2013-051 TOWN OF QUEENSBURY
Fora 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130051 Date Issued: Wednesday, June 15, 2016
This is to certify that work requested to be done as shown by Permit Number P20130051
has been completed.
Location: 106 LUZERNE Rd
Tax Map Number: 523400-309-009-0002-007-000-0000
Owner: WILLIAM & CATHERINE EHLERT
Applicant: CROWN CASTLE
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (`"' /� ///
{�l
owner of the responsibility for compliance with Site Plan, Variance, or �d t.
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
wTOWN OF QUEENSBURY
�� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130051 Application Number: A20130051
Tax Map No: 523400-309-009-0002-007-000-0000
Permission is hereby granted to: CROWN CASTLE
For property located at 106 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: WILLIAM & CATHERINE EHLERT
C/O ARROWHEAD EQUIPMENT It Commercial Alteration $20,000.00
106 LUZERNE Rd Total Value $20,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
AIROSMITH DEVELOPMENT
NATALIE AGAJANOV 973-943-0856
FAX 518-306-3741
NAGAJANO V(cf�,AIROSMITHDEVELOPIS
NY 12804-0000
Plans&Specifications
2013-051
Commercial Alteration to existing communications tower
$303.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Thursday,March 27,2014
(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 o - , : ,sbury; Wed i :, •y,March 27,2013
SIGNFi)BY t 1., ✓� g for the Town of Queensbury.
Director of Building&Co. Enfo'- ent
41-1.
OFFICE USE ONLY 2
TAX MAP NO.36,—I - a-` 3 1 PERMIT NO. � —OS ' ! 'I �- FEB 1 2013 n113
FEE PAID RaGiO BLDG.&CODES APPROVAL
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: Crown Castle INSTALLER/BUILDER: Margaret Smith on behalf of Crown Castle
ADDRESS: 46 Broadway. Albany. NY ADDRESS: 125 High Rock Avenue. Saratoga Springs. NY
PHONE NOS. 518.433 6265 PHONE NOS. 518.306 3740 x3684
LOCATION OF PROPERTY: 106 I uzeme Rd SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Existing communication tower
ESTIMATED COST OF CONSTRUCTION: $9AJtQO 00 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
Ho PROPOSED
PROPOSED CONSTRUCTION 1STFLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS' )
OTHER ACCESSORY STRUCTURE: See construction(rawings to follow
'CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to
the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the
owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of
Compliance being issued, as req e d by the Zoning Administrator or Director of Building and Codes, an As-
Built Survey by a licen -• surve , rawn to scale showing actual location of all new construction.
Iha aread a da. -e . eab ve
QUESTIONS? CALL 761-8256 OR EMAIL
Signed Dated: -42-1(2 /3 codes@queensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Name/Title(Printed) Margaret Smith on behalf of Crown Castle www.queensburv.net
Town of Queensbury Building&Code Enforcement
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request�]received: Is 15 I'all
i i •
Name: V1 06cS- � Inspected on:
Location: 10 to Ly tg � Arrive: , .� r n
Permit No.: 2ko f3—051 Inspector's Initials: a
•• / 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/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!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/Fire Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ff.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 �J�
Final Survey,New Structure/Flood Plain certification, if req. <"7
As-built Septic System Layout Required or On File /E7
Building Number or Tenant Address on Building or Driveway 4" r ��
Water Fountain or Cooler S(/
Building Access All Sides by 20'/Drivable Surface 20'wide r /
Special Inspections/Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O
Okay To Issue C/C
Commercial Final Inspection_11 2712 ^