2010-205 TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20100205 Date Issued: Friday, May 07, 2010
This is to certify that work requested to be done as shown by Permit Number P20100205
has been completed.
Tax Map Number. 523400-226-019-0002-021-000-0000
Location: 223 ASSEMBLY PT. Rd
Owner. PAUL & AMY LEJUEZ
Applicant: PAUL & AMY LEJUEZ
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF Q ENSBUR '
Issuance of this Certificate of Compliance DOES NOT relieve the (Dam 4
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
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
IF*
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100205 Application Number. A20100205
Tax Map No: 523400-226-019-0002-021-000-0000
Permission is hereby granted to: PAUL&AMY LEJUEZ
For property located at: 223 ASSEMBLY PT. 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: PAUL&AMY LEJUEZ
12 RIDGE Dr Demolition
MANHASSET,NY 11030-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-205
demolition of dock
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, May 07, 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 Town of Queensb r d.A t s y 07, 2010
(-- (4", -fi
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
C7.7 —2-21
OFFICE USE ONLY/r� / a"°�
TAX MAP NO. P : IT N0. [d FEE PAID G—C.' - % I9r y ,, }
Permission is hereby :d to t,- abov• na +:Applicant to demolish the buildin s �F "' l '
described herein pp set fo,h i �e A 1. a ',.n .-ow. 9( �
_
2010 14,1)
" _ ..
iiirecto -f:ui ding&Codes ate � ; t
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:
/� V s;, . r OWNER: ?OA/1 /� v e
ADDRESS: C q- I"t�..r-,,_ 12-) C Ie..0. 8(.4,1_ ADDRESS: 22 ss if-27 i,(
PHONE NOS. (s i B ) a(e9O r GI/ qd PHONE: C �3Y �y - e if
PERSON RESPONSIBLE FOR WORK: / .r? PHONE:
LOCATION OF DEMOLITION: 2.C5
WHERE WILL DEMOLITION MATERIAL BE DISPOSED?
ASBESTOS INFORMATION:
✓ Is there any asbestos within the building :o be demolished? YES NO u
✓ If YES, our office needs the following information:
o Name of firm removing the asbestc s:
o License number of firm:
o Indicate where the asbestos mate!!3I 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 demolish( It: RESIDENCE GARAGE BUSINESS
STORAGE BLDG. OTHER °
V Size of structure:U. x 2. 5-
V
✓ Number of stories:
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB
✓ Foundation: WILL BE REPLACED Y WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED >rWILL 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 u-e_
Office No. (518) 761-8256 Arrive: 3 L 0 am/pjagr� Depart: am/pm
Date Inspection request received: Inspector's Initials: U
NAME: -097 PERMIT#: /0 -20S-
LOCATION: J._ 2 _ �.moi.../ ., i •, DATE: _5'----7 fQ
TYPE OF STRUCTURE:
Comments:
NQ N/A
4" Building Number Address visible from road f J.��� F
���
Chimney Height/"B"Vent/Direct Vent Location GC y Fr
esh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches diSCOki vieC �eRoof Co ,•lete/Exterior Finish Com•ete
Platform at all exterior doors _ ��
sil 4 t more risers �. fCGuards at stairs,decks,patios more than 3a inches above ,rade /JEIt) / J
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
I5771-Yi/u6
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ■■�
Deck Bracing/Handicapped Ram• Corn•tiant
Grade away from foundation 6 inches with 10 feet ■1111
6 inch clearance to sill plate Ji., e i�
Gas Valve shut-off exposed/re!ulator 18 inches above •rade ...E. boa,/
Interior privacy/trim/doors/main entrance 36 inches `/�
Bathroom/Kitchen watertight diSCCO
YeCY'e-
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors I Carbon Monoxide Detectors
