2001-366 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010366 Date Issued: Friday, January 04, 2002
This is to certify that work requested to be done as shown by Permit Number P20010366
has been completed.
Tax Map Number: 523400-296-017-0001-034-000-0000
Location: 863 STAl'E ROUTE 9
Owner: HERBERT G SHEINBERG
Applicant: PIZZA HUT
This structure may be occupied as a:
By Order of Town Board
Commercial Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF -QUEENSBURY.
f
0 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010366 Application Number: A20010366
Tax Map No: 523400-071-000-0001-009-000-0000
Permission is hereby granted to: PIZZA HUT
For property located at: 863. 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: HERBERT G SHEINBERG Commercial Addition 10,000.00
C/O GATES ENTERPRISES Total Value 10,000.00
27 KENT St
#102
BALLSTON SPA,NY 12020
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-366 PIZZA HUT
8' X 8' WALKIN FREEZER AS PER APPLICATION
i -
$50.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday,June 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 own of ue nsb :; riday,June 15,2001
SIGNED Y for the Town of Queensbury.
Director of Building Code Enforcement
•
.Building Permit Application
Tbwn of Qucensbury—Dept of Community Development, 742 Bay Road, Quecnsbury, NY
(518) 761-8256
A'permit must be obtained before beginning construction. Permit File No CP/-3(e
No inspection will be made until applicant has received a Fee Paid p, C'°
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form. ll__ }}
Applicant: ?i271�' 1 .)+tdt Owner: �'}efbei 5i')0r3ef,..3
• Address: (319_3 $►)- R Address:
0Y V-gu-k
Phone# (gIcc )`?r 3 - I 1 Phone#0 l2-) 391 - 433 L{
Property Location: Lot Number: / House Number 50 / At- *ee-►'i35 Lucy
Subdivision Name: �l) JP}- Tax Map Number: •
f
❑ New Building: residence /commercial Estimated Market Value of Construction:,$ 000
Addition: residence/407
If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial a ILA i
❑ No change to exterior size: residence/com'I 1 ,
other'work(describe y$ Oa IY'In3 )
ftree2—et/ JUN 0 4 200-9
TOWN OF Q..iE :sS st1RY
,t u,l �I Ali Esia
Check -Occupaneyinformtltloll I floor 2 Floor ()I heraft iii by :►I
Below sq. fl. sq. I't. sq. II, Square Feel
❑ Single family dwelling
❑ Two family dwelling
o Townhouse
a Multifamily dwelling
#of units
❑ Office —
• ❑ Mercantile _
❑ Manufacturing
1 car detached garage
❑ 2 car detached garage
a 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
_—Li Storage building-
commercial
--❑ Storage building- — — — ——
residential
Xt,. Other pre e24✓ (o�{ �v�
• Will any second-hand or ungraded lumber be used? If so, for what? Y\)a
Type of Ideating System: ,electric/ oil / gas/wood /forced hot air/ baseboard/other: iv 1
Number of Fireplaces to be installed Number of Woodsloves to be installed 43—
•
List below the person(s) responsible for supervision of work as regards to building codes:
Name .Address Phone Number
Builder O6 met ( tkerJ6u/y `�%ts IoroQ'?
Plumber I
Mason C t,�� C 1 in S-(6.147 e i}vtdi 6601
fv(ii
Electrician ! t .L'` )a
eec
Declaration: please sign below nilcr you have carefully read the.latcthi n
To the best.of my knowledge the statements contained in this application, together with the plans and specifications
submitted,arc a true and complete statement ol•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 I/we shall
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 Surlier by a licensed surveyor; drawn to scale,showing actual
• location of all new c mstru lion.
Signature: agent,architect, r co tractor
6 owner,owner's6
FROM : PIZZA HUT FAX NO. : 7936578 Jan. 04 2002 03:43PM P1
rca PrJc_10100_13 PrPrPcsardrerar ro tJsarosor_rar Jor_frJ camp c r�cln Pc ir.ra rrndarlr�cl�rLI El
5 • BY THIS CERTIFICATE OF COMPLIANCE THE
• NEW YORK BOARD OF FIRE UNDERWRITERS
55 BUREAU OF ELECTRICITY 5
c5 40 FULTON STREET 7. NEW YORK, NY 10038 )--- 3CQ
5 . . • CERTIFIES THAT . .
5
Upon the application of upon premises owned by • _
5 5c .
• NICHOLS ELECTRIC CO. * PIZZA HUT
c5 2 JONES AVE. MILLER HILL C5
HUDSON FALLS,NY 12839, QUEENSBURG; NY 12804
Located at • MILLER HILL QUEENSBURG; NY 12804
Application Number: 1029499 Certificate Number: 1029499
5C
5 Section: Block: Lot: Building Permit: BDC: .A239
5 Described as a Commercial occupancy,wherein the premises electrical system consisting of
5 electrical devices.and wiring,described below, located in/on the premises at:
•
•
Electrical and the detail of the installation,
was inspected in accordance with the National Code d h ►n allatton,asset forth below,was 5 .
�' found to be in compliance therewith on.the 11th Day of December,2001. �5+
Name QTY Rate Rating Circuit Type 5
C5 Motors C5,
' 5 1 fhp . • CJ
Panels .. S
1 30 2
5 Wiring and Devices" . • 5
i
Fixture, __-- -_- :_ __ 1--0 _________ .__. . Incandescent _._.�_
.—r
5 •
.5 . .
.5
5
5 . . 5
seal • . ..
, 1 of 1
This certificate may not be altered in any way and is validated only'by the.presence of a raised seal at the location indicated. .
C,
• o�r���r��r�r�r rr�r��>�r��r�r�r�r�rsLIMPEP �r�rrGn�r���nt���.r�n�n�n����l-�r��t���n�ncn�n��l-���,s��LIEM a o
,mac
J 1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspectiop request received: i ' /
Building&Code Enforcement . 1' Li
Dept.of Community Development Arriv epart - ai
Town of Queensbury - pector's Initia
742 Bay Road
Queensbury w York 12804
NAME 1 Z� \,� n PERNIIT#t � �-�'�L'
LOCATION D `t' - DATE .1 9 — C7
TYPE OF STRUCTURE E1�c�C\. v� .`e�ZE'✓
N/A YES NO COMMENTS
Chimney Heights"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof _
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landig 18 in.or more
Interior Handrails stairs both sides 3 1r more •sers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulatoi 18"abo e grade
Gas Furnace shut-off within 30 feet o.within Me of site •
Oil Furnace shut-off at entrant.. to cc . •a
Furnace/Hot Water Heater ope .ting
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. r
Handrail exterior stairs both sides n}ore than 3 risers •
Interior privacy/trim/doors/main en ance 36"
Floor Finish •
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwls
Smoke Detectors: /
every level 1
every bedroom /
outside every bedroom /
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
afety glazing 18"or less from floor
Final Electrical //
Site Plan/Variance required
n al Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent CIO(Certif.of Occupancy)
GENERAL INSPECTION REPORT cr
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive/-v..am/ epart _dip
110-
pector's
.NAME: � !��- — . PERMIT •_ b(6,
(LOCATION: � �• _i� 9 _ DATE : i s
TYPE OF STRUCTURE: a
RECHECK
N/A YE/NO COMMENTS
otings/Piers I l/ I
Monolithic Pour Form t�
Reinforcement in Place
The contractor•s responsible for
providing prote tion fro freezing
for 48 hours fol .wing the placement
of the concrete.
Materials for this p $ se on site
Foundation/Wallpou
Reinforcement in Mai--
Foundation/Dampproo ng
Backfill Approval
Plumbing•Under Slab
Plumbing't/Vents•$ ace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior ''-
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