1999-773 . TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
-)
Permit Number: 99773 Date Issued: Friday, January 07, 2005
This is to certify that work requested to be done as shown by Permit Number 99773
has been completed.
Tax Map Number: 523400-303-019-0001-042-000-0000
Location: 1 LOWER WARREN St
Owner: JOSEPH WALKUP
Applicant: LENTZ, EDWARD & SHEREE
This'structure may be occupied as a:
_ By Order of Town Board
Unknown TOWN OF QUEENSBURY
Director of Building&Code Enforcement
1
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 800 99773
TAX MAP NO. 110 . -3-3 9 Building Permit No.
LENTZ , EDWARD & SHEREE
Permission is hereby granted to
1 WARREN ST. AV 101-1999
Owner of property located at
COMMERCIAL ADDITION (COOLER ENCLOSURE)
in the Town of Queensbury,to construct or place a
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.
Ce2RCLE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
LENTZ , EDWARD
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction: COMMERCIAL ADDITION
•
Plans and Specifications:
160 SQ FT COMMERCIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
COMMERCIAL ADDITION (COOLER ENCLOSURE)
20 January 5 2002
$ 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.)
5 January 2000
Dated at the Town of Queensbury this Day of
SIGNED BY � for the Town of Queensbury
Code Enforcement cer
MOW •
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
• 'O • BUILDING & . CODE ENFORCEMENT
NOTICE - Requirements prior to issuance
r 1 of this permit: PERMIT FILE NO.
A permit must be obtained before
beginning construction. No inspections
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ c:20
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed aatd•the signature 7 Planning Board Action REVIEWED BY:
/4----
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
application form. you. J Recreation Fee Payment
Applicant: 4'7' '£ I P7z Owner: MI h - L- L
_. ' Address: l O/6 7 iii4' ' egfc eb Address:
r324 - / 1 ok,V /.30?S
Phone #. (315-1 . 6, T%/ G Phone # ( ) -
Property Location: 6, I criJ' L- Gi./4/2)?�.�✓
Subdivision 'tm :
Tax Map Number l i Dl J / 39
(- ' I _\c11 , Section Block I.-t
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ .2?6,a. 4s-D
residence / commercial
.X.._ Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwell��i�g
no change to exterior size Famislywellti�n1g
Office
Other Work (describe below) Mercantile n
Manufacturing
2 1999
c>4_. Other '
GROSS AREA OF PROPOSED STRUCTURE:
If_ ADDITION.. Tni 1� flii�fGLEE);
,,��j CCusel
wl a t will
1st Floor / 6 D sq. ft. of new addition be? :
2nd .Floor sq. ft. Cvo\s _. 1-,c (0)tfir)<,
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• tom_. Detached Garage 2 car
TOTAL FLOOR AREA: / b 0 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: . . Commercial Storage Building
/ Other
v FEET X ! G FEET
Foundation Type: ,. Will any second-hand gr ,ungraded
' Number :.o-f Stories : , . / lumber .be used? If so, for what?
((habitable space only) \..) u
Height (grade to ridge) : feet TYPE OFHEATING SYSTEM: f /
Number of fireplaces and/or woodstove (circle all which applies) p
to be installed: D Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : , /V?. Lon,t, ,
Name Addresss •
Phone
Builder: /1/7 1 &' 1'7_ .ia..�r✓ •
Plumber:
•
Mason:
Electrician:
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 I/we shall submit prior to a
Certificate of Occupancyor Certificat ' of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, owing actual location of project on premises.
Signature:
(owner,owner's agent, ar ' ect, contractor)
GENERAL INSPECTION REPORT
( 518 ) 761-8256 -�-�-�
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement •
742 Bay Road
Qucensbury,NY 12804 Arrive A/)am/pm Depart am/pm
Inspector's Initials ,
NAME: Q,i � PERMIT# 7- 7 77
LOCATION: / 60- DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
Footings/Piers r!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 purpose on
site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior 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
Firestopping
.-— Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p` Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: � Ni� S OUP PERMIT#: C 7 1 3
LOCATION: 1 ,L DATE:
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 (w)x 44" (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Tem . or Permanent C/O
Okay T
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
.
i
COPY
TOWN OF QUEENSBURY
BUILDING 8L,COD DEPT.
REVIEWED BY
DATE
cr c j R Lsx- ( £ s�` �1 1 i.
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Re0 Based on our limited examination,
compliance with our comments shalt
'not be construed as the
Plans and specifications ftil
compliance with the code.
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