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2007-270TO~~N OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070270 Application Number. A20070270 Tax Map No: 523400-302-009-0001-027-000-0000 Permission is herebygranted to: JOHN P. BURKE APTS CO For property located at: 220 BURKE Dr BLDG 4 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. ~e of Construction Value Owner Address: JOHN P. BURKE APTS CO C/O CRM RENTAL MANAGEMENT Commercial Alteration $400,000.00 PO BOX 269 Total Value $400,000.00 ROME, NY 13440-0000 Contractor or Builder's Name /Address Plans & Specifications Electrical Inspection Agency -270 building #4 rebuild due to fire X642.96 i ~tcmi t rr.~ YA11~ - 1 ri15 Pr:KMIT EXPIRES: Saturday, May 17, 2008 (If a longerperiod is required, an application for an extension must be made to the code Enfoncemeut Officer of the Town of Queensbury before the expiration lobe.) Dated at the of Que b ~ u ay, May 17, 2007 SIGNED BY fir the Town of Queensbury. Director of Building & Code Enforcement ~'' ~ -~ ~ C w d 't' U r,, o w ~ ~ ~ ~O ~ ~ ~~ ~ c ~H ~ ~ ,'~~, N o e`i ~ ~ ~ 00 ~1 ~ ~ N ~ ~ U N LP) ~ ~~ 3r ~ ~ ~ .G ~ ~ Z ~- ~y ~ z W N aV ~ ~ -,+ ~ ^~ OHO ~ r-1 ,~'~^ r~..l fA O ~a..i ~ ~ y ~ ~.L~ ~ ~ ~ y o° p O ~ ~ a ~ ~ H ~~ ~ ~ A S H a z a p w w ~, O ^ ~ ~ N ~ o ~ al ~ ~~*° od I~'1 ~ N VNj ~ ~ ~ C O p~ W O ~ +~,, a eC b0 a ~ ~~~.~ U ~ ~~ ~ _~ w~,~o ^°~' 'c ~ °~ V o ~ o z ~ ~ w~~o z ~~~~ ~ ~~ oo~~a ~ ~ y ~ .~ a~ a ...,.,...... ._ . r ...... ..,,...........x... ~ .. ....,.....H....~<...n ~ 2 ~ e ~ ~ q 1-~ OFFICEUSEONLY ~~~ PERMIT NO - ~ t Date ~~, -~ . TAX MAP NO. ~ T RECREATION ENGINEERING ~ ~ , ~ ,~:` lllp y ~~Gl FEES: PERMI (Ifapplicable) 's ` , n >><<<>><<»>a<<<>>>«>>>< o<<<>> <<>a<<<>»<<<>><<<»><<<>>> > .>e<<>>»<<»a<<< > PRINCIPAL STRUCTURE: To~~'w~. ~~~°r APPLICATION FOR ZONING APPROVAL f~ BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: G)A'~K~l. -- Cav-S~~i~c~gJ OWNER: ~ Q~~L- ~'~ ~~' ADDRESS: ~S'~7i N~n~'ry ~~~-1~~ ADDRESS: ~I'~ U~ESi U13~7~ ~ ~~~ ~ 3~~ PHONE NOS. 3`~' ~~~' ~~~g PHONE NOS. .315- 33`7- I~/O/ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ~'~L;~;fLr1~- PHONE: 3~y'-~/.3o-'7r~~lb LOCATION OF PROPERTY: Z2-a .c3~2.+~_~-a ~~ls~'`x~°'-''s`/ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z z ~ ~ x N u0i N ~ w PROJECT O 4~ ~ F; LL 8~ W ¢ ~ x U O~? 3 z 0 ~ ~ Q LL ~cA o i„~ x O~i F- ~~ z a=~ SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.~ ~ 21 [p7 ~ Q Zt (P ~ ( ~ ~ 2 ~y 71 T.`~U p i Z7 t TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 IF COMMERCIAL OR INDUSTRIAL - NAME OF BUSINESS: ~t7t~/V L~R-~I-~ /~-'~S ESTIMATED CONSTRUCTION COST:, ~~~+~~ FUEL TYPE: !S G HEAT TYPE? ~- *HOW MANY FIREPLACE(S) O AND / OR WOODSTOVES(S): ~ ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? ND IS THIS A HISTORIC SITE? N ~ PROPOSED USE OF BUILDING OR ADDITION: ~ fI~ ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? *Please complete a separate Application for "Fuel Burning Appliances & Chimneys" available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. ~--~ I have read and agree to th a o Signed ~ ~~ Director of Buildin & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems} QUESTIONS ? CALL 761-8266 OR EMAIL code ueensbur .net VISIT OUR WEBSITE FOR MORE INFORMATION ~.~'`~ www ueensbur .net .,-~`' Zonina Administrator:. 761-8218 (for questions regarding ~~~-~--_.~,_~.~.,_...~.....--~-~" required permits, the permit process, application requirements or to schedule an appointment) . This application /proposed action described herein is found to be in accordance with the s zoning Laws of the Town of Queensbury. Permission is hereby granted to the above s Applicant to erect or alter the building described herein in accordance with said Application: s { e ' ZONING APPROVAL DATE f f... ~ ." ....... " .~ ., .. v ,, .~ w ...,. ,... ..., .v .... " ..........., ... . " ....s t 4 6 F BUILDING & CODES APPROVAL DATE f Town of Queensbury p Community Development Office a 742 Bay Road, Queensbury, NY 12804 ~-zoo STATE OF NEW YORK ~ `~' R~. ~'r, f` ~~" WORKERS' COMPENSATION BOARD CERTIFICATE OF PARTICIPATION IN WORKERS' COMPENSATIOI~1 GROUP SELF-INSURANCE TOvv~~ti , _.~~~Y la. Legal Name and Address of Business Participating in ld. Business Telephone Number of Business referenced in box "1 a" Group Self-Insurance (Use Street Address Only) 315-453-7548 ction LLC t C k C ons ru ner ar 4542 Morgan Place le. NYS Unemployment Insurance Employer Registration Number Liverpool, NY 13090 of Business referenced in box "la" 42-140638 lb. Effective Date of Membership in the Group 4/1/01 lc. The Proprietor, Partners or Executive Officers are lf. Federal Employer Identification Number of Business referenced ® included (Only check box if all partners/officers included) in box "1 a" all excluded or certain partners/offcers excluded 16-149-0898 2. Name and Address of the Entity Requesting Proof of 3. Name and Address of Group Self-Insurer Coverage (Entity Being Listed as Certificate Holder) Building & Codes Department Associated Builders and Contractors Compensation Trust Attn: Dave Hatin, Director c/o Reller Risk Management (W333256) 742 Bay Road 6315 Fly Road Queensbury, NY 12804 East Syracuse, NY 13057 315-432-8210 315-432-9478 This certifies that the business referenced above in box "1a" is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law as a participating member of the Group Self-Insurer listed above in box" 3" and participation in such group self-insurance is still in force. The Group Self-Insurer's Administrator will send this Certificate of Participation to the entity listed above as the certificate holder in box " 2". The Group Self-Insurer's Administrator will notify the above certificate holder within 10 days IF the membership of the participant listed in box "1 a" is terminated. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for a maximum of one year from the date certified by the group self-insurer. If this certificate is no longer valid according to the above guidelines and the business referenced in box "1 a "continues to be named on a permit, license or contract issued by the certificate holder, the business must provide the certificate holder either with a new certificate or other authorized proof the hu,ciness is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative of the Group Self-Insurer referenced above and that the business referenced in box "la" has the coverage as depicted on this form. Certified by: Gerard J. Wenzke (Print name of authorized representative of the Group Self-Insurer) Certified By: 26.2007 Title: Authorized Representative Telephone Number: GSI-105.2 (2-02) 15)461-1282 WORKERS' COMPENSATION LAW SEE REVERSE SIDE FOR CERTIFICATE OF PARTICIPATION IN WORKERS' COMPENSATIONGROUP SELF-INSURANCE Name