2011-346 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: P20110346 Date Issued: Wednesday, February 13, 2013
This is to certify that work requested to be done as shown by Permit Number P20110346
has been completed.
Tax Map Number: 523400-302-014-0001-062-000-0000
Location: 24 PERSHING Rd
Owner: HOWARD & KRISTINE LA ROSE II
Applicant: HOWARD &KRISTINE LA ROSE II
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 f�
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 Enfor ment
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
BUILDING PERMIT
Permit Number: P20110346 Application Number: A20110346
Tax Map No: 523400-302-014-0001-062-000-0000
Permission is hereby granted to: HOWARD &KRISTINE LA ROSE Il
For property located at: 24 PERSHING 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. T_we of Construction Value
Owner Address: HOWARD &KRISTINE LA ROSE 11 Demolition
KRISTINE 24 PERSHING Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
CIFONE CONSTRUCTION CO.
792-9242
P.O. BOX 684
GLENS FALLS NY 12804-0000
Plans&Specifications
2011-346
demolition of residence&garage
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 18,2012
(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 To n o ueens ry; oa July 18,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r•• _•r .................. ..
3
OFFICE USE ONL
TAX MA PERMIT NO. _FEE PAID u
Permission is hereby granted to the above named Applicant to demolish the buildin Ll
described herein as set forth in the Application below.
JUL 15 2011
Director of Building&Codes Date
(� CCU
_"_____._.__"__.__.__._"____"._ ".__"__ G&"CODES
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: G-1 OWNER:H o UJWrC( -14 Tt& C►n
ADDRESS: (2No); Co8Q, G4e_w3 _�;A�4 s r'ADDRESS: 4 Lwv
PHONE NOS. FL i O '7q 2. ?ZI--� PHONE: 515- 2.(,Q— 8960 13vA
PERSON RESPONSIBLE FOR WORK: YN C"17 MAt' Q,_`Qyk'PHONE: 3 0 C 16
LOCATION OF DEMOLITION: 4 �"Y���V►�tJt �c� QtNY eve t' 0
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?--
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_
�-,�, STORAGE BLDG. OTHER
✓ Size of structure: .- � X O
✓ Number of stories: ) Y?„
✓ 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: GASH ELECTRIC PROPANE
PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER
Have you notified the Town Water Dept. for public water and public sewer disconnect? YES_K NO
Have all utilities been disconnected: YES NOX
17:�6?ICJ C,.r 0 t S Q o n'n C C,-- —,� QUESTIONS? CALL 761-8256 OR EMAIL
G-0.S SC�edul Gov Y1e't"+ U« codesCg�gueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
al_� www.gueensburv.net
SIGNATURE OF A LICANT
c -30 "A-,f C- -k oV\
;" , Town of Queensbury- Coinmunity Development Office 742 Bay Road, Queensbury, NY 12804
Framing / Firestopping Inspectio R rt
Office No. (518)761-8256 Date Inspection u re ived:
Queensbury Building &Code Enforcement Arrive: m/ part: am/pm
742 Bay Road, Queensbury, NY 128N Inspector's Initi is: '�
NAME: RMIT#:
LOCATION: — I SPELT ON:
TYPE OF STRUCTURE:
Y N WA COMMENTS:
Framing
Attic Access 27 x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing �'� �c Off\—\ l Dt� Pew!k {
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 ric inch or 518 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 sf grade
LABuilding&Codes Fo►ms-OLMOuilding&CodesNinspedion FonnsTran ing Firestopping Inspection Report.doc Revised January 7,2008
C CE9MCE
JUL. 15 2011
T WN O EENSBURY
BUILDING & CODES
MAP REFERENCE.-
MAP
EFERENCE.
MAP OF FIRST SUBDIVISION OF
BROAD ACRES
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON 6-10-1930
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189 HavRand Road
518) 792--8474
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New York
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