2004-388 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
%,,r TIrICATE 0-IF OCCUPANCY '
Permit Number P20040388 Date Issued: Tuesday, May 19, 2009
This is to certify that work requested to be done as shown by Permit Number P20040388
has been completed.
Location: 82 GLENWOOD Ave
Tax Map Number. 523400-296-019-0001-020-000-0000
Owner. BORDEL PROPERTIES,LLC
Applicant: BORGOS & DELSIGNORE
This structure maybe 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 Directo & de ent
Planning Board or Zoning Board of Appeals.
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040388 Application Number: A20040388
Tax Map No: 523400-296-019-0001-020-000-0000
Permission is hereby granted to: RORGOS &DELSTGNORE
For property located at: 82 GLENWOOD Ave
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. Tyne of Construction Value
Owner Address: ANTHONY RICCIARDELLI
27 ORCHARD Dr Commercial Alteration $2,000.00
Total Value $2,000.00
QUEENSBURY, N.Y. 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-3 88
COMMERCIAL ALTERATION ADD THREE NEW WALLS)
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, June 04, 2005
(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 th of Qu nsb rids , June 04, 2004
SIGNED BY ® for the Town of Queensbury.
Director of Building&Code Enforcement
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm-\ Depart: am/pm
742 Bay Road, Queensbu ,NY 12804 Inspector's Initials: 'W
NAME: 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"(I)fCanopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Water-tight/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 '/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 Ramp/Handrails Continuous/12 in.Beyond [Both sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if reg.
As-built Se tic 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
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761.8256 RE E I V D
A permit must be obtained before beginning construction. Permit File No. Y— tii H �• 03 2004
No inspection,will be made until applicant has received a Fee Paid $
valid building permit. All applicants'•spaces on this Roc.Fee Paid $��TOWN OF "UCENSBURY
application must be completed and must appear on the Reviewed By: BUIL®IN �f�JlJ CODE
application form.
Applicant: 1 l" caner: � C'
Address: Address: 7
Phone#(_) Phone
Property Location: Lot Number: / House Number
Subdivision Name: Tax Map Number: aA to. q-1 a c'
o New Building: residence /commercial 'Estimated Market Value of Construction: $
O Addition: residence/ commercial
:...--ate-�-- If an Addition,what will use of new addition be?
O.— eraixoA: residence/,:commercial
0 No change to exterior size: residence/com'1
o Other work(describe )
Check Occupancylnformation 1"Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single thmily dwelling
o Two farpily dwellin
o Townhouse
v Multifamily dwelling
#of units
v Office
o Mercantile
o Manufacturin
0 1 car detached prage
o 2 car detached garage
0 3 car detached garage
0 1 oar attached garago
0 2'car attached garage
O 3 car attached garage 1, `
c Storage building-
commemial r \
o Storage building-
residential
o Other
What is the proposed height of the structure,+feet _inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Ftreykces to be installed Number of Woodstove to be installed
Listbelow the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder 53-3/0�
Plumber
Mason
Electrician
DeclUW 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 an" lete statement of an proposed work to be done on the described premisos and that all
provisions of tho ' ding Code,tho Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,wheth pecified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submi or to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
A:, o
trator or Director of Building and Codes,an As Bulft Survey by a licensed surveyor;drawn to scale,showing actual
of all ne ns a
Si � owner,owner's agent,architect,contractor
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