2000-517 TOWN OF QUEENSBURY
vipsy742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
... Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000517 Application Number: A20000519
Tax Map No: 523400-071-000-0001-007-000-0000
Permission is hereby granted to: RAY SUPPLY, INC.
Owner of property located at: 871 STATE ROUTE 9
in the Town of Queensbury, to construct or place a Commercial Addition
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.
Owner Address: GEORGE & JOHN GOETZ
871 ROUTE 9
C/O RAY SUPPLY
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
JIM MOELLER
CORINTH,NY
Type of Construction: Commercial Addition Value : $ 18,500.00
Plans & Specifications
$46.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,July 27,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o eensbu ; Thur y July 27,2000
SIGNED BY 4 for the Town of Queensbury.
pirector of Building&Code En orcement
putttutng remit Application
4x T.own of Queellshury - Dept. of Conuluuiity Developmeui, 742 Bay Road, Queensbuly, NY 12804 /761-825Oj
,_INO ° BUILDING & . CODE ENFORCEMENT
TICEj Requirements prior to issuance
. A permit must be obtained before Of this permit: PERMIT FILE NO. �l� �
beginning construction. No inspections __
will be made until applicant has received El Zoning Board Action !'/;'iatri.I•'1.h !'AID$
a VALID BUILDING PERMIT. All • Area /Use
applicants` spaces on this application RECREATION FEE PAID$
MUST be completed atrd•the signature [l Planning Board Action
of the applicant must appear on the REVIEWED BY:
smt / subdivision /Other Td4n,g Inc,'c:or
‘epplication form. ?hank you. J Recreation Fee Payment
Applicant: -4
O rtc. Owner: £Dre.0 . .. - GQz.crC�1
. ' Address: COI .ems S\i� Address: �`
• -A-N-
Phone # ( S1k ) l
Property Location:
•
Subdivision Name:' Tax Map Number ----_J.___./
Section Block iot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION:
� / residence / commercial $ `�15
Y Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Bui .ing: Primary Building -
residence / commercial Single Family Dwelling„
Residence / Commercial Two Family DwoJlin 2 't
no change to exterior size . Family I4el'Iing -'4*
• Office
Other Work (describe below) s/ Mercantile JUL I1 2000
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor '3S 7,� sq. ft. If ADDITION, what will use
01 ne
-end .F.th e-, w, addi t:' on bet
�y sq. ft. ---...1 ®t����
et-1 — sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 2w1 r3 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE� OF NEW STRUCTURE: ,/ Commercial Storage Building
,.p / FEET X \I / FEET Other
•
Foundation Type: VoNre d Cc3NscfZ(z'lZ1 Will any second-hand or ungraded
' Number of Stories : p1*.4q lumber be used? If so, for what?
(habitable space only) 3, �y
__. ._------ _... -.._- --------------------
Height (grade to ridge) : 4 Afeet: Tyre: or itla\TiNG sY5- i-s
Number of fireplaces aid/or woodstove (circle all which sillies)
to be installed: Electric / Oil / / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addrqsss Ph)le •
Builder: "ss,- £1 LZ'�` C- ft
b. s►a46.. )%.I \2 1'2 CSi� --C`l` - .-#
Plumber: H/ o
. Mason: - Q,F revictr.a.9 �a t� 2 3—`�9 b�
Electrician: v,� 'K�crjar� L � 2 ec� —t'7
DECLARATION: Please sign below afler you have carefully •cad the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, arc a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the iluil<ling Code, the Zoning Ordinance and all
other laws pertaining to the proposed work snail 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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale showing actual location of project on premises.
y
Signature: - i ,
(owz(, owner's eat, architect, contractor)
Requirements for obtaining a Building Permit
`` •
The following items are to be submitted to complete a Building Permit application:
1. Two plot plans
drawn to scale showing:
a. lot boundaries with dimensions and adjacent road(s) or st.reel(s),
b. all existing and proposed structures, with setbacks from property lines,
c, location of existing or proposed water lines and septic systems.
2. Two sets of building plans
with elevations and sectional drawings, one sectional drawing for each
roof line.
•
• 3. Electrical Inspection Application
for one of four electrical inspection companies allowed by the Town of
Queensbury to do the inspection.
Choose'] of 4 below:
a..,\tlantic-Inland, Inc.
b. Commonwealth Electrical Inspection Services, Inc.
c. Middle Department Inspection Agency, Inc.
mew.York BoartiolEire,linikerwritgrsi
4. New York State Energy Code Compliance
form to filled out with complete information for residential and
commerical projects.
Septic Disposal- Permit Application
forte to filled out with complete information.
- 6. Fee — �r 9 /'. 4_ /rp
to be paid as per fcc schedule. Please make checks payable to the
Town of Quccnsbury.
7. Building Permit Application
all portions on the application are to be completed.
