2003-656 ��� QUEENSBURY
TOWN OF
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030656 Date Issued: Tuesday, September 06, 2005
This is to certify that work requested to be done as shown by Permit Number P20030656
has been completed.
Tax Map Number: 523400-289-019-0001-014-000-0000
Location: 667 BAY Rd
Owner: ANGELO & ANNE CATALFAMO
Applicant: ANTHEM HEALTH SERVICES
This structure may be occupied as a:
Commercial Alteration 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.
411"
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VW
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030656 Application Number: A20030656
Tax Map No: 523400-289-019-0001-014-000-0000
Permission is hereby granted to: ANGF.T,0 & ANNF, CATAT,FANO
For property located at: 667 BAY Rd
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: ANGELO & ANNE CATALFANO
5 SIXTH St Commercial Alteration $8,300.00
Total Value $8,300.00
HUDSON FALLS, NY 12839
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-656 BUILDING 2B
1332 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
r,
-- -c 'erNc\.O A 03)
$142.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, August 15, 2006
(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 Tolf of O'ii ensb ;/ F i ay August 15, 2003
SIGNED BY d`a ' for the Town of Queensbury.
Director of Building& ode orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030656 Application Number: A20030656
Tax Map No: 523400-289-019-0001-014-000-0000
Permission is hereby granted to: ANGELO & ANNE CATAI,FANO
For property located at: 667 BAY Rd
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: ANGELO & ANNE CATALFANO
5 SIXTH St Commercial Alteration $8,300.00
Total Value $8,300.00
HUDSON FALLS,NY 12839
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-656 BUILDING 2B
1332 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$142.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 15,2004
(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 n ueen ry; i y,August 15,2003
SIGNED BY �. for the Town of Queensbury.
Director of Building Code nforcement
Building Permit Application .
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.:
0 3 - -Th‘4 ),
No inspection will be made until applicant has received a Fee Paid: `, , • -Q
valid building permit. Form multtbe completed. Rec.Fee Paid:
Reviewed By:
Applicant: (-ctielei b i- Of LK ( , Ts)i F o Owner: Y C'-'' `k
Address: •
Address;. — s , S 7 H u d S o K.. F'..3i,5
i
t� IJ I J>'�`/ �C' �1
Phone#: 7 ci 7 6 5 y Phone#: 7 Li (, t,,5 1 .
Tax Map Number: ReCEIV /�
Subdivision Name:
�f..!
(if applicable) MAY'" ,
Lot Number /House Number /Street Name 3 --
ORef6 P gUILDlNG`A, ®�BURY
Property Location:
ODE
Aio , i - s.ri sPi',...-;e7( .
o New Building: Residential/Commercial Estimated Market Value of onstruction: -7.4
ilo
o Addition: Residential/Commercial If an Addition,what will use of addition be.
y Alteration: Residential/ mmercial
) No change to �_"`
Exterior size: Residential�Commerci i - ca
- ,..6
o Other work: (describe )
Check Below Occupancy Info 1"floor sq.ft. 2°d floor sq.ft. Other flop . Sq.Ft'
Single Family Dwelling
Two Family Dwelling
Townhouse
Multifamily Dwelling \ —
#of units
L_ . office f.3,3 alJc�d-
Mercantile L
Manufacturing -----.'"...... "/ , .. _.
1 car detached gara
2 car detached garage °'
---i 6- tS
3 car detached garage i' C 1
J
1 car attached garage �-_y�(� d r
2 car attached garage
3 car attached garage Storage Bldg.,Comm. cy..k
'
Storage Bldg.,Res.
Other
/
•
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
No.of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder TIIg-a•--,o j✓uci S00. = i ( 7'17 64.S
Plumber )J,✓4 L - _
Mason CA- I*a( Fol-e» u
Electrician
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 I/we 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 Surve a licensed su eyor;drawn to scale,showing actual location of all new construction.
Signature: / (circle one: owner,owner's agent,architect,contractor)
Permit No. a?Gt.--(0��v
Builtitng&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury, NY 12804 Recreation Fee
Dave Hatin,Dire.,;.tor codes@aueensburv.net
Phone: tg8) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application_+ form.
Applica /Builder Tl tit //&L/ffl try! YOwner:
A ress: )1Address:
Home Phone: XHome Phone:
, Email Address: ,x Email Address:
Cell Phone: X Cell Phone:
FAX Phone: y FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: Phone
(Location of proposed construction: Lot No. )(Legal Address:
Tax Map Number: Subdivision Name:
X Estimated Cost of Construction: $
Proposed construction is for: _Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction lo Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&in.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office 133Z'
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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 I/we 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.
c,Date: Applican Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Building Permit Application •
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.: ✓
No inspection will be made until applicant has received a Fee Paid: Vt�s' 1L . Ltd
valid building permit. Form matte completed. Rec.Fee Paid:
Reviewed By:
Applicant: ' 4-jetd -._ vin-we 01,aTfri:F 4, Q Owner: = c
Address: •
6 ( 9 !,J 4/ e Address:._ �- 5 ;,tT3 S 7 r-J ud.S o,�.. r..v«S
J
Phone#: 7 ci 7 G 6, .cl Phone#: -7 e, 7 (0 S ' .
Tax Map Number: RecEi D
Subdivision Name:
(if applicable) h1AY 3, i ,
Lot Number: /House Number: /Street Name • o,, 13 -_
OR 4 'SI-ENSet6P URY
gU1LDING q D CODE
Property Location: 4)
fre
o New Building: Residential/Commercial Estimated Market Value of onstruction: ‘-7,,
o Addition: Residential/Commercial If an Addition,what will use of addition be.
y Alteration: Residential/ ommerciaT
Exterior size: Residential(LCommer �
o Other work: (describe )
Check Below Occupancy Info 1`t floor sq.ft. 2"floor sq.ft. Other floo . . . Sq.Ft.
Single Family Dwelling
•
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
L..------ Office _
—
Mercantile
i
Manufacturing
1 car detached gara
2 car::::
-
1r 7N(.54.--
3 car -
1 car attached garage T
71
' N
2 car attached garage �'� V �s
3 car attached garage � k j 11- ' _
Storage Bldg.,Comm.
/ b
Storage Bldg.,Res. II
Other
,o
•
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so, for what?
No. of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
•
Name Address Phone No.
Builder f Y T4!c-4,, Ad sc.. r",7•11 C 7 C7 64.c 1. .
Plumber 1 i,;) 1,4„
Mason CA- 1 ja( Pv4-" u
Electrician
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 Surve a licensed s eyor;drawn to scale, showing actual location of all new construction.
Signature -i2 (circle one: owner,owner's agent,architect,contractor)
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request
Received: Permit# n `" S SCHEDULE C ,
INSPECTION ON:
Name: � �F+�Lvm0 L A)PM ANYTIME
Location: It Co ! 1 -1
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL 1 � 16)
EXIT SIGN-BATTERY
EMERGENCY UGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER
cfr
INSPECTION tip
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED '1
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE • - R CO OT OK
i •
1NSP D BY
COMDEV/C HRISJMIORD/LETTERS2001/FIREMARS HALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
S S
Commercial Final Inspection Report A fr11
Office No.: (518) 761-8256 Date Insppctio vequest received: '
Queensbury Building&Code Enforcement Arrive: /U,S S am/p Depart: am/pm /
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �-
NAME: �C `c \Q PERMIT#: " 5
LOCATION: L.() q DATE: (p-
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 ''A doors
> 10%> 1000 sq. 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 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
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
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
) 0110,//
41111li Town of Queensbury
Fire Marshal's Office
742 Bay Road p-
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request
Received: Permit# C? 3 S SCHEDULE C ri _ o I-P-
iNSPECTION ON:
Name: (1GtA Li- a+m u i3 1Jc, a5 Li r- AM M NYTIME
Location: C.( .1 (36-k 9 r )
^APPROVED
N/A - YES NO COMMENTS
EXIT ACCESS r-
EXIT ENCLOSURE ` c c W ``
EXIT DISCHARGE r \ l a I uN
MAIN AISLE WIDTH _ 1 r,
SECONDARY AISLE WIDTH Pt S) 4 5 ---- r
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY e
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG f,
FIRE EXTINGUISHER a 1 n i t- J�C`,y\P" c- /
INSPECTION ✓
FIRE EXTINGUISHER HYDRO h �v' GU 1. . ,--)
FIRE ALARM SYSTEM ?S
FIRE ALARM -FAN SHUTDOWN � \ ��� ,.
