2000-056 Uertiticate
cculanc
:
Towe.ofQueonsbury
Warren County,New York
I'
Uat � c 7f 2000
sir0 Y
This is to certify that work quested to be done as shown by Permit No,
has been completed.
This structure inaay be occupied as a I _0p jgFj
Locafion 1424 STATE ROUTE 9
owner
TAX MAP NO. 3 6. -1-2 7 . 2 By Order Town Board
TOWN OF QUBBNSBURY
Rector of Buz ul 'ode Enforeemen�t
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2000056
TAX MAP NO. 36 . -1-27 . 2
Permission is hereby granted to IZOD
Owner of property located at 1424 STATE ROUTE 9
in the Town of Queensbury,to constructor place a INTERIOR ALTERATIONS
at the above location in accordance to 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.
Owner's Address:
1424 STATE ROUTE 9
LAKE GEORGE, NY 12845
Contractor or Builder's Name:
WOLVERINE CONSTRUCTION
Contractor or Builder's Address:
76 MCCORMACK DRIVE
LAKE GEORGE, NY 12845
Electrical Inspection Agency:
Type of Construction:
COMMERCIAL ALTERATIONS
Plans and Specifications:
1740 SQ FT INTERIOR ALTERATIONS AS PER APPLICATION
Proposed Use:
INTERIOR ALTERATIONS
$ 85 PERMIT FEE PAID THIS PERMIT EXPIRES February 25 200Z
(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 of Queensbury
s 2 5 _Day of February 2000
,N --4-
SIGNED le , Lk-L-t(�- for the Town of Queensbury
f C
ode Enforcement Officer
•mining ve, ijlit application
7bW11 Of Queensbuly - Dept. (fConustrulity 1)elWopuienl; 7,12 Bat Roctl!
Queensbu►)'r NI' 12804 1761-82.5Gj
���`7 BUILDING �F . CODE, ' _rN1�01?CGs14ENT
ILt' Requirements prior to issuance �} (t� ff��F�:Pfput,'A,s',',"
rmil must bo obtained beroro Or Ibis pertnit: P RM17'F•ILG vo.,:,,, �"uintsl>cctsxs nut(!o until applicunl lots racoiv-d -] T�/t6/g tJtA(T/rl rtctlo/rAdl'1'/•'/c!i 05
/'AIUI ID BUILDINC3 PLRMI I'. Alllults' spaces on tills ltpplielltiolt IZGCIZL•'.•1T10N FGL I'AIL7$
T Uo comptetcct told•tllo sigtlature applicant•must appear cat lho I'Irr/lll!/J� Ucx7/�I r1CllO/t RI VIE- 'E11 Ill,
plication form. r,,4?e. st>IL / Subdivision I Other
!lrrt&ting Lu,c,7nr-
Reerc.ttiell I'CC Paytltclll
npptiCal2t: lvt5 t V raF v vs
Ow z�- ,.�->>_ �z,� ,t> ✓2
ner:
Address: '7& exined 'e, ndtlress: rt'� y
II�lOI1C i� � S�b � ��fb •' J��l �.L1�"lrjL-� --'lci;,(�J"
`. ...-�
1}II O IIO al� � - V wZ_
Property Locatioll:
;Subdivisioti Name: 7'tlx Mal>Nttnsbcr
Section Block i.tlt
NATURE OF PROPOSED WORK:
New Building: ESTIMATED MARKET VALUE of THE
residence / commercial CONSTRUCTION:
Addition to Building:
residence / commercial. OCCUPANCY INFORMATION:
Alteration to Building: Primary Building
residence / commercial Single Family Dwell*
Residence / Coaullerclal. Two Fallilly Dwelling Cg
no change, Lo exterior s5 ze Family DweT'.lt ng �800
Other Work (describe below) Mercantile
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: Other
1st- Floor. . . . . . . . !?Lf0 sq. ft. If ADDITION, what- will use
2nd .Floor. . . . . . . sq. ft. of new addition be7 :
Other Floors . . . sq. ft,
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: _ /7N0 SQ. FT. Detached
Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Cotninerc.ial Storage Building
FEET x FEET .
Other
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? if so, for what?
(habit-able Apace on.i.y)
11e1glit (grad6 to ridyo) l ocl. Y`ri oi* ici:nriric ^>x xi.Me --"
Number oL' fireplaces and/or wooctestove (circle all Which applies)
to be installed: LIect-ric / Oil / 'Gas / Wood
Forced Mot Air / Baseboard j Other
Person re6ponsibl.e for supervision of work as regards to building
codes is : AEv"'Lj L-9":'L 7 0 A-1C' e,r1Z/- ye_
` Naive .Addresss Phone .
Builder: `�L31/ ail"e-e-
Plumber: --_
Mason:
Electrician:
MUCLARA270N• Please sign below refer yots have carefully read the stnlelllelrt.
