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2013-269 �� 61 820 56 O a 5902 '161.$2 rV O �Y 12gfl &�oaes �515� .,c j. 42 day Road'�ueensbu�' ..Building �" Y ent ozj,�,untt`1 �V C 0��'' 14 oZ69 p20130269 �Z'013 exit Sn j'bex t���bex: ne as shownby� ex e Vested to be do that work x g d Chas is to certify eted R1.015.O�Q'a©�Q Was beencornP 49a d6-��� 52� OMM R Location' amber: 5 By p of Qv ENsB�R 2ax�iaP 1�-A ON O�eT• F�LL�O tled as W. Eof°TcemQnt Applican ' tvre n,.ay be occUp &C°de struc .�opertS' of�u�lding phis atjori tie p Dfreeto� Iter ve omerclal DO�s SOT 1an�Variance'hoard C to of OCCA I anCe with site 9 tre plann�t►g a1s Ceti isTap To nCe Of tb�s onsibily�' for a�ult of appy lssua r of the eespConditi°ns owe ev issues and of Appeals• °ti'ZoringB'aard ov TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130269 Application Number: A20130269 Tax Map No: 523400-289-006-0001-015-000-0000 Permission is hereby granted to: FULL MOON BAR& GRILL For property located at: 490 GLEN LAKE 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: KAREN SOMMER 2066 RIDGE Rd Commercial Alteration $1,000.00 QUEENSBURY,NY 12804 Total Value $1,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-269 FULL MOON BAR& GRILL Comm. Alterations $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 19,2014 (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 To n of Q ensb d June 19,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received: : ID PRINCIPAL STRUCTURE APPLICATION Permit Tax Map p ID 90 t 3 A permit must be obtained before beginning construction Permit Fee: $ Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date Applicant / Tax Map ID )( `1 Address ,, Zoning X b 6T t Phone/E-mail ,/ Property Owner Contractor/Agents Address Address �J 42V OL2ko Phone/E-mail Phone/E-mail Building Street Address: Subdivision Name: Lot#: Historic Site: Yes No Estimated cost of construction: $ Type of Construction: Check all that apply Please indicate measurements as required below: � C O o 1st Floor 2nd Floor Other Total Height z ¢ a Single Family Two-Family Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(#_) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business , � r L Proposed use of building or addition Source of heat(circle one) GasOil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes V No Are there structures not shown on plot plan? 92 Are their easements on the property? N0 Site Information a. Dimensions or acreage of lot b. Is this a corner lot? J c. Will the grade be changed as a result of construction: _Yes //�No d. Public water or Private well e. Sewer or Private Septic System r Value of all work to be performed(labor and materials) $ Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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 andel agree to the above. Signed Z' Date: -� g -7L 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 Packet 518-761-8256 Inspection Form 30 Town of Queensbury Fire Marshal 0 Periodic Inspection Date (� Time: V 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 61 8206/518 761 8205 ®CO Inspection Permit#: ,7L Fi Marshals Representative MJ Palmer Business Name: %N\W Location: AD 6 h2' _Q I/G- ( to GK Stillman Contact: Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 �i e Inspection of extinguisher FC 906 EVAC Plan FC 404.2 AA _ TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Si na e- FC 510 �--- No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 — 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3REQ,j�j7, rein TELY Vacant Buildings FC 311 Fir@ WOW Imploto Emer enc Disconnect FC 2203.2 OK to lesUs +( MACUP&ney SYSTEMS: FC 901.6 Insp OK NC DATE: t� OK C Date JCI 1 0 4 Generator Annual DA E: C Hood Installation NNI Elevator Semi Annual FIRE ALARM Annual DA E:Town Wkry__,_ HVAC Shutdown Sprinkler System Annual Sprinkler FDC `...- Frei Marshal Ins on COM 10 9 Kitchen Suppression Semi AnnualOK t0 IS (;efliflfatB Of OCCu ney Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 SEP 4 Operating Permit, if required will be issued after al Completion of Inspection s � Townn oof f Queensbury - Inspection Form Town of Queensbury Fire Marshal CD Periodic Inspection Date: ime 742 Bay Road,Queensbury NY 12804 o Re-inspection 518 7618206/518 761 8205 `PICO Inspection Permit#: Q Fire Marshals Representative MJ Palmer Business Na ter✓ Location: -k' GK Stillman Contact: % Type of Inspection N/A YeV No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 t Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 -' Interior Finishes FC 803-804 71 Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceilin FC 315.2.1 18" / 4" EVAC SIGNS IN Rooms M-404.6(111 &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 Emer enc Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Inspection Form Town of Queensbury Fire Marshal Periodic Inspection Date: �I 742 Bay Road,Queensbury NY 12804 o Re-Inspection - � ��� 518 761 8206/518 761 8205 _kCO Inspection Permit#: Fire Marshals Representative _ MJ Palmer Business Name: Location: /4GK Stillman Contact: 8 � Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 �nGL/yJ� EMERGENCY LIGHTING: ' Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 btw Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 row F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 , CO detectors FC 610 L L Clearance to Sprinkler/Ceiling FC 315.2.1 T"i 18" / 24" EVAC SIGNS IN Rooms FC 404.6 R1 &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler S stem Annual Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection awn of Queensbury Building&Code Enforcement 34co_*u 3 Office No. (518)761-8256 `t��� ��,� Commercial Final Inspection Report Inspection request received: Name: I I a2 2n bear A- 6rr�J111 Inspected on: Location: _4►QO Hyl h✓t a Arrive: e n m. m. Permit No.: g Inspector's Initials: COMMENTS 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"(1)/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 '/Z 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.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. J� 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/Engine hArchitect-Approval Okay To Issue Temporary r Permanent C/O Okay To Issue C/C Commercial Final 127 2712