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2003-194 s 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:" P20030194 Date Issued: Friday, May 02; 2003 This-is•to certify that work requested to be-done as shown by Permit Number - P20030194 has been completed.` Tax Map Number: 523400-288=008-0001-009-000-0000 Location: 15.87- STATE ROUTE 9 Owner:-- LEONARD & CALLIOPI LOMBARDO Applicant: FISH 307 LLC 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: P20030194 Application Number: A20030194 Tax Map No: 523400-288-008-0001-009-000-00.00 Permission is hereby granted to: FTSH 307 TIC For property located at: 1587 STATE ROUTE 9 in the Town of Qiieensbury,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: LEONARD &.CALLIOPI LOMBAR 1587 STATE ROUTE 9 Commercial Alteration $5,000.00 Total Value $5,000.00 LAKE GEORGE,NY.12845 a - Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2003-194 FISH 307 LLC COMMERCIAL INTERIOR ALTERATIONS AS PER APPLICATION, $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday;April 29,2004 (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 own of ee sbu Tuesday,April 29,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury Department of Community Development, 742 Bay Rd.,Queensbury,NY 12804 (518)761-8256 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: 2+ . �v -h5l-f !� Le ey - APR 2 Applicant: h S� 0 �-� O �eG b��Gt�C ®��l op Address: / I« �tf Address: S-b, �f�9I3 CODIF Phone#: L q 0 Phone#:' (11969 8 Tax Map Number: (af • g 00 'sZ_ce Subdivision Name: (if applicable) Lot Number: /House Number: 11 l/Street Name OR Property Location: ` ❑ New Building: Residential Commerc~ Estimated t `j D�i6 14fC)S — � Marko Value�f C�nstucti�n. ❑ 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 I"floor sq.ft. 21 floor sq.ft. Other floor sq.ft. Total Sq.Ft. Single Family Dwelling . Two Family Dwelling Townhouse e Multifamily Dwelling #of units Office - • l Mercantile 2`13 Manufacturing 1 car detached garage p Ufa_ �ij0 2 car detached garage S 3 car detached garage 1 car attached garage L 2 car attached garage GJ 5 3 car attached garage Storage Bldg.,Comm. 3 Storage Bldg.,Res. Other 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 -sE ' 'l / ;2/G" 2-— Plumber 6. 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 b a licensed surveyor; drawn to scale, showing actual location of all new construction. Signature: (circle on . own r owner's agent,architect,contractor) 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 b�3 A / SCHEDULE Received: Permit# a 7 INSPECTION ON: Ls a I U Name: 5 4 '� AM_ PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING GJ I(I Cy 17 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM �.�ixcl HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARAW99=F0 ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN D IL FINAL CHIMNEY FACTORY BUILT ROUGH IN WOOD FINAL STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE M ASONRY ROUGH 1N OK THIS DATE KOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJ/WORD/LETTERS20011FIRE MARSHALI NS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 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# 34 q� INSPECTION ON: r- Name: 7 1� 36 —� 0 1 I AM cf—M) ANYTIME Location: 6 :2 1 L�� k i APPROVED k . N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL X, - BATTERY EMERGENCY LIGHTING �^ , FIRE EXTINGUISHERS 9 N J vu� �'� (50V��y I � I FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM XC HOOD INSTALLATION INTERIOR FINISHES JL Q�j l� C��(. jvoo, STORAGE X COMPRESSED GAS CLEARANCE TO SPRINKLERS �U�--�a ��'�IL- CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE Y 1��,�ia l � A A t`�j l c),J A L, EMERGENCY PLAN l�v MAXIMUM OCCUPANCY SIGNCHIMNEY MASONRY ROUGH IN �l I l 3.t VIt 1n .7 FINAL �,�� l��(3l/� �`�/�'�itiV'tf✓ CHIMNEY FACTORY BUILT ROUGH IN ffJJ / FINAL V/J (✓I � � 1 ��If( ClR 1 WOOD - STOVE ROUGH IN ] �r FINAL VENTED GAS APPLIANCE ROUGH IN 1� (�►�"�� FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE QK F R CO NOT OK FINAL � FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL CO MDEU/CHRISJ/WORDILETTERS2001IFIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY