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2009-426 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761.8256 k-,:ERTIFICATE %'0.")F 0CCU '-AZ 1 Y Pernut Number. P20090426 Date Issued: Friday, February 11, 2011 This is to certify that work requested to be done as shown by Permit Number P20090426 has been completed. Location: 870 STATE ROUTE 9 Tax Map Number. 523400-296-017-0001-05 1-000-0000 Owner.. ALEXANDER POTENZA Applicant: ALEXANDER POTENZA This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY .7 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: P20090426 Application Number: A20090426 Tax Map No: 523400-296-017-0001-05 1-000-0000 Permission is hereby granted to: LIBERTY TAX SERVICE For property located at: 870 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: ALEXANDER POTENZA Certificate of Occupancy(COM) FRANK BORK Total Value 403 GLEN St GLENS FALLS,NY 12801 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2009-426 LIBERTY TAX SERVICE - 870 STATE ROUTE 9 $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 15, 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 of Q nsb Td,od y, September 15,2009 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090426 Application Number. a2009O426 Tax Map No: 523400-296-017-0001-05 1-000-0000 Permission is hereby granted to: ALEXANDER POTENZA For property located at: 870 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: ALEXANDER POTENZA Commercial Alteration $1,000.00 FRANK BORK Total value $1,000.00 403 GLEN St GLENS FALLS,NY 12801 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-426 Liberty Tax Service- commercial alteration $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, September 30, 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 TqG o een e ' y, September 30, 2009 t. „ .. SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement ..................................a a..s..............._.........................., `...............__....._ 2 / OFFICE USE ONLY ol TAX MAP NO. PERMIT NO. ( � % FEES: PERMIT RECREATION ENGINEERING ; (if applicable) % PRINCIPAL STRUCTURE: 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: l 1 ` 21`-AJOA OWNER: -- ADDRESS: G?,dt Z" e� ct J � ADDRESS: PHONE NOS. I I PHONE NO . CONTACT PERSON FOR BULL 1NG &CODES COMPLIANCE, 0. 314 PH LOCATION OF PROPERTY: �� +�� HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT 0 CS o APPLY TO YOUR Z f= 0 cA a � "' w ! PROJECT 0 0 = o � � L w Q 0 ZI� Q r- a Na 0u- � � = atS ` SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR I INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 4- r-r`X04'— FUEL TYPE: B 3-LGL I I-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 agree to the above. Signed, � . ZIA. :.. . 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) ...................................................' 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: BUILDI G C ES PPROVAL ZONING APPROVAL DAT DATE (---QUESTIONS? CALL 761-8256 OR EMAIL codesCu�queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMnTI M 9 EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: I I 09 BUSINESS NAME: L �`'I Gk r ✓ t� BUSINESS ADDRESS: y '7 0 rz BUSINESS PHONE: CV-0 _711 � l�r• v �� CONTACT 1: HOMEPHONE ADDRESS: b Zo S - �� c ��r S P'A 1 Z 6 2 cD HOME CONTACT 2: PONE �7�7��t G3 C� ' -el ADDRESS: This form is used to assist Emergency Service personnel who may be called to your business after hours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police and/or Fire personnel in gaining entry to your building. PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE PERSONNEL. TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE Phone: 518-761-8206 Fax: 518-745-4437 _firemarsht71@gueensbuVj.net - WWW.gueensbur net o Framing / FirestoPPin inspection Report �k Office No. (518)761-8256 Date inspection st �Wa: Queensbury Building&Code Enforcement Arrive:�'. part: of 742 Bay Road, Queensbury, NY 12804 Inspector's initials: NAME: PERMIT* LOCATION: INSPECT ON: -- C =,7 TYPE OF STRUCTURE: Y N WA COMMENTS: Framing ss 22° x 31Y minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc 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 gaugeA81 16D Waits each sine Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on enter 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's inch or 5/8 inch Type X Garage side 5/8 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.Muiidmg&Codes Forms-QIDWIcift&Cmfalftspec