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2002-986 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761.8201 Community Development-Building&Codes (518) 761.8256 rrDTIFIr, -AT 0'r CCUPANCY - PennitNumber. P20020986 Date Issued; Tuesday, December 19, 2006 This is to certify that work requested to be done as shown by Permit Number P20020986 has been completed. Tax Map Number ' 523400-288-008-0001-009-000-0000 Location; 1587 STATE ROUTE 9 Owner. LEONARD&CALLION LOMBARDO Applicant LEONARD&CALLION LOMBARDO This structure may be occupied as a; Commercial Alteration&Addition By Orderof Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals, TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020986 Application Number: A20020986 Tax Map No: 523400-288-008-0001-009-000-0000 Permission is hereby granted to: LFONARD & CALLTOPT LOMBARDO For property located at: 1587 STATE ROUTE 9 in the Town of Queensbury, to construct or place at the above location in accordance with application togethei with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tne of Construction Value Owner Address: LEONARD & CALLIOPI LOMBAR Commercial Alteration&Addi 3,500.00 1587 STATE ROUTE 9 Total Value 3,500.00 LAKE GEORGE,NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency ANTT40NY MFMI.T.0 NY 12904-0000 Plans&Specifications 2002-986 Replacement of roof damaged by fallen tree(380 sq ft)per plot plan and specifications. $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Frid ikcember 05,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Offic'e� of the Town of Queensbury before the expiration date.) C, Dated at the Town of Queensbury; Thursday,December 05,2002 SIGNED BY A /I for the Town of Queensbury. % Director of Building&0ode forcement 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. `,ZM—" clg� No inspection will be made until applicant has received a Fee Paid $ 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's Owner: e-r) r) Address: .1; I - �''" Address: �P - e Phone# y } - �5 Phone#( }�- Property Location: Lot Number: I Rouse Number I c� Subdivision Name: Tax Map Number: - -- ! ❑ New Building: residence /commercial 'Estimated Market Value of Construction: $ 00,__-- ❑ Addition: residence/ commercial If an Addition,what will use of new addition bh X• Alteration: commerci ❑ No change to exterior size: rest ence/com'l ❑ Other work{describe ) Check OccupancyInformation 1° Floor 2"d Floor Other floor .Total Below sq.ft. sq.ft. sq,ft, Square Feet ❑ Single family dwelling ❑ Two family dwel ❑ _ Townhouse ❑ Multifamily dwelling #of units pF- -0 EIVED o Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garageRI III I+htt�G©pE ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached g e ❑ 2 car attached-garage ❑ 3 car atta ed garage NI- 0 Storagge� wilding- comr ival ❑ Storage building- �� residential �p 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 air/ baseboard/other: Number of Fireplaces to be installed C) Number of Woodstoves to be installed _ List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder C--I�i 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 Lwe 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 all new construction. Signature: rr'���r_-�Ad�„���� -� owner,owner's agent,architect,contractor FTjNA1 - COMMERCIAL INSPECTION REPORT Request received.- Town of Queensbury (518) 761-8256 ARRIVE_11 Office Use eainlpm: DEPART am/pin 742 Bay Road Ready at time:14-1) Queensbu�ry,ZJ 12804 Ins Initials I�, Inspector's Initi Y(�� Meet: NAME 0S PERMIT#RCbi- q At time: LOCATION TYPE OF STRUCTURE A -4 INSPECT ON(date;a4�� aly/O-S Notes: N/A j YES NO 1 42 Chimney/"B"Vent/Direct Vent location Plumbing Vent Roof Complete C NTS Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in,-38 in. Step risers 73/4in. 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&regulator(18 i above grade Floor bathroom watertight/5 Other floors okay Hot water relief valve 1A, Boiler/furnace enclosure <250,000 BTU N/R /T 250,000 BTU to 1,000,000 BTU's 'I hour) 7 >1,000,000 BTU's(2 hour)_ Gas furnace shut off within 30 ft. or wit rin line of site Oil furnace shut off at entrance to fimia e area Stockroom enclosure(1 hour),,3/4hour(oor Storage/receiving/shipping room(2 hot r), 1 V2.doors 1 1/2hour doors and closers %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 V2. 