and Address of Business Participating in Group Self-Insurance Carkner Construction LLC 4542 Morgan Place Liverpool, NY 13090 WORKERS' COMPENSATION LAW Section 57 Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been. secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, boazd, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, boazd, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazazdous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Please Note: This Certitcate is valid only through the policy dates indicated above, OR a maximum of one year after this form is approved by the authorized representative of the group Self-Insurer. At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above govemment entity, the business must provide that government entity with a new Certificate. The business must also provide a new Certificate upon notice of cancellation or change in status of the policy. Description of Operations/Locations: Policy Number: W333256 Policv Period: 5/1/06-5/1/07 Workers' Compensation Limit: Statutory Empl~ers Liabili Limit: Each Accident: $100,000 Disease Policy Limit: $500,000 Disease -Each Employee: $100,000 Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as Certificate Holder) Building & Codes Department Attn: Dave Hatin, Director 742 Bay Road Queensbury, NY 12804 ,ACORD~, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4 30 2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI Rea an Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OI 8 E Main St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVI Marcellus NY 13108 INSURERS AFFORDING COYERAGE NAIC # INSURED Carkner Construction LLC INSURER B: 4542 Morgan Place INSURER C: Liverpool NY 13090 INSURER D: COVERAGES ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OTWITHSTANDING ANY REQUIREMENT, TERM OR SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCID BY PAID CLAIMS. CIES . ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLI INSR DD'L POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS 15 3/27/2007 3/27/2008 EACH OCCURRENCE $1000000 A GEN ERAL LIABILITY CAP54984 PREMISES Ea occurence $ 5 0 0 0 0 0 X COMMERCIAL GENERAL LIABILITY a MED EXP (Any one person) $ 10 0 0 0 OCCUR CLAIMS MADE PERSONAL 8 ADV INJURY $ l 0 0 0 0 0 0 GENERAL AGGREGATE $2000000 PRODUCTS-COMP/OPAGG $3000000 GEN'LAGGREGATELIMITAPPLIESPFR: POLICY X PRa LOC j; AUT IMIOBILELIABILITY CAA5495858 3/27/2007 3/27/2006 COMBINED SINGLE LIMIT $ 10000~~ (Eaaccident) X ANY AUTO ALLOWNEDAUTOS BODILYINJURY (Perpereon) $ SCHEDULEDAUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE id t P $ en ) eracc ( AUTO ONLY-EA ACCIDENT $ GA RAGE LIABILITY AN EA ACC $ ANY AUTO OTHER TH AUTO ONLY: AGG $ 3/ 2 7/ 2 0 0 7 3/ 2 7/ 2 0 0 8 EACH OCCURRENCE $ 0 0 0 0 0 0 j~ EXCESS/UMBRELLA LIABILITY CAP 5 4 9 8 415 ~ AGGREGATE $ l 0 0 0 0 0 0 CLAIMS MADE }{ OCCUR DEDUCTIBLE $ RETENTION $ Z O O O O X WC STATU- OTH- TORY LIMITS ER - WORKERSCOMPENSATIONAND EMPLOYERS'LIABILRY E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE R EXCLUDED9 E.L. DISEASE-EA EMPLOYEE $ OFFICER/MEMBE If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS bebw B OTHER 2P77686A4AA 3/27/2007 3/27/2006 tatutory 000 $500 Ded. $100 A Disability coverage CAP5496415 3/27/2007 3/27/2008 , $30,000 $100 Comp/ $500 Coll. Leased/Rented Equipment CAA5495858 3/27/2007 3/27/2008 A Auto Hired Physical