2001-678 TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010678 Date Issued: Thursday, April 18, 2002
This is to certify that work requested to be done as shown by Permit Number P20010678
has been completed.
Tax Map Number: 523400-226-019-0001-096-000-0000
Location: ASSEMBLY PT. Rd
Owner: TOWN OF QUEENSBURY
Applicant: TOWN OF QUEENSBURY WATER DEPARTMENT
This structure may be occupied as a:
By Order of Town Board
Commercial /Industrial Unheated TOWN OF QUEENSBURY
(1°--- 6J
.or , —
Director of Building& ode forcement
TOWN OF QUEENSBURY
Foirs 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010678 Application Number: A20010678
Tax Map No: 523400-226-019-0001-096-000-0000
Permission is hereby granted to: TOWN OF OUEENSBURY WATER DEPARTMEN"
For property located at: ASSEMBLY PT. 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: TOWN OF QUEENSBURY Miscellaneous Structure 40,000.00
742 BAY Rd Total Value 40,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-678 TOWN OF QUEENSBURY WATER DEPT.
121 SQ FT FILTER BUILDING WITH BURIED WATER TANK
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday, September 24,2002
(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 o f Qu/ sty; '1 I • September 24,2001
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No 0 — 7 g'
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: 0c f-6vf&i,a-1 4),A tZ'/— &7 Owner: 5 HH-o R2E Co t-o,ie y 101-7 A-
RECEit Address: 3 Gcg Ai T 1{ , -o�►.5 Address: A SS .n 3 po, Jr—P- O -
t)EEa)5 ) 7' ,iv�F -
o e# (51 g ).7`t3 - g Phone# ( )
SE r' 2001
j " 'Nds 3r divi ion Locat1Name:on: ot Number: C/7,ouse1 NumberTax Map Number: 2 6
:xS� 171Y 0 1-
l ' New Building: `residence /co ercial Estimated Market Value of Construction: S 41 0 CM
❑ Addition: residence i commercial If an Addition,what will use of new addition be?
a Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
O Other work(describe )
Check Occupancylnformation 1st Floor 2"d Floor Other floor I Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling PFCFNED
❑ Two family dwelling
a Townhouse SEP 1 1 2001
❑ Multifamily dwelling I
#of units TOWN OF OUEEI' SBURY
a Office BUILDING AND COD
m
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other r 1_,TER / 02 1 _ / 62./
jj u t 1.0 r A)t- i J t 1� a c,. ee-i ' rA-rntWhat is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so, for what? /V D
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: NO A-)6:
Number of Fireplaces to be installed 0 Number of Woodstoves to be installed 0
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder —r ,n Au.Qc ! Qi'y t c./',a i t�' 6P1`• '7 `?3 `eg6
Plumber
Mason
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 C ,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ne onstruction.
Signature: �-`— owner,owner's agent,architect,contractor
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ()
Main Office 176 Doe Run Road-Manheim,PA 17545 ` //
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. N�e� 7 915 0 Cut-in Card No
Owner j `_ 7 N5 ifd`fr A)A �-e) , /
Location / 6�u1 ,O I 7-1- ,a/ r' ��-- �'
InsVi-',.1-P
Lion Consisting of.c 'V_Tom-if vZ I cceP c2 L/7E S
v'-Co.0 i Q1G>5/.... f-u L A/ IJGS .ea�/61
Installed By if t ' rfai-r>s(0 L -07' Lic.No.
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 makin', spections at any time, and if its
rules are violated,the Company shall have the right to ev ke th'L cater,.
"r ° 4-0 Z'- INSPECTOR 148-1/"` :2
Member N.F.P.A.,I.A.E.1.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
/',a F 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8 56
ARRIVE: DEPART: �' INSP
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel. apt. complex)
DATE INSPECTION REQUEST� W� t RRECEIVEDD: ��
NAME C � c=P r�C ( l
LOCATION c) " ✓ 0
DATE {/ii / O2-- PERMIT # Of -676
TYPE OF STRUCTURE
FOOTINGS _BACKFILL FRAMING PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES _
ROOFING
1:///4(
EXTERIOR FIN •H
HEATING/HOT WA R _
RELIEF VALVES
FLOORS
FOUNDATION INSULATIO
INTERIOR STAIRS/RAILINk
STOCKROOM ENCLOSURE
FIRE/DEMISE WAL PENETRA ON
FIRE DAMPERS
CEILING FIRE STOPPING
LZ-v& A
FIRE DOORS/CLOSERS/G-Qi}�oLE 1
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,
OK TO ISSUE C/O OR /C
/ C--y&-C ///sP ( .
FINAL - COMMERCIAL INSPECTION REPORT ` /1 � '
Request received:
Office Use
Town of Queensbury (518) 761-8256 ARRIVEVAb . p • i PAR ?P 4 .
742 Bay Road Ready at time:
Queensbury, NY 12804 Inspector's Initi.
