93-166 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
e66ec Lve date 10/31/94
Date January 1 19 2f
This is to certify that work requested to be done as shown by Permit No. 9 316-
j
has been completed.
This structure may be occupied as a INTERIOR ALTERATIONS
1658 NACY RD.
Location
Owner 301414ER. KAREN t,_
By Order Town Board
TAX MAF NO , 44 . -1 1 . 22
TOWN OF QUEENSBURY
Ccwe
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY ro
No. 93-166
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to KAREN L. SOMMER
OWNER of property located at Cor. Nacy and Glen Lake Roads Street, Road or Ave.
•
in the Town of Queensbury,To Construct or place a Interior Alterations
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Box 154 Star Route 0
Queensbury NY 12804
to
2. CONTRACTOR or BUILDER'S Name
self
n
ID
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) ~
(D
( )Wood Frame ( ) Masonry ( )Steel ( ) ti
7. PLANS and Specifications (D
1536 sq ft Interior Alterations as per plot plan, specifi—
No. cations and application and in compliance with Use
Variance # 10-1993 . sr'
8. Proposed Use z
Restaurant
$ 75 . 00 94
PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 20 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury th. 0 th of May 1993
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SIGNED BY for the Town of Queensbury
Building and on In ctor A�
Imo.
0
CA
TOWN OF QUEENSBURY Am, REVIEWED BY: f,Cls '
COMMUNITY DEVELOPMENT DEPARTMENT 4' �
BUILDING & CODE ENFORCEMENT FEE PAID: 7f
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. 93--766
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
OWNER OF PROPERTY:
Mailing Address : �
Telephone Number(.. Work d - Home Other J - Q
PROPERTY LOCATION: ?r1 I a ice_ cf /Jacc Dr i V
,c-
Tax Map Number: Sect. on lj� Block /-zra. Lot `''(,)-
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ , 000
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
V ALTERATION Q RITT,DT G: Two Family Dwelling
RESIDENCE COMMERCIAL Family Dwelling
(NO CHANGE-TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) y Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF P OSED STRUCTURE:
1ST FLOOR -G SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfihished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: /5:3 (9 SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: hka Will any second-hand or ungraded
Number of Stories: one- lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
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to be installed: / . Electric / Oil / Gas / Wood
. (Forced Hot AI/ Baseboard / Other
-PERSON RESPONSIBLE FOR TRVISIQN O WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: - ,,OW - ` C,xyev 0
NAME OF PLUMBER/ADDRESS/PHONE: f f rtir74 u J W7 _5efJ 4.
NAME OF MASON/ADDRESS/PHONE: �J
NAME OF ELECTRICAN/ADDRESS/PHONE: L( d 4,"a ' 74(7-Yf,3b
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 issu d, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of pr ct on1ni pre es .
Signature /hr�e
(Owner, owne ' agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED el.2 9
NAMES
LOCATION 3 ,t7
DATE IT#
i
APPROVED
N/A YES NO
EXITS
AISLE WIDT S ,/
EXIT SIGNS ,,/
EMERGENCY LILHTING
FIRE EXTINGUISHE', ,/j
AUTO. EXTINGUISHI c SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SY. EM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO 'RINKLER
CLEARANCE TO EATING UN TS /
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE—MASON"Y
FIREPLACE—FACTO'Y BUILT
REMARKS: ! U OK TO TH4S DATE
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/ KC��
7
2/015 INS EC 0
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
tft* 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: r
DEPART: '�cJeDINSP:
FINAL INSPECTION REPO
COMMERCIAL MULTIPLE ELLIN°
DATE INSPECTION REQUE/ !� 2 ogi. / /¢r
NAME JZG
LOCATION 1Z7balt. /Ce
DATE j74///94/ PERMIT # 15-/Gj‘
TYPE OF STRUCTURE /(Q,4":44.Wit4Gx
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH f
HEATING/HOT WATER 7"
RELIEF VALVES �/
FLOORS ./
FOUNDATION INSULATION ✓
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE J
FIRE/DEMISE WALLS PENETRATIOL
FIRE DAMPERS
CEILING FIRE STOPPING +/
FIRE DOORS/CLOSERS /
,/
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR /
HANDICAPPED ACCESS ✓/
HANDICAPPED BATHS
HANDICAPPED PARKING ✓
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
DK TO ISSUE C/O OR C/C
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F\7JA:)_
i� �c NE
, TOWN OF QUEENSBURY 3.r3o Ai
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR I SPECT ON RECEIVED 41)479
NAMEj,' $>JJ 7r
LOCATION bby XI,_,
DATE (VS/ JO PERMIT# 93-/404,
APPROVED
N/A YES NO
EXITS /
AISLE WIDTHS ,/
EXIT SIGNS /
EMERGENCY LIGHTING `/
FIRE EXTINGUISHERS ,,/7
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION y N
AUTO. SPRINKLER SYSTEM ,/
ALARM SYSTEM �
/
INTERIOR FINISHES �
J
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HE G UNITS f
REQUIRED SIGNAGE
,
CHIMNEY
WOODSTOVE 7 ,
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT \,7
REMARKS: U OK TO THIS DATE
Adta Aa4/24(e41.,.. fie _
- -r/2-7-",e,%'-‘,9,-).,-,A i'"ff__,2 ;_ _ i A'‘o.4,,,,
—7 1- s LP'r)7/),g'',/
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(,:g._./4,„
2/015 INSPEC 0
Iix TOWN OF QUEENSBURY
f BUILDING & CODE ENFORCEMENT
531 BAY ROAD
E QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: ). , y ) INSP:
i
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED:
NAME _ AV-- , *►erj
LOCATION 24- G✓'- /
DATE - 7/4 PERMIT / 93"14
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
IXTER1OR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CI (,ING FIRE STOPPING
A
,FIRE UOO&SJCLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
t1ANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REO
OK_TO ISSUE C/O OR C/C
L" -A.:��t. �.1ch4 C a� ?�r A•(4
1 I Z.t' R x 71 A C - (;U '�L -L_- -
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MEMO
RE: Full Moon Lounge Glen Lake
July 1 1994
I did an inspection of the operation of the emergency light unit
and the Fire Extinguisher mounted as directed. Both were as they
should be.
