2003-151 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CER X-IFICATE -OF- OCCUPANCY
Permit Number: = P20030151 Date Issued: Friday, July 25, 2003
This is:to certify Ghat workxequested.to be done as,shown by PermtNumber PZUU3U151.
has been completed.
_ Tax Map Number: 523400-302-007-0001-044-000-0000
Location:- 154 QUAKER Rd
Owner: NHCHAEL & SUSAN KAJDASZ
Applicant: KAIDAS, NHCHAEL & SUSAN
This structure may be occupied as a:
By Order of Town Board
Comm' ercial Alteration TOWN OF QUEENSBURY
Director of Building ode orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030151 Application Number: A20030151
Tax Map No: 523400-302-007-0001-044-000-0000
Permission is hereby granted to: KATDAS_ MICHAF,T.& SUSAN
For property located at: 162 QUAKER 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. Tie of Construction Value
Owner Address: MICHAEL & SUSAN KAJDASZ
PO BOX 268 Commercial Alteration $500.00
Total Value $500.00
CLEVERDALE,NY 12820
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-151
370 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 14,2004
(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.)
Date._ at the own f u nsb Monday,April 14,2003
SIGNED B for the Town of Queensbury.
Director of BuilA&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development, 742 Bay Rd., Queensbury,NY 12804
(518) 761-825-6
A permit must be obtained before beginning construction. Permit No.: �
No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: 1�l�Gf//-/%� Owner: _5 /P/,-
Address: 2,&' Address:
Phone#: —�3 Phone#:
Tax Map Number:
Subdivision Name:
(if applicable) /
Lot Number: /House Number: / /Street Name 1
Property Location: 8 PP ���
�-. 9 VlY
❑ New Building: Residential/Commercial Estimated Market Value of Construction: ��,ru1 Or.G1L7` i'�l 81JP`!
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential/Commercial
❑ .No change to
Exterior size: Residential/Commercial
❑ Other work: (describe )
Check Below Occupancy Info 1"floor sq.ft. 21 floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
Office 3 D
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 Bldg.,Comm. 3
i
Storage Bldg.,Res.
Other
i.„
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
No. of Fireplaces to be installed:
No. of Woodstoves to be installed:
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
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 Codes,an
As Built Survey by a licensed surveyoto scale, showing actual location of all new construction.
Signature: 2'a�--z_ (circle on . owner, wner's agent,architect,contractor)
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: ) J
NAME: �\\\A 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'Fumace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 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 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 b rl a Surface 20' wide
Okay To Issue Temp. or Af rmanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
a
Town of Queensbury
4
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
LPhone761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# [9�i 15 INSPECTION_ON: 1 - ��
Name: fW I%All N C Ln ti` I PM ANYTIME
Location:
�<//
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS_BATTERY NORMAL
.pruL $ C,l� n
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
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 DATE F R CO NOT OK
FINAL /
FIREPLACE �,•
FACTORY BUILT ROUGH IN INS13EETED BY
FINAL
COMDEV/CH RISJIWORD/LETTERS2001/F IREMARS HALI NS PECTIONRE PORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
COM31ERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Torun of Queensbury Arrive 2,16 am/pm Depart am/pm
742 Bay Road �� Inspector's Initial_
Queensbury, 12804 ` �ctd � /�
NAME �rora��� ��xrGt�Cl,� 4, 40IC4�4 rY!!Y�/ARMIT# O.LOCATION / Chu-,4, ge p DATE 'S
TYPE OF STRUCTURE
N/A YES NO CONffv 'NTS /
ChimneyP'B"Vent/Direct Vent.location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks
Interior/exterior ballasters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in.
Step rigs 7 3/a in.
Main door 44 in.
All others 36 in. s k Gr uer �S /tf
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18 in.)above grach
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/fumace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas fumac a shut off within 301 or within line of site
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),'/4 hour door
Storage/receivineshipping room(2 hour), 1 '/z doors
1 ',z hour doors and closers
34 hour corridor doors and closers
Firewalls/frre 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. t✓
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-buih septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
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# 3 - IS INSPECTION ON: s ro3
dD
Name: 40is• ZN&Cajat f 7 gam ?RPcfrce. (.LC a AM ® ANYTIME
Location:
I S(P I
APPROVED
N/A YEP NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL A
- BATTERY �\
EMERGENCY LIGHTING /1
FIRE EXTINGUISHERS x IS'i (k r,
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM /
HOOD INSTALLATION
INTERIOR FINISHES STORAGE
/
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE JJFR CO �OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
CO MDEV/C HRISJ/WORD/LETTERS2001/F IRE MARS HALI NS PECTIONRE PORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INCv.����
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........N................................Certt..p N 0 82528 Cut-in Card No....................................
Owner........./..../...:[.../.....
��y.1�/./..-'.................................................................. ..' /..,.�.......................
Location A..�..A.t/1 fCG..j? .. ��. a ..................
..... .......... ...... ...................................................................................
Installation Consisting of...4:2 .................................`d�.l /�D�f�'T .....................
........................................... ..J........lJ7/................. ......................................................................................
.................................................. ...........................................................................................................................
InstalledBy.......45.../ .............................................................Lie.No..................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i,,
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 making . ections at any time, and if it,
rules are violated,the Company shall have the right to Ike this ca e.
Date......F......`.S ............... INSPECTOR.... .............
. .....................................................................
.
Member N.F.P.A.,I.A.E.I.
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In ection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: amipm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#: C2 3-
LOCATION: !o Laker INSPECT ON: / 3
TYPE OF STRUCTURE:
Y N N/A Framin COMME TS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly f
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 %2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
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