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 ffflee 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 1V' am/pm: DEPART am/pm Notes: '=:r (518) 761-8256 .Inspector's.Initials NAME: „ PERMIT# �%�'�' ! �0 LOCATION: � YVIIN PECT ON(date): _J f�. TYPE OF STRUCTURE: Q� i RECHECK NIA 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 FoundationlWallpour�_ Reinforcement in Place Foundation/Dampproofmg 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 Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemiragway\Building.Codes.Inspection.FORMSIGF.,NERAL INSPECTION REPORT.doo Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time.. Dept of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj,, NY 12804 ARRIVE q,�'�amlpm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials..0-- NAME: #o s� RMIT q F s4er 9-u. PE LOCATION: .10 \ INSPECT ON(date): V 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 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- ceiling R- Duct work or piping in I unheated spaces R- Prop5yent,Attic Vent Jack Studs/Headers j Bracing/Bridging Joist Hangers- Jack Posts/Main B earn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4,hour Firestopping__ L:\SueHemingway\Building.Codes.Itispccfion.FORMS\GENERAL INSPECTION REPORT.doc Commercial Final Inspection Report Office No.: (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p Depart: _anVpm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: Z-OYK,44n ndo PERMIT#: LOCATION: DATE: COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior Exterior Guardrails 42 in. Platform/Decks Interior Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.-38 in./Step Risers 711/Treads 1111 Vestibules For Exit doors>3000 sq. ft. All Doors 36 in. w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Water-tight/Other Floors Okay Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure I hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 Y2doors > 10%> 1000 sq.ft. 3/411our Corridor Doors&Closers Firewalls Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers Fire Doors Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 3611 Handicapped Ramp/Handrails Continuous/12 in.Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by-2a,7briveiafil-eZ rface 20'wide Okay To Issue Temp. or V—ermanent 00-1--�' Okay To Issue C/C L:\Building&Codes Forms\Building&CodesUnspection Forms\Commercial Final Inspection Report.doc GENERAL INSFEeTlON REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 3'L4 am/pm Depart pm Inspector's Initials NAME: /-G Ski PERMIT# LOCATION: A Y17 DATE: — 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 FoundationfWallpour Reinforcement in Place Foundation/Dampproofing Backfzll 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 JackStuds/Headers ir.ffir 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 Firestoppin Office Use -GENERAL INSPECTION REPORT Inspector: baur, Town of Queensbury Ready at time::".: Dept. of Community Development Request received: 12' YA2.-- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbur3; NY 12804 ARRIVE am/pm: DEPART, am/pm Notes: (518) 761-82M .Inspector's Initials NAME: 0• ' 4-6 ln �� PERMIT# -2 q F6 � -�-, { � INSPECT ON(date): LOCATION: TYPE OF STRUCTURE: RECHECK N/Ai YE O COMMENTS ootings/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 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 _ L-tiSueHemuigway`dBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe Commercial Final Inspection Report Office No.: (518)761-8256 Date Insp ction request received: Queensbury Building&Code Enforcement Arrive: /�`► am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: . NAME; PERMIT#: LOCATION: DATE: CONEgENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in.Platform-/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if re wired Exits At Grade Or Platform 36 w x 44",Q/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers -- - — -- - - Gas Furnace Shut Off Within 30 ft.-or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area StockroonVStorage/Receiving/Shipping Room(2 hr.), 1 'l2 doo > 10%> 1000 s .ft. Y4 Hour Corridor Doors.&Closers Firewalls J Fire Separation,2 Hour, 3 Hour Compl e/Fire Dampers 1 Fire Doors CeilingFire Stopping, 3,000 s . ft,Wood Fra •e Attic Access 30"x 20"x 30"(h),Crawl Space Adcess 18"x 24" Smoke Vents Or Fan,if required Elevator Operation and Si a e/Shaft ealed Handicapped Bathroom Grab Bars/SilAks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicap ed Accessible Handicapped Service Counters, 3 n., Checkout 36" Handicapped Ram /Handrails Continuous/12 in.Beyond Active Listening System and Signa e Assembly Space —. Final Electrical `�A << r` ; ;/fj A`//et Site Plan/Variance required --- Final Survey,New Structure/Flood Plain certification,if reg. d,s As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide ' Okay To Issue Temp, or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc i 117,71 BUIL-DI &G J- '�ANN" DtZ� SBORIY EBT CT —REVIUVEO�BY _ P4Y- _ . R GATE --77�l -7T 77 A,tee U 4� ! �``�?it�3 fltU�V� �i t•��!1AI';il!.Yip i IS + � 7T7 F, CC 14 771 _ I 1 t 7 T �� _ �_� � � -� � �� I � �, S�� Ind �• � �t ��r_ .. _ � r1 .! w , _ e •• i � � it .. � I �_ 1 _p���._.V k u{ . MIA= 4$T RANT, to 11 to 'aL I i III�I � ✓.I .� IF ..a z �.�n � ��1 ti /V 7 rn