Dmg. DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS ork performed by insured for certificate holder Ic Building & Codes Department 742 Bay Road Queensbury NY 12804 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ZTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 9~ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement{s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it afFrrnatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25 ~~is/~~- ~ /~ . ~~~- Framing / Firestopping Inspection epo c Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 Date Inspection request received: Arrive: am/pm Depart~am/pm Inspector's Initials: ~~~~ ..~----ti ~ ~ Irc S NAME: LOCATION: TYPE OF STRUCTURE: Y N N/A Framing Attic Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more _ Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au e 8 16D nails each side _ Draft stopping 1,000 sq. ft. floor trusses r is 6 r less on center Ice and water shiel 24 inches from wall e s , 2, 3 hour Fire wa112, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side `h inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin /wall Windows Habitable Space /Bedrooms 24 in. (H) 20 m. (W) 5.7 sf above /below grade 5.0 sf ade PERMIT #: _ ~~ INSPECT ON: COMMENTS ~.:> >~~ Framing /Firestopping nspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p Depart: ` ~ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: < _V NAME: ~.Ja ~ ~ ~ PERMIT #: ~~~~~ LOCATION: INSPECT ON: ` TYPE OF STRUCTURE: ~ ` Y N N/A Framing Attic Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 %i w 16 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses less on center Ice and water shield 24 inches from wall Fire se ar , 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade COMMENTS ~y sf~/o-~ Framing / Firestoppir~g Inspection RepaFt Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: 'SYi~1 am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~_ NAME: (~ ~~ ~ ~. '~S PERMIT #: ~ LOCATION: INSPECT ON: ~ ~ ` TYPE OF STRUCTURE: ~ Y N /A Framing Attic ess 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams ~ Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au a 8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side %i inch or 5/8 inch Type X Garage side 5I8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade COMMENTS ..r / ~/~~ ~G ~~ ~j~.r~ fl'~ ~r fi ~.~ ~6N -~ l Rough Plumbing /Insulation Inspection eport Office No. (518} 761-8256 Date inspection request received: ~ ~'.~ Queensbury Building & Code Enforcement Arrive: as~r- am/p i~ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~~~._ NAME: ~~ e. ~ „~ PERMIT #: ~ ~-7G~ LOCATION: ~~ INSPECT ON: ~ ~: ~ ~ TYPE OF STRUCTURE: Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet than a of direction Pressure Test Drain /Vent Air /Head 5 P.5.I. or 10 ft. above hi hest connecfion for 15 minutes Pressure Test iping r /Head or 15 minutes Insulation Residential Check Commercial Check Pro er Vent Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su I for Furnace Duct work sealed ro erl No duct to e COMMENTS: ~U~ r,Q4~ L:~Pam Whiting~Building 8c CodesUnspectinn Forms\Rough Plumbing lnaulation Report.revised Nov 17 2003,doc Revised February 15, 2005 3 bow L`~e Rough Plumbing /Insulation Inspection Report Office No. (518) 761-8256 Date Inspection, re~est re Queensbury Building & Code Enforcement Arrlve: ~;~.