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2011-382 Ufa 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: P20110382 Date Issued: Tuesday, February 05, 2013 This is to certify that work requested to be done as shown by Permit Number P20110382 has been completed. Tax Map Number: 523400-296-019-0001-003-000-0000 Location: 2 COUNTRY CLUB Rd Owner: QUAKER COUNTRY CLUB ASSOCIATES LLC Applicant: QUAKER COUNTRY CLUB ASSOCIATES LLC 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 Oirect f Bu' to Co orcement 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: P20110382 Application Number: A26110382 Tax Map No: 523400-296-019-0001-003-000-0000 Permission is hereby granted to: QUAKER COUNTRY CLUB ASSOCIATES LLC For property located at: 2 COUNTRY CLUB 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: QUAKER COUNTRY CLUB ASSOC 784 TROY SCHENECTADY Rd Demolition LATHAM,NY .12110-0000 Total value Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 2011-382 demolition of metal storage building&loading docks $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 03,2012 (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 Tpwn oT ueens1b%ry, � d =day,August 03,2011 SIGNED BY for the Town of Queensbury.. Director of Building&Code Enforcement .--- - .......... .............................. ' OFFICE USE ONLY + 10 TAX MAP NO. f PERMIT NO._ E PAIDM-= tft, , Permission is hereby granted to the above named Applicant to demolish the building(s) + described herein ass "oor N the A faatio'beloved ,C p� P / ; � 11Director of Buiidirig 0"16desi 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. v� C 6 0 APPLICANT/BUILDER: �C'V-r- - OWNER: /+2�So G' A-r U ADDRESS: ADDRESS: 2- 4", ( �� Sv I je , : PHONE NOS. PHONE: -7 C/ ' PERSON RESPONSIBLE FOR WORK: t U�1 O ail ��y�i Sao PHONE: S C /V- LOCATION OF DEMOLITION: '2- CIA 9­0CtZQI WHERE WILL DEMOLITION MATERIAL BE DISPOSED? �e G C/1', 1 SS lbel Y 70 rf� ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? J 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. it STRUCTURE INFORMATION: ✓ Indicate which structure(s) will be demolished: RESIDENCE GARAGE BUSINESS Ir e-4-,.1 b v. I 3 �- �o — d -� -5� / Lb",N(s p�cic ' y 5 u STORAGE BLDG. // OTHER L.oacl nnc ✓ Size of structure: X _tn,��,�-� ✓ Number of stories: . o vul ✓ Foundation e: FULL CELLAR:, ✓ type: CRAWL SPACE SLAB �CJ)9 ✓ Fetmdatie : WILL BE REPLACED WILL NOT BE REPLACED rb e+M 1 h �' 0, J ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED �l UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC .V PROPANE ) PUBLIC WATER ONSITE`WELL-WATER PUMP PUBLIC SEWER Have you notified the Town Water Dept; for public water and public sewer disconnect? YES_NO Have all utilities been disconnected: YES-/NO C-QUESTIONS 256 OR EMAIL �] ry.net RE INFORMATION.net SIGNAT OF PPLIC NT 4 "town of'Queensbury• Community Develop nien1.. Office ■ 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement - ResidentiVpa spection Office No. (518)761-8256 Arrive: &- - art: � am/ m Date Inspection request received: Inspector's Initia NAME: :�RVC-� 't1 ('Ly� 1�,��DCofE: #: LOCATION: C c»0�V FZ C w C- R n 7-- TYPE OF STRUCTURE: Comments: Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches 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 s .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 s .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 Furnace/Hot Water Heater operatipA Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Lo s in Sealed or Glass Enclosure 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 G.L-D4, 3N= ©� Site Plan /Variance required Flood Plain Certification,if required �l— Okay to issue C/C or C/®1 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 ———------ ----- OMIAWNVVj aXNOM01056 a•+n'n3uazsarosom0.uwasa azo E99t"E8L 81i Od'SiO3il B:Dsxo N N. Jill U5 W, 1299y 3 3 Xsw NVD, cow cow zo w 0 GVOZl - - - - - - - - - - - - 0 Zg neo IT u HE H I T Q '31 co ZD �g �Vq 17-4 of c�D 0 R�aQ W% 2 q 11-,e ZZ � = IA .� ' rz m ..r HOW. s O 20 cv WU z� I �R50 ps E ISI ISI / v r aarRor:uere Nrgmwv seems t COUNTRY CLUB R _ J � m a;$$Bm HOC- 2 100 >Q �Ll s Q an s e Einp aP a Topographic S oy made for § to g Ste Ve^s _ ° x Land Surveyors Quaker Country Club Associates, LLC o N169 Navfland]toed Quaeos.-Nan York 10004 P...m.e,.d Town o[Qaeanabuxp,flurzan Counlp,New York (318 Z 04'I4 Ne+r York Lto.No. 30139 OAtE DESCRIPTION