2000-029 .W. qtb'" p.T1• •Y ., , , r ... ..
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e t 11A
r, inca 0 Comp iantx
Town of Queensbury ;
Warren County,New York
April 14 , 2000
Date
20@0029
This is to certify that work requested to be done as shoe by Permit No,
has been completed,
COMMERCIAL INTERIOR ALTERATIONS
This structure may be used as a
4 WESTERN AVE. SOUTH
Location
owner LIGHTHOUSE, THE
TAX MAR M 17 . -11-2
By Order Town Board
1
r , '
d 0.
Director of Building&Code Enforcement
BUI-LDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 2000 Building Permit No. 20000�
TAX MAP NO. 117 . -11-2
Permission is hereby granted to - LIGHTHOUSE, THE
Owner of property located at 4 WESTERN AVE. SOUTH
in the Town of Queensbury,to construct or place a com Pr.TAT. INTERIOR Al E Ion
at the above location in accordance to application together with plot plans and other information and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
—Owner's Address:
4 SOUTH WESTERN AVENUE
QUEENSBURY,, NY 12804
Contractor or Builder's Name:
REV. DAVID FRANK
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
COMMERCIAL ALTERATIONS
Plans and Specifications:
2432 SQ FT COMMERCIAL INTERIOR ALTERATIONS AS PER APPLICATION
Proposed Use:
OMMERCIAL INTERIOR ALTERATIONS
50
$ PERMIT FEE pAjD_THIS PERNffT EXPIRES'_ February 14 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 To Queensbury4 Day of February
SIGNER BY Queensbury
Enforcement Officer
_ .ouisain„� .-permit .application
'OW12 O,�QllG'G'/1Sb111"y - Dept. ofCol,nirtut!/y Det,ertprrurltj' 7,12 Bc,y lZond, Qucc'n.sblny, N}' 12804 (71r1-825()J
�OTIG" BUILDING & - CODE ENI'ORCEAIEN7'
Requirements prior to issuance
A permit must bo obtitined before of this permit: I'CRA?t7`IIGG NO.
lMktiuning conntrtuetiott. No inespeclioan _ �Will be ttwcb until applicant Tuts received U ?vnisrb Llaczrd AcJlvrt I'!s%thdl%'I•'L,i l illy$ -
a VAI,.ZD 13UILDING PERMIT. All Area /Usa
applicalits` spaces on lltis application RECREAT/ON IEE Pi1JD$
MUST be completed appear
it (110 aces Q Plartnbtg Doar d•�l cdon Of We applicant must nppeztz 4 tlto RCVIL WGD l3Y. ,�•_
plicafion form. rn.k;4. SIM t Subdivisietz /Olhcr tndld;ng r ul crro.• -
12ccreation Pee 1'ftytllellt _
Applicatlt: 1f Owner• �^ U�
Address: bt:t v D
Address:
Phone ## ( J _�_) Z°L� #�- _ 1111o11C ( )
Property Location: - �U+k—-W a r„t o ----- ----- ------- ���-
:Subdivision Name: _ ecru Vn.�l� {Gx�¢_. Tax M:tl>Number r
u Scctiou Illock l,)t
NATURE OF PROPOSED WORK:
i
BSI*MI1xa1;D MIIZ�KI;TjT U O Ii A tt New Building:
CON�Ss2 I
c?L �oN� 4 0,A JVJr -
residence j comttterc:ial
Addition to Building:
residence j cominerclal OCCUPANCY SNFOItRSATION:
Alteration to Building: Primary Building -
residence�j�orcial Single Family Dwelling_ Residence //fuom11-1 al'� Two Family Dwelling
no change, to xteraor size Family Dw�=1rt p
Office Other Work (describe below) Mercantile
Manufacturing FEB 0 � 2000
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st, Floor. . . . . . . .? sq. ft. If ADDITION, what will"`-trse-�
2nd .Floor.. . . . , . sq. f.t, of new, addition be? :
Other Floors. . . sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. F`1'. Attached Garage 1, 2 car
Private Storage Building
SXZ1; OF NEW STRUCTURE: Commercial Storage Building
FEET X FEET •
Other
Foundation Type: Will any second-hand or ungraded
Nuinber of Stories : luinber be used? If so, for what-?
(habitable space only)
height: (Cz'ticle to rldya) Root 1:Y1'I: Ul' ItF.l1LINCy SY.�'I1:M:
Nuinber of f.i.replaces and/or woodstove (circic' all which applies)
to be installed: Electric / Oil / Gas / Wood
forced blot Air / Baseboard / Other
Person responsible for supervision of work as regards to building '
codes is :
Ndine hddr ss Phone
Builder: e�•.- 11iG� ►ztv11� es a T( ,,��Luvu y7�P3 f7a2S�
Plumber:
Mason:
Electrician:
DE,CLARAT10N• Please sigh below after you have carefully I•ead the statement.
To the best of my knowledge the statements contained in this application, togetller wills llie plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described preutiscs and that all provisions of the 13tuilding Ccxle, the 7_,oninL; Ordinance :111<1 all
other laws pertaining, to cite proposed work shalt be complied with, whether specified or noted, and
that such work is authorized by the owner. Purtber, it is undcrstocxl that Ilwc shall submit prior to a
Certificate of Occupancy'or Certificate or Compliance being issued, an AS 13U11-T PLOT PLAN by
a licensed stu-veyor; drawn to scale, slowing actual location of project on premises.
Signature:
(owlier, owner's agent, arcifiWIt, contractor)
' COAUKERCL4,L FINAL INSPECTION REPORT
I
Building& Cade Enforcement Date inspection request received:
Office No. (519)761-8256R`-
Dept.of Community Development
Taevtn of QDueensbury Arrive a arm4f�p a F
742 Ray Road Inspector's Initials
Queesnsbury,NY 12804
NAT%4E PERmrr#
LOCATION / av- il.r A-e— DATE 4LI/
TYPE OF STRUCTURE
N/A YES NO CON RViENTS
ChimneyP'B"Vent0irert Vern location
Plumbing Vent
Roof Complete
Exterior finish grade corrrplete
hicrior/exterior guardrails 42 in.platf dec3cs
9zior/exterior bailasters 4 in.spacin platform/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
F-&s at grade or platform
Canopy to cover red exit doors
Cres valve shut-off exposed®ul or(18 in.)above gra
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(I hour)
>1.000,000 BTU's(2 hour)
Cress furnace shut off within 30 ft• within Line of site
Oil furnace shut off at entrance to mace area
Stockroom enclosure(I hour),3/4 h ur door _
Storagelreceiving/shipping room(2 hour), I 'h doors
I '/z hour doors and closers
14 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 I Mt 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/sinksRoilets
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 PianNariance required
Final Survey,new structures
As-built septic system layout required
Okay to issue temp.C/O(Certif.ofOccupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
F=IF:Za M^F,"SHAtL-
-F-C>WM <DF= C)UIEarqSE3Uf:Z'v"
ClU-aIEN,SE3LJF:Z'Y', M)r 12804
(518) 7461-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME 1 11
LOCATION PERMIT
SCHEDULE INSPECTION ON c�-
13Z!%5 - IAN(Tpr�-) 1 ,
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSI 1'*-J SYSTEM IX
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEATI C3 UNITS
REQUIRED SIONAGE
CHIMNEY
WOOD STOVE
FIREPLACE = MASONRY FACTORY BLT.
ROUGH-IN
FINAL
REMARKS: IlSa'OK TO THIS DATE
CD
INSPSLIP.PUB INS4044ad
THE NEW YORK BOARD OF FIRE UNDERWRITERSi!�
BUREAU OF ELECTRICITY
F 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
Date Ap li toiNf
46520500/41
, l.THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above a plication number is in the premises of
LIGHTHOUSE r 4 800TH WliSTEM AVE1. F BOMTORF)r Ql),48-14613UR '. NCI'
in the following location; El Basement ® 1st Ft 0 2nd Fl. Section Block Lot
was examined on APR I L 12MO@ and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES 5WITCHE$ INCANDESCENTFLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P.
]5 4 5 18
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
SYSTEMS
AMT, KX OIL H.P. GAS H'.P. AMT, NO. A.W.G. AMT, AMP. AMT, AMPS, TRANS. AMT H.P. NO,OF FEET AMT. WATTS
— —SERVICE-DISCONNECT--%-0E— .E___»Ρ_. .R_ '-V_
METER N0.OF CC COND. A.W.G. A W.G. A W.G.