=~---a P Pa a 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME ~l~v~. l~-e.. PERMIT #: LOCATION: TYPE OF STRUCTURE: Y N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Piace 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum 0 feet than a of direction Pressure Test ..I. or 1 ve hi hest connection for 15 minutes P Test r up I Pi . r 1S minutes 'dential Check Commercial Check Pro r Vent Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su I for Furnace Duct work sealed ro erl No duct to e COMMENTS: INSPECT ON: L:\Pam Whiting~Building 8c CodesUnspection Forms~Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 20Q5 ~~/D Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspe 'o~ Queensbury Building & Code Enforcement Arrive: ~` 742 Bay Road, Queensbury, NY 12804 Inspector's am/pm NAME: PERMIT #: ~~ °" i~.~ LOCATION: ~'_. INSPECT ON: TYPE OF STRUCTURE: ,~ \ ~--~ C Y N NIA Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet than a of direction Pressure Test Drain /Vent Air /Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air /Head 15 minutes Insulation esidential Check Commercial Check ro er V Atdc Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su I for Furnace Duct work sealed ro erl No duct to e COMMENTS: ~~~ G~ L~ a~~ W ~v'-`7 F ,~c~ ~ ~~ Fk~ EkER`~ ~~ t~~~ ~~ ~.. ~~~ L:~Pam Whiting~Building 8c CodesVnspection FortnslRough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ection requ rec Queensbury Building & Code Enforcement Arrive: a pm ep 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: LOCATION: TYPE OF ST i~ PERMTT #: (~ INSPECT ON: ~ -Z -0 Z ,.r-.. _ Y Framing .- '~1 Y~J ,._.... ttic Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/s w 16 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall I i Fire separation 1, 2, 3 hour ire wa112, 3, 4 hour -~'irestoppi~g....._--' ~ enetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side'/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade 11~ ~~~~~--~ t~r~ N N/A COMMENTS 7 ~~~~.. ~ 1 ~J~E~tL>~ ~~~~ Framing /Firestopping Inspection Report Office No. (5 i 8) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 Date Inspection request received: Arrive: am/pm epart: Inspector's Initials: _s~ am/pm NAME: U ~ ,(~ I ~ PERMIT #: `- D LOCATION: r INSPECT ON: TYPE OF STRUCTURE: C Y N N/A Framing 'c s 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 au a 8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall ~ Fire separation 1, 2, 3 hour Fire wa112, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade COMMENTS ~~ c<~e~ ~ ~~s~ ~ ~- GT'F 06/29/2007 08:03 3154537588 CARKNER CONSTRUCTION Carkner Construction, PLC Genexal Contractor 4542 Morgan. Place, Liverpool, QTY' 13090 Phone 3I5-453-7548 Fay 3I 5-453-7588 'ro: Dave Hatin Fax: 518-745-4437 Fran: Jeff Carkner Pages= 2 Dale: June 29, 2007 Fax PAGE 01 ire: Truss cc: ^ Urgent ^ For Review D Please Canenont A Pieax Reply ^ please Recycle • Coma: Dave, The mass company has reviewed the end gable truss that was cut to allow for the building chase. Endosed is a copy of the stamped review for your recorcis. Thanks, JefF 06/29/2007 08:03 3154537588 CARKNER CONSTRUCTION PAGE 02 OQl~O%200~ 07:, 28 .FAZ. Sib S2~ , 3641 LIITLB ~ALta9., LT]I~BR ~ . ~ 002 ,,.., ~. C a A v 0 d L r a v. a ~ ' ~ ~ e >< a ~ A G 17 a rw r ~.