2002-742 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: P20020742 Date Issued: Monday, October 21, 2002
This is to certify that work requested to be done as shown by Permit Number P20020742
has been completed.
Tax Map Number: 523400-266.003.0001-011-000-0000
Location: STATE ROUTE 149
Owner: STEWARTS ICE CREAM CO INC
Applicant: STEWARTS ICE CREAM CO INC �
This structure may be occupied as a:
BY Order of Town Board ;,
Commercial Alteration TOWN OF QUEENSBURY
K
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020742 Application Number: A20020742
Tax Map No:, 523400-266-003-0001-011-000-0000
Permission is hereby granted to: STF,WARTS TCF,CREAM CO INC
For property located at: 3258 STATE ROUTE 149
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: STEWARTS ICE CREAM CO INC
PO BOX 43S Commercial Alteration 9,000.00
Total Value 9,000.00
SARTOGA SPRINGS,NY 12866
Contractor or Builder's Name/Address Electrical Inspection Agency
STFWARTS ICE,CREAM CO INC
PO BOX 435 -
SARTOGA SPRINGS.NY 12866
Plans&Specifications
2002-742 Stewarts Shop#282
Commercial alteration(900 sq. ft.) of existing structure as per plot plan and specifications.
$108.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 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 Queensbury before the expiration date.)
Dated at the T11
n of een ry; a September 17,2002
:b
t
SIGNED BY for the Town of Queensbuxy. r .
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.
No inspection will be made until applicant has received a Fee Paid $ _ ra [I VLL-
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By: A UC, 3 0 2Qd application form. 2
ApAl cant: ?' /; 7 ��� S �'7' �� TS OF rt t 7,,tS!-t,
� >� Owner: cr,. `Y
Address: Address: �_�. pek` V?_3 -
Phone# -r5Ye~ir? S'Qer%ytiS itfY f Z<P6�C
}S?s'/ - !�t^I�`��`zsj Phone# -
Email Address: Email Address:Property Location: Lot Number: l House Number - / i2 11.! l��j' IIL&
Subdivision Name: Tax Map I�ber: i„ 1)
❑ New Building: residence !commercial Estimated Market Value of Construction:
u Addition: residence/ commercial If an Addition,what will use of new addition be?
'isC' Alteration: residence/ commercial
❑ No change to exterior size: residence/com'1
❑ Other work(describe )
Check OccupancyIuformation 1"Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
* Mercantile z,-
❑ Manufacturin•
❑ 1 car detached garage
❑ 2 car detached garage J
❑ 3 car detached garage
❑ 1 car attached garage
Q 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial U❑ Storage building-
residential
❑ Other
What is the proposed height of the structure. /Y feet C> inches
Will any second-hand or ungraded lumber be used? If so,for what? I a
Type of Heating Syste elec ' / oil / gas/wood /forced hot air/ baseboard/othet:
Number of Fireplaces to be installed C) Number of Woodstoves to be installed L
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 7�z� LrS S.Gi� PY�. 'o�c vie` �97z�PSf /Zolii 7` G�1�c�
Plumber dtk'i� fzgEE
Mason
Electrician L ., c- &760-)4 ,'c
-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. Purther,it is understood that Uwe 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 Survey by a licensed surveyor;drawn to scale,showing actual
location of lI eyv 0/0 7
on/ Pttg)
Signature: Cam'`-`JJ __ owner,owner's agent,hrchitect,contractor
Project Name: L BP#
Address:
Building Permit Submission A lffr
MdtO1--Du&g & Qnm,?'ddP?qec15
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed...... ... ... ......... ... ... ... ... ..... joyes Flno nn/a
2. Energy Form or CheckNIate Energy Code Compliance Forms Complete... [:]yes [-]no gn/a
3. Energy Code Inspector's Report from Checkmate Program..... ... ...... [:]yes [:]no [On/a
4. Septic application completely filled out(if applicable)......... ... ... ... ... [:]yes nno, [&/a
csu��er
S. Electrical Inspection Forrn... . . Oyes Kno FWa
6. Two(2)sets of plans showing the following: ... ...... ... ... ... ... ... ... ... ....... yes Flno ❑n/a
6a. Floor plan(s)... ... ... ... ... ... ... ...... ... ... ......... ... ... ... ......... VYVs nno Fjn/a
6b. Foundation plan......... ............ ... ... ............ ... ... ... ......... ..Elyes Ono VyVa
6c. Cross section(s)...... ... ... ............ ...... ......... ... ......... ...... ... []yes E]nO a
6d. Elevations ... ...... ... ... ...... ...... ... ... ... ......... ... ...... .... nyes F�no [gn/a
6e. Design loads including floor,snow load,and wind load... ... nyes nno Pjn/a
6f. Seismic design(required after Jan. 1,2003)...... ... ... ...... ... ... ... Ryes nno Vila
6g. Plans signed by registered architect or engineer,signed... ....... Elyes Ono On/a
and scaled by a registered architect or engineer
6h. Window and door schedule......... ... ... ... ......... ............ ... Oyes nno 'K' n/a
7. Two (2) site plans showing location of the structure to be built.... ...... nyes Flno N /a
location of well or water lines,location of septic system or sewer line with
all setbacks and separation distances shown,and all improvements to
the property.
S. Solid Fuel Burning or Gas Appliance Form(if applicable)... ... ... ... .... [:]yes Elno V.-Wa
9. DrivewayPen-nit... ... ......... ... ... ...... ......... ... ...... ... ... ...... ... .... Elyes F-Ino
Dater EA,~—
Staff Initial:
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FINAL - COMMERCIAL INSPECTION REPORT
Request received:
_� Office Use
Town of Queensbury (518) 761-8256 ARRIVE am/pm: DEPART a> >
742 Bay Road Ready at time:
Queensbury,NY 12804 Inspector's Initi s
2� Meet:
NAME 4 � � PERMIT# 2 � At time:
LOCATION 2 1
TYPE OF STRUCTURE INSPECT ON(date): t 0 Notes:
N/Al 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. -3 8 in.
Step risers 7 3/4 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 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 '/Z 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 '/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
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
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Office Use
GENERAL INSPECTION REPORT Inspector
Town of Queensbury Ready at time:
Dept. of Community Development Request received:
Meet:
Building& Code Enforcement T T— At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART_am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON(date): joldo
TYPE OF STRUCTURE: 0-
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
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproo fmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place V
-?R--ough Plumbing_ V7,
Heating Rough-In
Insulation
Foundation Walls Interior R- 17Z
Foundation Walls Exterior R- -7Z
Floors R-
Walls R-
Ceiling R- 7Z-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent 7
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
Firestoppi
ing-
L:\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc