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2005-736 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050736 Application Number: a2005O736 Tax Map No: 523400-302-006-0001-012-000-0000 Permission is hereby granted to: C.S.A. COIN& JEWELRY For property located at: 717 GLEN St 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: PARKER HAMMOND DEVELOPMI 2868 COUNTY RD 46 Commercial Alteration $5,000.00 FT. EDWARD, NY 12828-0000 Total Value $5,000.00 Contractor or Builder's Name f Address Electrical Inspection Agency Plans&Specifications 2005-736 COMMERCIAL INTERIOR ALTERATION $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 22, 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 Quee s u , September 22, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Fire Marshals Office EMERGENCY CONTACT UPDATE LT,S 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: BUSINESS NAME: � � BUSINESS ADDRESS: 06�e r �44 51�-�- BUSINESS PHONE: HOME �J CONTACT 1: /�, �� ' �c' y �y PHONE ADDRESS: HOME CONTACT 2: PHON ADDRESS e' 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 Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205, FAX 745-4437 Permit No. Dzo✓ f 7� Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury, NY 12804 Recreation Fee Dave Hatin,Director codes@aueensburv.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subject 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 on( must appear on the application form. Applicant/Builder p,r P",minvJ Owner: e.i Address: -7 1�7_�v-V- (01-, Address: 51a:� Home Phone: — -7'1 22 0 Home Phone: Email Address: +/,I L11 il, a1.,*,�ii kf+ Email Address: L,1414'W'" 8 V?-,2,, J-VC-fi Cell Phone: �;_2rS v Cell Phone: 3ras-or5 s-0 FAX Phone: FAX Phone: 743 32Z9 Person responsible for supervision of work with respect to building and codes compliance: Name: e�) - [`CA^1^M ^- Address: _ '�i5 ��r G St . -. ,t,,,� ry ( L1�'� Phone 7`13 -322 c� Location of proposed construction: Lot No. Legal Address: onn�f G(i^ s� • ��`"�' "f Tax Map Number: 3 02 • b Subdivision Name: Estimated Cost of Construction'. $ 5©OO' Proposed construction is for: _Residential Use f Commercial Use Name of Business: G.S_ & 11 V ��''`'f`F�`' If proposed construction is an addition,what will use of new addition be? Addition Alteration Proposed Construction 1��Floor 2^d floor Other t New otal Proposed structure (Occupancy Type) Sq.Ft. sq.ff. S' m Ft. Square feet Height Ft.8 in, Sin le-Family Dwelling Two-Famil Dweliin Townhouse Multifamily Dwelling Number of Units: Office g p X Mercantile Manufacfurin Other: Attached awricie 1, 2, 3 Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, aseboar � }ther: p is a fireplace and/or woodstove being installed, please refer to a separate application. Yes o d Structural Applications are subject to Zoning Administrator, Code Compliance, an proposed project only review. The Building and Codes Office will allow commencement of y p po issuance of your permit. pecl�ara}jon: Please sign below after you have carefully read the statemlication,together with the plans and To the best of my knowledge, the statements contained in the application, ecifications submitted, are a true and complete statement in aOrdinproancd work d alllother aws pertaining tot e escribed p the owner. premises and that all provisions of the Building Codes, the gat such work is Droposed work shall be complied with,whether specified Ceoif ate of odes, a As-Built Survey y ndccupancy or th Certificate of Compliance b a =urther,it is understood that I/we shall submit prior to a rein issued, as requested by the Zoning Administrator or Director of Building?g nc( tensed surveyor, drawn to scale, showing actual location of all new �• �-ns Applicant/Builder Signat re: )ate: dated is hereby approved and he application of constructionreconstruction or alte , ration of a building/and or accessory structure as se lermission granted for the )rth above. Authorized Signature: Date: v:i2114ro4 \Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc 1 TOWN OF QU'EEINSBURY F ` U1 G' APT. DATA L1 yr fl L,E COPY . ._ 41 25 C �X�1 r IV t= N S(. Y 9 1y`�n V 9 v f NEw �av�do� i 1nN,o�E r7!7 CID C,H A A'6 H R a P�-D _ Av o A-.,j p G t'S 6' y'i ce_ �1 i t�t Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No.&" )73(,;, Town of Queensbury �. 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: , Time: ; tt Phone: (518) 761-8206 Business Name S A. L. Fax: (518) 745-4437 Location: 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 j I NA TRUSS D SIG E G EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation Interior Finishes Storer e Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emerge Evacuation Plan Approved (If no other approvals apply,the B&C Office wi issu the Cj ficate of Occupancy) ❑ Denied ❑ Call for Recheck Inspected By: L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Commercial Final Inspection Report Office No.: (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm N Depart: am/pm 742 Bay Road,Queensburry,NY 12804 Inspector's Initials: fl2 NAME: � J\f�rL=' ' t PERMIT#: LOCATION: DATE: 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 s . 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 Oka 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 '/2 doors > 10%> 1000 s .ft. 3/4 Hour Corridor Doors&Closers Firewalls I Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets /- / ! Handicapped Bath/Parkin Lot Si na a � Public Toilet Room Handicapped Accessible I Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ram /Handrails Continuous/12 in.Beyond '/S fiA Active Listening System and Signa e Assembly Space Final Electrical h/+�, �' 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 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. Town of Queensbury 742 Bay Road 6 ) Queensbury,NY 12804 Scheduled Inspection Date: 101164 Time: Phone: (518) 761-8206 Business Name: Fax: (518) 745-4437 Location: type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: 5� ct � � 1'V C- Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-_normal Sign-battery TRUSS ID SIGNAGE �4iv EMERGENCY LIGHTING l � i FIRE EXTINGUISHER: Hun inspection of extinguisher Hydra extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire S rinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation �, �4 Interior Finishes Stora e Compressed Gas �� Uf�� Clearance to Sprinklers (' 7;�> C Clearance to Electrical Electric Wiring Enclosed Combustible Waste C G Vehicle Impact Protection �! Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs LOccupancy) Maximum Occu anc Si n Emer enc Evacuation Plan ❑ pproved (If no other approvals apply,the B&C Officewill issue the Ce Denied ❑ Call for Recheck Inspected By: L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm , Depa : am/pm 742 Bay Road,Queensbury,NY 12804 /or's Initials:NAME: . . l � i.ti' ��' PERMIT#: C - 7LOCATION: `°-7 17 !/ra,c�� � DATE: --� —Aje.jam, -7 c1 3- i a a-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 IV Vestibules For Exit doors>3000 s . 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 Oka 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.), I '/z doors > 10%> 1000 s ,ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e / Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ram /Handrails Continuous/12 in.Be and Active Listening System and Signa e Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if reg. 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 Sid '° �Ie 20' wide Okay To Issue Temp. r Permanent C/ Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Ca' - YL_ Rough Plumbing I InsulattmV n Inspectioh Report Office No. (518) 761-8256 Date Inspection request''re + Queensbury Building & Code Enforcement Arrive: part: ` _am 742 Bay Road, Queensbury, NY 12804 Inspector's Initi 1£ NAME: CS11q 6n 41j4ei"�_ 6/1, 1) PERMfif #: - LOCATION: 7l 7j INSPECT ON: 5 TYPE OF STRUCTURE: Y N N/A ou h Plum ' ail Plates umbin Vent / Vents in Place 1 1/2 inch minimum Drain Size F:9 Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ✓ Pressure Test Water Su I Piping Air/.,Head 50 . . Or 15 minutes Insulation Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If re uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codesltnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque re e . Queensbury Building & Code Enforcement Arrive: /p epart: am 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: C, PE I #: Q � LOCATION: INS CT ON: �' TYPE OF STRUCTURE: }} ugh Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size A ' Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head � / 1 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 '�• i )l. .�.� • • �� .max-•�`' '•!♦�• r�• `• f \ t f a 1 •.�'�y"= J'"F;»�"J,.13�` •�,• i t.�..y ` L ,�■ ,�,. ►. �� MAP REFERENCES: �. ^ •i�• 382t�• v ksd 'f I btu 1) "IdAP OF A SURVEY MADE FOR NORTH STAR DONUT GROUP, LLC" DATED SEPTEMBER 26, 2003 r� PREPARED BY DAVID J. BOLSTER, LLS. ` I I� r ���'� `• /i / • + �.. �,,.: Off\ � G� �y�,\ �`gr t ° •, ""/ 2) "MAP OF LANDS OF DWARD A. WARDWELL- DATED JUNE 08, 1960 r�Y• j L� T, PREPARED BY GLENN B. COULTER, LLS. / sign r •/. , •.�1•rn. 3) "MAP OF SURVEY OF LANDS OF ORMNDO S. LEOMBRUNO" tFAR 3.:� �: •�;1�' DATED JUNE 13, 1979 ! �►�g� PREPARED BY W.J. ROURKE, ASSOCIATES U-S. I ; 1 ; J ! ronc. I 4) "MAP OF SURVEY OF LANDS OF LEWIS DEANGELIS & ABRAHAM RUDNICK" / 33 DATED APRIL 20 1962 J!ll%l in! PREPARED BY JOHN B. VAN DUSEN LLS. r i f lI-CLEAR 1"s r , CLEAR 1s asphalt deck & entrance ' S• � J2 stor�xd C71er CLEAR 4.0' l it ( area / l ; I l�'J Cem / %,� �! '! i ! !� i! ! l j l l r lampF3 Lam` post fZ� BASE METAL ,' l !il I !1 !! l ; l J l l r ! •� �0 _ • • IRF FENCE POST 11 � � � i i IJ J � lr ! ! �`�`�° � � �` • a . ( flag pole p r 1/ for ;� t•� ,.. a.� �'�. CLEAR 1.5' I , ! � I r ! l J tl l � CLEAR 0.1'-- r P Landss N/F Cedar Holding Associates IPF ® Lands N/F �. / 0I L. "841'` P. 190 BASE MI-TAL Raymond F. Wynn & Ethel T. Wynn �� J ' i it ,. W FENCE POST METAL LEAR 2.3' �G / ! ' L. 594 P. 717 FENCE POST ! ' SITE LOCATION MAP a Lands N/Flamp pb'st Queensbury Gardens Inc. 11 L. 580 P. 185 / A � � ;! ;lf / ! / 11 J / � �% Jl %/ / w L. 581 P. 739 �, � $' • ! / 1' ,i ' fi ;i�% ' ,' l ; ! ! !� l ; i 0. �ji"" l• I! ! ! , A / Iq'r�1` /!J, l!��Jr rn � P'f'q ' ` l et�a�' r ./, , 51��• grovel area I, �/ / !J/ �`!!1 ��/ ' 1 3 �• ,� col/ � .. l �. .� /j I I l / l it °' r S l l/ J concreb! l . l p°d h J�s'41 / l J 1 t r ! /` / l L. u Lands N/F \ 19'0 �o asphalt Frank J. Parillo par" asphalt ,rl _ rtz�4 �� � , lllll �ea 1. 815 P. 241 parking I wood platform oS� L b "� woe ,Nke S / gravel & � < Y �S broken pavement condrei:d . / N38'84■45'W NQ, 0 \ �lopding dock .5' 17.0(1 \oc IRF X�SE��9 st`eaR' e gravel parking Lands N/F Anthony A. LoCascio L. LEGEND 1236 P. 295 0 _"_' �t45 0 I.R.F. IRON ROD FOUND �9 AREA = 2.66E ACRES 960 N 0 I.P.F. IRON PIPE FOUND 1 a I.R.S. IRON ROD SET cQ3 UTILITY POLE moo STONE WALL oY WIRE FENCE 0 01'b e 2/ �� � + d WOOD FENCE 0 - CHAIN LINK FENCE DEED FEREIVC'ES: Q e� Ifs Lands N/F s' 0 POINT DE RE �� ° I / Richard P. Smith �� F.P. FENCE POST 1) TAX MAP ID 302.06-1-11 310 ado � L1280 P. 58 —ohw OVERHEAD WIRES n/f NOW OR FORMERLY MJD, LLC o SEWER MAN HOLE TO KEVIN HAMMOND AND SETH PARKER, FILED IN THE OFFICE OF THE WARREN COUNTY CLERK 0 CATCH BASIN • BOLLARD IN USER 1426 AT PAGE 227. ' WATER SHUT OFF WV 2) TAX MAP IDI 302.06-1-12 'y� 0 \ MJD, LLC f1�o/ / � � Lands N/F D4 WATER VALVE TO '�' �/% ��/ Achael Kokoletsos PARKER HAMMOND DEVELOPMENT LLC Lands FILED IN THE OFFICE OF THE WARREN COUNTY CLERK / �� otaa G. 1315 P. 246 ens Inc. IN USER 1439 AT PAGE 148. Queensbury , , L. 580 P. 185 L. 581 P. 739 NOTES: IL \ 1) BASE MAP PREPAREDFROM AN AUGUST 2005 FIELD SURVEY. AL &\ Lands N/F / Susan K. Bal,four 2) NORTH ORIENTATION IS BASED ON MAP REFERENCE 1. ° / L. 1067 P 59 3) TOGETHER WITH A RIGHT OF WAY AS RECORDED IN USER 1426 AT marsh area PAGE 229 IN THE WARREN COUNTY CLERKS OFFICE. AL 4) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. A 5) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE REGARDING THE SUBDIVISION OF LAND. 'L—` 6) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND Lands N/F MAP OF A SURVEY MADE FOR SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE I- Queensbury Gardens Inc. PARKER HAMMOND NEW YORK STATE EDUCATION LAW. L. 660 P. 659 7) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE L. 661 P. 385 GRAPHIC SCALE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES. ,11:c DEVELOPMENT L__W_ 30 0 15 30 60 120 8) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY. Town of Queensbury County of Warren State of New York TYPE THERELOCATION MAY BE S OF ALL UTI 11ESH AND STRUTHE CTURES MUST BE VERIFIED OF ARE NOT KNOWN. BY SIZEE PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR � IN ART ) BOLSTER AND ASSOCIATES TO ANY EXCAVATION. 1 inch = 30 & PROFESSIONAL LAND SURVEYORS 342 Main Street, Hudson Falls, New York 12839 Russell E. Howard, PLS M Y.S Lic. No. 50540 Date: 09116105 Tax Map #:302.06-1-11 Date Sealed: Scale: I inch = 30 feet Revised: Drawing #: 05203D p . ,l �fLSIT- �/�NObt�S Ord � - /xzz - or 14 3 V 41 130 �f4 3�N �1 . s vp N1 L.n v o ��\ t Li, Q 12,