To the best of my knowledge the statements conutined in this application, together with the plans
and specifications submitlecl, arc a true and complete statement or all proposed work: to be done on
the (lescribetl pretuises. :In(l that .111 provisions or the Btlildinl; (.-ode, the ?'.Ovid, Or(limmee mail all
other I ws pertaitlinL to Elio proposed work sh;Ell be complied wills, whether specified or noted, mutt
that such work is authorized by the owner. I'urthcr, it is understood that Vwe shall submit prior to a
Certiriente of Occupal cy..or Cortific;tte of Comp[i ice being issued, an AS BUILT PLOT PLAN by
-1v licellsed stueyo raven to scat showing c tClal loc:ttson ol'project of] premises.
Signature: .r:n _ �r� ,•� ----
caner, owner' _agent„architect, contractor)
COMMONWEALTH
ELECTRICAL INSPECTION SERVICE INC
Main Office 176 floe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE v. ELECTRICAL APPROVAL �
Panel Board No,,, H! 66494 Cut-in Card No.}ritrrtrrrr}r.}}tirrtr}..i} tiiMMr
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Installed By,,,,,,,
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled-, -
This certificate only cov6rs the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin L#it
at any time, and if its
rules are violated, the Company shall have the right to r vo e. e
'Date Off i.. tt 47H#j, N/iN}}tNNN1N1 INSPECTOR }}ii. tttf.N ttNiOltNlittotNfoif 4lffliN tlttNft/tttN#itit ttfN Nt�
,��----t. __. rt r. To I r 1 r i
�el-ll t r, •-xc--, �9 cl--,
FITT MAFZSHAL
'i"OV1/N C)T (:ZttJTTNSBIJF:.Y'
C)tUTEF-NSBtJRY, N"Y' 12804
4aaL (518) 761-B205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME �T
LOCATION 1 -- 2= � PERMIT ## Z C OQ- 06 G
SCHEDULE INSPECTION ON
IF PM
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE TXTINGUI
FIRE ALARM =TE
FIRE SPRINKLER S STEM
FIRE SUPPRESSI N SYSTEM
HOOD INSTAL ION
INTERIOR FI SHT S
STORAG T:
C EARANCE TO SPRINKLERS
EARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE.
FIREPLACE T MASONRY 0 FACTORY BLT.
[--] ROUGH-IN �t
E::] FINAL
REMARKS: �><OK TO THIS DATE
INSPStIP.PUB INS CTOR
FIRE MARSHAL
TOWN C►F C2UEENSBURY
tUEENSBURY, NY 12804
4Ea�-w (51 8) 7451 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION t2� !Ff PERMIT ## 0XX- 77 74oS&
SCHEDULE INSPECTION ON �� 2� O
AM M
APPROVED
N/A YES NO
EXITS
AISLE. WIDTHS' �.
EXIT SIGNS
EMERGENCY LIGHTING �.
FIRE EXTINGUISH RS
FIRE ALARM SYST _
FIRE SPRINKLER SYS
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION �C
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINK ERS
CLEARANCE TO HEATIN UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE J
FIREPLACE 0 MASONRY =] ACTORY 8LT_ -�
F-1 ROUGH-IN
Q FINAL
REMARKS: Q OK TO THIS DATE
cJaQ ,!L
INSPSLIP.PUB IN PECT .
COlq'IIVIERCIAL FINAL INSPECTION REPORT Z4 P11
Building& Code Enforcement Date inspection request received:Wc�
Off ce No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arr►v �a
742 Bay Road Inspector's Initial
Queensbury,NY 12804
NAME PERMIT# - cS��
LOCATION /tea DATE
TYPE OF STRUCTURE
N/A YES NO CON VENTS
ChimneyP'B"Vent/Direct Veit location
Plumbing Veit l�
Roof Complete
Exterior finish grade complete
hat®ior/exterior guardrails 42 in.platf decks
hicrior/exterior ballastes 4 in.spacin latform/
Stair handrail 34 in.-38 in.
Step rises /3�4 in. `
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platf
Canopy to cover req.e i doors
Gas valve shut-off exp regul in.)above p7ach
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250.000 BTU N/R
250.000 BTU to 1,0 1"00 's(1 hour)
>1,000,000 BTU's(2 hour}
Gas furnace shut offwdhin 30 ft.err within line of site
Oil furnace shut off at entrance furnace area
Stockroom enclosure{1 hour),3 hour door
Starage/receiving/shipping r (2 hour), 1 '/2 doors
I '/2 hour doors and closers
'4 hour corridor doors and cl
Firewalls/fnre separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters 1 1/2 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
Okav to issue temp.C/O(Certif.of Occupancy) H 1
Okay to issue permanent C/O(Certif.of Occupancy) �0At
Okav to issue C1C(Certif.of Compliance) 1J LAV '1
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 Arrivc�� pn impart
Inspector's Init'
NAME: ���� �7_r� PERMIT# --d�
LOCATION: DATEd
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responSibl for
providing protection from fr ei g
for 48 hours following the p ac rent
of the concrete.
Materials for this purpose on to
Foundation/Wal!pour
Reinforcement �ih Pla
Foundation/Dampproof ing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PI ce
Rough Plumbing
Heating Rough-in
Insulation
Foundation Walls Int rior R-
Foundation Walls E, crior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pip'ng in
unheated spa s R- „
Proper V :nt,,'Attic cnt
t aming�[.-1-��Z„ ._ ?� .
l 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
Firestopping