2001-117 -941 ` QUEEN SBURY
TOWN OF QU N
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010117 Date Issued: Wednesday, June 06, 2001
This is to certify that work requested to be done as shown by Permit Number P20010117
has been completed.
Tax Map Number: 523400-033-000-0001-010-000-0000
Location: 1571 STATE ROUl'E 9
Owner: LEONARD & CALLIOPI LOMBARDO
Applicant: LINCARE
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
(DaArAll 44'
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
Baytio Road, ueensb NY 12804-5902 (518)761-8201
742 Q ury,
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010117 Application Number: A20010117
Tax Map No: 5234 - ®I -q
Permission is hereby granted to: L rCIARE
For property located at: .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 LOMBARL Commercial Alteration 5,000.00
1587 STATE ROUTE 9 Total Value 5,000.00
LAKE GEORGE,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
DEPPE,ALLAN
8 PATTON DRIVE
Plans &Specifications
2001-117 LINCARE
COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$0.00 PERMIT FEE PAID THIS PERMIT EXPIRES: Saturday,March 22,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.).
Dated at the To ueensb ; Thur day,March 22,2001
SIGNED BY for the Town of Queensbury.
Director of Building& ode forcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbul y, NY 12804 1761-8256J
° BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
A permit must be obtained before of this permit: PERMIT FILE NO.�Q(}t—f 1 7
beginning construction. No inspections PERMIT FEE PAID$ O1 Op
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants" spaces on this application RECREATION FEE PAID l/$
MUST be completed and.the signature 0 Piing Board Action REVIEWED BY: CZ G�
of the applicant must appear on the SPR / Subdivision /Other
Building Inspector
lication form. Thank you.
Recreation Fee Payment J
Applicant: Owner: L l 1Je cc (e
. ' Address: 2. Vcck--kon '(' W e Address:
Phone # (Si$ ) A3 - L{oq l Phone # ( ) -
Property Location:
Subdivision Name: Tax Map,Number_ —J—1
Section Block T.ot
NATURE OF PROPOSED. WORK: ESTIMATED MARKET VALUE OF T E
New Building: CONSTRUCTION: $ 5000/ O0
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Familyl' � Ey
Residence / Commercial Two Family D e' 3 c .'�a
no change to exterior size . Family DI:::
2001
V ) Office
Oth r Work (describe below) MercantileTOVts�OFQ� l=8�Sl3lll�
.SNz�RtOfa C1-�{�I.LS. OtherManufacturirllL®lhlG,,iV� ��
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor sq. ft. of new addition be? :
2nd .F1'ogr. . .,. . . . . sq. ft.
Other Flours sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: Will any second-hand or ungraded
' Number of Stories : • lumber be used? �f so, for what?
(habitable space onitly) N
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplace 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 :
Names Addresss Phone
Builder: (kkgN • l 'PPS
Plumber:
Mason:
Electrician: f\ cw. tf��
DECLARATION: Please sign below hater, 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 owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or C rtific to of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, howing actual location of project on premises.
Signature: (3QxJ*.
(owner, owner's agent, at hi t, contractor)
s. "-----bC?
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive d am/pm Depart
742 Bay Road Inspector's Initial7/pm
Queensbury, NY 12804 NAME c R `I`� PERMIT# 'J— /I !
LOCATION 7 1 L.5-1`G DATE LO--L `oZC .3
TYPE OF STRUCTURE V 1�'�'i ,
N/A YES NO COMMENTS
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platfe ••-•
haerior/exterior ballasters 4 in.spacing lath; decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles I/
E.xtts at grade or platform
Canopy to cover req.exit doors
Gas valve ut-off exposed®ulator( : in.)above grade
Floor bathro watertight
Other floors o
Hot water relief v ve
Boiler/f mace 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 film. ace shut off within 301 or with-, line of site
Oil furnace shut off at entrance to furnace ea
Stockroom enclosure(1 hour),3/4 hour d..
Storage/receiving/shipping room(2 hour), 1 'A doors
1 '•i hour doors and closers
3 4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour mplete
Fire dampers,2 hour fire wall/separation r greater
Fire door/shutters 1 'A hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.fl.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinics/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_
Final Electrical
Site PlanNariance required _
Final Survey,new structures
As-built septic system layout required /J
Okay to issue temp.C/O(Ceitif.of Occupancy) / I"/ / (0
Okay to issue permanent C/O(Certif.of. Occupancy) ✓/ ��
Okay to issue C/C(Certif of Compliance)
•
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development i
Town of Queensbury Arrive 1�/S am/pm Depart am/pm
742 Bay Road Inspector's Initials
Queensbury,NY 12804 7
NAME J-� t� P n Y� } PERMIT v 1 —I1)1/
LOCATION ).S-7 1 S 4-cl �1 Qi DATE 5----,9....6-j oi'x
TYPE OF STRUCTURE !)1
N/A YES NO COMMENTS
ChimneyP'I3"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior fmish grade complete
Interior/exterior guardrails 42 in.platform/dedcs
Interior/exterior ballasters 4 in.spacing platform/
Stair handrail 34 in.-38 in. 1
Step nseas 7 3/4 in.
