2002-447 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)7614256
r
CERTIFICATE OF OCCUPANCY
Permit Number: P20020447 Date Issued: Thursday, September 05,2002
This:is to certify that work requested to be done as shown by Permit Number P20020447
has been completed.
Location: 994 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-066-00070000
Owner: NORTHSIDE PROPERTIES,LLC
Applicant: CHINATOWN RESTAURANT
This structure may be occupied as a:
Commercial Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance,or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals,
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201,
Community Developmient-Building.&Codes (518).761-8256
BUILDING PERMIT
Permit Number: P20020447 Application Number: A20020447
4
Tax Map No: 523400-296-013'0001-066-000-0000
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Permission is Hereby granted to: CHINATOWN.RESTAURANT
For property located at: 994 STATE ROUTE 9
in the Town of Queensbury,to constructor 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: MONTY F LIU
994 STATE RTE 9 Commercial Addition I,200.00
Total Value 1,200.00
QUEENSBURY,NY 12804
i
Contractor or Builder's Name/Address Electrical Inspection Agency.
Plans&Specifications
2002-447 f
192 SQ FT COMMERCIAL ADDITION;(STORAGE ROOM) AS PER PLOT PLAN SPECIFICATIONS
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 17,2003
(If a longer period is required,an.application for an extension must be made to the code Enforcement Officer
of the Town of Queensbtuy before the expiration date.)
Dated at the Town o uee bury; on , une 17,2002
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. File No L[
No inspection will be made until applicant has received a Fee Paid $/,�96
valid building permit. All-applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the
application form. Reviewed By:
Applicant: 4�61w* X'e,( Owner: v�
Address: �17 y � - Address: f
Phone#(S7 ) 3� - / 3 Phone#(�}. - ; 1A y 3 1 Q02
Email Address: Email Address:
1 V1q O�Quz
Property Location: Lot Number: / House Number / � gf!\1t� � SBUR
O•- Y
Subdivision Name: . Tax Map Number:
❑ New Building: residence t commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial " If an Addition,what will use of new addition be?
Alteration: residence/ commercial
❑ No change to exterior size: resi ence/com'1
0 Other work(describe )-;
Check OccupancyInformation I"Floor 2a Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
i
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ MultifamiIy dwelling
##of units
❑ Office
❑ Mercantile
❑ Manufacturing
0 1 ;car detached garage
❑ 2 car detached garage
Q 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other e-
E1
What is the proposkheight of the structure feet inches
Will any second-hand or ungraded lumber be used? 1f so, for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces 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
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,area 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 f
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall 4
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 new construction.
Signature- ��� owner,owner's agent,architect,contractor
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCe
Main Me 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled: -
This certificate only covers the electrical equipment and installation conditions as of datc. Upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin i pections at any time, and if its
p
rules are violated, the Company shall have the right t r oke t ' ificatei
Date,,,,?,1MR4rfi i 100416014 1MM4 rififf444}ffifi INSPECTORif }NiiNf4R4M141 of}i}iifrMf}1r4f}i1r41/R}}f}f}}}i}41f 1ififi f i irff}4iffff ffff}fi fStMofI
Member 1lA iAfi 1 A LL
Commercial Final Inspection Report
Office No.: (518).781-8256 Date Inspection request received: 4 kQa-
Queensbury Building&Code Enforcement Arrive: arrilom Depart: amlpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: z PERMIT#:
LOCATION: DATE: z-
COMMENTS:
Y N NA
Chimney/`W Vent/Direct Vent Location
Plumbing Vent Throggh.Roof 6°/Roof Complete
Exterior Finish/Grade complete 6`in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform I Decks
Interior t Exterior Ballisters 4 in.Spacing Platform I Decks
Stair Handrail 34 in.—38 in,I Stop Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq.fL
All Doors 36 in.w/Lever Handles I Panic Hardware if required
Exits At Grade Or Platform 36 W x 44'(lyCanopy or Equiv.
Gas Valve Shut-off EM2EW&Regulator 18° Above Grade
Floor Bathroom Wateftht I tuber Floors 04
Relief Valve Heat Trap I Water Temp.110 rees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occu /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut'Off Within 30 ft orW hIn Line Of Site
Oil Furnace Shut Off at Entrance th Furnace Area
Stockroom/StomgelReceiving/Shipping Room(2 hr.), 1 '/doors
> 100A> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalis/Fire Separation,2 Hour,3 Hour Complete/Fire
Dam Mrs J Fire Doors
Ceiling Fire Stopping, 3,000 .ft.Wood Frame
Attic Access 31V x 20`x 30` h ,Crawl Spam Access 18"x 24`
Smoke Vents Or Fan, if required
Elevator operation and Si /Shaft Sealed
HandicapW Bathroom Grab Bars/Sinks I Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters 34 in. Checkout 36"
Handicapped Ramp I Handrails Continuous/12 in.Beyond[Barth
sides
Active Listening Sygm and SIgMe Assembly Space
Final Electrical i Flex Gas Piping Bonded
Site Plan/Variance required
Final SuM New Structure I Fivod Plain certification if
As-built Septic System La out Required or On File
Building Number or Tenant Address on Building or Driveway 4`
Water Fountain or Cooler
Building Access M Sides by 20'/Driveable Surface 20'wide
May To Issue Temp.or Permanent C/O
94y To Issue C/C
LABuilding&Codes FormslBuffding&Codesllnspecdon FonnslCommerciat Final Inspection ReporLdoc Revised January 7,2008
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 0 Meet:
Building& Code Enforcement At time:
742 Bay Road Queensbury, AT 12804 ARRIVE T 6�m Notes:
(518) 761-8256 Inspector's 1n i t i a In
79 z- t0v-a
NAME: 1),6-f011V1V PERMIT 4 -40 Q R-Y V 7
LOCATION: 9 q ,y¢,, 1%
IE INSPECT ON(date): I Lo
TYPE OF STRUCTURE: bmlrewe.,Fb �q
RECHECK
N/A t YE NO COMMENTS
--f-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/Dampproofmg
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/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT-doe
GENERAL REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ��-
BuiIding&Code Enforcement
742 Bay Road
Queensbury,NV 12804 Arrive am/pm Depart pm
Inspector's Initials
NAME: PERMIT 4
LOCATION: �7/L9,1,1--
TYPE OF STRUCTURE: -
RECHECK
N/A YES NO COMMENTS
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 {- U �
Foundation/Wallpour I
Reinforcement in Place
Foundation/Dampproofing /h c�^uJt
— - Backfili-Approval, --- - -- - ----- ---_— - - -- _ --
Plumbing Under Slab
Plumbing Vent/Vents in Place �V er
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
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping