2002-241 TOWN OF QUEENSBURY F1
742 BayRoad,Qaeensbury NY 12804.5902 (518)761.8201
Community Development- Building&Codes (518) 761.8256
UtixiIFIrATE nvur 0 CY
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Permit Number. P20020241 Date Issued: Monday,April 22, 2002
This is to cerdi that work requested to be done as shown by Permit Number P20020241
has been completed.
Tax Map Number. 523400-309-011.0002-036-000-0000
Location: WESTERN AVE. SOUTH
Owner. HAYES&HAYES LLC
Applicant: UNIQUE EXPRESSIONS
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
, 1
BUILDING PERMIT
Permit Number: P20020241 Application Number: A20020241
Tax Map N0: 523400-309-011-0002-036-000-0000
Permission is hereby granted to: UNIQUE EXPRESSIONS
For property located at: WESTERN AVE. SOUTH
in the Town-of Queensbury, to con struct.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: HAYES &HAYES LLC Commercial Alteration 3,200.00
PO BOX 109 Total Value 3,200.00
GLENS FALLS,NY 12801
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Contractor or;Builder's Name/ Address Electrical Inspection Agency
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f
Plans &Specifications
2002-241 UNIQUE EXPRESSI01S
COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$50.00 PERMIT FEE-PAID THIS PERMIT EXPIRES: Tuesday,April.15,2003
(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 of Queensbury; Monday,April 15,2002
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. Ojm —r�•LI
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: 611- Owner:
Address: z Address-
Phone#( r � Phone#
Property Location Lot Number: --_/ House Number,_ D Ok
Subdivision Name: Tax Map Number:
c�
❑ New Building: residence /commercial Estimated Market Value of Construction-$"3p2:C�?'Y
❑ _,-Addition: residence/ eexx If an Addition,what will use of new addition be?
- - A , z
'+�_ Alteiatlon��-`iesidence�conunercial - �
< O No change to exterior size: residence/-661ti'1
o Other work(describe }
Check OceupancyIuformation 1"Floor 2.dFloor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
o Single family dwelling
o Two family dwelling
❑ Townhouse
b Multifamily dwelling WED
#of units
❑ Office R
❑ Mercantile
❑ Manufacturing
❑ 1 cal detached garage - I'a L0D ` "
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
0 3 car attached garage
❑ Storage building-
commercial
❑ Storage building- ..
residential 75
--
What s the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of heating System: electric/ oil t gas/wood /forced hot air 1 baseboard t other:
Number of Fireoldces to.be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
'$u tlder ? t' cz h ��ems~
•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.cgbr p-lete statement of all proposed work to be done on the described premises and that all
provisions of the Buil`ding-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
i subt,fp`rio ao a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
t clmiutstrator or Director of Building and Codes,an 4s Built Survey by a licensed surveyor;drawn to scale,showing actual
j cation of all new construction. /�
Signature: /o" t�LJ�� owner,owner's agent;architect,contractor
y"
COMAURCIIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive 't�V art '
742]bay Road In ptorlsnniti s
Queensbury,NY 12804
LOCATION DATE L4 --19 _(
TYPE OF STRUCTURE
N/A YES NO COIvMENTS
C hinmeyP B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
humor/exterior guardrails 42 in.platform/decks
Interior/exterior baliasters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in
Step nseas 7 3/4 m.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover real.exit doors
Gras valve shut-off exposed®ulat (18' .)above g�ra
Floor bathroom wateatigbt
Other floors okay
Hot water relief valve
Boiler/fumace enclosurWinlin
<250,000 BTU N/R
250,000 BTU to 1, TU's(1 ur)
>1,000,000 BTU's(
Gas furnace shut off witor w' in lin of siteOil furnace shut off at e _ ace areaStockroom enclosure(1hour doorStorage/receiving/shipp2 hour), 1 '/7.d rs1 ',i hour doors and clo
3,hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shuders 1 '/z 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.
