2000-760 TOWN OF QUEENSBURY 1- () p Y
742 Bay Road, Queensbury, NY 12804-5902 (518) 7b 1-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000760 Ap Iication Number: A20000760
Tax Map No: 523400-036-00 -0001 -027-002-0000
Permission is hereby granted to: JOCKY, SUITE 15, LK GEO PLAZA
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. Tvpe of Construction Value
Owner Address: JOCKY, SUITE 15, LK GEO PLAZA. Commercial Alteration 800.00
CIO GR.EENRIDGE MANAGEMENT Total value 800.00
701 WESTCHESTER Ave
WHITE PLAINS, NY 10604
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Plans & Specifications
BP 2000-760
Commercial Interior Alterations as per plot plan and specifications.
Suite 15, Lake George Plaza
$50.00 PERIMIIT FEE PAID - THIS PERMIT EXTIRES: Sunday, September 29, 2002
(If a longer period is required, an application for an extension must be made to the code Enforcement Officer
of the Toiwn of Queensbury before the expiration date.)
Dated at the Torn :2 en F
her 29, 2000
SIGNED BY7 sb rid for the Town of Queensbury.
Director of Building & ode nforcement
Quilding Permit Application
Town of QteensbUrY - Dept. of Cunununrty Devel apnent, 742 Btev Road, Q'ueensburip, NY 12804 1761-82561
kdam BUILDING & CODE ENFORCEMENT
LfL Requirements prior to issuance
F
rmit must be obtained before of this permit: r
RMIT FILE NO.
ning construction. Na inspections RMIT FEE PAID willbe made until applicant has received Z"dng Bbard Action
14D BUIL XNG PERMIT. All A.reaa I Use
ants" spawn on this application RECREA77ON FELL' P.AII.� .$T be completed a the signature 0 Pk vmtng Boar Action REVIEWED BY.-
of the applicant must apppp ear on the SPR / Subdivision / Other
llcatio farm. 7l a.k BaiGling lnsncrdar
�"' Recreation Fee Payment.Applicant: G 6� /Owner: � � { C � �1 't ' t
Address: it /¢ itJe, /IV/ 7 Address: 76/ lu /.. � &"9- P&;AS
Phone # ( r, Phone #
Property Location: Z � Le <:ffereL ez / ,r
c..x. AWi -_anle -, Tax Map Number
' Section Mock Tot
NATURE OF PR D WORR : ESTIMATED MARKET VALUE + THE
New Bui 6 : � � CONSTRUCTION : $
resi ence / commercial l
ot
Addition to Buil&L4q :
ence / commercial OCCUPANCY INFORMATION :
Alteratit5 to Building : Primary Building -
� w / ercia Single Family Dwelling
Residence / Commercia Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work ( describe below ) Mercantile
Manufacturing
other
GROSS AREA OF PROPOSED STRUCTURE :
Ist > loor . . . . sq . ft . If ADDITION , what will use
2nd ,Froor . , .r!�4 . . sq , fit . of new, addition be7 :
Other Fluc�ts . . sq , ft ,
( not unfinished . cellar or basement ) ACCESSQ .R] BUILDINGS :
Detac Garage I '
car
TOTAL FLOOR AREA : S¢ .~ FT . Attache d--S � Z , 2 car
y_ Pr iv ate 6rage .1ding
SIZE OF NEW STRUCTURE . � � Comnieercial Storage Bullolng
FEET X F'Fc „ c4rzr`�" - -'"` l5ther
Foundation Type : � �- ' ` ill any second- hand or ungraded
Number of Stories : VpX&4 lumber be used ? If so , for what ?
( habitable space oI IY ) ""'
Height ( grade to rl.dge ) : feet TYPE OF HEATING SYSTEM :
Number of fireplaces and/ or woo stove ( circle all which applies )
to be installed :.. Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Builder Name Addrese s Phone
:
Plumber :
Mason :
Electrician •
DECLARA77ON.• Please sign beknv after you have cry rend 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 authorised by the owner. Further, it is understood that Ilwe shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BL11LT PLOT PLAN by
a licensed surveyor dr wn to scale, showing actual location of project on premises.
r
r
'r ` a tza
Signature:
caner, owner's agent, architect, contractor)
Mfr ""__/ �� � �� „F`-„d[icy '� {!`...C2__..I✓^, �E'�.n. c".'t ' ..
i
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, N 06 2804
(518)
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED I U o0
NAME �v
�MiT #Q t
LOCATIO
SCHEDULE INSPECTION ON r AM PApFROVED
PA
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS --
FIRE ALARM,$,YSTEM
FIRE SPRINKLER
FIRE SUPPRESSION SYS EM - - -- --
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: SPRINKLERS
CLEARANCE
CLEARANC Q }{EATING UNITS
REQUIRED SIGNAG
CHIMNEY
y wppD STOVE
FIREPLACE OMASONRY DFACTCIRY BLT.
[� ROUGH-IN ' v
a
r
Awtab
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAM
L� 4 PERMIT #
SCHEDULE INSPECTION ON !I _..- r
A P
APPROVED
N/A YE5,1� NO
EXITS .W/
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIT KLERS
CLEARANCE TO HEATING UNITS
j REQUIRED SIGNAGE
CHIMNEY _.
WOOD STOVE
FIREPLACE ❑ MASONRY ❑ FACTORY BLT.
❑ ROUGH-IN
F-1 FINAL
;REMARKS. l ❑ OK TO THIS DATE
J i3r - `r o j f qT f ror eN
Ay
rijc�llII 41 E 0INSPSLIP.PUB
I E O
COMMERCIAL FINAL INSPECTION REPORT
Date 'inspection request received: /�
Building & Code Enfarcement I
OrMce No. (518) 761-8256 '"� q r^�
Dept. of Community Development Arrive PV t C •'
Town of Queenshury s initials Cx
742 Bay Road
Queensbury, NY 1ZW ► •- !/ ��^f
PERMIT
NA DATE
LOCATION
TYPE OF STRUCTURE
" NIA. YES NO CC1NII� �
Chimeyr.$„ VentrDirea vein focatia+i
plumbing vent
Roof Conrphctc
Eraenor finish grade comoplete
interior/exterior guardrails 42 in. platformldecks
haerior/vRencr ballasters 4 in. ,Pacing platforrn/decks
Stair handrail 34 in. - 38 in-
gteg risers 7 ;/4 in.� _— y
%Lain door 44 in.
All others 36 iti. / r
Lever handles
Exits at grade or platform
Canopy to cover req. exit.
Gas valve shut-off exposed lator (18 in.) above
Floor bathroom watertight
other floors okay
Hot wntex relief valve
$oilalfumace enclosure
<250,000 BTU N/R
230.00o BTU to 1,00 00 BTU's ( 1 'hour)
l ,000,000 BTl-3's ( )
Gras furnace shut e$ in O ti or within line of site -
Chl furnace o at cc to furnace area
Stockroom enclosure (1 ho ), 3/4 lhour door
Storag#heoeiving/shipping (2 hour) 1 /x doors_
1 `x hour doors and closers
3 . hour corridor doors and losers3 hour cxxtrpleie�
FrrewalWfue separation, 2 0
urftFne dampers 2 hour fire w lUseparaliert or greater
Fwc door/shoLiers 1 1/2 hau . 3 lhour �
Ceiling five stopping 3.000 ,000 sq. ft.�__
Fan shutdown, smoke vents fan
EN
ja door/panic bars assernb hardware —
£lavators
t levator signage 7 h rC
Handicapped bgthroonz ,grab sink_w`toilets ��1�'►1��7R ��1 G
Handicapped bativparking Yod sigtrage
Handicapped service counter' 34 in., checkout 36 in.
Handicapped ramp/handrails contmuousl 12 in. beyond_
,.At.ive listening system and signage assembly space-�
Final Eiectricai. —
Site Plan/Variance required ... _,-- -- -_ .---- - --- —
Final Survey. new uudures� — .--
,ksr_built septic system iavotn required -
Ok.av to issue tenT. 'CYO (Ccttrf of o►=WVancy)
()i .av to issue permanent C/C] (C mtif. of(0hpanc.'y)
Okav to issue C/C (C'ertif of Cornplianee)-
SPECTION
COMMONWEALTH
Mai OTH VI,l 17 Doe Run Road� f47anh LM, VA tFgS 11 :t , ur•
RICAL APPROVAL
SyMU NiCiPAt. CERTIFICATE ELECT
Ctti-in Card No_..........................,
Panel Board No, ..,. Cert. N43AF
cs c 6C r✓' '...._- !"`f r ',+ ................. .....,..... /,�/per
C7wner.,...._. /•.'..........,�..j.�.. .. •...... ......,...
Location
»......
installation consisting of ... � . ..... " ........... ,
. ............................/. .}................. / �....._ ......-...................._........
..... 1,.SC, No- ..........
_.........
installed _By ..../.' .:... ..............................._ ...... ,... ....
The conditions folic wnlg governed the issuance (if this ccflificate, and ssnu certificate previously issued is
cancelled: -
,� lication shall be promptly ""'de for inspectio'± its
This ccrtiftcate only covers the electrical equipment and tnstaliaxiUn cund�tions as of date. upon the .
rivilege of ma kin � inspections at any nine. and
introduction of additions} equipment or alterations, PP
Inspectors of this Company shall have the P : ::
ifIC.a
rules are violated, the Company shall have the right to r f
..._...
{ L'� ' f 'X, .............. INSPECT[712. ....._........ .......Alember
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