2015-134 TOWN OF QUEENSBURY
Bay
742Queensbury,NY 12804-5902 (518) 761-8201 Road,Queensbn'
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150134 Date Issued: Wednesday, May 06, 2015
This is to certify that work requested to be done as shown by Permit Number P20150134
has been completed.
Tax Map Number: 523400-309-010-0001-088-002-0000
Location: 53 LUZERNE Rd
Owner: A& Q HOLDINGS INC
Applicant: BARE BONES FURNITURE, INC.
This structure may be occupied as a:
Commercial Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (- a.0 4 A'
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
Fore 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150134 Application Number: A20150134
Tax Map No: 523400-309-010-0001-088-002-0000
Permission is hereby granted to: BARE BONES FURNITURE, INC.
For property located at: 53 LUZERNE 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: A& Q HOLDINGS INC
10 SAGAMORE St Commercial Alteration
GLENS FALLS,NY 12801-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-134 Bare Bones Furniture
Rafter alterations 150 s.f.
$225.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 06,2016
(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 of Q nsbur VfVefi. I. . . •, May 06,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
1
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
Date: Tax Map ID
Permit No.
Tax Map ID
Permit Fee
Zone Rec Fee
Historic Site Yes No Site Plan#
Subdivision Name Lot# Subdivision#
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE
FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES, BUT NOT MOBILE HOMES. THIS
IS IN ADDITION TO THE PERMIT FEE.
Applicant e(,re, nGte �� v�� Owner e() 6?vriOit)
Address 53-5'5 41ArZaaZ4,2 Address O I edge(,coOd V
Cueewsboot GO.Lf, 129011
Phone/E-mail 7,/ 9g 7,, Phone/Ere!( 71/3--- g79
Contact Person for Building&Codes Compliance: 3t-cueit) 0)1\ OA) Phone 7Y--S 9g7/
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I'floor sf 2nd floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail -Mercantile Vi ✓ ✓ /Y0 /G "
Factory- Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business BQrr° erwes
Proposed use of building or addition Aadlonet_cPPAY
c o Ff-
Source of Heat (circle one) GasFT H RR3,2_Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan? /J0
Are there easements on the property? ,00
Site Information
a. Dimensions or acreage of lot q,s tlere-
b. Is this a corner lot? ,v 0
c. Will the grade be changed as a result of construction Yes X No
d. Public water or Private well ake
e. Sewer or Private Septic System Priva4e-
Value of all work to be performed (labor or materials) $ /S,000
DECLARATION:
1. 1 acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. 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 NYS Building Codes, local building
laws and ordinances, and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 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 agree to the above:
PRINT NAME: '-ITU /i v100 a-) DATE: -/5"
SIGNATURE: % de
a 011° DATE: 2-13
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Y\it
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: cJ) lQ \ 1,S
Queensbury Building&Code Enforcement Arrive: /',7,.) am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspectdr's Initials:
NAME: VQ, Q.1 PERMIT#: l cD- 131-
LOCATION: L.VI-Leyr\g-, E INSPECT ON: 5lL2. 1 2-QA5
TYPE OF STRUCTURE: CQ,m nneLY-6,sfil
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: kYL Inspected on: cDt\o.
Location: � — "J J �1,1��V►�2 - Arrive: if 3V/—
�' a.m.l p.m.
Permit No.: '�C'J '���} Inspector's Initials:
TYPE OF STRUCTURE: CQ WWY Y(LCA, I
N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge(8)16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
11)
Framing / Firestopping Inspection Report
Town of Queensbury Building&Code Enforcement
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received:
Name: 2 =x,5 Inspected on: i
Location: Arrive: / a.m.l p.m.
Permit No.: 1 —1 Inspector's Initials:
•
COMMENTS
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 inch Platform/Decks
Interior I Exterior Balusters 4 inch Spacing Platform/Decks
Stair Handrail 34 inch–38 inch/Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 inch w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve, Heat Trap 1 Water Temperature 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors >10%>1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete I Fire Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification, if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/Drivable Surface 20'wide
Special Inspections/Engineer or Architect Approval
Okay To Is Sgm rary or Permanent C/O
Okr Issue
Commercial Final Inspection_11 2712