Every level: Every Bedroom: SA-e-e4
Outside every bedroom area: —
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches =i,ht in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 :•.ft.vents Ill.�
Bathroom Fans if no window alll�
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft stoppinfffinished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of siteI
Oil Furnace shut-off at entrance to furnace area
Fumac e/Hot Water Heater operating MIS
Low water shut-off boiler NISI�
Relief Valve(s)installed/Heat Trap/Water Temp 110 �a
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched �=
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly a
�
Gas Logs in Sealed or Glass Enclosure
Final ElectricalNI
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms _==
Flex Gas Pi•= Bondin,
As Built Septic System/Sewer Dept. Inspection Sticker ■III■
Site Plan /Variance required
re. ,.N._ =�
Okay to iss al C I®j Temporary/P ' •
� r
L:\Building&Codes Forms\Building&Codesllnspection Forms'Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
LANDS N/F OF
SUPPLY
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3.AG
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yeti
DEED REFERENCE:
HAROLD G. WOODRUFF
TO
GEORGE CHANDLER WOODRUFF
DATED: OCTOBER 4, 1988
BOOK 728 PAGE 246
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
PATRICK E. & KATHLEEN M. CURTIN
DATED: DECEMBER 31, 2002
LAST REVISED: JULY 14, 2006
BY., VAN DUSEN & STEVES
LAND SURVEYORS, LLC
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!- 91' TIE NEW WORK STATE ASSOCIATON OF PROFESSIONAL
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TO T) (E PERSOtl FOR. WHOM THE 93RVEY IS PREPARED, AND
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169 Haviland Road Queensbury, New York 12804 0 THE AHD LENSING ITHE LENDING
UNSTISrFD HEREON, AND
TO THE ASSIGNEES OF THE LE!4OING INSTN110L'
,518) 792-8474 New York Lic. No. 503.35
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C2,130
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3.46'
�T�
DEED REFERENCE:
HAROLD G. WOODRUFF
TO
GEORGE CHANDLER WOODRUFF
DATED: OCTOBER 4, 1988
BOOK 728 PAGE 246
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
PATRICKE. & KATHLEEN M. CURTIN
DATED: DECEMBER 31, 2002
LAST REVISED: JULY 14, 2006
BY. VAN DUSEN & STEVF_S
LAND SURVEYORS, LLC
41001)
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LANDS NPP � 1.
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Map of a. Survey inade for
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226.19-2-21
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0 IRF = IRON ROD FOUND
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— = METAL FENCE
= UTILITY POLE
= LAMP POST
Dater September 10,
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SHEET 1 OF 1
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NOU11O1 OF SF.0 8011 7709, SPD-DINSigI 2. OF THE
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'OILY COPIES FRCM THE ORIGINAL OF THIS SURVEY
WITN E ,4SIDFAL OF THE LAND SURVEY COPIES.'
S SEAT_
SEAL SNALL BE CgIyOEREO TO BE YAUD TRUE f.OPIES.'
'CER7IFTCAROIS INDICAIEO HEREOU SIGNIFY THAT
THISSURVEY NAS PREPARED IN ACCORDANCE MIH THE
""IING CODE OF PRACTICE FOR LAUD SURVEYORS ADOPTED
AL
LA TIE NEW YORK STATE ASSOCIATION OF UL RU SI ONLY
LAND SURVEYOP,S SAID CERTIFICATIONS SHALL RUN ONLY
TO TIIE PERSON FOR 'AHOM THE SJRVEY IS PREPARED. AND
ON ITIS BEHALF TO THE 1171E CC&WANY• GOVERNMENTAL
ACING AND LENDING IIISTITUIRON LISTED HEREON, AND
10 THE ASSIGNEES OF THE LENDING INSTITUTION.'
(518) 792-8474
New York
Lie. No. 5013;
LANDS NPP � 1.
