2001-549 Amor
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: P20010549 Date Issued: Thursday, November 01, 2001
This is to certify that work requested to be done as shown by Permit Number P20010549
has been completed.
Tax Map Number: 523400-296-017-0001-051-000-0000
Location: 876 STATE ROUTE 9
Owner: ALEXANDER POTENZA
Applicant: KOEHLER INDUSTRIAL DESIGN, LLC
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Director of Building& Code Enforcement
TOWN OF QUEENSBURY
'�O 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010549 Application Number: A20010549
Tax Map No: 523400-296-017-0001-051-000-0000 •
Permission is hereby granted to: KOEHLER INDUSTRIAL DESIGN, LLC
For property located at: 876 STATE ROU 1'E 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: ALEXANDER POTENZA Commercial Alteration 5,000.00
FRANK BORK Total Value 5,000.00
403 GLEN St
GLENS FALLS,NY 12801
Contractor or Builder's Name/ Address Electrical Inspection Agency
JOHN ELLIS
NY 12804
Plans &Specifications
2001-549 KOEHLER INDUSTRIAL DESIGN, LLC
800 SQ FT COMMERCIAL INTERIOR ALTERATIONS AS PER APPLICATION
•
• $96.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,July 25,2002
(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 T s . : Quet b ; e i esday,July 25,2001
SIGNEDAir BY / for the Town of Queensbury.
� � Q ury.
Director of Building&Code Enforcement
•
Building Permit Application
. 'l own of Quccnsbury-Dept of Community Development, 7,12 13ay Road, Quccnsbury, NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No, •I,Ict •
No inspection will be madc until applicant has received a Fee raid " 17.t./al'
valid building permit. All applicants' spaces on this Rec. Fee Paid ✓ - E®
. application must be completed and must appear on the -
Reviewed By
application form. . 4 JUL 2001
Applicant: 6A-1 C-7 oGJ--1 LL 12_ Owner: IZS L`>' f Po' t
Address: ct 13tztA12440)2-5r 9¢.- Address: o C Lei4 s1-1. BUI G AND CODE Y
6 4145s tJ a-t tJ`e 12- 3 J C-7 Le,(1. EA-(--c-5f 14 Y
, . ofitivf Phone# ( Z ) 'MB- S354- Phone Ii(Si( ) 7`t3 - 6Z-iS
ee - - 569-0631
T7 /004, 2 Property Location: Lot Number: _ / I-Iousc Number __/ „_
Subdivision Name: Tax Map Number: 1,.5,,........
/Wier •l
- p)4 Z
❑ New Building: residence /commercial Estimated Market Value of Construction: $ J.
u Addition; residence/ commercial If an Addition, what will use of new addition be?
M' Alteration: residence/ commercial
No change to exterior size: residence/com'I -
❑ Other work(describe ) ' .
•
•
Occupancylnformaliou
Check IWhloor 2' Floor 011ter floor 'Total •
Below sq. 11. sq. It sq. rl. Square Feel
❑ Single family dwelling
o Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
• Office
-
❑ _Mercantile �y'1C` ,'-;r:: ;''
Ed Manufacturing 2,fb.c ,. �,,' . �{'_c,` ,�rS--,z1 >.,�-a
u I car detached garage _ --�-
U 2 car detached garage _
❑ 3 car detached garage _
❑ I car attached garage
u 2 car attached garage
• 3 car attached garage
u Storage building - -
commercial
❑ Storage building-
residentinl — _.- —_
• Other
Will any second-hand or ungraded lumber be used? If so, for what? "46
Type of Heating System: ccU is oil / 3as/ vood /forced hot air/ baseboard/other:
Number of lNireplaces to be installed Number of 1!'fwd. toi'es to be installed
List below the person(s) responsible for supervision of work as regards to building codes:
•
Name Address Phone Number
Builder —SOL; L C..L.1 5 eft. 09-Vl t✓c.0 Si:- ?'I-5 - 69 o.'t
Plumber
Mason
Electrician
1.?ccli!_njJQ9: please sign below after you have carefully rend the statement: •
'l'o the best of my knowledge the statements contained in this application, together with the plans and specifications
submitted, are a trite and complete statement of all proposed work to he done on the described premises rind that all
provisions oldie !Wilding('ode, the Zoning Ordinance and all other laws pertaining to the proposed work shall he complied
with, whether specified or noted, and that such wink is authorized by the owner. further, it is understood Thal I/we shall
submit, prior to a Certificate of Occupancy or Ccttilicate of Compliance being issued, as requested by the Zoning
Administrator or Director of Ilttildin, and Codes,an,Is Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new c nstruclior
Signature: owner,owner's agent,architect,contractor
• L 4,-(-144-1-Li4/
• COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received: . // �)/ 411/
mspec eq
Office No. (518)761-8256 15l.....)
`s
Dept. of Community Development
Town of Queensbury Arrive am/pm Depart it..
