Application below.
;
Director of Building&Codes Date
d
o
APPLICATION FOR DEMOLITION PERMIT:
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: ilifoi)'1-Ai) €f OWNER:ASI /%, u4
ADDRESS: 4200 Zi./ ZJ)4L. ADDRESS: yO29 eke/C7 7 r%1 / uoi "eel
PHONE NOS.(5 ) 3d'?.,- 502 I/. PHONE: g 6 -6/SO
O
PERSON RESPONSIBLE FOR WORK: 4444Z/,4w,e/1 ex, PHONE:6kc) 03-S2J/
LOCATION OF DEMOLITION: II 71/Le-,5h1/ P;// _ 4o / 5
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? ZumQS� ,1 ,/`�i�� A
JJ
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 )C GARAGE BUSINESS
✓ Size of structure: /L/ X 7U STORAGE BLDG. OTHER
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE 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 .'i4 ONSITE WELL-WATER PUMP f/ PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES___NO 'V
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date l = • = ,_ _« _ .
Queensbury Building&Code Enforcement Arrive: re— • am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's In - =. _Adr
NAME: 1--tVt-,\F!,T-E kV) \i1 LU C-,E -ERMIT#:
LOCATION: 1._.UV C2) l,� \ INSPECT ON:
TYPE OF STRUCTURE: H()PA i E v-\( \E_ n\0
Y N COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
C270` ��t�� g
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 I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 6(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%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Buiiding&Codes Fortes-OLDSuHding&CodesUnspecdon FortnsTraming Firestopping Inspection Repod.doc Revised January 7,2008
t- sQueensburyBuilding & CodenfrcemenKeidnI Final Inspection
Office No. (518) 761-8256 Arrive: I Ab a p
Date Inspection request received: Inspector's Initials:
NAME: /7hI%.ekt / PE IT#: //�5-3o
LOCATION: r, s TE: /l
TYPE OF STRUCTURE:
tPI'vco Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location (j �/ 0/1
11 -1((ff.3
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches 6,4 S CC%/'t/7 L.
Roof Complete/Exterior Finish Complete '(
Platform at all exterior doors
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
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/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/s hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure .C )).()
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker /7Sr
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
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