2002-747 ` TOWN. OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761,8201 '
Community Development Building&Codes (518)761-8256
'P
CEIRT IFICATE CIF OCCU ANul
Permit Number: P20020747 Date.Issued: ; Thursday,April 24,206
This is.to certify that work requested to be done as shown by Permit Number P20020747
has been completed.
Tax Map Number: 523400-302-006-0001-001.000-0000
Location: 9 GLEN St
Owner: RAYMOND&ROBERT ROHNE
Applicant! PAIJL GUSHING
This structure-may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Director of Building&dde En tcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020747 Application Number: A20020747
Tax Map No: 523400-302-006-0001-001-7000-0000
Permission is hereby granted to: PAULCUSHING
For property located at: 670 GLEN St
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: RAYMOND&ROBERT ROHNE Commercial Alteration 60,000.00
670 UPPER GLEN St Total Value 60,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2002-747 Mohan's Glen Dev.,Inc.
1,000 sq. ft. commercial alteration as per plot plan and specifications.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 13,2003
(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 Friday,September 13,2002
for the Town of
SIGNED BY A / .1% � x .� Queensbury. F
Director of BuildinN Modnforcement
Building Permit Application -�
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY u�'u C�
(518)761-8256
AUG, 2 9 2002
A permit must be obtained before beginning construction. - Permit File No. Z--ob 2_7t. 11-01fit'l OF nUEENSBti711Y
No inspection will be made until applicant has received a Fee Paid $ tQ -0-0
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 -t_ (f—:-C✓5j4, t2!i A&aol Owner:�f�1JQ� �it W�
Address: 4 Address: 7d 04I _YII1-
t.�3:�hs<a N i L 9 Uzl--- !vt-_ t�-
Phone#{fig}. - ! Phone#{�?�3)79'2-
Email Address: Email Address: 562P
Property Location: Lot Number: ! House Number 4!-7,0 2'p[ a2o ` `T
Subdivision Name: Tax Map Number: .f [p ` 1
r
❑ New Building: residence /commercial Estitnat,d-U xket Value of Consttuction: $�` C1V�'
0 �Addi ' residence/ commercial If an Addition,what will use of new addition be?
er Ltio residence/ ommercial c ange to exterior size: rest ence/
0 Other work(describe )
Check Occupwicyluformation Vt Floor 2'd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft.. Square Feet
0 Single family dwelling
0 Two family dwelling
Cl Townhouse
o Multifamily dwelling
#of units '
0 Office
2F Mercantile
o Manufacturing
0 1 car detached garage
❑ 2 car detached garage
0 3 car detached garage
0 1 car attached garage
.0 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
0 Storage building-
residential
0 Other
.What is 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 / gas/wood /forced hot ajr/ baseboard/othei:
Number of Fireplaces to be installed Number of Woodstoves to be installed_.AZ_I�
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 1/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Buildin and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of Pr51Wcons tion.
Sigma /'� owner,owner's agen architec ontractor
" - Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbuty, NY 12804
Phone(518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request L- SCHEDULE /S U
Received: Permit# 7 INSPECTION ON: /
(� 34
Name: (1'1 1" AM PM ANYTIME
Location. Co 7o 6(w- fi
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY l�htiY�
EMERGENCY LIGHTING In {
FIRE EXTINGUISHERS 5 Qi
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
EMERGENCY PLAN
MAXIMUM OCCUPANCY.SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
'CHIMNEY
FACTORY BUILT ROUGHIN
FINAL �—
WOOD
STOVE ROUGHIN
VENTED GAS FINAL 'A
APPLIANCE APPLIANCE ROUGHIN 111
FINAL
FIREPLACE
MASONRY ROUGHIN O(THIS DAT O C NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEVICHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
--Fire- rshalls 0frice
,a'
74 Bay Road
Queen ury, NY 12804
hone (518) 761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received, Permit# nr� 2�Z INSPECTION ON:
PM
HE INSPECTION SC
HEDULE U T L'0 E
Name: N ON:
AM ANYTIME
Location:
APPRNED
N IA _Ylr NO COMMENTS
EXITS
AISLE WIDTHS e-"6.x'4L"- lv3
EXIT SIGNS-NORMAL X
- BATTERY -7V,,
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM Pu_
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM t. Ic?yx W'
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE 1-Le
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE I
L
EMERGENCY PLAN ic
MAXIMUM OCCUPANCY SIGN __
CHIMNEY
MASONRY ROUGHIN
CHIMNEY FINAL
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THIS DATE F RCO T OK
FINAL
11
FIREPLACE
FACTORY BUILT ROUGHIN y
L
FINAL
I SPECTED BY
COMDEVICHPJSJIWORD/LETTERS200liFIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
'i
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received: /J
Office No. (518)761-8256
.Dept. of Community Development
Town of Queensbury Arrive am/pm Depart wWpm
742 Bay Road inspector's Initial
Queensbury,NY 12804
NAME PERMIT# -!
LOCATION - DATE 3 — j
TYPE OF STRUCTURE
N/A YES NO COMMENTS
ChimneyP'13"Vent Virect Vent.location
Plumbing Vent
Roof Complete
Exterior finish grade complete
hucrior/exterior guardrails 42 in.platform/dedcs
huerior/exterior ballasters 4 in.spacing platfom/decks
Stair handrail 34 in.-38 in.
Step rises 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Candy to cover req.exit,doors
Gras valve shut-off exposed®ulator(18 in.)above grada
Floor bathroom watertight
Other floors okay
Hat water relief valve
Boiler/fumace enclosure �J >�� Coy gg �j� l Cam'
<250,000 BTU N/R 1
250.000 BTU to 1,000,000 BTU's(1 hour) / _N� ,_ G 1 rdu^
>1,000,000 BTU's(2 hour)
Gas fturnace shut offwithin 301 or within lime of site
Oil furnace strut off at entranceto furnace area
Stockroom enclosure(I hour),3/4 hour door
Storage/receiving/shipping room(2 hour), I '/doors
11,i hour doors and closers
3.hour corridor doors and closers .._.. �r ��lf' ,G- t,;r.. {fv�e-� "1
Firewalls/fnre separation,2 hour,3 hour complete -'"
Fire darngers,2 hour fire wall/separation or greater _l
Fire door/shutters 1 '/2 hour,3 hour Gl1SGv31/
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/sinksAoilcts
Handicapped bath/parking lot siguage
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 P1anNariance required
Final Survey,new structures
.As-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)
Offwe Use
.GENERAL INSPECTION REPORT Inspect--
Town ofQueensbury j Ready at time.,
.Dept. of Community Development Request received Meet.,
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials (7)#
NAME: r PERMIT
L
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES i 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
Toundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
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�__
Jack Posts/Main Beam
Air Infiltration , ier
Fire Sa 11 g 3,hour V/—
Af
PenetrationSea
( irl hour__
Frestopp _
--- - ---I- I
L:1SueHemingway\]3uilding.Codes.Enspection.FORMS\GFNERAL INSPECTION REPORT.doe