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1999-769
ei Certificate of . Occu • ancy Town of Queensbury Warren County, New York • March 29 Date . . . 99769 This is to certify that work requested to be done as shown by Permit No. has been completed. COMMERCIAL INTERIOR ALTERATION This structure may be occupied as a • 1498 STATE ROUTE 9 Location Owner DOMINO'S PIZZA TAX MAP NO. 36 . -1-35 By Order Town Board TOWN OF QUEENSBURY- , • Direc or o Building 7 Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 25000 Building Permit No. 99769 TAX MAP NO. 36 . -1-35 Permission is hereby granted to DOMINO'S PIZZA Owner of property located at 1498 STATE ROUTE 9 in the Town of Queensbury,to construct or place a COMMERCIAL INTERIOR ALTERATION 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: 1498 STATE ROUTE 9 LAKE GEORGE, NY 12845 Contractor or Builder's Name: REBEL ENTERPRISES Contractor or Builder's Address: PO BOX 342 GLENS FALLS , NY 12801 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: COMMERCIAL ALTERATIONS • Plans and Specifications: 1500 SQ FT COMMERICAL INTERIOR ALTERATION AS PER PLOT PLAN SPECIFICATIONS Proposed Use: COMMERCIAL INTERIOR ALTERATION 7 • - December 30 2001. . - $ 5 PERMIT FEE PAID-THIS PERMIT EXPIRES (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 Town of Queensbury this 30 Day of December 1999 SIGNED for the Town of Queensbury Code Enforcement Officer Building Permit Application . Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J • _.. ' BUILDING & . CODE ENFORCEMENT ' NOTICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. beginning construction. No inspections �-o° will l Zoning Board Action PERMIT FEE PAID$ �ibemade until applicant has received n a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants" spaces on this application MUST be completed and.the signature n Planning Board Action REVIEWED BY: of the applicant-must appear on the ),.,. SPR / Subdivision /Other • Building Inspector lication form. 2hcank you. O S ) ` n Fee Payment _ Applicant: R. t e £n A-eCeCa S es -�ecQP,ys��Owner: �' .� e- � e.o e .A s56e i o--.4-cS • Address: Q,C�. 3�1 a �;\k s `�s Address: l0 � S�. b��F�oo�. �l��n y i,y . /ado Phone # (g 61_) 7.23 _ - _41t 621__ Phone # ( 6-1 z ) 116)- - rl Hll Property Location: ttotner o, M-q R+-fyq 1ue-enstvc"9. � 1 35 Subdivision Name: Tax Map Number_ —J / Section Block Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: residence / commercial $ �`��Oa0 Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial) Single Family Dwelling • .Residence / Commercia Two Family Dwelling no change to exterior size Family p�D e"' lit gp% f'4 '" Office U ..L...`s ^0-L ,yam , • Other Work (describe below) a Mercantile DEC 171999 Manufacturing Other l;;`;;;° G=( t ..L�u-w GROSS AREA OF PROPOSED STRUCTURE: • D ,LDI;T.Ti 1.-._-, �;ncl iz 1st Floor /• SOU sq. .. If ADDITION, what will use ft. of new addition be? : 2nd .Floor • sq. ft. Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: ' Detached Garage 1, 2 car TOTAL FLOOR AREA: /600 _ SQ. FT. Attached Garage 1, 2 car ifr: Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X FEET' Foundation Type: kr„.eP, Will any second-hand or ungraded ' Number of Stories : 1 lumber be used?, / If so, for what? (habitable space only) /l/ Height (grade to ridge) : /v/N feet TYPE OP` HEATING SYSTEM: N/ - Number of fireplaces �a nd/or woodstove (circle all which applies) to be installed: Electric / Oil / Gas / Wood orcet AA T/ Baseboard / Other Person responsible for supervision of work as regards to building ' codes is : S- e-u'e_ @v.Sl, isX,1o0j,-}- s•f. .