. v• Meet:
NAME t PERMIT# 46, At time:
LOCATION `jQ"ty'\�7 , ,tom
TYPE OF STRU ITJRE 7,\ " cr, INSPECT ON(date): `�i
-�'� �'��rv-� Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location
Plumbing Vent
Roof Complete COMMENTS
Exterior finish grade complete
Interior/exterior guardrails 42 in.platfoixnldecks
Interior/exterior balusters 4 in.spacing platform/decks
Stair handrail 34 in. -38 in. h
Step risers 7%in. /j ").1 )XOL› \1.7b\ a)F
Main door 44 in. \ __ QO1:>?.— 6.1Z
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(`l .)above grade
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 hoax)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft. or within line of site
Oil furnace shut off at entrance to furnace area ',
Stockroom enclosure(1 hour),%hour door_ \
Storage/receiving/shipping room(2 hour), 1 '/2 doors
I '/2 hour doors and closers •
%hour corridor doors and closers
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 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 PlanNariance required
Final Survey,new structures
As-built septic system layout required
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no
Okay to issue PERMANENT C/O—Certificate of Occupancy yes no
Okay to issue C/C—Certificate of Compliance yes no
.,
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S, I AST
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D/ I SAP ,
"Yg i
2001
TOWN OF QUEENSBURY `n
quILDING AND CODE l=
C
LANDS OF
---- . L
BETTER 7-1e' L
22.55'E o.�
0 ° ° — S 10'22'32" E
S 85'06 '08 0
DOINTo \___
ROAD6'> 5.�8 ' --..___._ Apr
-- --- It
o _ °O o. 0.6.1 cosc-
CC)0c:, °0 sTa,�s
•
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ASE-
TANK
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Ne
9,861 sq. ft. rill
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,
0.22 acres 5 6
--- �0 72 42
so' \ } ,✓/
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LANDS OF
JAPPELL
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la
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
t
Queensbury,NY 12804 Arrive am/pm Depa
n
Inspector's Initials j
NAME: ( `c,�)vR �/ C PC,'I. PERMIT# ( - 176
LOCATION: i=`>q4- DATE : c3 D
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is res Bible for
providing protection rom coxing
for 48 hours followin the pl• ement
of the concrete.
Materials for this purpose n site
Foundation/Wallpour_
1 —
/forcemenl in Place
/
dation/Dampproofing _f ill Approval
Plumbing Under Slab :l
Plumbing Vent/Vents in Place_
Rough Plumbing
Heating Rough-In i
Insulation
Foundation Walls n for 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 I, 2, 3, hour
Penetration Sealed _
Fire 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 I/ /Queensbury,NY 12804 Arrive am/pm Depart Y a m
_,/
Inspector's Initials Q
NAME: 6-1?,Q. C)kC-2 'DCP( . PERMIT# or-079
LOCATION: €W, PAie.i&wArc( DATE : /D/Z5—A
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7--1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pla ment
of concrete.
serials for this purpose n sit-
Foundation!Wallpour 7v�' "< A3 /
Reinforcement in Place �7c fj ►/
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
i
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int or -
Foundation- xterior •,-
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
le°
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 am/pm Depart
Ins tor's Initials 3,
NAME: �tSY1 Qe.f7jr\s)74,A) RMI �F�
T# 0/ 78
LOCATICN: DATE : — -- j Q
l� � I
TYPE OF STRUCTURE:
RECHECK_ FN\
N/A YES NO COMMENTS
Footings/Piers I 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/WallPo ur
Reinforcement in Place---‘&41- if-14N`
Foundation/Dampproofing 1
Backfill Approval ( fi
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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 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
/ ;t
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 am/pm Depart ` J �e"`�
/� Inspector's Initials h
NAME ](,e6jtl il�� G/A & ' &j°f, PERMIT# —` '?+
LOCATION: �,�q-V POW kV DATE : /0 m D
TYPE OF STRUCTURE: i
RECHECK
N/A YES NO COMMENTS
Footings/Piers - — I
Monolithic Pour Form
Reinforcement in Plac-
The contractor is re '$ ..ible for
providing protection 5 om , :- ing
for 48 hours followin!the p .cement
of a concrete-
erials for this purpo =on site I
/� �
oundation/Wallpour 4j �fC /
Reinforcement in Place
Foundation/Dampproofing i
�q,Backfill Approvals. �Z-E 'c ibyPlumbing Under SI. , A L ���" �J Si
Plumbing Vent/Vents in Plac N Vim'�bU
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior '-
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
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 am/pm Depart }
Inspector's Initials \ C-----
NAME: 0 k) \M &12. PERMIT# d ( 60 78
LOCATION: APAc-e./._W, DATE : 1 /,'i/o
1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
itings/Piers —1-77/
`�Monolithic Pour FormR G�►.`� 6--u i
Reinforcement in Place
The contractor is responsib or w l N Co - 6 i k t -/
providing protection from zing /
for 48 hours following the 11cement
of the concrete. n
Materials for this purpose on it 1"D J 2 c/0(42 (S
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab s
Plumbing VentNents in Place
Rough Plumbing
Heating Rough-In /
Insulation
Foundation Walls Interior lb-
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
REPORT (9- ----31)7A
GENERAL INSPECTION
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 4/ �?
Queensbury,NY 12804 Arrive am/pm Depart _ __
Inspector's Initials '
NAME: } aC PERMIT# (71 ' ( 7
LOCATION: ` ir\� DATE : ,0-- g—a-C
TYPE OF STRUCTURE: c)
RECHECK
N/A YES NO COMMENTS
F tings/Piers
onolithic Pour Form
Reinforcement in Place (v)‘k IP(��T6" 6I16-66 4
The contractor is responsi a for
providing protection from freezing
for 48 hours following the ,laceme
of the concrete. S
Materials for this purpose on .ite 61L C__ 6 g K I< �/ ��
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo ng
Backfill Approval • C v t'}1--
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing L 4/✓
Heating Rough-InLO' 1912 0 U\IPC'
Insulation
Foundation Walls Interior R- e v A)/Oft-)
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