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2011-628 TOWN OF QUEENSBURY ^� 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 oN Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110628 Date Issued: Tuesday, April 03, 2012 This is to certify that work requested to be done as shown by Permit Number P20110628 has been completed. Location: 154 CLEVERDALE Rd Tax Map Number: 523400-227-017-0002-030-000-0000 Owner: STONEWOOD DEVELOPMENT OF NORTHEAST Applicant: JEAN M HOFFMAN This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (1.°.-- A4P ff41 owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code :7 force, nt or Zoning Board of Appeals. TOWN OF QUEENSBURY `a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110628 Application Number: A20110628 Tax Map No: 523400-227-017-0002-030-000-0000 Permission is hereby granted to: JEAN M HOFFMAN For property located at: 154 CLEVERDALE 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: MATTHEW EBERLIEN Demolition 42 RUGGLES Rd Total Value SARATOGA SPRINGS, NY 12866-00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2011-628 DEMOLITION OF RESIDENCE $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 04, 2013 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Wednesday,January 04, 2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TAX MAP NO.22 76/ 7 PERMIT NO °NLY j/ 63- FEE PAID �` •�'� �` (�Q15) Permission is hereby granted to the above i .med Applicant to demolish the building(s) described herein as set f., in •e '•14;:•"ion be.w. 7 {-;u° Director of Builds es ///2_ - TOWN OF QUEENSBURII; BUILDING&CODES .S APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot boundaries with dimensions and adjacent roads / streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. APPLICANT/BUILDER: ��""— ®� OWNER: ADDRESS: P. & ht`'4 CG Pk. . ADDRESS: PHONE NOS. 6-t ' - PHONE: PERSON RESPONSIBLE FOR WORK: C Vvv.n PHONE: LOCATION OF DEMOLITION: i ,S t-) CA-2o A) / 12;44,.,P WHERE WILL DEMOLITION MATERIAL BE DISPOSED? LA/4a A� w� / T44.P ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? YES NO k V If YES, our office needs the following information: o Name of firm removing the asbestos: o License number of firm: o Indicate where the asbestos material will be disposed: NOTE: A copy of Asbestos Removal Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s) will be demolished: RESIDENCE `C GARAGE BUSINESS STORAGE BLDG. OTHER V Size of structure: r,/-$"' X ✓ Number of stories: t ✓ Foundation type: FULL CELLAR I CRAWL SPACE SLAB ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED X ✓ Structures(s): WILL BE REPLACED WILL NOT BE REPLACED x UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS ELECTRIC k PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP X PUBLIC SEWER Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm D art am/pm Date Inspection request received: Inspector's Initials: NAME: ‘_- 'C PERMIT#: l LOCATION: S4- - 1,, r.� DATE: TYPE OF STRUCTURE: � -1 Comments: Yes No N/A 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 111 Platform at all exterior doors -- Handrail 4 or more risers Guards at stairs,decks, patios more than 30 inches above grade I Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall III Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feetI 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: Bette backu.: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area III ■ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window _Ell_ Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft sto•.in finished basement 1,000 S..ft. EmergGas Furnace egress below 30e III " Gas Furnace shut off within feet or within line of site �i1ip` Oil Furnace shut-off at entrance to furnace area EMI II Furnace/Hot Water Heater operating Low water shut-off boiler 1111 ■ Relief Valve(s)installed/Heat Tra•/Water Tem• 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door loser Gas Logs in Sealed or Glass EnclosureIIIIM Final Electrical;Energy Saving Light Bulbs 50% MO Final SurveyPlot Plan Arc ■■■ Fault Breaker Habitable Spaces/Tam.er Proof Rece.taces Flex Gas Pipe Bonding - As Built Septic System I Sewer Dept. Inspection Sticker , Site Plan /Variance required Flood Plain Certification, if required _IIIIIIIII Okay to issue C I C or C/O[Temporary/Permanent 1111111-M111 L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised_100405.doc; Revised January . ,2008: Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 / I Lands N/F of Stonewood Development of Northeastern NY, Inc. (1416/295) Iron e Found v.letl Capped Rod Fo nd S \ 4 / 20 , , 23.6' 1/ 404A- 1,.... qF� /// 0, !I ; O / 30.E / .. Shed' -401 L. / /4,01 0 Capped Rod Found / 4*-< (0.6' south of corner) k . : ./---- Capped Rod Set / ..• /..---- q O 07100 --I / ,U k ti- 0 m 4 . I . ok,„, 1.1 ©" Area = 0.26± acres 47.2' 1'` a3 i Pipe Fo d PO -0 / /4. 0, 30.3' 71 0 i `` OD of N720 Matth4 4p„vv Town of Queen