- r ~ ~ • V J N L ~ ~ p T b t i (1 1 W. a~ ~. ~~ ~ yr. ~ N i. J qy ~ ~x ~ .w w ~° a ~'rv ate w 1p N H F { O QJ v m ~wl tyM~ w~ o©~ v V P ~u. ~ r '~ Oj~Fl~ '° ~~~ 8 a • !ttl w ~~ ~~~ ~~ ~ r w ~ V O P b = la ~ a a. Q w N 6 a a~ n ~ ' ~M V ~ 1 > N 1 1 m r ~ N a °` a ~ r o to ~ t ~ ~ p ~ a V as N C d. ~ ~, 3 ~~ o. ~~ ~ i Y o •-+ ^ G ~ Q ~ H .1 " r w e M ~ M 0 t ~. O ~ ~ w r M m ~ H V O .~ ~ u! ~ ~ W ~ !R W ~ V'1 t4 tr Y. Ra. !.4 N t/1 iA v7 /A 0. '# 4 ta. tw y~ ua p P O m w e t ~ !v ~ fl ~ N W ~ ~ C ~ ~ O O J ~ ~ V ~ ~ ~ ~ b N m ~ T h .o ~~~ s ~ ~~~ ^~ ~; ~:2¢ ~ i ~ ~ s,xi ~ 21 u ~~~~0~. ~~~~ e = sir _~:~~~ 7n:b ~a ~~~~~; ~~~~ ~~~ ~~ ~"_ K s M ay ~ i ~ d ~ ~ ~ .~~`j ~ F _ ~{ ~.d. ~ n*r.,.9ELSiEt •alil Nao"is •a•g Ndzs,=~ e.oua sZ ~+~r l i o 00 ~~s~--y ~/~~/off Inspection for Permit to Occupy Fire MarshcPs O~Ce Request Rec' d Permit No. ~~' ~ ~ / ~-/ Town of Queensbury 742 Bay Road Z `' / Queensbury, NY 12804 Scheduled Inspection Date: 7S ( U~_ Time: ~! Phone: (518) 761-8206 Business Name: ~e~A~ ~v~ ~'e-T~~/.~~ Fax: (518) 745-4437 Location: 2~c~ ~~,/.~~ (`. T e of Ins eclion N A Yes No EXITS: Exit Access Exit Enclosure F~cit Dischar e EVAC Plan AISLES: Main Aisle Width Secondar Aisle Width EXIT SIGNAGE Si n -normal Si n -batter EVAC Si ns in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Ins action of extin uisher H dro extin uisher FIRE ALARM SYSTEM Fan Shutdown Fire S riskier S tam Fire Su ression -kitchen Fire Su res ion -Gas Island d~C~- Hood Installation Interior Finishes Stora e Com ressed Gas Clearance to S rinklers Clearance to Electrical Electric Wirin Enclosed Combustible Waste Vehicle Im act Protection Fire Lane F.D. Si na e - Utilit Rooms ' No Smokin Si ns Maximum Occu anc Sin ~ Emer enc Evacuation Plan COMMENTS c> ~ b- Wi. in. ~ G ~l~~C.~ ^ Approved (If no other approvals apply, the B ~ C Office will issue the Certificate of Occupancy) Denied '~ ^ Catl for Recheck Inspected By: L:\FireMarshal\insptopermitto occupyform.doc 11 a oo ~T~a~i ~/3~/0~. Multiple Dwelling, Hotel, Motel, Apartment Final Inspection Report Office No.. (518) 761-8256 Queensbury Bu(Iding & Code Enforcement 742 Bay Road, 9ueensbury, NY 12804 NAME: Ur / \'e- / ' LOCATION: ~~~ ~[)(`~~ ~r, Y Chimne Hei ht / "B" Vent /Direct Vent Location Plumb Vent Thru Roof Minimum 6" Roof Com lete Exterior Finish Com lete /Finish Grade 6" In 10' Dro Interior/Exterior Railings 34 Into 38 in, / 36" Landing, Decks, Porches Exterior Handrails, Balconies, Landin 30" Or More Interior Handrails Balconies /Landin 30" Or More Interior Handrails Stairs 1 or More Risers Guardrails 42", Ballisters 4" Minimum S acin Vestibules For Exit Doors > 3000 s . ff. Doors 36" /lever Handles Headroom b' 8" on Stairs Bathroom /Kitchen Waterti ht Smoke Detectors: Every level, Every bedroom Outside every bedroom, Interconnected Battery Backu Carbon Monoxide Alarm -lowest slee in level Bathroom Fans / Plumbin Fixtures Com lete Foundation Insulation Fire Se aration, 3/a, 1, 2 hr. Fire Walls 1, 2, 3 Hour /Fire Door s/a; 1 ~/~, 2 Hour Handicapped Accessibility /Handicapped Parkin /Si na e Gas Lo In Sealed or Glass Enclosure Gas Valve Shut-Off Exposed /Regulator 18" Above Grade Gas Furnace Shut-Off Within 30 ff. or Within Line Site Oii Furnace Shut-Off at Entrance to Furnace Area Furnace /Hot Water Heater O eratin /Fresh Air Intake Low Water Shut-Off for Boiler Relief Valve, Heat Tra /Water tem 110 De rees Max. Gara e Fire roofin Com lete, Penetration Sealed Furnace In Se arate Room /Protected In