2002-840 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
C ERTI F ICATE OF OCCUPANCY
Permit Number: P20020840 Date Issued: Thursday,November 21,2002
This is to certify.that work'requested to be done as shown by-Permit Number P20020840
has been completed.
Tax Map Number:
523400-288-016-0001-001-000-0000
1424 STATE ROUTE 9
Location;
Owner:
LAKE GEORGE PLAZA LLC 4
Applicant: WOLVERINE CONSTRUCTION
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Director of Building&Co a Edoement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT *
Permit Number: P20020840 Application Number. A20020840
Tax Map No: 523400-2 8 8-016-0001-00 1-000-0000'
Permission is hereby granted to: WOLVFRINECONSTRUCTTON
For property located at: 1424 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: LAKE GEORGE PLAZA LLC Commercial Alteration 60,000.00
CIO GREENRIDGE MANAGMENT Total Value 60,000.00
701 WESTCHESTER Ave
WHITE PLAINS,NY 10604
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-840 Van Heusen Factory Outlet Store,LG Outlet Mall
3,783 sq ft interior commercial alteration per plot plan and specifications.
$453.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, October 11,2003
(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 eensburr ri, ay, October 11,2002,
SIGNED BY _ I , -- for the Town of Queensbury.id JF /4
V
Director of Building& �t CoAM ernent
Building Permit Application OCT 0 4 2002
Town of Qtibe-jis —Dept of Community Development, 742 Day Road, Queensbury,NY TOWN OF Q*UEENSBURY
(518)761-8256 FUILDNIG A�!Dr�Y
A permit must be obtained before beginning construction, Permit File No. 11 2002,
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $7
application must be completed and must appear on the. Reviewed By:
application form.
Applicant: W61VeV_iA1e Lijoe) Owner: 1PIN1111PS -VAQ GLASe
Address: Address:
&totje_
Phone#(5LISC Phone#(qp� It S--&
Email Address: Email Address:
Property Location: Lot Number: House Number_/ / LI24 'Cwh-4-1- 14- o1•e
Subdivision Name: "ke 6,eej�,, Ikkff Tax Map Numbers All /Zj-yr
c3 New Building: residence commercial Estimated Market Value of Construction: $ ' 617D
C3 Addition: residence 1 commercial If an Addition,what will use of new addition be?
d Alteration: residence/ commercial
U - 'No change to exterior size: residence com'l
C3 Other work(describe
Check Occupancylnformation is`Floor 21d Floor Other floor Total
BeloW sq.ft. sq.ft. sq.ft. Square Feet
0 Single family dwelling
C3 Two family dwelhng
C3 Townhouse
C3 Multifamily dwelling
#of units
0 Office
o_ Mercantile 2 q2,g j
C3 Manufacturing
0 1 car detached garage
6 2 car detached garage
0 3 car detached garage
0 1 car attached garage
u 2 car attached garage
o 3 car attached garage
c3" Storage building-
commercial
0 Storage building-
residential
0 Other
What is the proposed height of the structure 10 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 air baseboard othet:
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 �C_WAJ 1,Avg- Address Phone Number
Builder., lArbit,fehle e V @M tar, ov _L -2-q-j-0
Plumb6i
Mason
Electrician
Declaration: please sign below after you have car.efullyread 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 ii[atement 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-6i noted,-and that such work is authorized by the owner. Purther,it is understood that I/we shall
submit,prior to_a-C6rff1cate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
AA��ini'se�trai'ojF-or Director ofDuVildingan�d odes,an As Buitt Survey by a licensed surveyor;drawn to scale,showing actual
locati6n16' a .
no constructs
p
Signature: owner,owner's agent,architect,contractor
office Use
-GENERAL INSPECTION DEPORT Inspector:
Town of Queensbury
Ready at time::
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12844 ARRIVE DEPART anz/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: �'y� PERMIT# 202-
LOCATION: INSPECT ON(date): C� Q
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
'Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls it-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
,#mpg
Jack Studs/Headers
Bracing/Bridging-
Joist Hangers Get zt z
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hourSsV
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L.\SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doe
COIEaERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of 06eensbury Arrive) I1K am/= Depart F!n
742 Bay Road Inspector's Initials
Queensbury,Nil 12804
NAME 1/0"K ge+Lse"li- PERMIT# .. 'OZ--'YYO /
LOCATION 3 cS. - c-l-r h-W DATE !>,12,11� d�- ' �
TYPE OF STRUCTURE 644 e�"`� }
N/A YES NO CONMIENTS
ChimneyP'B"Vent/11rect Vent location
Plumbing Vent
Roof Complete
Exterior.finish grade complete
hu,erior/exterior guardrails 42 in.platformldecks
Iicrior/exterior ballasters 4 in.spacing platformidecks
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 gra
Floor bathroom watertight
Other floors okay
Hat water relief valve
Boiler/fumace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(I 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),%hour door
Storage/receiving/shipping room(2 hour), I '/a doors
I 1 i hour doors and closers
'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
EIe:vators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage S�,II ja S i '} I ar✓ t e55 I� 1 ,y'
Handicapped service counters 34 in.,checkout 36 in. ty
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site PlanNariance required_
Final Survey,new structures
.as-buih septic system layout required
Okay to issue tamp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif of Compliance)
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request z SCHEDULE
Received: Permit# INSPECTION ON: 7607-
Name: VNA 11 ) 1 AIVI PM ANYTIME
Location: 1A.6 6Pri(-Qa
APPROVED
N/A— YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS—NORMAL
- BATTERY X,
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM X
FIRE SPRINKLER SYSTFM
FIRE SUPPRESSION SYISTEW
HOOD INSTALLATION
INTERIOR FINISHES \ / x
STORAGE y
COMPRESSED GAS /\ K,
CLEARANCE TO SPRIIXKLV-:RS
CLEARANCE TO HE IN
UNITS 7'
CLEARANCE TO ELIPECTRICLAL
REQUIRED SIGN" E I
EMERGENCY P
MAXIMUM OCCU ANCY SIQN
CHIMNEY
MASONRY ROUG IN
FI AL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE ROUGH IN MASONRY
70—K- THIS 7DA DATE OK MR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN t\ IN PE TEIIBY
FINAL ..........
COMDEV/CHFUSJ/WORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE--BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,
Main Office 176 Igoe Run Road * Manheim, PA 17545
MUNICIPAL CERTIFICATE d ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued i1,
cancelled:
This certificate only covers the electrical equipment and installation conditions as of date. Upon th(
introduction of additional equipment or alterations, application shall be romptly made for inspection.
Inspectors of this Company shall have the privilege of makin ins ections at any time, and if it
,rules are violated, the Company shall have the right t revoke this erti cate.
Date,,, INSPECTOR /tf lf{ffifli#lifffifllf!!!il!!!!!t!{#fffff#{f•{1lfllffff#{1llRIIllif�ff Yf��}flff#i�f#!!1#!1
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Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE Wamlpm' : DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: JZO PERMIT# —] I
LOCATION: INSPECT ON(date): 41rkt-
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
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_-
Heating Rough-In
Insulation clecl,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R JJ
-
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
Firestoppig
L-.\SueHemingway\Building.Codes.Inspcction.FORMS\GENERAL INSPECTION REPORT.doc