2003-054 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: P20030054 Date Issued: Monday, June 28, 2004
This is to certify that work requested to be done as shown by Permit Number P20030054
has been c6mpleted.
Tax Map Number: 523400-296-017-0001-051-000-0000
Location: 870 STATE ROUTE 9
Owner: ALEXANDER POTENZA
Applicant: ELEGANCE PHOTO
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QuEENSBURY
Director of Building&Code Enforcement
' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030054 Application Number: A20030054
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: ELEGANCE PHOTO
For property located at: 870 STATE ROUTE 9
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: ALEXANDER POTENZA
FRANK BORK Commercial Alteration $5,000.00
403 GLEN St Total Value $5,000.00
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
M.J. BRANCATO CONSTRUCTION
716-885-7937
NY 12804-0000
Plans&Specifications
2003-054 ELEGANCE PHOTO
911 Address per DH 868 Suite 2, State Route 9 Miller Hill Plaza
1400 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$168.00 PERMIT FEE PAID-.THIS PERMIT EXPIRES: Thursday,April 01,2004
(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 of Q ns u uesday,April 01,2003
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. U
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:M . 1 I AlC 14/ 6 Owner:
Address: 6/ A✓ .0 e e Ai14-' Aele- Address: 3 f- 42 e T7 ee-S !L
Phone#(7/ )lffls - 7 1317 Phone#(-ZZ6 ) e76 -
S/6
Property Location: Lot Number: / House Number
Subdivision Name:pA i 11.C/ #.24 pG A 2-Z.4 Tax Map Number: WVAMA
,o
❑ New Building: residence /commercial Estimated Market Value of Construction:$ � d
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation ill Floor r Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse n
❑ Multifamily dwelling
#of units rEB 20C�3
❑ Office
❑ . MercantileAND
❑ 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 x,
❑ 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 Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder M, ,T ra 7/ C r 7l 3 7
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 Uwe 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 Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new cons 'o/G�/`'���
Signature. U owner,owner's agent,architect,contractor
Commercial.Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code EnforcementArrive: am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: Claw— PERMIT#: u
LOCATION: 6— DATE: b
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 sq.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 '/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
Active Listening System and Signage 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 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
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: (pv am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: G _ GSt
LOCATION: DATE: 13kV
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./Ste .Risers 7"/Treads 11"
Vestibules For Exit doors>,3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if re uifed
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 '/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
Active Listening System and Signage Assembly Space �� Q
Final Electrical �`le`'�'i r/�
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 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
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received _Permit# dooT INSPECTION ON:
Name:, (�,�( �V�l {� �I ^U AM fppmANYTIME
—�,Tn _ I MOA
Location: I y�'`�1 l � ��
APPROVED
— ----- N A YES NOCOMMENTS
EXITS — ---
AISLE WIDTHS —
EXIT SIGNS-_NORMAL _-
- BATTERY _—
EMERGENCY LIGHTING I f
FIRE EXTINGUISHERS ` I/ O I/1` 1,0 � o0 f
FIRE ALARM SYSTEM VVV V lllr� 1.
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION 9 I
INTERIOR FINISHES
STORAGE _
COMPRESSED GAS__ _
CLEARANCE TO SPRINKLERS_ —
CLEARANCE TO HEATING -I
UNITS _
CLEARANCE TO ELECTRICAL _ n,ln
REQUIRED SIGNAGE �� I ►� (N"1
EMERGENCY PLAN OK
l7 I
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY —ROUGH IN
FINAL
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS _
APPLIANCE ROUGH IN
FINAL
FIREPLACE --- ---��
L MASONRY --- ROUGH IN OK THIS DA K FOR OO NOT ®K
FINAL ,
FIREPLACE ------- — — _
FACTORY BUILT ROUGH IN
---- -`-----f— INSPECTED BY
FINAL
COMDEV/CHRISJNWORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT91022009
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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, Queensbury,NY 12804 Inspector's Initials:
NAME: c PERMIT#:
LOCATION: DATE:
COMMENTS:
Y N NA
Chin-me /"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/hoof 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 1111
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 In% 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
Stoclaoom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 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.Beyond
Active Listening System and Signage Assembly Space � y/ '
Final Electrical ��eP %/� e /Ccc,-�
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 Sides by 20' /Driveable Surface 201 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
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request � � SCHEDULE Received: Permit# U��U INSPECTION ON: �3 ' (7
`
Name: � �'fl AM PM ANYTIME
Location. U t
APPROVED
N/A YES NO COMMENTS
EXITS J f,
AISLE WIDTHS Y, ,,_-1 PP n l,1
EXIT SIGNS-NORMAL ,L-'� � �!1 E% '1��° %� 9
- BATTERY
EMERGENCY LIGHTING N-eaf
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM �� /-�n s�
FIRE SPRINKLER SYSTEM �
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION - 7
r 7 ` �j� l� PCSti�U7 `
INTERIOR FINISHES 1\ e el !x ���'
STORAGE
COMPRESSED GAS O�� /��1��/��
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN f +�
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY — ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD ,
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DA►T OK FOR CO NOT O
i
FINAL
FIREPLACE F5 UU
FACTORY BUILT ROUGH IN INS PEC BY
FINAL
COMDEV/CHRISJIWORD/LETTERS20011FIREMARSHAILINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
2,ao3
970 1Z 7—
SG -ri cgco
PPrFNED
TOWN OF QUEEN3BURY
l LJ 6 20123
BUILDING & GOD UEPT.
TOWN OF QUEENSBURY
REVIEWED BY BUILDING AND CODE
DATE
-d on our limited examination,
,or,viianm with our comments shall eg
Mtte construed as indicating the °7` P .� �s "`
Vans and specirations are in NO.
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