Driveway Permit
application to be completed for new construction only.
211% OF FEE RETAINABLE FOR ANY WITHDRAWN PERMIT:
NO FEE REFUNDABLE AFTER ONE YEAR
ALL CONSTRUCTION SHALL CONFORM TO THE NEW YORK STATE UNIFORM FIRE PREVENTION
AND BUILDING CODE, 'I'IIE NEW YORK STATE ENERGY CODE AND 'I'IIE TOWN OF OUl. l NSIiURY
ZONING AND SANITARY SEWAGE ORDINANCES.
Per Section 7302, Article 47 of the New York State Education Law, building
plans submitted will bear the Seal and authorized signature of a New York
State Licensed Architect or Engineer.
This article shall not apply to residence buildings of a gross area of
fifteen hundred (1500) feet or less (exterior dimensions), nor alterations
to any building or structure costing twenty thousand dollars ($20,000) or
less which does not involve changes affecting the structural stability
and/or public safety thereof.
NOTE: BEFORE A CERTIFICATE OF OCCUI'ANCY'MAY BE ISSUED FOR A NEW RESIDENTIAL
OR COMMERCIAL STRUCTURE, AN AS-BUILT PLOT PLAN CERTIFIED BY A NEW YORK
STATE LICENSED SURVEYOR MUST BE FILED WITH OUR DEPARTMENT.
•
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
- - 9000 9000 HEATING DEGREE DAYS
Comoliance Methods : PART 5 - Acceptable Practice Method -
Up.PLY 1&2 Family Dwellings (only)
RAY PART 6* - Thermal Rating - Component Trade Offs
871 ROUTE 9 1&2 Family Dwellings; Multi-Family
S�URY, NY 12804 Dwellings (3 stories or less)
PART 4* Design by Component Performance
- PHONE#Si} d Commercial Buildings-Hi Rise Residential
PAX *Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
•
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feet
2 . 'IvDe of Heat - Electric Oil V Gas Other
3 . Is building mechanically cooled? Yes V No
4 . Percentage of area of windows and doors Over 17% .,Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof --cq:\LAi,s (St') R AM. 30
b . Exterior walls R \9
c . Glazed areas R —
d . Exterior doors R
e . Floors over unheated spaces R
. Edge of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
- . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Iy.( 4/
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A.00licant ' s Signature ce Phone Number
d �( Cc ) "11-2-S-64r
INSPECTOR' S REMARKS:
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received!•-•Arr7
Office No. (518)761-8256 c� �
Dept. of Community Development 0 v I 'G
Town of Queensbury Arrive i! % s'1)•e Depart
742 Bay Road •= tor's Initials 111101111
Queensbu i 12804
NAME�� PERMIT# t
LOCATION 6 $h7 / � Jat.e y DATE ariAW: "
TYPE OF STRUCTURE &)n":
N/A YES NO COMMENTS
Cltarateyf'B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior fmish grade complete
Interior/exterior guardrails 42 in.platfonn/dedcs F�Z-e--
Interior/exterior ballasters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18 .)above de
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure_
<250.000 BTU N/R
250.000 BTU to 1,000.000 BTU's(1 Four)
>1.000,000 BTU's(2 hour)
Gas furnace shut off within 30 IL or within,ine of site
Oil furnace shut off at entrance to furnace afrea
Stockroom enclosure(1 hour),3/4 hour d
Storage/receiving/shipping room(2 hour), '/2 doors Y I ''i hour doors and closers
34 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour Iete
Fire dampers,2 hour fire wall/separation greater
Fire door/shutters 1 '/2 hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardw re
Elevators
Elevator signage
Handicapped bathroom grab bars/Sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space_
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-built septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received: AD/3 ) /or,-
Office No. (518)761-8256
Dept. of Community Development t `- 11) r
Town of Queensbury Arrive r _`,, p rt
742 Bay Road Inspector's Initi: ,TAW . � .
Queensbury,NY,42804 rr c -_
NAMEPERNIlT# P---(6c/r
LOCATION ' /` 3/ ( C 9 DATE W '1 ;'fir?,-TYPE OF STRUCTURE VI ,,,
N/A YES NO COMMENTS
Chimney/"B"Vent/Direct Vent location7/ /
Plumbing Vent / °. / k 2
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks
Interior/exterior ballasters 4 in.spacing platfonn/decks
Stair handrail 34 in.-38 in.
