2001-029 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
04W
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010029 Application Number: A20010029
Tax Map No: 523400-033-000-0001-010-000-0000
Permission is hereby granted to: LINECARE
For property located at: 1571 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: LEONARD & CALLIOPI LOMBARI Certificate of Occupancy(COM)
1587 STATE ROUTE 9 Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
DEPPE
Plans &Specifications
2001-029
CERTIFICATE OF OCCUPANCY ONLY
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,January 25,2003
(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 Town f Qu sbu ,hur y January 25,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
BP File#
Ne: isi ens
• Dept. of Commurrity Development Certificate Of
Town of bury742 Bay Road OCCup IL12-4 y Permit
• Queensbury,NY 12804
• (518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
F
JAN g2001
l �®F QuEENsBu�'� CFLAssefe5s. Nflm E
��QYl �G 11Ucc7ARE'
l� L
Address: PR4O \ d r
Person in Charge or Manager.
Business Phone Number. 1 T. 409 L - Ce l -tt 7_60 - 76 9
tc� eo -� L( (,7 L I
Type of Business: (i.e.,mercantile,restaurant,hobby s op;plumbing store):
0FFtce 5r4c€ OkJL
Owner of Property: Leo L ,RA_1) a
I S27 �-�p-e (R4
Address: t,
Phone Number. 7 9 s - 2 2
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.
Signature: , � Date: t-4—2-00
o erson submitting this fc rkt:
Property Tax Map No. E3 / I / I
Notes/Comments:
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive/AJ am/pm Depart am/pm
Inspector's Initials
NAME:j.i A en ' -, PERMIT# 00 ) �O 9
LOCATION: \5`7 I -a � � DATE : o/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers l
Monolithic Pour Form
Reinforcement in Place / / ff
The contractor is respo4sibleffor ,!�R , � s /v /fir G441 �.l
providing protection from freezing 2
for 48 hours following i he placement y�,�
of the concrete. — " efiloi-e �e C' r
Materials for this purpose on site di A r da v v
Foundation/Wallpour /
Reinforcement in.Plac — _ ,;r/
Foundation/Dampproofin ex r
Backfill Approval y �'
Plumbing Under Slab r`-" "ee.,� ,4` � h (re;:,
Vent/Vents in P ce /�, /{ i> � �
Rough Plumbing — f/( C�` "(,crtee c J j
Heating Rough-In / //
Insulation — feu e 116 w J' ,, �S'
a Adi
Foundation Walls Interi R-
Foundation Walls Exteri r R- _
Floors �J`c4`P ,r s / �e�
Walls //nL d,,-. 73�aras.Ai Si:‘ clr
Ceiling - (� �J n
Duct work or piping in e e 5/ c 0 i.-t' Ue,r W ro vg
unheated spaces R- f/
Proper Vent, Attic Vent
Framing
Jack Studs/Headers c (? h BrBracing/Bridging / '!a, s ,e €-�C7 / 5Joist Hangers
Jack Posts/Main Beam / jb� e�!`��" `Air Infiltration Barrier `.1,`) ` e
Fire Separation 1,2, 3,hour
Penetration Sealed CGS cry-
Fire Wall 2,3,4 hour
Firestopping
by - 9'61°-65,11
FIRE MARSHAL
111111111 . TOWN OF QUEENSBURY
' j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
i ^NAME n
LOCATION l I +9 541 RMIT#Z0 -07.9
SCHEDULE INSPECTION ON 3 zo I o I
1060 t A& PM
w+ IrrbvcI LB APPROVED
Dalt] kb,
EXITS lb Vhu j bALZAW \ + YES Nv91
AISLE WIDTHS I
EXIT SIGNS cud dam( b`Cree1G/ 114/
EMERGENCY LIGHTING riJY .' �� V
FIRE EXTINGUISHERS
FIRE ALARM SY TEM I/
FIRE SPRINKLER TEM ,
FIRE SUPPRESSION SYS ,►d e
HOOD INSTALLATION I
/v
INTERIOR FINISHES 2 �/
STORAGE: I
CLEARANCE TO SPR NKLERS r
CLEARANCE TO HEA-ING UNITS
SQUIRED SIGNAGE e,MPh.091/rli 1
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
0 �)s- 1 -40pLr)ei 60K
r,
firs 3e-ek--
a� VIDLir, Loa 5eyoor,
4s,ic CIrtnit. l
c c
INSPSLIP.PUB I NdPECTORR
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initia s
NAME: �CrJ r PERMIT# e6A1 b dC9g-0 -
LOCATION: 9' DATE : , 't Di ��
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form 7 I/
Reinforcement in Place (re
The contractor is responsi le for
providing protection from freezing
for 48 hours following the lacemert
of the concrete.
Materials for this purpose on lite
Foundation/Wallpour
Reinforcement in Place I
Foundation/Damofing ,
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac ``
Rough Plumbing %� d�j� �
Heating Rough-In Z'0 110(0 v 0 Pi r l` �
Insulation /�
Foundation Walls Interior `��P��u� )k �o6,��,A� . I dui ,/!'LT
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging •
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
03/e)0 ODIC/
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JAN--1 9 2001
/ TOWN OF QUEENSBURY
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