Gara e Li ht Ventilation er Room /Safe Glazin Attic Access 30" x 20" x 30" H / Crawl S ace 18" x 24" Final Electrical Site Plan/Variance Re uired Final Surve Plot Plan /Flood Plain Certification, if Re . As-built Se tic S stem La out Re uired Buildin / A artment Number on Buil in or Drivewa Build Access Ail Sides b 20' a e ac 20" Wide Oka To Issue Tem C/O Permanent circle one Oka To Issue C/C Date Inspection request received: Arrive: ~ am/pm Inspector's Initials; Depart: /alt. am/pm PERMIT # : D,~' ' DATE: ~~ 3 ~ / N NA COMMENTS: ,r-- Vhf ~~ n. ,~! SeS,~¢,~~ ~.F ~ir~~.C~ll~/'~ 7 /,. ~ wc~ ~~~ - ~ rr ~-^ / , t~ Ce. ~„ r .q J'~/c ~v.. a ti ~C~/'J L:\B&C APPLICATIONS-OFFICE USE\MULTIPLE DWELLING.doc 1-,3 Inspection for Permit to Fire Marshal's Office Town of Queensbury 742 Bay Road Queensbury, NY 12804 Phone: (518) 761-8206 Fax: (518) 745-4437 COMMENTS T e of Ins action N A Yes No Exlrs: Exit Access Exit Enclosure Exit Dischar e EVAC Plan - AISLES: Main Aisle Width Secondar Aisle Width EXIT SIGNAGE Si n -normal Si n -batter EVAC si ns in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Ins action of extin wisher H dro extin wisher FIRE ALARM SYSTEM Fan Shutdown Fire S rinkler S tam Fire Su ression -kitchen Fire Su re Sion -Gas Island e Hood Installation Interior Finishes Stora e Com ressed Gas Clearance to S rinklers Clearance to Electrical Electric Wirin Enclosed Combustible Waste Vehicle Im act Protection Fire Lane F.D. Si na e - Utilit Rooms No Smokin Si ns Maximum Occu anc Si n Emer anc Evacuation Plan ~~ Occupy /,~r~ nw ~~ d~ pproved (If no other approvals apply, the B & C Office will issue the Certificate of Occupancy) ^ Denied ^ Call for Recheck -- Inspec ed sy Request Recd Permit No, l~ /- Z 7~ Scheduled Inspection Date: ~ ~U ~ Time: Business Name: ~~~ !' Location: ~- rt L:\FireMarshal\insptopermitto occupyform.doc -3.61ed~so!« y ,` Multiple Dwelling, Hotel, Motel, Apartment Final Inspection Report Office No.: (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 Date Inspectipn request received: Arrive: ~ am/p Depart: Inspector's Initials: ~/~/o~ am/pm NAME: ~~~ Vl-~ ~'L. LOCATION: d~ ~t11~~. PERMIT #: ~~~~ DATE: ~ ~ l~ Y Chimne Hei ht / "B" Vent /Direct Vent Location Plumb Vent Thru Roof Minimum 6" Roof Com lete Exterior Finish Com lete /Finish Grade 6" In 10' Dro Interior/Exterior Railings 34 Into 38 in, / 36" Landing, Decks, Porches Exterior Handrails, Balconies, Landin 30" Or More Interior Handrails Balconies /Landin 30" Or More Interior Handrails Stairs 1 or More Risers Guardrails 42", Ballisters 4" Minimum S acin Vestibules For Exit Doors > 3000 s , ff. Doors 36" /Lever Handles Headroom 6' 8" on Stairs Bathroom /Kitchen Waterti ht Smoke Detectors: Every level, Every bedroom Outside every bedroom, Interconnected Battery Backu Carbon Monoxide Alarm -lowest slee in level Bathroom Fans / Plumbin Fixtures Com lete Foundation Insulation Fire Se aration, 3/a, 1, 2 hr. Fire Walls 1, 2, 3 Hour /Fire Door'/a, 1 ~/~, 2 Hour " Handicapped Accessibility /Handicapped Parkin /Si na e Gas Lo In Sealed or Glass Enclosure Gas Valve Shut-Off Exposed /Regulator 18" Above Grade Gas Furnace Shut-Off Within 30 ff. or Within Line Site Oil Furnace Shut-Off at Entrance to Furnace Area Furnace /Hot Water Heater O eratin /Fresh Air Intake Low Water Shut-Off for Boiler Relief Valve, Heat Tra / Water tem 110 De tees Max. Gara e Fire roofin Com