I notified the owner, Ms. Sommers, that she should apply for a
temporary Certificate of Occupancy as soon as possible. The use
of the building as a restaurant will not be allowed or will a
permanent C/O be issued until all Code requirements have been met,
including the required Ansul System. (Fire suppressant)
The issuance of the"Temporary" would be for the operation of the
bar & lounge.
The applicant might want to discuss, with David Hatin, the serving
of cold sandwiches, etc. , under the "Temporary".
Vic Lefebsfre C.E.O.
July 1, 1994
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
>
ARRIVE: /�`40io DEPART: l.`2'-) INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED: G?//,,itr��S//I1
NAMECL�c� �. �f et ri 1f
LOCATION K{c.C'A/C
DATE 4/i/'f'J PERMIT # Q3-ter
TYPE OF STRUCTURE ,G a.LA.l", G(_1
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION /
N/A YSS/ NO
CHIMNEY/"B" VENT/HEIGHT w/
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH t
HEATING/HOT WATER
RELIEF VALVES
FLOORS
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS V
gXIT DOOR HARDWARE
EXIT STAIRS%RAILS V
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING /�
FINAL ELECTRICAL 9//
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
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�.V1.11•lVl•I YV Gt1LIR GLGI.I I(1l.NL 11VJCISl.11V1V Jl.ItVILt,,11Vl..
Main Office 357 Elwyn Terrace — Manheim,PA 17545 ,f:•
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL!_I 2
Panel Board No. Cert.N° 3 3 4 0 5 Cut-in Card No.
Owner A.".4 C 1l
Occupant �}
Location a-�C-J t 'l `Y
Installation Consisting of � t (T12 r c 4-' /2 Z-/�J ''4-TI C t/..
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Installed By ` ` ��"'C'� ifLic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making insp tions at any time,and if its
rules are violated,the Company shall have the right to revoke t )cer ' • /
Date G° - Z� c� / INSPECTO / � L fC�- -----
ember N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION RECEIVED LJ/ 3J
NAME C� -�-,c,v.s,,,.z-r
LOCATION L ( Jc.a-
DATE (c) .� ERMIT 0c�3-/(.b
TYPE OF STRUCT RE } S j /—
/✓U(,,, j,,j4„,.
RECHECK APPROVED
, N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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/WALL POUR _
REINFORCEMENT IN PLACE '
FOUNDATION/DAMPROOFINGI
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/A/er I & B- 14.,„//' / /� '
/27,;v(--
ARRIVE 42,(
DEPART �;21 D (� .
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ( ? l Z E3-) 3'T'L
LOCATION ,tiz uk _t �( Q(�.t� i cb
DATE /) 7 1q3 PERMIT # (-1,j - /(p(o 1/
TYPE OF STRUCTURE _in,/ 0-e2et�;L rya
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
P-a2-144/--
ARRIVE_a y a
DEPART
INSPECTOR
MCE Appraisals
SKETCH ADDENDUM
Owner/Borrower Karen L. Sommer Property Address Glen Lake and Nacy Drive• _
L.nd.r/client Queensbury Building Dept. T/O Queensbury, NY 12804
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rcom 1 1 x �S' y 'y S4orc c 3.: 2n ext-t wI rCnlP
LitZrW \ I : / r ,-'x<St 14*3": c4,4-hea)r..s 1,C111h
t71 +
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-
t
MCE Appraisals ,
SKETCH ADDENDUM
Owner/Borrower Karen L. Sommer Property Address Glen Lake and Nacy Drive
Lender/Client Queensbury Building Dept. T/0 Queensbury, NY 12804
3 1 �. ,-
400 i . 14. ' I,r f_`"� i t o ( 10 7 red art
...;.. Yej1.4 x ? . C t^C C 4►ti4 £ t'F` tu'YY,.m
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