2009-123 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090123 Application Number. A20090123
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 pole Barn $180,000.00
PO BOX 543185 Total value $180,000.00
DALLAS, TX 75354-3185
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-123
1650 SQ FT "SKILLET MARKET BUILDING"
$120.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,April 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 T o ee � f h ,April 23, 2009
SIGNED BY "d for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20090123 Date Issued: Wednesday, May 13, 2009
This is to certify that work requested to be done as shown by Permit Number P20090123
has been completed.
Tax Map Number. 523400-288-020-0001-020-000-0000
Location: 1172 STATE ROUTE 9
Owner. GREAT ESCAPE THEME PARK LLC
Applicant: GREAT ESCAPE THEME PARK LLC
This structure may be occupied as a:
Pole Barn
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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.
............ -
2/� l OFFICE USE ONLY •"""""" �""`•-•-----
TA MAP 0.
PERMIT NO..
FEES: PERMIT P7
RECREATION
ENGINEERING ,
(If applicable) ;
. . ...........--...... 1. 0
.....
..................
PRINCIPAL STRUCTURE.-
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION IS SUBJECT TO
APPLICANT/BUILDER: r�/LL+Yj� SCq(�c' . �r1
ADDRESS: i�'� 2- �`�f � rL�'` G� OWNER:
` ADDRESS:
PHONE NOS. 7��-3 DID EX(-- 3 52z
PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: fot
LOCATION OF PROPERTY: PHONE:
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES
IF S0, INDICATE APPLICATION NO, AND
DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY PROJECT YOUR. O �Ot0
o
H= O 0LL H oC � �w
z Q -' a r f- (D z
N d 0 U-
a
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE r
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
�11F COMMERCI OR INDUSTRIAL-NAME OF BUSINESS:
Uv S�-nvz�r�
ESTIMATED CONSTRUCTION COST: �` � FUEL TYPE: �� Z--
HEAT TYPE:_,` *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: f`C) c
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
T„71i�,
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 agr �thabove.
Signed f
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
..................................................... �_...__...__._._._..__I....... _.
Permission is hereby 'y granted to the above ; This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
, / /
BUIL G& CODES APPR AL CZ G APPR
OVAL ;
,
D " E ,
01 DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Onlv codes ueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.aueensbury net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit:
Special Conditions;
Toum of Queensbunj Communitij Development Office • 742 Bay Road, ueensb
s:; n ury, NY 12804
Commercial Final Inspection Report
Office o.: (518) 761-8256 Date Inspection reque e'
Queensbury Building& Code Enforcement Arrive: p epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initia .
NAME: ` PERMI - Z
LOCATION: DAT .
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"(1)/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 '/z 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 Seated
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 Si a e 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 Jol
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection reque e
Queensbury Building&Code Enforcement Arrive: ' t3�a `Depart: prr
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �` �' PERMI
LOCATION: ( F,{�� i.,C _ 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 required
Exits At Grade Or Platform 36 w)x 44" 1)/Canopy or Equiv.
Gas Valve Shut-off Exposed lator 18" Above Grade
Floor Bathroom Watertight/t4baLEjours 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 '/z 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
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection requ iv d:
Queensbury Building&Code Enforcement Arrive: J= o Depart: m
742 Bay Road,Queensbury,NY 12804 Inspector's Initial
i
NAME: �=— PERMIT
LOCATION: �T F 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 required
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv. JA
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight I Qtlie—rFioors 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.), l %2 doors
> 10%> 1000 s . ft.
3/4 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
L:\Building&Codes FormsLRuilding&CodesUnspection Forms\Commerc Final Inspection Report.doc
JARRETI' Engineers, PLLC Civil&Environmental Engineering
TRANSMITTAL
To: Town of Queensbury Building Department
742 Bay Road
Queensbury,NY 12804
Date: May 7, 2009
Re: Skillett Market
JE 01-054.17
ITEMS TRANSMITTED
Ouantity Description
I Report of Special Inspections
COMMENTS:
For your records.
