2000-842 TOWN OF QUEENSBURY
741 Bay Road, ( umensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
10 ERTIFIATEFOCCU
I'. NC
Pernut Number. P20000842 Date Issued: Wednesday, November 29, 200
This is to certify that work requested to be done as shown by Permit Number P20000842
has been completed.
Tax Map Number: 523400-072-000-0007-002-OOO-OOOO
Location; 694 STATE ROUTE 9
Owner. ALEXANDER POTENZA
This structure may be occupied as a:
Commercial Alteration
By Orderof Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
TOWN OF QUEENSBUR'Y
742 Bay Road, Queensbury, NY 12804-5902 (519) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P'20000842 Application Number: A20000842
Tax ltiiap No: 523400-072-000-0007-002-000-0000
Permission is hereby granted to: GO SLO ENGINEERING
For property located at: 694 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: ALEXANDER POTENZA Commercial Alteration 3,000.00
FRANK BORK Total Value 39000.00
17 TIFFANY Dr
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
2000-842
720 SQ FT COMMERCIAL ALTERATION AS PER APPLICATION
Business Address: 876 State Route 9, Miller Hill Mall
$37,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, November 14, 2002
(Ifa 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 Tow ensb ; TuesdAy.Novemberl4, 2000
Sl(- N ~;D BY for the Town of Queensbury.
JDirector of Building & eode E forcement
Building Permit Application
Town of Queensbury - Dep►. of Co►,rmu►,ity Developme►,t, 742 Bav ROad, Quee►rsbury, NY 12804 1761-82561
BUILDING & CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO
beginning construction. No inspectiorw
will be made until applicant has received ED fib' B aard Action PERMIT FEE PAID $ r
a VAloJD BUILDING PERMIT, All Area. / Use
applicants" apt on this application RECREATION FEE PAID $
MUST be coatpleted and the signature Q pfwning Board Action REVIEWED 8Y.of the applicant must appear atn the
SPR / Subdivision / Other
hca4on fbrm' rh00%k '`"` Recreation Fee Payment Building ►mvpeaor
Applicant:�y /` J f ■ i �� {� S GO5 Z -�"�- Owner;
Address; l 1 `� r� �Q � 5.. � -r :,F �`'`j dda s: L 0
�?('�'
Phone # ( � ) L �L - �� Phone # -6 2j ,� 9
Property Location: r fK' ( S 9 (4 c { ( Irhr"{ � ( S y '
Subdivision Name: Tax Map Number-
Section Black lot
NATURE OF PROPOSED WORK * ESTIMATED MARKET VALUE OF THE
New Building : CONSTRUCTION : $
residence / commercials
Addition to Building :
, --- residence / commercial OCCUPANCY INFORMATION :
I/ Alteration to Buildingov _. Primary Building -
cial Single Family Dw \ /
residence iCJ ammerc ' ►"
Residence / Gornmerc`a a� �` Two Family Dwell
no change to exterior size Family Dwelling
office NIV 0 2 2000
Other Work ( describe below ) Mercantile
Manufacturing TOWN OF QUFENSSURY
`�C Other BUILDING AND CODE
GROSS AREA OF PROPOSED STRUCTURE : - js�a/ tt'c ICGI: �r JYi�y�l
If ADDITION , w9at will use
1st E loot . sq . ft .. o f nevi addi ion 2]e ?
2nd .Froor . . . . . . . . sq . ft .
Other Fluc.,t' s . . . . . sq , ft . -
( not unfinished cellar or basement ) ACCESSORY BUILDINGS :
Detached Garage 1 , 2 car
TOTAL FLOOR AREA : S+Q . FT . Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
3 FEET X 15 FEET Other
Foundation Type : , a/`i.• Will any second- hand or ungraded
Number of Stars es : / lumber be , lllred ? If so , for what ?