Step risers /3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18 in.)above grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/fumace enclosure
<250.000 BTU N/R
250.000 BTU to 1,000.000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within line of e
Oil furnace shut off at entrance to furnace area
Stodcroom enclosure(1 hour),3/4 hour door
Storage/receiving/shipping room(2 hour), 1 'h doors
1 ''i hour doors and closes 1-1—TE-A--VrEf() 'r :*^� \ L—U-
?4 hour corridor doors and closets
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater �� •�$,,�
Fire door/shutters 1 '/2 hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator sigtage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot sigtage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space_
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-built septic system layout required
Okay to issue temp.C/O(Certif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 ArriveI Depart
spector's Initia
NAME: ik P(. !j J L PERMIT# 9
LOCATION: \ 9 DATE: ' "' 3'
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is r- •• ale for
providing protection • :- ing
for 48 hours followin= placement
of the concrete.
Materials for this purpo on site
Foundatioch k alI..•.•
Reinforcement in Place
Foundation/Dampproo ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vent. in Place
Rough Plumbing
)(eating Rough In
V Insulation
Foundation W.1 s Interior R
Foundation W: s Exterior R-
Floors R-
Walls R- 3
Ceiling R
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
2-- \ 1&5ivE___c_
......„---,
i-\
Ns ,
GENERAL INSPECTION REPORT l ��
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive - • "►,•m Depart ,.0,
spector's Ink'. • :,._
n ,,--
NAME: `{.., `, PERMIT#' [,1® J 1 C)
LOCATION: 7- , a- DATE: h ` d^,.(.)
TYPE OF STRUCTURE: { 1 Z,'-v---..
RECHECK
N/A YES NO COMMENTS
Footings/Piers I. T 1
Monolithic Pour Form
Reinforcement in Place (--\•
The contractor is respo4sible for
providing protection fr freezing
for 48 hours following tie placemnt
of the concrete.
Materials for this purpose•in site 1
Foundation/WalIpour
Reinforcement in Place
Foundation/Dampproofing 1
Backfill Approv• _
Plumbing Under
Plumbing Vent/Vents i I 'i_ -
Rough Plumbing
Hea '.= • •ugh-In
-- -. :ti•
oundation Walls Inte 'or R-
Foundation Walls E rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping
unheated spaces R- , /
vP;rozr Vent,Attic Vent
. ng
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Bather
F e Separation 1,2,3,hour
,,Penetration Sealed 7/2
pre Wall 2, 3,4 hour
✓Firestopping
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ,3 i/ am/pm Depart a pm
Inspector's Initials di
NAME: PERMIT# '5 i 9
LOCATION: DATE : ^ -
TYPE OF STRUC •
RECHECK
N/A YES NO COMMENTS
Footings/Piers I T 1
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/Wallpour ,
Reinforcement in Place
Foundation/Dampproofing hp'u'� �/ e-S z`�
Backfill Approval
Plumbing Under Slab sh f incsh i--.4
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In �
Insulation
Foundation Walls Interior R-
Foundation
Foundation Walls Exterior R- i" (4 c
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
()CI
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury �
Dept.of Community Development Date inspection request received: QI I`� U
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depar ° E/
,,^(^//e1 Inspector's Initialstiia
NAME: ["' l� PERMIT#V v , - 577
LOCATION: DATE : / (11b
TYPE OF STRU • �/--
RECHECK
N/A YES NO COMMENTS
Footings/Piers r I
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/Wallpour
Reinforcement in Place 0k)l )2� � 612 IAA Az_
Foundation/Damp oofing �'
ac 11 Approval , e', � 4 6 b
Plumbmg n r Slab \
Plumbing Vent/Vents in Place
Rou Plumbing
H `ng Rou(-In
nsulation kR j 1 f}�-- ✓/
Foundation Walls Interior R-
Foundation Walls Exterior R •
-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
FIL1 .."---t&e--N
GENERAL INSPECTION REPORT ._--
(518 ) 761-8256 ,c,k_c
Town of Queensbury
Dept.of Community Development Date inspection request received: '1 66v
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive u'yl,apart r pm
,di?Y . _ spector's Initi / )/�
VG , ,r h /
NAME: / PERMIT# .+✓ /
LOCATION: DATE: 1 `7.)
TYPE OF STRUCTURE: 1}< •
RECHECKc )4)71K. T-C-1-
N/A YE�; COMMENTS
eftc2totings/Piers -----1I l
— 7
Monolithic Pour Form /
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement t`
of the concrete.
Materials for this purpose on site 'j
Foundation/Walipour i,. 1
Reinforcement in Place ;' f (\ 17 S2C)
Foundation/Dampproofing ,. Pl
Backfill Approval
Plumbing Under Slab /i ° � �,
Plumbing Vent/Vents in Place , t/P� r —.'"' C
Rough Plumbing 7
Heating Rough-In ,,‘-- ___x_____0 GA
Insulation �,/t
Foundation Walls Interi6r R-
Foundation Walls Exiirior R-
Floors ,' R-
Walls R-
Ceiling
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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NICE
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20 A P P R V E ApPlication
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MAY 9 094 Al,�77-j
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6110_01�
ZonV�Administrator
F QUEENSBURY