Main door 44 in.
All others 36 in. r / //JJ
Lever handles �-4�c //� 2a'` rear- CLr'UOr Gh
Exits at grade or platfonn
Canopy to cover req.exit doors fe,,e, `joJic
Gas valve shut-off exposed®t,ator(18 in.) ov grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(1 hou
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within lin 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 ' doors
1 'z hour doors and closers
3.4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour co lete
Fire dampers,2 hour fire wall/separation or eater
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 fiats r4 e
Elevator signage ! A4-4,0 , /�/
Handicapped bathroom grab bars/sinkskoilets ✓�
Handicapped bath/parking lot signage / �//
Handicapped service counters 34 in.,checkout 36 in. fl° - ���- ���t�Pr�t°.� S��"6L
Handicapped ramp/handrails continuous/12 in.beyond �,c s is a //4 C. - �'+J� o.� L/rca:.i ti4e.rS
.Active listening system and signage assembly space_ rr
Final Electrical f/nc / /,%/`tr/`4
Site Plan/Variance required _
Final Survey,new structures
..us-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) ,,�� //
?/2 -O7cW UC ic.0
ANL
TOWN OF QUEENSBURY
5wok 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4f Community Development- Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20010117
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
3/22/01 12:00:00AM Miscellaneous Commercial Alteration DAVID HATIN
Denied 2001-117
MOVE ELEC.OUTLETS TO FACE OF WALL IN COMPUTER ROOM-'
RAMP FRONT ENTRANCE SIDEWALK TO PARKING LOT
REMOVE CABINET UNDER SINK",
INSULATE SINK DRAINS AND HOT WATER LINES
INSTALL H.C. SIGNAGE FOR BATHROOMS AND PARKING
INSTALL REAR EXIT DOOR CANOPY
FINAL ELEC.INSPECTION
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 m/pm
Inspector's Initials
NAME: CPA— PERMIT# 02 - /J 7
LOCATION: fed-7 : 3ma1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers [ I
Monolithic Pour Form , 44. 41.444 c4( p,f eJ 76
Reinforcement in Place
The contractor is responsible for n G /,114/1 ,, Ca%np✓{4r P cr''J1
providing protection eezing d gg
for 48 hours followii g the p cement ��n,' a. PPc/t r� 3/de of fl_
of the concrete.
Materials for this purpo on si e Foundation/Wallpour '�e r4'pj /�/-
Reinforcement in Place \/ �/
Foundation/Dampproofing/J
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
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 L/
Jack Posts/Main Beam Oarnoj,e, si^°t
Air Infiltration Barrier
Fire Separation 1,2, 3.hour — i f�//t 54,4 D/G is nA
Penetration Sealed
Fire Wall 2,3,4 hour 4 / r
Firestopping y"// ,r /"
— IAjh/r �/ kyr/Cf� � 24/A:y
nK 4 ic ss
j 1h ll .-ems r �x�' cafe" Ca'`o17
I V' w +f V j1V O
w r ,`:.FIRE SHAI, 5. = :=
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s ..�. TOWN OF,QUEENSBURY.
:. URY.NY 12804 .
� j • QUEENSB
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{518)761-8•205
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' FIRE-MARS.
IRE MARSHAL INSPECTION REPORT `
RECEIVED . .
_ � REQUEST
Y�• N ME rl
LOCATION�� ' ��' � -' k 1T;I�Ii.� "�O c
SCHEDULE INSPECTION ON Z,Q f p
O . PM
f� - l'���' S�Lbfb 1F�UG I r(,pGr�APPROVED.
IX d.��G �1'l U ILL W r YES Nq !_
AISLE WIDTHS �/
� /,,
•
EXIT SIGNS � � QX( t V
EMERGENCY LIGHTING AI'tY��
FIRE EXTINGUISHERS /
FIRE ALARM SYSTEM -
Y
FIRE SPRINKLER SYSTEM , /
FIRE SUPPRESSION SYSTEM j f
HOOD INSTALLATION • j f
i I
INTERIOR FINISHES
STORAGE: j. � .
CLEARANCE TO SPRINKLERS /
CLEARANCE TO HEATING UNITS I /
. EQUIRED SIGNAGE�-- s fr I 1
4 CArd 5 d
CHIMNEY
. ... "�-_ WOOD STOVE `"-�--ri5i4 I �
FIREPLACE ❑MASONRY `;FACTORY BIT. I
i
E . I I!ROUGH-IN I` I-
FINAL I-
5ercer. .-h-L '
REMARKS: C OK TO THIS DATE
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1� 1 0° �. RECEIVE .
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SUIL ING AND CODE
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comr:;,:rice with r, .ou
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e / o E31 ILDI CO ,,� LEVER HANDLES REQUi '.E[
-= .., TON ALLY PASSAGE D00 S
Z Z REVIEtoz%EG !3Y • I
DATE WHETHER INTERIOR OR
l!t, . 1 �� EXTERIOR DOORS
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