2002-467 TOWN OF QUEENSBURY FILE
742 Bay Road,Quee4sbm7,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERT IFICATE OF COMPLIANCE
Permit Number: P20020467 Date Issued: Monday,July 22,2002
This is to certify that work requested to be done as shown by Permit Number P20020467
has been completed.
Tax Map Number: 523400-288-000-0001-055-000-0000
Location 1439 STATE ROUTE 9
Owner: L.&M.ASSOCIATES L.L.C.
Applicant: JOCKEY
This structure may be occupied as a:
By Otdet of Town Board
Commereial'Alteratian TOWN OF QUEENSBURY
Director of Building&Code Edo cemen
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 0
Community Development-Building&Codes (518)761-8256
r
BUILDING PERMIT
Permit Number: P20020467 Application Number: A20020467
Tax Map Na 523400-288-000-0001-055-000-0000
Permission is hereby granted to: JOCKEY
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.
1439 STATE RT. 9 SUITE 16 Commercial Alteration
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name f Address Electrical Inspection Agency
1
Plans&Specifications
2002-467 JOCKEY: Store 4 French Mountain Commons
2800 SQ FT COMMERCIAL INTERIOR ALTERATION AS PER APPLICATION
$50.00' PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 20,2003
t
(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 ueensune 20,2002 IO /7
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 Dew-L4 (j 7
No inspection wilt 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:4;11e,g-yr. 7-- Owner: -ke 17 f llr®oc.vY?,< z Arf4 e.,
Address:J� ? Address: L 6 rm
Phone# .- t7a Phone#
Email.Address: Email Address:
Property Location: Lot Number: 1 House NumberL--
Subdivision Name: /=1 Luc 17 l`pa ta ryy Tax Map Number:
New Building:. residence /commercial- Estimated Market Value of-Constructibn: $ '
I
❑ Addition: 'residence/ commercial F�— �µ
If an Addition,=what will use of new addition_be?.
❑ Alteration: residence/ commercial (
❑ No change to exterior size: residence t com'1
❑ Other-work(describe ) .
Check O'ecupancylnfokmation 1"Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq:ft. Square Feet
❑ Single,family dwell Mfg
❑ Two family dwelling -
❑ Townhouse _
❑ Multifamily dwelling
#of units
❑ Office
zr ''Mercantile. Z O d',
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage. J U w 6 b 2002
❑ 3 car detached.garage
❑ 1 car attached garage -TOWN O
❑ 2 car attached garage —
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet inches
Will any second-hand or,ungraded lumber be used? If so,for what? i
Type of Heating System: electric/ oil / /wood /force ot!air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodsioves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
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 Uwe shall.. i
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 by a licensed surveyor;drawn to scale,showing actual
location of all newconstruction.
Signature:!;E^ �r� i�Z2�owner,owner's agent,architect,contractor
FINAL - COMMERCIAL INSPECTION REPORT
Request received:
Town of Queensbwy (518) 761-8256 ARRIVE ain/pm: .DEPART am/pin Office Use
742 Bay Road �g Ready at time:
Queensbury, NY 12804 Inspector's Initialffi1j)1
Meet:
NAME -�/��'�e PERMIT# r..?lJ'11'vs-4/b At time:
LOCATION /5r31 Jf&e_ etc-TYPE OF STRUCTURE o'L f!l I to INSPECT ON(date): Ne ct Notes:
N/A YES NO g(�
Chimney/"B"Vent/Direct Vent location
Plumbing Vent
A Roof Complete COMMENTS
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 3/o 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 �s
Hot 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 within line of site
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),%hour door
Storage/receiving/shipping room(2 hour), 1 '/2 doors
1 '/z hour doors and closers
%hour corridor doors and closers
Firewalls/fire separation,2 hour,3-hour complete
Fire dampers,2-hour fire wall/separation or greater
Fire door/shutters 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
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-built septic system layout required EEF-1
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
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshals Inspection Report
Request SCHEDULE '7(i)o D
Received'. permjt#a0c>d_- Y-D.-7 INSPECTION ON:
Name: OCIKA2 t I 'll 00 —AM 6)ANYTIME
nil
Location: ullks
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL Is
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS v5p w�0
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE V
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THIS DATE 4 C NOT OK
FINAL
FIREPLACE mf
FACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMDEV/CHPJSJNVORDILETTERS200I/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
Fire Marshal's Office b�
742 Bay Road
Queensbury, NY 12804 a�
Phone(518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request �'� SCHEDULE
Received: Permit# .�� '"- b.� INSPECTION ON:
Name: oe,Ko a AM 115M ANYTIME
Location: &A& oust
APPROVED
N IA YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING ,
FIREEXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION 2C,
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLORS-
CLEARANCE TO HEATING `
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGHI
F AL
VENTED GAS
APPLIANCE a43H IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THISIDATIE OK OK, CO N T OK
FINAL-
FIREPLACE
FIREPLACE �../ r
FACTORY BUILT ROUGH IN I SPECTER
FINAL-
COMDEVICHRISJtWORDX TTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
FINAL -- COIVfN4ERCIAL INSPECTION REPORT
Request received;
Office Use
Town of Queensbury (518) 761-8256 ARRIVE L6 am/pm: DEP,4RT amlpm
742 Bay Road Ready at time:
Queensbufy, NY 12804 Inspector's Initia
,! Meet:
NAME PERMIT# �Z- 7t0 At time:
LOCATION �n. -
TYPE OF STRUCTURE INSPECT ON(date): Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location
xPlumbing Vent
Roof Complete CO ENTS
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 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within line of to
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),Y4 hour door
Storage/receiving/shipping room(2 hour), 1 'z doors
1 %hour doors and closers
3/4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3-hou complete
Fire dampers,2-hour fire wall//ho
n or greater
Fire door/shutters 1 'l2 hour,3 Ceiling fire stopping 3,000/5,0Fan shutdown,smoke vents or
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 spaces
Final Electrical
Site Plan/Variance required
Final Survey,new structures
As-built septic system layout required L+— ((11
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no
Okay to issue PERMANENT C/O--Certificate of Occupancy yes V no
Okay to issue C/C—Certificate of Compliance yes no
FINAL - COMMERCIAL INSPECTION REPORT
Request receive&
Office Use
Town of Queensbiny (518) 761-8256 ARRIVE �'14) ainipm: DEPART am/pin
742 Bay Road Ready at time:Pum
Queensbury, NY 12804 Inspector's Initials
NAME jo K-j-- PERMIT# At time:
LOCATION V &=9,CAA eLl
TYPE OF STRUCTURE Q11v-CY\ INSPECT ON(date): -71 G Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location ---1
—7
Plumbing Vent
",Roof Complete C E S
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 3/4 in.