AMT, AMP. TYPE EQUIP. T 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND, N0.OF HIAEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
U' IT-�i1`'1'iP GE1`C7
DAVID FRANK
LIGHT HOUSE
4 8OU19 i19,STFTN AVE, GENERAL MANAGER
gjaallsbokyr NY! "I, 19
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
Iff $ n I
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
CORCIA]L FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive d-�b anVpm Depart pm
742 Bay Road Inspector's Initial
Queensbury,NY 12804 f j. k)e
NAME 't PERWF#
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO CON v ENTS
ChianncyP'B"VoWDirect Vert location
Plumbing Vent
Roof Complete
Exterior finish grade complete
haterior/exterior guardrails 42 in.platform/
lierior/exterior ballasters 4 in.spacingpl arm/
Stair handrail 34 in.-38 in.
Step rises 7 3/4 m.
?Main door 44 in. I
All others 36 in.
Lever handle
Exits at grade or platform c de
Canopy to over req.exit.doors
Gas valve shut-off exposed&jzgulaW in.)above gra
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 301 or with line of site
Oil furnace shut off at entrance to furnace 4rea
Stodvoom enclosure(1 hour),3/t hour d
Storage/receiving/shipping room(2 hour), '/z doors
I 14 hour doors and closers
3.hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour lete
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.1
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinksltoilets
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 / / t / `� I �$�►
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 CIC(Certif.of Compliance)
F=iF:ZlE= M^F:ZS"/kL-
-lF4Z:>VVN OF C7fUaElN,c=3E3UF:ZY
ClIJaElf*4,SE3UF;Z"Y, N")r 12804
(SIB) 7C>I-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION PERMIT
7-
SCHEDULE INSPECTION ON
AM
APPROVED
N/A YES NO
EXITS Je
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIC3HTINC3
FIRE EXTIN'GU ERS
FIRE ALARM !SYSTEM
FIRE SPRINKLER SYSTEM�
FIRE SUPPRESSION SYSTEI
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE T SPRINKLERS
CLEARANCE T HEATING UNITS
REQUIRED SI(3NAC?sE
CHIMNEY
WOOD STOVE
FIREPLACE 'CA MASONRY F—I FACTORY BLT.
ROUGH-IN
= FINAL t[;I:
0
REMARKS: F-1 OK TO THIS DATE
C.'Aj -A4L
INSPSLIP.PUB
GENERAL IIiTSPECTIONREPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive tTsp
ector's Initiah-
NAME:
LOCATION: _ DATE : l-
-vTYPE OF STRUCTURE ""�i, . ,'�n,''
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placcm i
of the concrete.
Materials for this purpose on sitej_
Foundation/Wallpour
Reinforcement in Place
Fou ndation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
—
Plumbing Vent/Vents ac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte or R-
Foundation Walls Ext rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipi g in
unheated spats R- _
Proper Vent, ttic ent_
aming
Jack Studs/1-1~ad rs
Bracing/Bridg• g _
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION 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 b(Z) am/pm Depart_am/pm
Inspector's Initials
NAME: PERMIT#,
LOCATION: DATE :
TYPE OF STRUCTURE: VeN
RECHECK
N/A YES NO COMMENTS
Footings/Piers I T-i
Monolithic Pour Form
Reinforcement in Place 36
The contractor is responsible for
providing protection from fr=*�_
for 48 hours following the lacemeni"z
of the concrete. site
Materials for(ihis purpose Oil le
Foundation/Wallpour
Reinforce %- --
c
i-neni'-i-n Place
Foundation/Damp-o" 4C
Backfill Approval_
Plumbing Under Slab
Plumbing Vent/Vents in,PI cc
Rough Plumbing
Heating Rougli-In_
Insulation
Foundation Walls Interi)r R-
Foundation Walls Extedor 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 Scaled
Fire Wall 2, 3,4 hour-
Fircstopping_
7
u ruemv 9jum DEPARTMEW
Based on our limited exarninaton,
onOiance vA our canments "I
rat be W'sVwd as.indica" the
plans and wdfutws are in ful
bwnojam vAh the code.
N 0 T I C E
LEVER HANDLES RE(- -7)
ON ALL PASSAGE I
WHETHER INTERK,
EXTERIOR DOOd'.