`:'/s - `7c _=-P�-/ ae l Addresss • Phone • Builder: Xd m / •E.Serpr&s • Plumber: 7a,,iL i-Ic,ii A.,01/.,:4 Mason: t; Electrician: //w/ 6'/mac/,-Yc 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 Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued; an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: ,.�6-- /5.:e.d/ (owner, owner's agent, architect, contractor) J_•l J_ilmiisAvAlll:li J_itv.)PA':l w.s.t e.w..i_e_l.eAr ltl':l�w-iPC J_tl'.s(!)l..l.),,,l A:,),AvAt .49:J.)C J!l':l_.f)C Jsl' !l'Jit J_el':..0 witkv..01..J_._l'....m I..0 J_.cl"..l'1_.�1':l_._l''-sf J__•_lev in l�cl')_4_l.1,02:z c, �l'O"7�3�91 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' % 6r 4A, BUREAU OF ELECTRICITY 4 io I- 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 MARCH 30 2Gi'�i�tl 46-.2.G.���300/(tic) 9 4 149806 r} Date °'' Application No. on file=41 ! ,)! THIS CERTIFIES THAT l (� • !i only the electrical equipment as described below and introduced by the applicant named on the above application umber is in the premises of it it ,Y W; DOMINIOS PIZZA, RT 9 & RT 149, QIJL^,1':NSDUIi'Y, 0 it • in the following location; Ill2{Basement 1st Fl. 1112nd Fl. Section Block Lot ;y tl, was examined on 1`1C--hi H 27.4('''')`1)° and found to be in compliance with the National Electrical Code. i! -1 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS , -G OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. �} , DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Y ij SYSTE -v AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MI H.P. NO.OFnFEET AMT. WATTS Y I.k i 4 Wi + SERVICE DISCONNECT .-..No.OF. S __. E_. _. R V — I C. E — ,›- it tY METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. I} i AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W pER 0 OF CC'Ai .COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL i s • 1v IA • OTHER APPARATUS: 0.11 1 EXIT/EMERGENCY !'A(".if;--7 , MOTORS: 2--F 1.1..P. ,:I.--2 H.P. l • MAC, WF'1ER EA ER K.H. ;r G • ?p i} �I — rV , r rF g .j .1, iftiv.Vi1. .Y_(/ ,/,�([}( it -+ y. 'i' t f'l C'i i l iH �.. F.4Q fit` . .�QF� IA =t, 1°11CH Af:,.I.� Cz�'.ARHA i Hsi/11_+1'.A_L, ELEC. ( L ,r •, 34 'LANK RD. ..,,- a,���?..=—�:..?: r''ay r it PORTER CORNERS, NY, 3.2859 X ., .,,�"-. ••� , GENERAL MANAGER '• yV, .`..If-� ',Y . t Per K; 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. r 19,Sit.174YYVr;Y4YYicr,4YY YYiYY.YY.Y4Y4YYe.7•YYitYWrYiY4YY.YY YY'YY�YYiY7.YYVYY%Yiie,Y YY:YYiYY•YY4YYeY 4YY�YYiYY4YYiY4YYiYY.YY•YY�YYV-YVr;YiiYY�Y COPY FOR RUII DING DEPARTMENT- THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. COMMERCIAL FINAL INSPECTION REPORT -f\ Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive (` d am/pm Depart am/pm 742 Bay Road Inspector's Initials ' Queensbury,NY 12804 f � NAMECYwY\AC� \Z PERMIT# _ 7 LP9 LOCATION VC\`g _b-Try \)P. DATE — - ©O U TYPE OF STRUCTURE A AA, N/AYES NO COMMENTS C3iimney/"B"Vent/Direct Vent location '// /- Plumbing Vent ,,- Roof Complete '/ Exterior finish grade complete interior/exterior guardrails 42 in.platform/decks 7 Interior/exterior ballasters 4 in.spacing platform/dedcs!__` Stair handrail 34 in.