( habitable space or
yly ) JJJ,I�r
Height ( grade to ridge ) : lvrl�- .feet TYPE OF HE TING SYSTEM :Number of fireplaces nd/ or oo stove ( circle all which applies ) tres4
to be installed ._ ,�_ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person respon ` ble for r5upQ v ` sion of work as regards to building
coders !so fFU
N.i Addresss Phone
Builder :
Plumber :
Mason :
Electrician :
DECZARA770N.• Please sign bek nv cokr you have carefuUy 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 authorised by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BU LT PLAT PLAN by
a licensed survey awn to scale showing a tual location of project on premises.
Signature:
L-towner, ow r' age , architect, contractor)
COMMERCIAL FINAL INSPECTION REPORT
Building & Code Enforcement pat' inspection request received:
Office No. (518) 761-8256
Dept. of Community Deveiopment At�Ave� attvput Depart am4mn
Town of Queensbury Itor,s Initials
742 Bay Road
Queensbury, NY 12804
NANW 5 PERMIT
LOCATION DATE
TYPE OF CTIJRE
NIA YES NO COMMENTS
Chnrraeyl"8" ve3rvDir a 'Veit location r
Plumbing or Y fit.
Rncrior nplete [ 7
hiterior/ finish gale Mete
lmerior/exterior guardrails 42 ' . platf decks
lnlerior/exterior ballasters 4 ' . spacing p cxnvdedcs
Stair handrail 34 in. - 38
Step risers 71/4 irr.__
Alain door in.
V r }
All others 36 in.
Lever handles ,� _ {
Exits at grade r
Canopy to cover
req.r req. doors
Crays valve shut-o exp & reWdator (18 in.) above gra
do
Floor batlu'oonr w
tither floors dray
Hot wester relief valve
Boiler/furtraee enclosure
{250,000 BTU N/R
250,000 BTU to 1, 0,000 BTU's (1 haw)
>1 .000.000 BTCJ's (2 our)
Csas furnace shut off with 30 tt. or within line of site
Oki furnace shut off at ce to furnace area
sStookroorn enclosure 0 ow), '/s hour door
Starageheceivinglshipp room (2 hour), l '12 doors
1 t.,, hour doors and el
9 . hour corridor doors d close"
Fcrewallsi ire separation, 2 hour, 3 hour complete
Fire dumpers, 2 hour fare walUseparatierr or greater
Fire door/shutters 1 1/2 hour, 3 hour
Cciling fire stopping 3,000/5,000 sq. ft-
Fan shutdown, smoke vents or fan
Ex- door/panic bars bly hardware
Eie-
Elevator sigaagc
Handicapped hathroam grab bars/x+e+k n^nets
Handicapped bath/parking lot signage
Handicapped service counters 34 in., checkout 36 in. _
I andicapped ramp/handrails continuous/ 12 in. beyond,
,Active listening systan and sigtage assembly space_
Final Electrical
Site Plan/Variance required_ _-- ---_ —
Final survey, new structures
.as-buih septic system layout required —
()ikavto issuete"Tp CIO (Ceres. ofoccWancy)
()"v to Issue permanent Clo (certif. ofOooupancy)
Okay to issue CIC (C a W.. of Gmrplianoe)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i334�i);? BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date il+ 1 } M}il;k _AY3 y 2000 Application No. on file " r r.i{ :''lill.Y Jlli } Ii r4ki :? 14
THIS CERTIFIES THAT "; ^- {
only the electrical equipment as described below andi" l ptte g iarsd on the above apption number is to th;,,premises of
1'.�i�if lLr 4"i}'i��.l_�t'i z }'S {ES f�'i •i z .>1HOPY l p .✓ L0 in the following location; ❑ Basement 1:1( 1rt Fl. ❑ 2nd Fl. section Black Lot
was examined an Nt Vk:F1BfI1kp i . lf.D{}f} and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOIdH66ECKS OVEN$ DISH WASHERS #XHAUSTFAN$
OUTLETS RECEPTACLES SWFTCHES IHCANOESCE n.uORESCIENr OTHER AMi. L.W. AMT. K.W. AMT. E.W. AMT. IC.W. AMr_ H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS 13MCIALRECIIII.1 TIME CLOCKS BELL UNIT HEATERS MULTI
-TOUTLET
E T T DIMMERS
SYS
AMT. K.W. OIL H.P. GA63 H.P. AMt. NO. A. W. C. AM?. AMP. AArf. AMPS. TRANS, AMT. H.P. N(j. OF FEET AMT. WATTS
A I }
SERVICE DISCONNECT NO. pP g E R V I C E
METER NO. OF CC COND. A. W. 0. A- W. G. A. W. 6.
AIAr.. AMP, TYPE EQUIP. I • 4W • aW a Y sw S Ir ♦W ►ER / OF CC. COND. HO. OF HI-LEG OF NI-LEG OF NENrRAi3 OF NEUTRAL
OTHER APPARATUS:
i 'F*1 i I l W ; 14"Ih ;I
GENERAL MANAGER
Per
This certMcate must not be altered In any manner, retum to the office of the Board If Incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILOrNG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
COMMERCIAL FINAL INSPECTION REPORT
Building & Code Enforcement Date inspection request received:
Office No. (518) 761-8256
Dept. of Community Development
Town of Queensbury ArriveLO 1.0 amlprn Depart amfpm
742 Bay Road Inspector's lnitials�)
Queeosbury, NY 12104
NAME C.v Tq LC PERMIT`
LOCATION Ali DATE
TYPE OF STRUC
NIA YES NO C()
ChimnayP'B" Vent/Direct. Vert location
Plumbing. Vent
Roof Complete
Extcgior finish grade complete
fnteriorlexte for guardrails 42 in. platform/dadcs
hScricrlextaier hallaslers 4 in. spacing platformfdecics
Stair handrail 34 in. - 38 in-
Sup risers 7 Y* in.
Main door 44 in.
All others 361.
Lever handles
F xits at grade or platform
Canopy to cover ". exit doors
Gas valve shut-off exposed & regulator (18 in.) above wado
Floor bathroorn watertight
Other floors okay
Hot 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 30 ft- or within line of s'
Oil furnace shut off at entrance to furnace area.
Stockroom enclosure ( 1 hour), 3/a hour door Lloor
StorageJreceivinglshippmi g room (2 hour)r 1 '/m
1 ' x hour doors and closers_
. hour corridor doors and closets
Frrewallslfirc separation, 2 hour. 3 hour comp
Fire dampers, 2 hour fire wall/separation or ter
Ftre door/shuners 1 `/2 hour, 3 hour
Ceiling fire stopping 3,000/5,000 sq. ft.
Fan shutdown, smoke vents or fan
Exai door/panic bars assembly hardware
Elevators
Elevator signagc..�
Handicapped bathroom grail bars/sinksltoilet_s
Handicapped bath/parking let sigaage
Handicapped service counters 34 in., checkout 36 in. / /� oe /6
Handicapped ramp/handrails continuous/ 12 in. beyond ��r�° V !
.3ouve listening system and signage assembly space
Final Electrical
Site Plan/Variance required
Final Survey, new structures f�
.As-built septic system lavout
Okay to issue temp. CIO (C ci i£ of Clccatpancy)
(.kcav to issue permanent C/O (Certif. of Oooupancy)
Okav to issue CIC (Ccrtif of Compliance)_.,._._
COi RCS_ FINAL IT4SPECTION REPORT
Building & Code Enforcement Date inspection request received:
Office No. (518) 761-8256
Dept. of Community Development
Town of Queensbury Arrive c 3van /pm Depart am/Pm
742 Bay Road Inspector's Initials
Queensbury, NY 12804 /
NAME G Y rN PERNIIT # "f
LOCATioN DATE
TYPE OF STRUCTURE
NO C QM¢�1EN"TS
ChmneyP'B" Vent/Direct Vent locxucn
Plumbing Vent
Roof Comple+te
EaLmor finish grade cortrplete
faterior/exterior guardrails 42 in. platfarni/
haerior/exterior ballasters 4 in. spacing plat r �wJ
Stair handrail 34 in. - 38 in, f -f U
.Sup risers f y 3/4 In._
Main door 44 in.�
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req. exit doors t
Gas valve shut-off exposed & regulator (18 in.) above \
Floor bathroom watertight
Other floors okay '
Hot water relief valve
Boiler/furnnoe enclosure
<250,000 BTU N/R '
250.000 BTU to 1,000.000 BTU ( 1 hour)
} 1.000,000 BTU's (2 hour)
Gas furnace shut off within 30 ft.. or within line of Ate
Oil furnace shut off at entrance to fimtac c area
Stockroom enclosure ( 1 hour), #/a hour door.