If you have any questions, do not hesitate to contact me at(518) 792-2907.
Sincerely,
JARREIT Fiwineers,PLLC
Florene Thornton
Office Administrator
Enc.
CC: Great Escape Theme Park
Hill Top Construction
F:lDataFi1e0001 Project FdeslGreat Escape 2001 Projects101-054 Great Escape Vemies101-054.17Ski11etlCorrespL4entltems101054.1709050
Trans of Spec Insp Ltr.doc
12 East Washington Street 518 792-2907
Glens Falls,NY 12801 Fax 518 798-1864
JARRETT Engineers, PLLC Civil&Environmental Engineering
Final Report of Special Inspections
Date: May 8, 2009
Project: JME#01-054.17 Skillet Market
Location: The Great Escape
Owner: The Great Escape
Owner's Mailing Address: P.O. Box 511
Lake George,NY 12845
Owner's Physical Address: 1172 NYS Route 9
Queensbury,NY 12804
Structural Engineer of Record:
Jarrett Engineers,PLLC
12 E. Washington St.
Glens Falls,NY 12801
To the best of my information, knowledge and belief,the Special Inspections required for
the Skillet Market have been performed and all completed structural work has been
substantially completed in accordance with the building design drawings prepared by
Jarrett Engineers,PLLC and the New York State Building Code.
Comments:
• Above grade LP gas valves have been isolated from general public access.
• Backstage utility room gate/door adjacent to the Fryer has been adjusted from an
outward right swing gate/door to an outward left swing gate/door.
• Post and Rail barrier fence location has been adjusted slighting to better facilitate
access and movement throughout the building. Plus, the top rail of the barrier
fence has been adjusted to be no higher than 36" to be in compliance with ADA
access/service requirements.
Respectfully Submitted,
Jarrett Engineers, PLLC (Special Inspector)
)F NEPIS
B y
Robert U. Holmes II,P.E. 9
r . m cc
Project Manager , b y UJ
h_ter �' Z
H.
4.. e�2001
Jarrett,P.E. E. # 57509
ProjectFtleslGreat Escape 2001 Projects101-054 Great Escape venues101-054.17Ski1letlCorresplSent
Items101054.17 090507 Special Inspections Final Report.doc
12 Fast Washington Street 518-792-2907
Glens Falls, NY 12801 Fax 798-1864
Inspection for Permit to Occupy
Fire Marshai's Office Request Rec'd Permit No. r
Town of Queensbury
742 Bay Road ` �lC>9 Queensbury,NY 12804 Scheduled Inspection Date: �Time:
Phone: (518)761-8206 Business Name: SKI
Fax: (518) 745-4437 Location:
Type of kullncHon N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES.
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGEf�
Sign-n rmal
Si -batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER: t�
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown /
Fire S rinkler System (FDC) (T U 6IL—V
Fire Suppression-Vitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes � mc-
Stora a
Compressed Gas F
Clearance to Sprinklers
Clearance to Electrical L����G•�
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 ii ue he Ce ificate of Occupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
NO
Inspection for Permit to OCCV y
Fire Marshd's (Mce Request Rec'd Permit No. �
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: ? Time:
Phone: (518)761-8206 Business Name: r
Fax: (518) 745-4437 Location:
T of kUPOC&M N/A des No
EXITS:
Exit Access PIZ
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width (/
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE �
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun Z/Z
Inspection of extinguisher
FIRE ALARM SYSTEM V \
Fan Shutdown r
Fire Sprinkler System
Fire Suppression-kitchen V
Fire Suppression-Gas Islan
Generator 1�?s
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
e
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box V.
F.D.Si na e-Utility Rooms V.
No Smoking Signs VA
Maximum Occu a cy Sign
Emergency Evacuation Plan :V
❑ Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
.❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 1)�iti *
Depart: \• a
742 Bay Road, Queensbury,NY 12804 In pector's / )
NAME: LC' A PERMIT#: L/ �-� 1-7
LOCATION: 72 DATE: - �-
/ COMMENTS:
Y N NA
Chimne /" rt/Direct Vent Location
lu i g Vent Through Roof "/Roof Complete
xterior Finis ra a om lete 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"(1)/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 '/z doors .,_ �� F� f
> 10%> 1000 s .ft.
3/a Hour Corridor Doors&Closers AV
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 reg.
As-built Septic System La out 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
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Rough Plumbing / risulation Inspe n Report
Office No. (518) 761-8256 Date Inspection ' ed:
Queensbury Building &Code Enforcement Arrive: a art: m
742 Bay Road, Queensbury, NY 12804 Inspector's In
NAME: r7j PE IT #: --
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rou h Plumbin ail Plates
Plumbin /Vents in Place
minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 1 FTeet/change of direction
Pressure Test
Draine
Air/ e
5 P.S. . r 0 ve highest connection for 15 minutes
Pressure T
Water Su ;Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
T ek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing i Fires topping nspectlon eport
Office No. (518)761-8256 Date in ' n ved:
Queensbury Building &Code Enforcement Arrive: 'J a , part: a
742 Bay Road, Queensbury, NY 12804 Inspector's Init
NAME:
.�1. RMIT#:
LOCATION: ` INSPECT ON:
PE OF STRUCTURE:
pwa
Y N NIA COMMENTS:
A 1 ccess 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging ✓/ \\
Joist hangers ✓/ �� ��V J�
Jack Posts/Main Beams J
Exterior sheeting nailed property
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 Nold"Top Plate
1 'h w 16 gauge 8 16D naafis each side
Draft stopping 1,000 sq. ft floor trusses
less on center
inches from wall
2, 3 hour
i opping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 518 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 grade
L:1Buikting&Codes Forma-01-13 Bu loft&CodesYnapec*m Fomn\Frgminp FvodoXft Inspection Reportdoc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Ins on req Zd:
Queensbury Building 8�Code Enforcement Arrive: a pm part: a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: �
RMIT#:
_
LOCATION: INSPECT ON: >_..1 Z-I-r✓
TYPE OF STRUCTURE:
Y N WA COMMENTS:
Framing T
Attic Access 22" 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 FROM 'M H Kt ECG\ kJ)E R
Headroom 6 ft. 8 in. R�- VRb\M NG PT1K a
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 V
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 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 s#grade
LABuilding&Codes Fonns-01-Muilding&Codesvnspedion ForrnsTraming Firestopping Inspection Repoli doc Revised January 7,2008
2 - q
Foundation Inspection Report
Office No.(518)761-8256 Date InspectionrRMT141:
Queensbury Building&Code Enforcement Arrive: ;1�` part:742 Bay Rd.,Queensbury,NY 12804 Inspector's InitiNAME: r
LOCATION: INSPECT ON: --
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
FIRE MARSHAL'S OFFICE
Tbim of Queensbury
742 Bay Road, Queensbury, NY 12804
" Hogue of Nata.aral Beauty ... A Goon Place to Line "
PLAN REVIEW
Skillet Market
2009 - 123
4/22/2009
I have reviewed the submitted drawings and submittals for the above project,
and offer the following comments.
1) Truss ID signage will be required
2) Fire extinguisher locations to be discussed
3) Provide detail showing all cooking equipment is covered by a Type
1 exhaust hood
4) Provide details indicating type of Range hood suppression
C, system(s) being installed
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 761 8206 .�
firemarshal@queensbury.net ul� ��d4a
Fire Marshal 's Office • Ph one: 518-761-8206 Fax: 518-745-4437
fireniarsltal@gtieensbtinl.tiet - u7n7 ,queensburymet
Range Hood Systems Report
SERVICE COMPANY DATEQ5,SERvCE TIME A.M. P.M.
WWI 4 t ANNUAL SEMI-ANNUAL RECHARGE IN CATION RENOVATION
�.�
LOCATION OF SYSTEM CYLINDERS - UL 300 -
V[Als �U YES ONO
MANUFACTURER MqQELNUMBER WET DRY CHEMICAL
6YL &ERE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE ,
FUSE LINKS 360°F. FUSE LINKS 450'F. FUSE LINKS 500°F. OTHER
6Cus MER
Name at -C-
FUEL SHUT-OFF ELECTRIC GAS SJZE
Address
SERIAL NUMBS LAST HYDRO TEST DATE LAST RECHAR E DATE
City ' "{ State ZIP
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS., LEFT TO RIGHT
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links
2. Duct and-plenum covered w/correct nozzles r 21: Check travel of cable nuts/S-hooks
3. Check positioning of all nozzles. 22. Piping&conduit securely bracketed
4. System installed in accordance w/MFG UL listing _ 23. Proper separation between fryers&flame
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters
6. Check if seals intact,evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters in place
8. Pressure gauge in proper range(If gauged) 27. Fuel shut-off in on position
9. Check cartridge weight(If applicable) 28. Manual&remote set/seals in place y
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 30. System operational&seals in place
12. Inspect cylinder and mount - 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder&mount
14. Test for proper operation from remote 33. Fan warning sign on hood ''"
15. Check operation of micro switch 34. Personnel instructed in manual operation of system ''
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service&Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date, this range hood fire suppression system was inspected and operationally tested in accordance with the fire
suppressiotxs to equirements of NFPA17 or 17A, 96 and the manufacturer's manual, with the results indicated above.
SERVICE TECHNICIAN PERMIT NO. E: TIME: AM PM USTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
DISTRIBUTOR 0 Brooks Equipment Company,Inc.
Range Hood systems Report
SERVICE COMPANY DATE OF SE E TIME A.M. P.M.
New
f / -7-0(1 //(cf� 0ANNUAL SEMY-RNNUAL RECHARGE 1NST L TION RENOVATK)N
4 LLLt 1 4 J 4!!� J j LOCATION OF SYSTEM CYLINDERS UL 300
r s qq r
I ES []NO
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
L
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360'F FUSE LINKS 450'F.. FUSE LINKS 500°F. OTHER
CUSTOMER ''3 �!
Name 6 41) 1 + i.6 FUEL SHUT-OFF
FF ELECTRIC GAS
SIZE.
Address � t f
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
city State
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT RIGHT
--------------
�,...r...-.�-. -
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links I
2. Duct and plenum covered w/correct nozzles 21. Check travel of cable nuts/S-hooks
3. Check positioning of all nozzles. 22. Piping&conduit securely bracketed
4. System installed in accordance w/MFG UL listing 23. Proper separation between fryers&flame
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters
6. Check if seals intact,evidence of tampering 25. Exhaust fan in operating order
7. If system has been discharged, report same 26. All filters in place
8. Pressure gauge in proper range(If gauged) -"" 27. Fuel shut-off in on position
9. Check cartridge weight(If applicable) f 28. Manual&remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 30. System operational&seals in place
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder&mount
14. Test for proper operation from remotes 33. Fan warning sign on hood
15. Check operation of micro switch 34. Personnel instructed in manual operation of system
16. Check operation of gas valve - 35. Proper hand portable extinguishers
17. Clean nozzles ' 36. Portable extinguishers properly serviced ---
18. Proper nozzle covers in place 37. Service&Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date,this range hood-fire suppression system was inspected and operationally tested in accordance with the fire
suppressio s tern requirements of NFPA17 or 17A, 96,pnd the manufacturer's manual, with the results indicated above.
SERVICE TECHNICIAN PERMIT NO. ATE: TIME: AM PM USTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
DISTRIBUTOR 0 Brooks Equipment Company,Inc.