Handicapped ramp/handrails continuous/12 in,beyond
Active listening system and signage assembly space
Vinal Electrical
Site Plan/Variance required__
Final Survey,new structures 01
As-built septic system layout required
�ay to issue temp.C/O(Cer if.of Occupancy)
kay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
.,-----FINAL - COMMERCIAL INSPECTION REPORT
Request received:
Town o Queensbury (51 8)-761-82�56 ARRIVE Office Use
)f K-- DEPART a 1
742 Bay Road Ready at time:
1 1 r
Queensb NY 12804 Inspector's Init4tiall
Meet:
NAME Y QA!� PERMIT:. -CA At * e:
LOCAfiONJ)���.(
TYPE OF STRUCTURE INSPECT ON(date)/—
JNotes:
N/A YES NO
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent COMMENTS
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks
Interior/exterior balusters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in.
Step risers 7%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®ulator(18 in.)above grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,00 BTU's I hour)__.
>1,000,000 BTU's(2 hour
Gas furnace shut off within 30 . or wA"n line of site
Oil furnace shut off at entrance fur-- e area
Stockroom enclosure(I hour),'/4 ho oor
Storage/receiving/shipping room 2 our), 1 Y2.doors
1 V2hour doors and closers
3/4hour corridor doors and clos s
Firewalls/fire separation,2 ur,3 our complete
Fire dampers,2-ho wall/sepa ation or greater
Fire door/shutters 1 V2 hour,3 hour
Ceiling fire stopping 3,000/5,000 sq ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hard are
Elevators
E�evator signage or
si 7-
park 9,vice cc I
11�ndicapped grab bars/si /toilets
Handicappe a parking lot sign e
Handicapp vice counters 34 i .,checkout 36 in,
Handicap,pe ramp/handrails con uous/ 12 in.beyond
Active listening system and signaie assembly space
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-built septic system layout required
Okay to issue TEMPORARY C/O-Certificate of Occupancy yes no
Okay to issue PERMANENT C/O-Certificate of Occupancy yes no
Okay to issue C/C-Certificate of Compliance yes no
Fire Marshal's Office
Town of Queensbury
742 Bay Road
Queensbury, NY 12804 Fax(518) 745-4437
Phone (518)761 8205
Fire Marshal's Inspection Report
Request qcyn SCHEDULE
Received: Permit#r INSPECTIONON:
Name: 01(\.,�CQ.�, PM(AM ANYTIME
Location:
ROVED
N/A YES NO COMMENTS
EXITS Ag L
AISLE WIDTHS r
EXIT SIGNS-NORMAL
- BATTERY x
EMERGENCY LIGHT
FIRE EXTINGUISHEPS A
FIRE ALARM SYSTOM
FIRE SPRINKLER S-ASTEM
FIRE SUPPRESSION\S
HOOD INSTALLATIO YSTEMN I JOA PlAtJ
INTERIOR FINISHES \ I k,
STORAGE pDPftp
COMPRESSED GAS
CLEARANCE TO SPRINkLEPS I
CLEARANCE TO HEATIT/
UNITS
CLEARANCE TO ELWRICAL
REQUIRED SIGNAGE I
EMERGENCY PLAN Y I I
MAXIMUM OCCUPANCY SILG
CHIMNEY
MASONRY ROU6HIN
�INAL
CHIMNEY
FACTORY BUILT R04GH IN
)FINAL
WOOD
STOVE RdUGH IN
FINAL
VENTED GAS
APPLIANCE �OUCH IN
1,
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE r OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN IN Y
FINAL X
COMDEV/CHPJSJNVORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
GENERAL INSPECTION REPORT Inspectz:_,,,,,,._
Ready at time:
7Inspe.ct;
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road '
Queensbury, NY 12804 ARRIVE tA am/pm: Notes:
DEPART am/pm
(518) 761-8256 Inspector's Initials
NAME: Dom- PERMIT#
LOCATION: INSPECT ON(date):
STRUCTURE:
*TURE !�Lfid,7UP-\_
TYPE OF STRUC
RECHECK
N/A S NO C ENTS
L
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation A,
Foundation Walls Interior R-
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
FireSeparation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
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FIRE MARSHAL INSPEOTIC>N REPORT
REQUEST RECfIVED (!� to-;?- PERMIT W a090---�l —
NAME IV Vj� - & ------------
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SCHEDULE INSPECTIC)N (DN
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REMARKS: (DK TC) THIS DATE
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