-38 in. Step risers / 3/4 in. Main door 44 in. / 7, All others 36 in. / ` Lever handles f �/ Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed®'uda 18 r .)above grade / Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250.000 BTU N/R tY 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 w' in line of site / Oil furnace shut off at entrance to fir ace area / ���` ( / ,e f/��4� Stockroom enclosure(1 hour),'/4 hour door ✓ Storage/receiving/shipping room(2 hour), 1 '/z doors �� /� C j 5 1 '4 hour doors and closers ✓ I. / '4 hour corridor doors and closers /7 Firewalls/fire separation,2 hour,3 hour complete .' �// c& 1 �)s17� U t" Fire dampers,2 hour fire walUseparation or greater Fire door/shutters 1 '/z 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 / / /%i ���`� Handicapped bathroom grab bars/sinks/toilets / _,L 1 Handicapped bath/parking lot signage / ✓✓ Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond V'l Active listening system and signage assembly space Final Electrical Site Plan/Variance required ../ Final Survey,new structures '/ As-built septic system layout required t Okay to issue temp.C/O(Certif.of Occupancy) / Okay to issue permanent C/O(Certif.of Occupancy) ✓ Okay to issue C/C(Certif.of Compliance) COMMERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)'761-8256 Dept. of Community Development Town of Queensbury Arrive ale am/pm Depart am/pm 742 Bay Road Inspector's Initials_ Queensbury,NY 12804 • NAME d /moo'1 PERMIT# 1) LOCATION t' DATE 3 ,co TYPE OF STRUCTURE / , A N/A YES NO COMMENTS Chimneyf'B"Vent/Direct Vent location Plumbing Vent Roof Complete Exterior finish grade complete Interior/exterior guardrails 42 in.platform/dedcs Interior/exterior ballasters 4 in.spacing platform/ Stair handrail 34 in. -38 in. Step risers 7 3/4 in._ 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®ulator(1 m. above grade 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 BTU's(1 hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 fl or within line o site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),3/4 hour door Storage/receiving/shipping room(2 hour), 1 '/z d rs I hour doors and closers t/ ?4 hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour complete t/ Fire dampers,2 hour fire wall/separation or greater Fire door/shutters 1 'h 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 Alive 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 temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) !/ Okay to issue C/C(Certif.of Compliance) ll�J &t 1174, FIRE MARSHAL .; TOWN OF QUEENSBURY ' �j ' QUEENSBURY, NY 12804 . _ ':° .�:. (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAMEG�� LOCATION u -P jERMIT# l 1 �7�9 SCHEDULE INSPECTION ON 3 acj_ C) CA AM M APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIN X FIRE EXTINGUISHERS X FIRE ALA M SYSTEM X FIRE SPRI S X FIRE SUPPRESSION SY TEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: x. CLEARANCE TE)SPRINKLERS CLEARANCE TO HEATING UNITS x• REQUIRED SIGNAGE 1 �' I _ CHIMNEY - WOOD STOVE - v FIREPLACE ❑MASONRY ❑FACTORY BLT. ❑ROUGH-IN ❑FINAL REMARKS: ❑ OK TO THIS DATE 2epaln) mi►' ry la �-1• Miry Qfoe Z) 4 C'tr cynse-ormcy II I ill (GIP tt�i Cl t E1 o INSPSLIP.PUB ^ I SP OR J6• *.mow er -v 11 t,�S I ` CorctrPc4a FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 F`� (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 3kgZ.000 NAME 7DOTY1I \d5 IZ_7,(7t- �L L LOCATION 11 Cl(% Y l PI PERMIT# / 7 SCHEDULE INSPECTION ON 3 -eal 7_000 AMC) APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS ,r EMERGENCY LIGHTING X FIRE EXTINGUISHERS FIRE ALARM SYSTEIMM FIRE SPRINKLER SYST;M FIRE SUPPRESSION S .TEM HOOD INSTALLATION. INTERIOR FINISHES STORAGE: CLEARANCE 0 SPRINKLERS CLEARANC:TO HEATING UNITS REQUIRED SIGNAG CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY ❑FACTORY BLT. ❑ROUGH-IN ❑FINAL REMARKS: 'OK TO THIS DATE --10 is 3 atic CO INSPSLIP.PUB IN CT C)pfy),.. 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 `7 5 am/pm Depart am/pm Inspector's Initials NAME: PERMIT#. LOCATIO : \ L- DATE: , �] aF1— U 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 placeme of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under • Sla Plumbing Vent/Ven s m Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors I?Walls It- Ceiling 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 ealed Fire 2, 3,4 hour L F. stopping / Sne I/ ewe. ram.' u COMMERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive/f a> am/pm Depart am/pm 742 Bay Road Inspector's Initials 0/k Queensbury,NY 12884 NAME ,l 1 PERMIT#\9 -7 L. LOCATION Q DATE 3---I 2.00 b TYPE OF STRUCTURE N/A YES NO COMMENTS Chimneyf'B"Vent/Direct Vent location Plumbing Vent Roof Complete Exterior finish grade complete \ — c54/q�/e?Alla1 �� "� s �� t Interior/exterior guardrails 42 in.platf decks / Interior/exterior ballasters 4 in.spacing pl orm/ — �?ano uz / / echAiJhV Stair handrail 34 in.-38 in. I //t F/`V Step risers //3/4 in. 1 .� '�/na/ e/ec /�,4 Main door 44 in. \ // All others 36 in. \ — //-04 0"/ /It.pt rela' Lever handles Eats at grade or platform .it Canopy to cover req.exit doors — /�� // FloorC�as valve b tm-off exposed®ulator(18' .)above grade // [/ ey 6 26 r Jerk EIO// Q/ 1 watertight Other floors okay / lr/ rry✓nr� Hot water relief valve �/`'1 { Boiler/furnace enclosure 4,C 67=Z 7 c 4.-d' J lyn E'. <250.000 BTU N/R r/ 250,000 BTU to 1,000.000 BTU's(1 h ur) >1,000,000 BTU's(2 hour) e k I��pP�Air')bf,i U ��ja-,C arc' Gas furnace shut off within 30 ft.or within 1 e of site Oil furnace shut off at entrance to furnace ea Stockroom enclosure(1 hour),3/4 hour d Storage/receiving/shipping room(2 hour), ''A doors I hour doors and closers 34 hour corridor doors and closers Firewalls/frre separation,2 hour,3 hour lete Fire dampers,2 hour fire wall/separation or greater Fire door/shutters 1 'A 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 temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif of Compliance) 1 - GENERAL INSPECTION REPORT Frn ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement e . 742 Bay Road Queensbury,NY 12804 Arrive22) am/pm Depart a pm Inspector's Initials NAM � _ PERMIT# LOCATION: i- (% C, DATE : - - - - 00c) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is respons. lei providing protection fro r freezhg for 48 hours following the placement of the concrete. Materials for this purpose 4n site / Foundation/Wallpour i % Reinforcement in Place Foundation/Dampproofin1.1 Backfill Approval Plumbin nder Slab / • Plun g Vent/Vents in lace / ugh Plumbing Heating Rough-In f Insulation Foundation Walls Int for R- Foundation Walls Est rior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper nt, Attic Vent F Jack Studs/Headers Bracing/Bridging Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping -\Jac-k. 11ek ))(),,) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury gEnC) Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Qucensbury,NY 12804 Arrive hid am/pm Depart pm Inspector's Initials 2 .C.4NAME ' o� (�S l Ci PERMIT If LOCATION: �� x',_A C ' DATE : TYPE OF STRUCTURE: In RECHECK N/A YES NO COMMENTS Footings/Piers i I 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 purpos. on ttc Foundation/Wallpour Reinforcement in Place Foundatio Dampproof i g_ Bac Approval umbing UndD Slab 141/ Plumb' , Vent ents in "lac, Pg Heating Rough-1n • Insulation Foundation Walls Irate for R- Foundation Walls Extc 'or 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 I, 2, 3, hour Penetration Sealed Fire Wall 2.3,4 hour Firestopping