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2010-397 iA TOWN OFQ UEENSBURY toris742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20100397 Date Issued: Thursday, April 19, 2012 This is to certify that work requested to be done as shown by Permit Number P20100397 has been completed. Tax Map Number: 523400-295-010-0002-026-000-0000 Location: 126 MT. VIEW Ln Owner: RICHARD WINCHELL Applicant: RICHARD WINCHELL This structure may be occupied as a: Certificate of Occupancy(RES) 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 `Ii. 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100397 Application Number. A20100397 Tax Map No: 523400-295-010-0002-026-000-0000 Permission is hereby granted to: RICHARD WINCHELL For property located at: 126 MT. VIEW Ln in the Town of Queens bury,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 Queens bury Zoning Ordinance. Type of Construction Value Owner Address: RICHARD WINCHELL 126 MOUNTAIN VIEW Ln Certificate of Occupancy(RES) $1,950.00 QUEENSBURY,NY 12804-0000 Total Value $1,950.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-397 asbestos abatement $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,August 19, 2011 (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 1,1To f Que bury; Thursday,August 19,2010 SIGNED BY .,;,.„° 4` for the Town of Queensbury. Director of Building 8E Code Enforcement j OFFICE USE ONLY TAX MAP NO. 2751 . 2-26j ' PERMIT NO. � �c�l- FEES: PERMIT RECREATION ENGINEERING (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APP REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. LIGATION IS SUBJECT TO APPLICANT/BUILDER: f� � �i,,� c f N ; ts.. {_ iz k( 10-z.1+-OWNER: t l ' `� ,a ' � '�( <� ,�-t L"� C �,�� �, ADDRESS: (1) -I lel t '�C, 1�' Vit. (' I : 1-- �, ' v, ` "� 't�� �� ADDRESS: ,,.ILS �� L c,�ti�i:��� ,�'c,�: c. �. PHONE NOS.— I - , f-� �`_.� PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ' I t" Aic PHONE: ��= _'i ,,�- �, j ! -, i LOCATION OF PROPERTY: 1� (.c l.c-,, , t ,,-. 1/t e f v ,- HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR o PROJECT Z Q p O C'1 wc� ti �- OF_ 0 �; � �w Wi Fw— L •w LL U— 2 ¢ d = = -J , C o �- C7 U ZI ¢ < '- U) N ° O~ u O0IL Xwo SINGLE FAMILY X TWO-FAMILY ( -- MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL iATTACHED GARAGE(1,2,3) OTHER I I n I 4:, ( �;�- } '. ? (1.\-) ::> v '� Tei; . l ;-"k, ,:' P ....re' 1 : ."-7L v : B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? ;t L?A i7 C`,-1 i/ I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and a r e tghe above. Signed _ Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) ,- Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application:- /P " ` :1► DING & CO' S APPROVAL ZONING APPROVAL i tf, < L SAT. DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a.queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION . la si-6cT-vs / I. -,5L06c-7-7 O .- - . u ns ury Building & Code"Enforcement - Residential F. I Inspection Office No. (518)761-8256 Arrive: - ` � ;7 jam'`"' am/Pm Date Inspection requestrecei . _ Inspector's In .� NAME: LIIIICItell IT#: "— SC LOCATION: d'i • 1� ) D' E: TYPE OF STRUCTURE � a' `S 0 , ' .f , Comments: rge HQ NA 4" Building Number Address visible from road ` Chimney Height/"B"Vent/Direct Vent Location li'r- --4 / Fresh Air Intake Cr 3 inch Plumbing Vent through roof minimum 8 inches /7 /1/ Roof Co • ete/Exterior Finish Com•ete Platform at all exterior doors 111111111111 Handrail 4 or more risers Eli� Guards at stairs decks •: ' more than 30 inches above ,rade ��� 14 p KS p ` ( L' Guard at stairwell at 34 inches or more �� Guard at deck,porches 36 inches or more r,, Handrail Termination at Newell Post or Wall ��� al0! `'�� Interior/Exterior Railin•s 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant • Grade away from foundation 6 inches with 10 feet 8 inch clearance to sill •late / 0 21 4 Gas Valve shut-off exposed/ _•ulator 18 inches above ?rade SMI01 f.a( Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing I Window in stairwells safety glazing e / f.Q_. ±frk t--- Interior Smoke Detectors/Carbon Monoxide Detectors i Every level: Every Bedroom: `. Outside every bedroom area: ffneti Inter Connected: Batts baclku•: • Attic access 30 inches x 22 inches x 30 inches ei,ht in accessible area 11111111111111 Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sg.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss drafts ••,.' . finished basement 1,000 ••.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 operating Low water shut-off boiler 111 Relief Vahre(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched 111111111111111� Garage fireproofing/34 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan ■III Arc Fault Breaker in Bedrooms Id \_10 i sx Gas Pipe Bonding �� "/1' As Built Septic System!Sewer Dept. Inspection Sticker (// �� Site Plan IVa iii - •aired `C� OkFlay tofain s = i'� /0 j Temporary/Permanent L:tBuilding&Codes Forms\Building&Codesllnspection Fonns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Certification of Visual inspect!o: Buildirg: ! L(� i111v� L� Ut .i - Project Number: Work Area VOtal -krAiitG 044 ‘)4470.411/1 641tt4Cl In accordance to Contract Documents–Asbestos Abatement Specifications,the Asbestos Abatement Contractor hereby certifies that he has visually inspected the work area(all surfaces including pipes,beams,ledges,walls,ceiling and floor,decontamination unit, sheet plastic,etc.)and has found o dust,debris,or residue. By(signature):V► 14 i� •I Date: 31 /4, 1 1/11 Name(print): it t' _ Title: Supero.sor Company Name: ;v141111 �v Project Monitor's Certification: • The Project Monitor hereby certifies that he has accompanied the Asbestos Abatement Contractor on his visual inspection and verifies that this inspection has been thorough and to the best of his/her knowledge and belief,the Asbestos.Abatement Contractor's Certification above is a tY d honest one. 123116 By(signature): — Name(print): 14,6- - 'Sc sr-r t f Tide: Project Monitor 'Company Name: CT Waste Shipment Record No. Neoplanta Restoration, Inc. • Clifton Park, New York • SITE ,. Kes t NAME ul ADDRESS: i rd t 11C 1 .40 t ©LL Y I v- Vi (.4.3 .6) /,Ryat TELEPHONE: , — 9 ! O 30 2. OPERATOR'S NAME&ADDRESS: Neoplanta Restoration, Inc. 8 Haystack Rd, Clifton Park, NY 12065 TELEPHONE: 518-371-5814 3. WASTE DISPOSAL SITE(WS) TEEHon.-586 526-da2n NAMEU I u WO .-Alt, 1: _ . _ - o1 •G PHYSICAL SITE LOCATION:Same E 4. NAME&ADDRESS OF RESPONSIBLE AGENCY: US EPA Region II A 290 Broadway, New York, NY 10007 T 5. DESCRIPTION OF MATERIALS: 6. CONTAINERS: 7. TOTAL QUANTITY: 0 CUBIC METERS(YARDS) R non NO. TYPE Fy fe Asbest /C Bags 8. SPECIAL HANOUNG INSTRUCTIONS&ADDITIONAL INFORMATION: Waste double bagged and prewetted with an approved wetting agent, asbestos 9, NA 2212, III RQ a. OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects In proper condition for transport by highway according to applicable international and government regulations. mirmigo NAME&TITLE SIGNA DATE L-t y' KOVIe rug- --� 024// o 10. TRANSPORTER 1 (ACKNOWLEDGEp4et CEIPT OF M� NAME&ADDRESS: MeD e[e cCt o n, ( Yb' c A aE01 S (.4_ k . (f %-r-. ' v l�1 p. N TELEPHONE tg ,_3�7 (J.�/ N ORI'P'NAME&TITLE SIGNA DATE to �a(kc No �--ii , >rd��� ��U�(.,Nc `'J o /a. 0 11. TRANSPORTER 2 (ACKNOWLEDGEMENT OF RECEIPT OF MATERIALS) A NAME&ADDRESS: • T E R TEIEPHNE: PRINTED/TYPED NAME&TITLE SIGNATURE DATE 0 12. DISCREPANCY INDICATION SPACE: S 13. WASTE DISPOSAL SITE OWNER OR OPERATOR: Certification of receipt of materials covered by this manifest except as noted in Item 12. 0 S PRINIED/MED SIGNDATE - -- o6'L.Q �� 45.7(72e NRI-120-07 Distribution: White-Generator Canary-Operator Pink- ransporter Goldenrod-Disposal Site