2009-042 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090042 Application Number: A20090042
Tax Map No: 523400-288-020-0001-020-000-0000
Permission is hereby granted to: GREAT ESCAPE THEME PARK LLC
For property located at: 1172 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: GREAT ESCAPE THEME PARK L
PO BOX 543185 Commercial Alteration $40,000.00
DALLAS TX 75354-3185 Total Value $40,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2009-042
520 sq ft commercial alteration- Papa John's
$62.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, February 23, 2010
(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 e nsb M a , February 23, 2009
SIGNED BY for the Town of Queensbury.
Director of Building& ode En rcement
I- p ICE USE ONLY
r r
r ,
i TAX MAP NO. �/" PERMIT NO. % % r
FEES: PERMIT� RECREATION ENGINEERING
(If applicable) r
________________ _
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OFF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: l9 ti �S OWNER:
ADDRESS: 11- I� l%C ueewS 4 ADDRESS: f�
PHONE NOS. j - '�SCE - Gr+R-� 3%W PHONE NOS. `�/,I"" t�
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 1Z ' IU f7-- PHONE:
LOCATION OF PROPERTY:
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR O d d w LL U
PROJECT O 0 H p w ¢ p=V
w o J LL C7 g CY ►- O I- w W z
z Q Q (n N U) O LL F-LL IL 06
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO._�
TOWNHOUSE
BUSINESS OFFICE
RETAIL- f !��"
,�1
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
aTown of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
tCOMMERCIA R INDUSTRIAL—NAME OF BUSINESS:
E D CONSTRUCTION COST: �� r G -V FUEL TYPE:
HEAT TYPE? "HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? Q `�
PROPOSED USE OF BUILDING OR ADDITION:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
`Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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 the a oye.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codes(d)-gueensbury.net'
systems) VISIT OUR wEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www•aueensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application /proposed action described Permission is hereby granted to.the above
herein is found to be in accordance with the o Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. herein in accordance with said Application: 01
ZONING APPROVAL DATE o BUILDING &CODES APPROVAL DATE
,
0
{ Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Commercial Final Inspection Repo
O fice No.: (518) 761-8256 Date Inspection rP
eQueensbury Building&Code Enforcement Arrive: Depart: am/pm742 Bay Road,Queensbury,NY 12804 Inspector s Initial
NAME: PERMIT
LOCATION: DATE: —
J t 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 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(])/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
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 %2 doors
> 10%> 1000 s . ft.
3/a Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in.,Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.'Beyond[Both sides]
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
Okay To Issue C/C
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No" ' .Vl�
Town of Queensbury
Bay Road Qu
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518)761-8206 Business Name: hfli
Fax: (518) 745-4437 Location:
T of bispection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Seconds Aisle 4Vidti�
EXIT SIGNAGE
Sign n-normal
Si -battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Isian
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
v Denied / call for Recheck
inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
(-2---C>6)
Commercial Final Inspecti Report
Office No.: (518) 761-8256 Date In ectio requ r e' e
Queensbury Building&Code Enforcement Arrive: Depart: pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials
NAME: TAVC,4— `� PERMIT#: _
LOCATION: o�. DATE:
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 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if re uired
Exits At Grade Or Platform 36 w x 44" 1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Re lator 18" Above Grade
Floor Bathroom Watertight/goer Floors Oka
Relief Valve,Heat Trap/Wate 'mum
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.), i 'h doors
> 10%> 1000 s .ft.
3/a Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond [Both sides]
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
Buildin Access All Sid 20' /Driveable—,wide
Okay To Issue TemVfr Permanent C/
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
�2 AL)Inspection for Permit to ccupy
Fke Marshd's (Mce Request Rec'd Permit No.
je
Town of Queensbury742 Bay Road
cy
Q eensbury NY 12804 Scheduled Inspection Date:��� / Time:
Phone: (518)761-8206 Business Name'
Fax: (518)745-4437 Location:
T N/A US No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width Q)
EXIT SIGNAGE
Si -normal
St -batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher y�
FIRE ALARM SYSTEM VIPf�
Fan Shutdown
Fire Sprinkler System ►/
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
a Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
Denied /call for Recheck
In By: _
L:\FireMarshal\New Folder\permitto occupyform.doc
Framing / Firestopping Inspection port
Office No. (518)761-8256 Date 1 req -�
Queensbury Building &Code Enforcement Arrive aLa rt: m/ptr
742 Bay Road, Queensbury, NY 12804 Inspector's Initial .
NAME: IrA PERMIT#:
LOCATION: - INSPECT ON: •— f -
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
2" x 30" minimum
Jack Studs/Headers
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 % 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%inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf graft
L\Buildt&Codes Fomts-M DiBuVdirg&CodesNnspection FormTra ming FnstoppkV Inspection Report.doc Revised January 7,2006
Foundation Inspection Report
Office No.(518)761-8256 Date Ins 'onrSPECT
Queensbury Building&Code Enforcement Arrive: epart: _ T
742 Bay Rd.,Queensbury,NY 12804 Inspector's InitiNAME:LOCATION; -
TYPE OF STRUCTURE:
Conimenta
Y N N/A
Footings
iers
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:\Buiiding&Codes Forms\Buiiding&Codesilnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
C !u 5 C_ 7-0 )C) ovvv C/-- I/
Rough Plumbing l Insulation inspection Report
Office No. (518) 761-8256 Date InspecJIM *
s ed: 2 Q
Queensbury Building &Code Enforcement Arrive: - art:
742 Bay Road, Queensbury, NY 12804 Inspector's
NAME: (,r e.�a j �,-, A Tll i'\ S #: 1 - c>�{2.
LOCATION: 1 1`12T - �-i . INSPECT ON: '2?
QF STRUCTURE:
Y N N/A
Plumbing Vent/Vents in Place &�
1 % inch minimum Drain Size � J\�
WashingMachine Drain 2 inch minimum 47 rV,
Cleanout every 100 feet/change of direction �� 0�
Pressure Test
Drain /
Air/ e /
5 P. . . or . above highest connection for 15 minutes
APressure ew
upp aping
H
S r 15 minutes
nsu n/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insula#ion
Dud/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly 1 No duct tape
COMMENTS:
Rough Plumbing Insulation Report.roevised Nov 17 2003, revised February 15,2005, revised January 7,2008
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