2010-156 TOWN OFQ UEENSBURY
4to 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100156 Date Issued: Wednesday, May 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20100156
has been completed.
Tax Map Number. 523400-309-015-0001-055-000-0000
Location: 220 FIFTH St EXT
Owner. MARIA GAGLIARDI
Applicant MARIA GAGLIARDI
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
0111111h,
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100156 Application Number: A20100156
Tax Map No: 523400-309-015-0001-055-000-0000
Permission is hereby granted to: MARIA GAGLIARDI
For property located at: 220 FIFTH St EXT
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: MARIA GAGLIARDI
220 FIFTH ST. Ext Demolition
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2010-156
demolition of shed
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, April 15, 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 the To err St\ieens ry; i j, , April 15, 2010
SIGNED BY �-i-� i \ for the Town of Queensbury.
Director of Building& Code Enforcement
OFFICE USE 2114:5Y, /�// -- /.
TAX MAP N PERMIT NO. p /t, (O FEE PAID 2O /''
�V ` 09
Permission is hereby granted to the above named Applicant to demolish the building(s) /
g( ) APR /
described herein as set forth in the Application below, E 9 f � >�i�p /
i
Director of Budding&Codes Date
. _.____,!°
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: 14iJZ A wrd,' OWNER: SA-e• e._..
ADDRESS: tau t fa�'TL4 S1. Ex.--r. ADDRESS: -,
etveLv► Stax// ivy l2 St, 'l
PHONE NOS. —7(0 -b c74 (t) 7/j I-jl a9 (w) PHONE: 5+34-<-..
PERSON RESPONSIBLE FOR WORK: 0---t it ode i 1 PHONE: 3(p I - 33 t L(
LOCATION OF DEMOLITION: aao r%c-7 14 Si , 15...-56-.///
WHERE WILL DEMOLITION MATERIAL BE DISPO; ED? 6c5,(1-4,%c l 1 -1-. t de1/S ScA--,- i. L Pi
N 7
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building : be demolish-3d? YES NO
i.
✓ If YES, our office needs the following infc+mation:
o Name of firm removing the asbestus:
o License number of firm:
o Indicate where the asbestos mate! al will be dispotod:
NOTE:A copy of Asbestos Removal Report must be filed with our ofl':e before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE . GARAGE BUSINESS
7 STORAGE BLDG. X OTHER
V Size of structure: 102 x
✓ Number of stories: I ST city
✓ Foundation type: FULL CELLAR CRAWL SPACE LAB i k.i ilocr
✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED X
✓ Structures(s): WILL BE REPLACED X WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS 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 NO
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: 14 am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: �f/�C
NAME: C..-7. C.?Lt/A- p\ PERMIT#: .LZl'61,--i'5'-4
LOCATION: T
....
DATE: 1
TYPE OF STRUCTURE:
Comments:
Ygs No NM
4° Building Number Address visible from road
Chimney Height/"B'Vent/Direct Vent Location
Fresh Air Intake _
3 inch Plumbing Vent through roof minimum 6 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 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation 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 �„14 A 69k�GC:�
Oil Furnace shut-off at entrance to furnace area0 (�j
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 dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure .
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms /
Flex Gas Pipe Bonding
As Built Septic em/Sewer Dept. Inspection Sticker
Site Plan /Vari required
Flood Plain Ce ' on,if required
Okay to issue /C r 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
Town of Queensbury Fire Marshal
742 Bay N
Queensbury,NYY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
_
G i
Permit# 1 Schedule Inspection 416)-0/) 10 Time 1 m anytime Inspector V W°
Name Pi\ ! 5 Address k L.V i C " +C ' Rough InFinal
Appliance Manufacturer ut" n Model# _Vt - C
Direct Vent Factory Built Chimney ✓ Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles V�
ajfAVI
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel O I L—
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. Yellow-Costamter Pink—Fire Marshal
Town of Queensbury Fire Marshal
-"� 742 Bay Road
Queensbury,NY 12804
7614205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
f�t3
Permit# Q 1 I L
Schedule Inspection if1-�i l L) Time 1
I (1 Calm anytime Inspector
�-1
NameP011.5'-; `3 Address C?n AV / kJ Rough In Final
Appliance Man facturer )-i L P ( IL) Model# J L , ( ,S v 12 � 24
;r
Direct Vent Factory Built Chimney ✓ Flue Size Double Wall Triple Wall Insulated
Yes No NIA Comments
Floor Protection
Clearances to Combustibles(all sides)
Firestop(s) Vertical Chase �r�
Wall Penetration Y /�
Vent Clearances to Combustibles 0 ( "l. �(,/��
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel OL
Height above f/p opening
Witness Operation V1
Tank Placement(if LP) p�
White—Building Dept. Yellow-Customer Pink Fire Marshal
Town of Queensbury Fire Marshal
A�� 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# GY' ) S Schedule Inspection 1 Pc9)/L.) Time (U am m anytime Inspector
Name V�1 11(-\S`h 0 ; AddressYtc i n U Rough In Final '\
Appliance Manufacturer • (.7 L u Model#<L 5$v ia
Direct Vent " Factory Built Chimney ✓ Flue Size Li Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
t` 7
C-Cr(\Q
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel [L
Height above f/p opening
Witness Operation
Tank Placement(if LP) 01
White-Building Dept. Yellow-Costumer Philo-Fire Marshal
7 //
Queensbury Building & Code Enforcement - Idential Final Inspection
Office No. (518) 761-8256Arrive: v) am/p rt: _am/pm
Date Inspection request received: Inspecto s Initials: �V
NAME: ' cC / 1 / PERMIT#:
LOCATION: -411,17,11116111111 DATE: 517$
TYPE OF STRUCTU- :
Comments:
/ft NQ N/A
4' Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location DEm
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 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 I 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 I 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 S•aces 18 inch x 24 inch access 1 •.ft.-150 =►.ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation 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 (` Wl(�
Oil Furnace shut-off at entrance to furnace area
FumacelHot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan r
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding_
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification 'f ui �� /
Okay to' k/
L:1Building&Codes Forms\Building&Codes lnspekttian Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08