2009-215 TOWN OF QUEENSBURY
(EL 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090215 Application Number. A20090215
Tax Map No: 523400-288-012-0001-016-000-0000
Permission is hereby granted to: DAVID R. WHITE
For property located at: 1484 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: DAVID R. WHITE
1 EAST PARK ROW Commercial Alteration $70,000.00
CLINTON, NY 13323 Total value $70,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2009-215
commercial alteration- replacement of logs
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 01, 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 tiwri Quee Abu da ,June 01, 2009
SIGNED BY w ' for the Town of eensbu Qu r .y
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 ("IF 0CCUP-A-NCY
Permit Number. P20090215 Date Issued: Wednesday, August 04, 2010
This is to certify that work requested to be done as shown by Permit Number P20090215
has been completed.
Location: 1484 STATE ROUTE 9
Tax Map Number. 523400-288-012-0001-016-000-0000
Owner: DAVID R. WHITE
Applicant: DAVID R. WHITE
This structure maybe occupied as a:
Commercial Alteration By Order of Town Board
OWN 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.
.....................11.1-11.11.......... ........................
' OFFICE USE ONLY '
TAX MAP NO. PERMIT NO. U , -w
FEES: PERMIT 16 RECREATION ENGINEERING MAY. 22 2009
. (If applicable) ;
....................... TOWN O S1RY'
PRINCIPAL ,STRUCTURE: BUILDING&CODES
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: rr.4r}ti,1116V' /,.�� f6ld. OWNER:
ADDRESS:a Sk�' � 46, 62� ADDRESS:
PHONE NOS.Srm-7, - % J �tS PHONE NOS. �I�
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:)J� T PHONESlI� �loI- 3S
LOCATION OF PROPERTY: /4q4 Sf6� Vc�
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ��O
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR le- I- b a tY d o LL CoO O _PROJECT O Hi 3 a z
z �- 0< < 0 LL u-
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER /K ���
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. 1 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 nd agree to the above.
LZSigned
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)
�................... ...._.._.....,._............_..
,.
11
Permission is hereby 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: ;
11
00
1 0
o BUILDING & CODES A_VPROvAL ZONING APPROVAL
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DATE DATE
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Commercial M al Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: `5l am/pm" ,, Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
J d�• �j' 1r COMMENTS:
Y N NA �[ Y i (
Chimney/° °Vent Direct Vent Location
Plumbing Vent Through Roof 6'/Roof Complete
Exterior Finish/Grade Com to 6"in 10'or Equivalent o S
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.--38 in. /Step Risers 7"/Treads 11" i�
Vestibules For Exit doors> 3000 sy. ft.
All Doors 36 in.wA.ever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 w x 44'(lyCanopy or Equiv.
Gas Valve Shut-off gnostg&Regulator 18' Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp.I 10 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupa /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 %doors
> 10% > 1000 N.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 game
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
Handicapp2d Bathroom Grab Bars/Sinks/Toilets
Handica Beth/Parking Lot S' na e
Public Toilet Room Handicapp2d Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides
Active Listening System and Sim a Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if
As-built Septic System Layout R uired or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access AN Sides by 20'/Driveable Surface 20'wide
Okay To Issue . or Permanent C/O
Okay To 1 C/C °
LABuiiding&Codes FormslBuilding&Codesunspection Forms\Com►nercial Final Inspecfion Report.doc Revised January 7,2008
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