FIRE SPRINKLER SYSTEM 3Jl 4 t n � I liNi
FIRE SUPPRESSION-KITCHEN js
FIRE SUPPRESSION-GAS
ISLAND c c `7 c V1 t c,l 7,, ,,,,,,___
HOOD INSTALLATION ? '
�n n
INTERIOR FINISHES \ &01 4 r C ( ci. tv
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL X �� Ku,, r�,‘c cc,tC VN
ELECTRIC WIRING ENCLOSED X f V
COMBUSTIBLE WASTE '-"
VEHICLE IMPACT PROTECTION X C Gr\A P c 1 Gvv\-
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS — Y -r'
MAXIMUM OCCUPANCY SIGN )� 4 sir ? ' /
vASG l U
EMERGENCY EVAC PLAN
6"A44 NGy ( - X ( GU cc V v 5 r r S
S i, t, ct 1 I-c>kv
OK THIS DATE 0 • - CO OT OK
cl\rel r
INSPECTED BY
COMDEV/C HRISJ/WORD!LETTERS2001/F IREMARSHALINSPECTIONREPORT 11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
c)..---8
t,
Commercial Final Inspection Report
4 i i
Office No.: (518)761-8256 Date Inspectio request received: /
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm f r
742 Bay Ro Queensbury,NY 12804 Inspector's Initials: R'
NAME: PERMIT#: P)-- -0 0 3— G5 co f
LOCATION: DATE: 9 -- ) Q l f`
f
COM NTS:
Y/ N NA
Chimney/"B"Vent/Direct Vent Location i.
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" t/
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 Gradei/";
Floor Bathroom Watertight/Other Floors Okay 1//
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum V /
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 ''/ t�
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 doors
> 10%> 1000 sq. ft.
%Hour Corridor Doors &Closers
t/./(/ ,
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors /
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame V
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" t/j/
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets Zr.
Handicapped Bath/Parking Lot Signage ✓/
Public Toilet Room Handicapped Accessible t/ / /
Handicapped Service Counters, 34 in., Checkout 36" / /� �F TA
(.vsYtu �`�Handicapped Ramp/Handrails Continuous/12 in.Beyond z/ /�`�re1r...J iZ f
Active Listening System and Signage Assembly Space / ' vs fi„/mairkiii
Final Electrical ,/
Site Plan/Variance required / .../.; i(.44
Final Survey,New Structure/Flood Plain certification,if req. �j
As-built Septic System Layout Required or On File /�
Building Number or Tenant Address on Building or Driveway V / "ilia �rr,1-�-itide(
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide Vt./.
Okay To Issue Temp.or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building es Codes\Commercial Final Inspection Report.doc
F Town of Queensbury
Fire Marshal's Office
742 Bay Road ,
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request 9- i /`/ _
Received: Permit# ,' 0 !o INSPECTION ON: 2 ! — 0,7
Name: £1'iktJkMO
1 -M ANYTIME
NLocation: l.� ( ,
A PRO ED
N IA ES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE i.
EXIT DISCHARGE 51d1(�11 1 I &�k ' i )f.z:/irt
MAIN AISLE WIDTH J
SECONDARY AISLE WIDTH -. a0Z5 NYt LODI
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY ---§- ,
(cr i1 . 1{e
EMERGENCY LIGHTING kovi9a r 1 V ,_,,,d
FIRE EXTINGUISHER FIRE EXTINGUISHERHUNG ' C1/ " ,
INSPECTION � !�J � �� 7
FIRE EXTINGUISHER HYDRO x i
FIRE ALARM SYSTEM W V e,_/ � fC,i t�,�1 t ,\
FIRE ALARM -FAN SHUTDOWN V V i t N
FIRE SPRINKLER SYSTEM e �,
b( k ,'z
FIRE SUPPRESSION-GASFo .
ISLAND
HOOD INSTALLATION ^,_
INTERIOR FINISHES —
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL X
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE OK R CO NOT OK
INSPECTED Y
COMDEWCHRISJ/WORD/LETTERS2001/FIREMARSHALINSPEC NREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
�J in
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: (940
Queensbury Building&Code Enforcement Arrive: 3' am/pm Depart: a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: al
NAME: � �C....C' -� PERMIT#:
_ --(40
LOCATION: Wen c&Ii INSPECT ON:
TYPE OF STRUCTURE: ar,.,( _ �
131c1j, 02-13
Y N N/A COMMENTS
Framing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z(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 snow shield 24 inches from wall
Fire se ar n 1 2,3 hour
e wall 2, 3,4 dur ,�,/ // ewe
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side I/z 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. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins action request received:
Queensbury Building& Code Enforcement Arrive: EL am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i fy
NAME: ( 1(6`S`a. Cj PERMIT#: 03 -65
k)
LOCATION: (QU � % INSPECT ON: q--3--- }
TYPE OF STRUCTURE: 61c)6,a
�
Y N N/A COMMENTS
Framing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (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 snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
wall 2, 3, 4 hour J
LI fir 0 /
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/4 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. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003