lete, Penetration Sealed Furnace In Se arate Room /Protected In Gara e Li ht Ventilation er Room /Safe Glazin Attic Access 30" x 20" x 30" H / Crawl S ace 18" x 24" Final Electrical Site Plan/Variance Re uired Final Surve Plot Plan /Flood Plain Certification, if Re . As-built Se tic S stem La out Re uired Buildin / A artment Number on Buildin or Drivewa Build Access All Sides b 20', ea a ce 20" Wide Oka To Issue Tem C/O or ermanent C ircle one Oka To Issue C/C L:\B&C APPLICATIONS-OFFICE USE\MULTIPLE D .doc N NA COMMENTS: COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE -ELECTRICAL APPROVAL ~~ _-,; ® 2347 Permit No.....~~~....~'......~~....<..L..r.'..Cert. p~. - Cut-in Card No ..................................... Owner............V..r.......~>...~il:.r~.~..~'°.~...... /.'..P~$' ..... Location .................~-J~. L~..~o../....~...`.- ~ ~-''u("~-~ ~~~ Installation Consisting of,r.4~!.....~~'.~. ~.s~.s'~f.~.~s-..~~,rj.c~~..:...e~..~..~~........... .............................:...................................................................................................................................................... Installed By...~:.K.F.9...~~~ ...................................................... 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 ma g spections at any time, and if its rules are violated, the Company shall have the right ke t is c ificate Date.......~.~..~.~...~ ..............INSPECTOR .........~ ................................................................. .......... Member N.F.P.A., 1.A.E.1. Applicant Name. ~L~ Tax Map No. ~ - vl ' ~ "'~`~ Lot # House ~ ~~-~"~ l~ /./~~`--- road,. street Lot Size: ~.~ . ~ ~~~5 Mobile .Nome Park: Business Plaza: Planned Unit Dev._ Subdivision: Phase/Section Zoning Administrator Effective Year Zonin Ordinance ~ Zoning Designation Prior to 1967, July 10 Subject to current setback requirements at time of development. Section 179.-20-10,6 Subsequent to July 10, 1967 Development of lots within subdivisions subsequent to July 10, 1967 shall use the setback requirements in place at the time of the a royal of the subdivision. 1967 1982, June 11 198 , Se tember 19 rner lot rule Prior to No 23, 1992 a roved subdivisions see note on back of form 2002, A ril 9 b'~ __ v Road Name _ Setbacks Existin Re wired r osed iff rence --- Front 1 -~ ---- ~ ---_-~~-. Front 2 _ _ _ Side 1 _ Side 2 - _-- _._ Rear 1 ~ -- ~ Rear 2 _ -- __ _---- Shoreline ^__ 4 Travel ~ j Cooridor Overlay Zone^ _ _ _ _ ___ ___1 . Buffer ------- -- ~ Yes No _ meets depth, width, & square footage requirements _ preexisting, nonconforming lot with proper setbacks required frontage on public road _ has required off-street parking _ permeable area is adequate (Requirement is %) _ ,.,.._ building does not exceed maximum height (Max. ft.) _ Is lot in a Flood Zone Floor Area Ratio worksheet required2 Zone: WR-lA Code Compliance and Informational Sheet for Permit Use Que nsbury Dept. of Community Develc~prrlte~ Project for: n^r t '~ D~ ~~~~' -~~ Town of Queensbury W~~ ~, -~ ~Y ~ . ~- ~ c ~ ~ ~~. ~. -~ V `\ ~ ~ S ~ ~' ~' `~ ~ ~- --- ~ ~ ~ ~ ~ ~ ~ _~ ~ QC ~ o ~ ~ ~ u ~ "'~ R~~~~~i ~' ~. ~: .~ TD~viv ,~, eU1LDlNG qND C~®E Y .~- ~. ( ~ o" / \Y R `~~ ~ _...._ l ' N J ~ ~~ c~ f \~_ V ~l ~a °~~ J -~,~ ~-- c lu. a w V `M _ ~ G r` ~____ _~ ~~ J M i ~~~, .~ r t- - - ,. y +/ ~. 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