tbn FomtsTrwdnq Fi estopphV Inspection Report.doc RsvkW January 7,2008 Framing / Firestopping Inspection Report 05Z-Ve" Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: to am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspei4i is Initials: ' J NAME: L PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 31Y minimum Jack Studs/Headers Bracing I 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 Wails Metal Strapping for Notches Top Plate 1 h w 16 gauge 8 16D nails each side Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center water 'eld 24 inches from wall Fire separation 1, , 3 hours r. I �►� , 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-M\Building&CodesUnspedion FomisTraff np Flopping Inspection Report.doc Revised January 7,2006 Inspection for Permit to Occupy Fire Marshals Office Request Rec'd Permit No. D/ Town of Queensbury 742 Bay Road tt q Queensbury,NY 12804 Scheduled Inspection Date: 19A 1� 1 Time: �S Phone: (518)761-8206 Business Name: 41 Fax: (518) 745-4437 Location: 'V f� Type of Inspection N/A Yes No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-battery EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING ' FIRE EXTINGUISHER: fi C 1 � Hun Inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System FDC 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 ❑ roved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) Denied / call for Recheck Inspected L:\FireMarshal\FM Forms Masters\permitto occupyform.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. 09- L'z-61;7 Town of Queensbury _ 742 Bay Road Time: / Queensbury,NY 12804 Scheduled Inspection Date: Phone: iL- (518) 761-8206 Business Name: / ' Fax: (518) 745-4437 Location: e7C� cJ Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-battery EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hunci Inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System_ FDC 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 Sin Emergency Evacuation Plan Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) o Denied / call for Recheck lnspecte y: L:\FireMarshal\FM Forms Masters\permitto occupyform.doc Commercial Final lnilecfion Report, Office No.: (518) 761-8256 Date Ins Won ce, Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Say Road, Queensbury, NY 12804 Inspector's In' -77 NAME: PERMIT i 7- LOCATION: DATE. COMMENTS: X N NA Chimney/OW Vent Direct Vent Location Plumbing Vent ThnMh Roof Wi Roof Complete Exterior Finish/Grade Complete So in I W or Equivalent Interior/Exterior Guardrails 42 in. Platform/DecksI Interior I Exterior Balusters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Sop Risers 7"1 Thoft 11" Vestibules For Exit doors>3000 sq. ft. All Doors 36 in.wfLever Handles I Panic Hanftwe, if re ukW_q Exits At Grade Or Platform 36(w)x 4,V(W-anopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18*)Above Grade Floor Bathroom WaterW/00w Mom Okay Relief Valve,Heat Trap I Water Temp.110 Degrees Uwdmum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System Fresh Air Supply for /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 W Fumaoe Area Stockroom/ftrage/ReceMng/Shipping Room(2 hr.), 1 %doom > 10%> 1000 N.ft. %Hour Corridor Doom&Closers Firewalls I Fire Separation,2 Hour, 3 Hour Complete I Fire Dampers/Fire Doors Celli ng Fire Stop ping,3,000 N.ft Wood Frame Attic Access 30"x 20r x 30'(h), Crawl Space Access 180 x 24' Smoke Vents Or Fan, if required Elevator Operation and Signage/Shaft Sealed Handt!pg!d Bathroom Grab Bars I Sinks I Toilets Handicapped Bath I.Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 in.,Checkout Uff Handicapped Ramp/Handrails ContInuous112 In. Beyond(Both sides] Active Listening System and Signage Assembly Space Final Electrical I Flex Gas Piping Bonded Site Plan/Variance required Final Survey, New Structure/Flood Plain cerft;atlon,N req, As-built Septic Systern La out Required or On File Building.Number or Tenant Address on Building or Doewayf Water Fountain or Cooler Building Access AN Skies 201 wide Okay To Issue Temp. fr-Pemanent C40 Okay To Issue VC LABuilding&Codes ForrnsSuilding;&CodesUnspection ForrnsTAxwercial Final Inspection Repcxtdoc Revised January 7,2008 k fi TOWN OF QUEENSBURY 81.10ING DEPARTMENT 9\, Based on our limited examination, compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance with the Building Codes of New York State, r ift P%y d--4- t w C� .w.�w,y � 4 Q a T LP r E C£ W, Q O