2001-032 TOWN OF QUEENSBURY
742 Bay
a Road ueensb NY 12804-5902 518 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010032 Date Issued: Wednesday, March 14, 2001
This is to certify that work requested to be done as shown by Permit Number P20010032
has been completed.
Tax Map Number: 523400-035-000-0001-004-001-0000
Location: 1439 STATE ROUTE 9
Owner: L. &M. ASSOCIATES L.L.C.
Applicant: OSH KOSH
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
(341AI .
Nok
Director of Building&Code Enforcement
; TOWN OF QUEENSBURY
t4to 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010032 Application Number: A20010032
Tax Map No: 523400-035-000-0001-004-001-0000
Permission is hereby granted to: OSH KOSH
For property located at: 1439 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: L. &M. ASSOCIATES L.L.C. Commercial Alteration 2,000.00
1439 STATE RT. 9 SUITE 16 Total Value 2,000.00
LAKE GEORGE,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
MOORE, EDWARD
Plans &Specifications
2001-032
COMMERCIAL ALTERATION AS PER APPLICATION
$50.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,January 29,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To ensb ; Mo a ary 29,2001
D BY ° for the Town of Queensbury.
Q ury.
Director of Building&Code Enforcement
Building ' ermit Application
Town of QlleeilS�ll/� - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-82561
° BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
. A permit-must be obtained before
of this permit: PE' IT FILE NO.cO7 Q3
beginning construction. No inspections , 1 �. ]T FEE PAID$,. 1 will be made until applicant has received El Zoning Board Ac s „
a VALID BUILDING PERMIT. All Area /Use le.. �,�+�
applicants" spaces on this application Z CREATION.FEE PAID$
MUST be completed and.the signature 0 Planning Board Action,A� E J E fill,
of the applicant must appear on the ls Of ®� D BY.
SPR / Subdivision /OthetO NOD Bulldbig Inspector
plication form. n ,.„,. , .J _ Recreation Fee Payment iat.g-®1� /�
Applicant: /4-6 - Owner: . Cpy v ,
Address: lG/ ± (�:V-- c'i Address: -\G
•
Phone # ( ) - Phone # (50) 7q,2- / (g`.3
. Property Location: .�
/G�� �� \ `-'\ l
Tax Map Number / / 4/ /
Subdivision Name: -e.�cG, /l-44 ( r-. c�,., S Section Block lot
NATURE OF PROPOSED WORK: •
ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ -'C3d d..GC.)
residence / commercial L
Addition to Building:
re.s_idence / commercial OCCUPANCY INFORMATION:
/��I�lterio Build' Primary Building -
/ commercial Single Family Dwelling
Residence / Comme 1 . Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor sq. ft. If ADDITION, what will use
2nd ,F1'oor. . .,. . . . . sq. ft. of new addition be? :
Other Fluuts sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
�i
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 0C10 SQ. FT. Attached Garage 1, 2 car
7 Private Storage Building
SIZE �OF NEW STRUCTURE:-\ Cj„q-(/ / Commercial Storage Building •
C— FEET X SC) FEET C�l� ( Other
Foundation Type: \) Will any second-hand or ungraded
' Number of Stories : • lumber be used?. If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplacep and/or woodstove (circle all which applies)
to be installed:_ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addresss Phone
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 Ce ificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed� surveyor; dra le, sh ing actual location of project on premises.
Si ' rtre:
(owner, owner's agent, architect, contractor)
•
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive 't am/pm Depart am/pm
742 Bay Road Inspector's Initials
Queensbury,NY 12804
NAME \�� PERMIT#0
LOCATION\\, � �� ; - DATE 4-9\—-a )
TYPE OF STRUCTURE Nk\e/rt;,,\
N/A YES NO COMMENTS
Chimney/'3"Vent/Direct Vent location
Plumbing Vent
Roof Complete
E. sior fmish grade complete
Interior/exterior guardrails 42 in.platform/decks ` /
htterior/exterior ballasters 4 in.spacing platform/decks /c,/ //'
/
Stair handrail 34 in.-38 in.
Step risers / 3/4 in.
Main door 44 in. ¢''
All others 36 in.
Lever handles t�
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18'' .)above de
Floor bathroom watertight
Other floorse v
Hot waterr relief valve
Boiler/furnace enclosure
<250.000 BTU N/R
250.000 BTU to 1,000,000 BTU's(1 stir) •
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within 1 e of site
Oil furnace shut off at entrance to furnace ar
Stockroom enclosure(1 hour),3/4 hour door
Storage/receiving/shipping room(2 hour), 1 2 doors
1 '4 hour doors and closers
?4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour•• lete
Fire dampers,2 hour fire wall/separation or a eater
Fire door/shutters 1 '/s hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardwa e
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in. /
Handicapped ramp/handrails continuous/12 in.beyond r' /At S Shoe k rat" over 6 74
Active listening system and signage assembly space
Final Electrical 1
/7
Site PlanNariance required �� / / �hS
Final Survey,new structures f N e/ / '�' � ��
.As-built 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) r
J/ .
�ij.3 - 5
FIRE MARSHAL
4 , TOWN OF QUEENSBURY
c% QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED L PERMIT# 1 06 Z
NAME )1 • ° K�h
LOCATION \L-0c1 C M
SCHEDULE INSPECTION ON 0I1L-4 0 t
\% 05 AM PM ANYTIME
APPROVED
N/A YES NO
EXITS f
AISLE WIDTHS ( •1
EXIT SIGNS
EMERGENCY LIGHTING
f
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM ! I
FIRE SPRINKLER SYSTEM /
FIRE SUPPRESSION SYSTEM //
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINK RS
CLEARANCE TO HEATIN UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT •
REMARKS: , , ❑ OK TO THIS DATE
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•
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received: •
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive am/pm Depart pm
742 Bay Road Inspector's Initial
Queensbury,
NY 12804
NAME l ) '\ PERMIT# J (i
LOCATION � �t a��. �_c f, (1-- \ DATE / _f``G) I
TYPE OF STRUCTURE l-A\\r`/\ -c. "
N/A YES NO COMMENTS
Chimney/'B"Vent/Direct Vent locati \
Plumbing Vent \,
Roof Complete
Exterior fmish grade complete
Interior/exterior guardrails 42 in.p1. ormldedcs
Interior/exterior ballasters 4 in.spa , g platform/ded d
Stair handrail 34 in.-38 in.
Step risers 7 3/.in.
Main door 44 in.
All others 36 in. /
Lever handles /
Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulat. (18 in.)above grade
Floor bathroom watertight
Other floors okay
Ha water relief valve
Boiler/furnace 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 furnace shut off within 30 ft.or with., line of site •
Oil furnace shut off at entrance to fuma - area
Stockroom enclosure(1 hour),3/4 hour d..
Storage/receiving/shipping room(2 hour), 1 '/z doors
1 hour doors and closers
'.hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour o4mplete
Fire dampers,2 hour fire walUseparation 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.,dieckout 36 in.
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-built septic system layout required
Okay to issue temp.C/O(Calif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
FIRE MARSHAL
f4 TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUES I1R CE IVED j0-7a7k PERMIT#7Cc) b3 Z
NAME ` I \US/�
LOCATION
SCHEDULE INSPECTION ON /1,(6"J•, tea'
PM ANYTIME
e/4 APPROVED
/ ��� NIA YES N
EXITS i
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM ,+'J
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYST M V
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP-INKLERS
CLEARANCE TO HEA ING UNITS /
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
• REMARKS: ❑ OK TO THIS DATE
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