Storagpireceivingfshippingroom (2 hour), 1 V doors
1 12 hour doom and closers_
' . hour corridor doors and closers 4t
Fhewalls/fire separation. 2 hour, 3 hour complete
Fire damlx rs, 2 hour fire wall/separation or greater,
Fire door/shuti.es 1 1/2 hour, 3 hour^ _
...........
Ceiling fire stopping 3,000I5,00apsq.
Fain shutdown, smoke vents or fAn �
E,%A door/panic bars assembly hardware '•�
Elevators
Elevatorsigtagc '
Handicapped bathroom grab barsJsinks/toilets
Handicapped bativparking lot signage
Handicapped service counters 34 in., checkout. 36 in.
Handicapped rawW&andrails continuous/ 12 in- beyond
.Active listening system and signage assembly space_
Final 1^lectricaV
Sac Plan/Variance required_
Final Survey. new structures
.As-bulk septic System layout required
Okav to issue temp. CIO (Certif of Ckxxtpancy)
Okay to issue permanent C/O (Certif of 0ocupancy)
Okay to issue CIC (C.ertif, of Cornpiiancc)___
3,60
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 !4%i�amlpm Depart 1m
Inspector's Initials r
NAME: — Y ox i, !� 1L_ 7� PERMIT
LOCATION: Pam - —^�} DAZE
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ,,rr �,,,� ,n ,�"
Monolithic Pour Form f�fs1G // 4 ' jo r lr4 CAr
Reinforcement in Place '
The contractor is responsible for /� ,� �,,y,. /1/ � er e G �
providing protection from frpee
for 48 hours foowing the t
ll ff EaL��rrr�s
of the concrete.
Materials for this purpose on 'te /,f,,r /t r / + uarG'i cS G/ *^eer c J.r
Foundation/Wallpour
Reinforcement in Place A �/`�/�+ ram« ,�r.� r„ a�.w� IV
r
FoundationfDampproofin C!
Backfill Approval cfA c, / / /
Plumbing Slab /� // / ,� ,trr/ f74' tf /A Al
Plumbing Ventfven ace
Rough Plumbin /
Heating Rough4n ,�G'j,Gr�G2rrs
Insulation C<lJ / /
Foundation Walls I Or R- f. av rz /G c �cwv 0600'
Foundation Walls East rior R-Floors R-
Walls R- 3/
Ceiling R- /
Duct work or piping n rl ✓'
unheated spaces R- /, / �/
Proper dent, Attic Ven �. /h f4z fit' lg.r+ �o r. // An,,v- r'
Frami
Jac-,
BracingtBridgi
Joist Bangers
Jack. Pbosts/Main Beam
.Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 27 3, 4 hour.
Firestopping
T( 10F QLE&W BULDW ';T
19t.1011 Based on our liiyox examiaa 11
( IieE1C8 O�II Ct1111r
na I� me G3 SLO ENGINEERli4"
870t 9, Miller Hill Mail R
is � 3e ftueensbuq, W 1t804 �
NY P037374 C
6
"f Towjv OF �� 1�BNgBU
BUILDING RI4 G FfiY
COPY
38'-8
[CC
"
9 Showroom _ _ _ _
Tod sax TW s g Valve Grdr
CO
��"� Tool Box Hone Roll Gard LathelTool Box
Mill
g
• Snap On
Lift Lift F1
Dyno Bench ,Vise)
Surface
Grdr
Red Tabs -
Floor {{Lift
Mill
t �D
. Press
qzfr
35'- � {, Bore }
T Overhead poor `� ` � a Grndrs
13'-2" Saw Glass
4 GunklAcid Table Welder E
�'� BURY
56'-6"
DE EPT.
FLOOR PLAN REVIEWED BY x
scale: l l8"=1 `,,0" DATE