Range Tod Systems Repo t
SERVICE COMPANY DAT SERVIC/E� TIM£ A.M. P.M.
ef q�� ANNUAL SEMI-ANNUAL I RECHARGE INS:L TION RENOVATION
LOCATION OF SYSTEM CYLINDERS UL 300
YES ❑NO
MANUFACTURER MOD�EL NUMBER WET DRY CHEMICAL
`
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360'F. _ FUSE LINKS 450°F. FUSE LINKS 500°F.. OTHER
CUSTQ ER
C
�.NamekZj"j
FUEL SHUT-OFF ELECTRIC GAS SIZE
Address
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City ' ' State ZIP
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
[PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE APPLIANCE LOCATIONS: LEFT TO RIGHT
1. All appliances properly covered w/correct nozzles 20. Replaced fuse links x
2. Duct and plenum covered w/correct nozzles 21. Check travel of cable nuts/S-hooks
3. Check positioning of all nozzles. 22. Piping&conduit securely bracketed
4. System installed in accordance w/MFG UL listing 23. Proper separation between fryers&flame -7
5. Hood/duct penetrations sealed w/weld or UL device 24. Proper clearance-flame to filters _
6. Check if seals intact,evidence of tampering 25. Exhaust fan in operating order T
7. If system has been discharged, report same �--� 26. All filters in place
8. Pressure gauge in proper range(If gauged) 27. Fuel shut-off in on position
9. Check cartridge weight(If applicable) 28. Manual&remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 30. System operational&seals in place
12. Inspect cylinder and mount - 31. Slave system operational - '
13. Operate system from terminal link � 32. Clean cylinder&mount
14. Test for proper operation from remote 33. Fan warning sign on hood �f
15. Check operation of micro switch - 34. Personnel instructed in manual operation of system
16. Check operation of gas valve -� 35. Proper hand portable extinguishers
17. Clean nozzles _ 36. Portable extinguishers properly serviced -
18. Proper nozzle covers in place _ 37. Service&Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date-, this range hood fire suppression system was inspected and operationally tested in accordance with the fire
suppression m re uirements of°NFPA17 or 17A,9 and the manufacturer's manual, with the results:indicated above.
SER E TECHNICIAN PERMIT NO. ATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to bens indicated on this report.
DISTRIBUTOR
0 Brooks Equipment Company,Inc.
TOWN OF QUEENBURY
RANGE HOOD SUPPRESSION
WORKSHEET
LOCATION: *AUL-
DATE:
INSPECTOR:
SYSTEM INFORMATION
MAKE:
MODEL: �
SIZE: 3
SYSTEM DATA TESTING DATA
PAS FAIL I PASS FAIL
All appliances properly covered Nozzle caps off
System monitored by fire alarm tv Fire alarm activation
Nozzle protection in plenum Central Station Monitored
Hood filters / Gas valve off
"K" Extinguisher Exhaust hood On ✓
Fusible Links ✓ All appliances shutdown
Nozzle Caps
Manual Actaution 10720'
Range Hood Operational
UL 300
Appliance layout vs. drawings
16"deep fryer/open flame rt
TOWN OF QUEENBURY
RANGE HOOD SUPPRESSION
WORKSHEET
LOCATION: 1
DATE:
INSPECTOR:
SYSTEM INFORMATION
MAKE:
Pal-
MODEL: P0
SIZE:
SYSTEM DATA TESTING DATA
PAS FAIL I PAS FAIL
All appliances properly covered Nozzle caps off
System monitored by fire alarm Fire alarm activation
Nozzle protection in plenum Central Station Monitored
Hood filters Gas valve off
"K" Extinguisher Exhaust hood On
Fusible Links All appliances shutdown
Nozzle Caps
Manual Actaution 10720'
Range Hood Operational
UL 300
Appliance layout vs. drawings
16"deep fryer/open flame
TOWN OF QUEENBURY
RANGE HOOD SUPPRESSION
law WORKSHEET
LOCATION:
DATE: —
INSPECTOR:
SYSTEM INFORMATION
s �`!
MAKE:
MODEL: U
SIZE:
SYSTEM DATA TESTING DATA
PASO FAIL I PASS FAIL
All appliances properly covered Nozzle caps off
System monitored by fire alarm Fire alarm activation
Nozzle protection in plenum Central Station Monitored
Hood filters Gas valve off
"K"Extinguisher Exhaust hood On
Fusible Links All appliances shutdown
Nozzle Caps
Manual Actaution 10720'
Range Hood Operational
UL 300
Appliance layout vs. drawings
16"deep fryer/open flame