742 Bay Road Inspector's Initials el
Queensbury, NY 12804 ir
NAARE )44,ter '�1�` PERMIT# 40/.:-WY
LOCATION �'�� 5 DATE
TYPE OF STRUCTURE ,
/6ti 1r 4z.4-
N/A YES i(Aa ^
COMMENTS
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/. <<
Interior/exterior ballasters 4 in.spacing platfe./ decks
Stair handrail 34 in.-38 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®ulat. 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 B 's(1 hour) ' \Q D
>1,000,000 BTU's(2 hour) irr%' cdi
Gas furnace shut off within 301 or ithin line of site
Oil furnace shut off at entrance to ace area 5-(oppeol:
ck
Storoom enclosure(1 hour),3/4 h Jur door
Storage/receiving/shipping room(.hour), 1 '/z doors
1 '4 hour doors and closers
'4 hour corridor doors and closers
Firewalls/frre separation,2 hour, hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters 1 '/z hour,3 hour +10
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 temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrivet21/6 am/pm Depart _Ei/pni
742 Bay Road Inspector's Initials .I /y
Queensbury, NY 12804 // f
NAME f 4/- -4 7c
L PERMIT# d/
LOCATION �'� DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks ,
Interior/exterior ballasters 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 de
Floor bathroom watertight
Other floors okay •
Hat 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: site
Oil furnace shut off at entrance to furnace.--
Stockroom enclosure(1 hour),'/. • roor
Storage/receiving/shipping ioam(2 hour), 1 ''A di•rs
1 '4 hour doors and closers
.hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complet-
Fire dampers,2 hour fire wall/separation or geat. r ‘Th.
Fire door/shutters 1 '/z hour,3 hour l� �� A10 t;l Jc .1I -r'•^- r
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
.-dive 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 temp.C/O(Certif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
FIRE MARSHAL
TOWN OF QUEENSBURY
` 4 QUEENSBURY, NY 12804
(518) 761-8205
CCCk:‘,- ch.,
FIRE MARSHL INSPECTION REPORT
REQUEST RECEIVED (0!10
NAME KO h IOC ca
LOCATION Et I PERMIT# 59191
SCHEDULE INSPECTION ON 0 ' o
1 AM M
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS _
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNIT'
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: DOK TO THIS DATE
ront 611 ec
�'
INSPSLIP.PUB INS OR
FIRE MARSHAL
te1Poia TOWN OF QUEENSBURY
�% � QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT�- PERMIT# OZ � S"l
NAME fJA- '4/-�io7Jf ,•
LOCATION 2d` I i 2/4
SCHEDULE INSPECTION ON 9//0/i
1400 AM 'NYTIME
APPROVED
N/A YES V
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING •
I
FIRE EXTINGUISHERS
FIRE ALARM SYST
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
:///
CLEARANCE TO HEATI G UNITS
REQUIRED SIGNAGE
CHIMNEY I-
WOOD STOVE !! '
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
f Vron a- do a tarn 51r\op
oc-C‘Lt LA(
c-) *asp ‘--)pr-, 014 6,-1
INSPSLIP.PUB INS ECT
'/may'
COMMER FINAL INSPECTION REPORT I v n-o`r
Building& Code Enforcement Date inspection request received: cSn�(/1)?
Office No. (518)761-8256 5 --P.3ec---
Dept. of Community Development
Town of Queensbury Arrive.2'I(am/pm Depart am/pm
742 Bay Road Inspector's Initials r-
Queensbury,NY 12804 GCS
�1� 5 9 q 7 w
NAME ��✓ �' PERMIT# o �
°� � ��`-r
DATE ✓/ (>�
TYPE OF STRUCTURE (r� ALPz�'d' 11 l!!
N/A YES NO COMMENTS /�
t�imn P'B"Vent/Direct Vent location �}k1-
Plumbing Vent
Roof Complete
Exterior finish grade comp'
Interior/exterior guardrails 2 in. latform/decks
Inerior/exteriorballasters in.sp cing platform/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Alain door 44 in. 1 I
All others 36 in. 1 J
Lever handles
Exits at grade or platform •
/
Canopy to cover req.exit di 4
Gas valve shut-off exposed__,& lator(18 in.)above grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/f mace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 B 's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or w' in line of site
Oil furnace shut off at entrance to fuma area
Stockroom enclosure(l hour),3/4 ho.
Storage/receiving/shipping roo hour 1 'h doors ✓
I '4 hour doors and closers
4 hour corridor doors and closers 1/7
' / /Firewalls/fire separation,2 hour,3 hour•s .lete T4s
Fire dampers,2 hour fire wall/separation o greater
Fire door/shutters 1 'A hour,3 hour /
Ceiling fire stopping 3,000/5,000 sq.ft. �r (�
Fan shutdown,smoke vents or fan
_EA Exit door/panic bars assembly hardware I - //' ��, r4:� Alt �cr c, sr-
Elevators
Elevator signage ,g9r'4"-- cl�Lur
Handicapped bathroom grab bars/sinkskoilets !dyr-
' Handicapped bath/parking lot signage
Handicapped service counters 34 in.,dieckout 36 in. (=—/�.:1 1 - e i rc-<,
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 temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
eliA9— --- ----)---------' ---
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury f
Dept.of Community Development Date inspection request received: 25 7
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Pk) am/pm Depart Am/pm
S I�t eS S /� 1 edl i.e : Kve-k l ei Inspector's Initialfr
NAME: l e r P*'PERMIT#
LOCATION: /I/.::' per, DATE: I 1 ��•
TYPE OF STRUCTURE: 1 L0' . I _h . V�
RECHECK
N/A YES-NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le for
providing protection from freezing
for 48 hours following the placemen
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval /'/
Plumbing Under Slab /el At G;,
/du--
Plumbing Vent/Vents in Pla - di
Rough Plumbing S ars ed
Heating Rod -In
Insulation
Foundation Walls Interior R
Foundation Walls Exterio R •
-
Floors -
Walls -
Ceiling
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 Ba 'er /
Fire Separation 1 ,hour vv
Penetration Seal
2, 3,4 hour
{opping , �/
r/RECEI VE'n
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7 & 2001
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