2014-122 ,� ` TOWN OF QUEENSBURY
wro742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140122 Date Issued: Wednesday, June 04, 2014
This is to certify that work requested to be done as shown by Permit Number P20140122
has been completed.
Location: 989 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-022-000-0000
Owner: 697 UPPER GLEN STREET
Applicant: 697 UPPER GLEN STREET
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
c7)
owner of the responsibility for compliance with Site Plan,Variance, or TJ
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
taiFS
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140122 Application Number: A20140122
Tax Map No: 523400-296-013-0001-022-000-0000
Permission is hereby granted to: 697 UPPER GLEN STREET
For property located at: 989 STATE ROUTE 9
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: 697 UPPER GLEN STREET
Commercial Alteration $600.00
989 STATE ROUTE 9 Total Value $600.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-122 Suite 200 Kitchen Showroom& Cooking Room(upstairs)
Comm. Alterations
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 24, 2015
(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 f Quee sbu , Th d ,A ri124,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
14-ectrel.•4' - e-r-
9v C� \\..\:\Office se 9nly" --Town of Queensbury Building & Codes �� ceiv • is 214 \ \a&x Maria: �ic3�i-/ 02
PRINCIPAL STRUCTURE APPLICATION � " �-uE% p -- ' 1
A permit must be obtained before beginning construction Via` p
tPe �it:F�2�: 1N $fie
Please read: 'TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling I�Rec e� e. $
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 cf— 7 -/ 1 s. Applicant 4i7 (Met G cEAJ sr Lc C
Tax Map ID )3(0- 1 3 — Ir Z Address ¶ f 9 S T AT 9 '-Svff a-O O
Zoning CZ - (9-uterS'gal iv )/ 1aeo1
Phone/E-mail SI e 7 3 7 fp -3 al I
Property Owner 5g in C Contractor/Agent .- - a . 0--Ac-ko <<r-
Address - Address SA/rt(
Phone/E-mail Sf4rn e �/ Phone/E-mail S,4t Me
Building Street Address: I S ,-I &$ 3a/-aa g S' t��� f h
Subdivision Name: — Lot#: Historic Site: Yes ,No
Estimated cost of construction: $ 6 O0 a,
Type of Construction:
Check all that apply Please indicate measurements as required below:
0
d v 1 1st Floor 2nd Floor Other Total Height
1 a a i
Single Family
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
110X40 a c N-
Factory-Industrial 11/41-ert- dJ s l A_/l-s Sh 0-44-347n1"--
Attached
.4-347tmL
Attached Garages(# ) (S rn / ^/, ?Li) 2 $&,d
Other Y7Z- eta/Watt-1n o/ 6,G u1'/:i Room
Packet C7/1 v 518-761-8256
Town of Queensbury Building&Codes Principal Structure
If commercial or industrial indicate name of business G ! 7 u Pkg. 6 L Eiu ST C. C
Proposed use of building or addition c
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for°Fuel Burning Appliances&Chimneys" _Yes �No
Are there structures not shown on plot plan? A) 0
Are their easements on the property? N T
Site Information -- grin s 4-S - ss
a. Dimensions or acreage of lot ) s�
b. Is this a comer lot? A / 0
c. Will the grade be changed as a result of construction: _Yes ?q'lo
d. Public water or Private well Poe Lz C LTJ 4iE2
e. Sewer or Private Septic System Q q 5 EWEL Or-s-, c. T..
Value of all work to be performed(labor and materials) $ 6 o o
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 and agree to t - above.
Signed .410 [�Date: 1 ^/-7
-/1
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
/r'
Town of Queensbury Fire Marshal 0 Periodic Inspection Date:g 1314I I t/Time:R
742 Bay Road,Queensbury NY 12804 °Re-Inspection
518 761 8206/518 761 8205 e CO Inspection Permit#: t LI- �2
Fire Marshals Representative
MJ Palmer Business Name: )6CL- Dt5ka w
�/ Location: -
() GK Stillman Contact: rCti,
Type of Inspection N/A Yes No p ,
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 ` f
Sign:backup FC 1011.5.3&FC1029.7.5 " t`,(y�1t�119f- K kchci - SAOftA.
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Wdth FC 1025&FC1029.11 p
FIRE EXTINGUISHER: Hung FC 906 - � {fUwar `F fy �O
Inspection of exlinquisher FC 906 1 ,//j/'
EVAC Plan FC 404.2 �t" It x�t-tiPjq'�Cr/
TRUSS ID SIGNAGE FC 505.3 G NC), OW Erg
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3r t—\X 1_. L to �M�r €)
Clearance to Electrical FC 605.3 S/' l�
Electric Wiring Enclosed/Labeled FC 605.3.1 t RiI 5-tcr R S 4 V`—
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
CompressedFC GasFC 3 OE)
Impact
Protection FC 312.1
Interior Finishes FC 803-804 4
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 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 lnsp 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 Zs , tm I w !I?
Kitchen Suppression Semi Annual = • r�: :
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 JUNE 0.' 014
Operating Permit, if required will be issued after
Fire Marshal
k\)
Completion of Inspection �.�t • �t t
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