JOSEPH & RIT(P, tARAIA
Map of a. Survey inade for
Prope
Town of Qttsensbury, Warren Coinity, NeT'y York
226.19-2-21
DOU6 --
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Ci,TV1P.LY. w
O;
0
0
48.09'._
NO. I DATE
11
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0
GEOAGE
LEGEND:
Q IPF = IRON PIPE FOUND
0 IRF = IRON ROD FOUND
0 IRS = IRON ROD SET/TO BE SET
— = METAL FENCE
= UTILITY POLE
= LAMP POST
Dater September 10,
Scale 1'=20'
SHEET 1 OF 1
WOODRUFF
DESCRIP I10N MG. No. 0714q
C2I30
LANDS N/F OF
SUPPLE
1' IPF
LANDS N/F OF
LARAIA
DEED REFERENCE:
HAROLD G. WOODRUFF
TO
GEORGE CHANDLER WOODRUFF
DATED: OCTOBER 4, 1988
BOOK 728 PAGE 246
X111P REFERENCE:
MAP OF A SURVEY MADE FOR
PATRICK E. & MT HLEEN M. CURTIN
DATED: DECEMBER 31, 2002
LAST REVISED: JULY 14. 2.006
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
UV,1 D S N / F OF
PATRICK & KATHLEEN CURTIN
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Sco.Ae V=20'
WON)PUFF
LANDS N/F OF
SUPPLY
LANDS N/F OF
LARAIA
3.46
l?F
DEED REFERENCE:
HAROLD G. WOODRUFF
TO
GEORGE CHANDLER WOODRUFF
DATED: OCTOBER 4, 1988
BOOK 728 PAGE 246
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
PATRICK E. & KATHLEEN M. CURTIN
DATED: DECEMBER 31, 2002
LAST REVISED: JULY 14, 2006
BY.- VAN DUSEN & STEVES
LAND SURVEYORS, LLC
LANDS N/F OF
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"CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
Lad
n
169 Haviland Road
�-y .A`✓l' y ®
Queensbury, New York 12804
THIS SURVEY WAS PREPARED IN ACCORDANCE MTN THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FO2 WHOM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TIME COMPANY, GOVERNMENTAL
AGENCY AND LENDING IN THE ITILISTED NEON.- AND
TO THE ASSIGNEES OF THE TENDING INSTITUTION. -
o
New York
Lie. No. 50135
-
DIN OOV E 1
WOOD �
FRAME
GARAGE `
1
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166.10'
LANDSN/F OF
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33.54'
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Map of a Survey made for
Property to be Conveyed by
ueorge Woodruff
Town of Queensbury, Warren County, New York
CA1WAf.�-
0
0
N0. I DATE
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77.-7,
a
V
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0
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LEGEND:
O IPF = IRON PIPE FOUND
O IRF = IRON ROD FOUND
O IRS = IRON ROD SET/TO BE SET
— = METAL FENCE
coo = UTILITY POLE
* = LAMP POST
DESCRI P PON
Date: yep-cemoer 1.u,
Scale 1`=20'
S-1
SHEET 1 OF 1
WOODRUFF
DWG. NO. 07149
ZZ0. 7 V -L -L7 U41 O U
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'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
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MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209. SUB -DIVISION z. OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLYRKED COPIES FROM N OF THE OF THIS SURVEY
MARKED WITH AN ORIGIN OF THE LINO SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.*
"CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
Lad
n
169 Haviland Road
�-y .A`✓l' y ®
Queensbury, New York 12804
THIS SURVEY WAS PREPARED IN ACCORDANCE MTN THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FO2 WHOM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TIME COMPANY, GOVERNMENTAL
AGENCY AND LENDING IN THE ITILISTED NEON.- AND
TO THE ASSIGNEES OF THE TENDING INSTITUTION. -
(518) 792-8474
New York
Lie. No. 50135
166.10'
LANDSN/F OF
JOSEPH & RITE LARAIA
S84-3 ' 13"W
w
M
- o
N �p
OD* N84°34'13"E
33.54'
�?F
Map of a Survey made for
Property to be Conveyed by
ueorge Woodruff
Town of Queensbury, Warren County, New York
CA1WAf.�-
0
0
N0. I DATE
DOCK
77.-7,
a
V
w
0
0
0
LEGEND:
O IPF = IRON PIPE FOUND
O IRF = IRON ROD FOUND
O IRS = IRON ROD SET/TO BE SET
— = METAL FENCE
coo = UTILITY POLE
* = LAMP POST
DESCRI P PON
Date: yep-cemoer 1.u,
Scale 1`=20'
S-1
SHEET 1 OF 1
WOODRUFF
DWG. NO. 07149
ZZ0. 7 V -L -L7 U41 O U