Main door 44 in,
All others 36 in. V
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 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour}
Gas furnace shut off within 30 ft. or within line of site
Oil furnace shut off at entrance to furnace area 1e55 I,—
Stockroom enclosure(1 hour),3/4 hour door
Storage/receiving/shipping room(2 hour), 1 112.doors--/
1 V2 hour doors and closers
1/4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3-hour complete
Fire dampers,2-hour fire wallfseparation or greater
Fire door/shutters I V2 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/toile V
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,the out 36 in, ID"s-,(i- (eod'In
Handicapped ramp/handrails continuous 12 in.beyond
Active listening system and signage as mbly space
Final Electrical
Site Plan/Variance required___� 2�
Final Survey,now structures
As-built septic system layout required
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no
Okay to issue PERMANENT CIO—Certificate of Occupancy yes no
Okay to issue C/C—Certificate of Compliance yes no
J
FINAL li/ MERCIAL INSPECTION RE ORT _
Request received.
Office Use
Town of Qareerasbatry (518) 761-8256 ARRIVE J s am/pm: DEPART amlpm
742 Bay Road Ready at time:
Queensbu , r 12804 .inspector's.Initials
Meet:
NAME �'JUI- — PERMIT# / At time:
LOCATION
TYPE OF STRUCTURE INSPECT ON(date): Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location
Plumbing Vent
Roof Complete COMMENTS
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 3/4 m.
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 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft. or within line of site
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),3/4 hour door
Storage/receiving/shipping room(2 hour), 1 '12 doors
1 '/2 hour doors and closers
3/4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3-hour complete
Fire dampers,2-hour fire wall/separation 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.,checkout 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 TEMPORARY C/O—Certificate of Occ panty yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes no4� 146 L '
Oka to issue C/C—Certificate of Compliance yes no
y P
cc)
Town of Queensbury
Fire Marihalls Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-,]4437
Fire Marshal's Inspection Report
Request -2-q( -7SCHEDULE
Received: �Zlmr-- Permi� INSPECTION ON:
Name- 406-"lu"l -1�)() AM PM ANYTIME
V
Location:
APPROVED
N/A YES NO C AMENTS,
EXITS 7L
AISLE WIDTHS
=x
EXIT SIGNS-NORMAL
- BATTERY X, t4of,
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM x
HOOD INSTALLATION X
INTERIOR FINISHES Or-
6 WO STORAGE 6AIM
COMPRESSED GAS X I
CLEARANCE TO SPRINKLERS-- X
CLEARANCE TO HEATING
UNITS x
CLEARANCE TO ELECTRICAL X
REQUIRED SIGNAGE x -
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN x AA 10 Dc
FINAL-- --VT-4 rat"
CHIMNEY uA +t, Velf, �( AA3,
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
RNA
FIREPLACE
MASONRY ROUGH� OK THIS DATE OK'-F OR CO OT, OkK ,
F14AL
L
FIREPLACE
FACTORY BUILT ROt)6H IN
NSPECTED BY
FINAL
COMDEVICHFUSJJWORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
tj c.
Town of Queensbury
Fire Marshal's Office
742.13ay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# � INSPECTION ON:
..�,
Name: W �A L 6 AM PM ANYTIME
Location:.
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
-FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS i / OL }2
CLEARANCE TO HEATING
UNITS <
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DAT OK FOR OO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPEC
FINAL
COMDEVICHRISJNVORD1LETTERS200WIREMARSHALINSPECTIONREPOR YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Office Use
GENERAL INSPECTION REPORT' Inspector:
Town of Queensbury ,
Ready at time:
Dept. of Community Development Request received: Meet:
.building& Code Enforcement At time:
742 Bay Road
Queensbury, .NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Init' is
NAME: V - RMIT# 0'2-"
LOCATION: CAO.Af PECT ON(date): k,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO C MMENTS
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 _
Hearing 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
BracingBridging
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration rraer
Fire Separation'3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\,SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT-doe
4 1 ~
'- '.-_---
BUILDING&CODE DEP-o
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DATE
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