2001-803 TOWN OF QUEENSBURY
instal
742 BayRoad,Queensbuxy,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010803 Date Issued: Wednesday, January 03, 2007
This is to certify that work requested to be done as shown by Permit Number P20010803
has been completed.
Tax Map Number: 523400-302-012-0001-044-000-0000
Location: 37 EVERTS Ave
Owner: COMMUNITY WORKSHOP RESOURCES CORP
Applicant: COMMUNITY WORKSHOP RESOURCES CORP
This structure may be occupied as a:
Commercial Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010803 Application Number: A20010803
Tax Map No: 523400-302-012-0001-044-000-0000
Permission is hereby granted to: COMMUNITY WORKSHOP RESOURCES CORP
For property located at: 37 EVERTS Ave
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: COMMUNITY WORKSHOP RESOL Commercial Addition 8,100.00
PO BOX 303 Total Value 8,100.00
GLENS FALLS,NY 12801
Contractor or Builder's Name/ Address Electrical Inspection Agency
HOME IMPROVEMENT GALLERY, INC.
10 SARATOGA AVENUE
SO GLENS FALLS,NY
Plans &Specifications
2001-803
7 x 54' HANDICAP RAMP AS PER PLOT PLAN SPECIFICATION
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 01,2002
(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 Queensbury; Thursday,November 01,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY
(518)761-8256
A peinllt must be obtained before beginning construction. Permit File No. 1'
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By: `I /
p ..siapplication form. i
CO"the-. Applicant: 7749„ ,67)/4,176,,se;7,— (.9e.,,c,,, A4- c:34
.per:
Address: Sa, -fgq _z✓e s',/;,, A4idress: 3 7 �e,„G".. ca(../?
pe6o ( Phone#(am) 7 .-- ?-7 Phone#( ) -
c`—M ei
Property Location: Lot Number: 3 7/ House Number / U@r ' /�C
Subdivision Name: Tax Map Number:
epe9
❑ New Building: residence /commercial Estimated Market Value of Construction: $ 8'�69�° "—
Addition: residence/ cominercia If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial ,/
❑ No change to exterior size: residence/com'l t f .CJ'��[7
❑ Other work(describe )
Check Occupancyinformation 1st Floor 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet .
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
of units I p�® C E I VE
❑ Office `s
❑ Mercantile
❑ Manufacturing �' 1 LU(�1
❑ 1 car detached garage TOWN IF QUEENSQURY
❑ 2 car detached garage _QUINN AND CODE
o 3 car detached garage
x u� ❑ 1 car attached garage
❑ 2 car attached garage
O 3 car attached garage
o Storage building-
commercial
❑ Storage building-
residential
❑ Other � tape
9.,a,c4,
What is the proposed height of the structure 6 feet 0 inches
Will any second-hand or ungraded lumber be used? If so, for what? lin
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: /(-}7i
Number of Fireplaces to be installed ,/ii' Number of Woodstoves to be installed ,//f-
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder /'/(P /M7 /r z e2427' 6e8e,,,17-- c&, / % -Cr— ®)?
Plumber tfV/g-
.
Mason /,,, (c�C��� —0 G3 Th
Electrician ,U i+ c .
Declaration: please sign below after you have carefully read the statement:
•
To the best of my knowledge the statements contained in this 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 Code,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 Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
• Signature: ,4 egter ' owner,owner's agent,architect,contractor
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins _ q .•
Queensbury Building&Code Enforcement Arrive: \7 r.\ba . Depart: —/
742 Bay Road, Queensbury,NY 12804 Inspector s Initials.
NAME: ( MoV)1+ Uo1'1 op PERMIT : f,
LOCATION: 3 F , .5 /.�-ii e_ DATE: r
jr,
CONVY1. 0 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 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.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 Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. 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 Y2 doors
> 10%> 1000 sq. ft.
3 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
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in.,Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides] V!
Active Listening System and Signage Assembly Space
Final Electrical
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
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Olcay To Issue CC
L:\Building&Codes Forms\Building& Codes\Inspection Forms\Commercial Final Inspection Report.doc
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 7 2 3 e -dart r
., t ector's Lnitia
NAME: L� PERMIT#
LOCATION: 3- 5 ( Atr :
TYPE OF STRUCTURE: .t`. w Cry Ce
RECHECK J
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour F rm
Reinforcement in P ce
The contractor is sponSible for
providing protecti froth freezing
for 48 hours folio g the placement
of the concrete.
Materials for this purpose an site
Foundation/Wallpour
Reinforcement in Place V
Fou 'on/Dampprooifing
ackfill Approval'"-
Plumbing Under Slab 9
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping
unheated spaces R-
Proper Vent,Attic Ven
Framing •
Jack Studs/Header
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
. A/Li ' . .
r ._
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 1 l / Q J
Building& Code Enforcement
742 Bay Road le.32„.in,
Queensbury,NY 12804 Arrive am/pm Depart(C>
Inspector's Initials (/
r
NAME: (07"._ PERMIT# ...3
NAME:
LOCATION: ,- ) -e,y R •TE : I ,-2- C? /
TYPE OF STRUCTURE: h `(e a Gz:7, ,
RECHECK
4R(I — ( ;/\v+-, 5 N/A YES COMMENTS
Footings/Piers -----1
Monolithic Pour Form C-------)-- ,
Reinforcement in Place 2, I4
The contractor is respo sible fir
providing protection frim freezing
for 48 hours following e pla -ment
of the concrete.
Materials for this purpose o n si e
Foundation/Wallpour
Reinforcement in Place
Foundation/Danipprao' g —
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R )_
-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam_
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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