97-061 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 20 19 97
`od 8?` i
This is to certify that work requested to be done as shown by Permit. No. 97061
has' been completed.
COMMERCIAL INTERIOR ALTERATIONS
This structure may be occupied as a
1.468 ROUTE 9
Location
Owner REEBOK
TAX UAi' NO. 6 . —1..->3..1. By Order Town Board
WN OF QUEENSBURY
ap;"
Director of Bldg. &Code Enforcement
BUILDING PERMIT
VALUE $ 15000 TOWN OF QUEENSBURY No. 97061
TAX MAP NO. 36 . —1-33. 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
REEBOK
OWNER of property located at
1468 ROUTE 9 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a COMMERCIAL 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 Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
ROUTE 9 MALL
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
KENNY, DAVE
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) COMMERCIAL ALTERATIONS
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1160SQNET COMMERCIAL INTERIOR ALTERATIONS AS PER PLOT PLAN
SPECIFICATIONS
8. Proposed Use
COMMERCIAL INTERIOR ALTERATIONS
58 March 3 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
3 March 19 97
Dated at the Town of Queensbury this Day of
SIG
NED BYCakW__.91—=)eT-6„\ for the Town of Queensbury
Building and Zoning Inspector
02/26/1997 08:01 5187454437 utri ur wmn ucvm-
•
L)cpact lie ni of Community Development Reviewed lly:
• Building & Code Enforcement ',`,;', •,• Building Inspector
�, I' 11111141Mi_";:...:..::::::.:. -� - c� CQ I
l owft o f Qeen•rbtu•y ;,;,itPermit No.
742 hay Road �'°
Queen.sbury, New York 12804 1 ee Paid $ _5 •
(518) 761-E3256 Building Permit Application
A PERMIT MUST BM OBTAINED BEFC2RE_BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL L'LICAN�11AS RECEIVED A VALID BUILDING PERMIT.
A.Il. applicants' spaces on this application MUST be corple(:ed and the
signature of the app.l.i.couf: MUST appear on the application torn.
Applic:utl: Fi c-F6pI'l, Owner: Reebok IntQrnati anal , Ltd: (Tenant)
Address: _ " 1 L1 y 91I011 _ Address: 42' Thomas Patten Dr.•, :Stoughton, MA -
•
Phone If ( ) - Phone# ( 617 ) 341-500'4':, ':;; ::. • .
Properly Location: Route 9 Mall •• • .) 331, /
Fax Mnp Number __•'SL /
Subdivision Namc: Section block lyl
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF TIIE
New Building: CONS'TRUC'TION: $ 15,000.00
residence / commercial
Addition to Building: _ i --: i -
OCCUPANCY INFORMATION. " ' ' - l
-- -- ----- � — - raoadenco-%- commercial - '.,�• �v t`
X Alteration to Building: Primary Building
-residence /(unercial — Single FamilyD elli�yngt•ry�
Residence / Commercial Two Family Dwel ingMA1� 0 3 1997
no change to exterior size . Family Dw lling
Office
Other Work (describe below) x Mercantile • TO" `' i,)r V
�'Manufacturing • t)l`-Otl� "�'""t'` `"' --
E
_
.. Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 1160 If ADDITION, • what will use
°q' 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: 1160 SQ. FT. _ Attached Garage 1, 2. car
Private Storage Building
SIZE OF NEW STRUCTURE: (Alteration) Commercial Storage Building
Other
20± FEET X 60± FEET
Foundation Type: -- Will any second-hand or ungraded
Number of •Stories: ,-- lumber be .used? If so, for what?
(habitable space only)
height (grade to ridge) : -- feet •TYPE OP HEATING SYSTEM:
_Number o ireplaces and/_or woodstov_e___(c9xclo=all whic�k 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:
Namg Address Phone ''
Suilderi Retail Planning & Const. , /J5 Birch Ave. , Aen Salem, PA 19020
Plumber: •
Mason:. •
Electrician: Jason Rir•hie3 Read Park Rd. . Lake Lnzenne, NY 12846.
•
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, ale 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 Occupancy or rtificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed curve, r; drawn t scale, showing actual location of project on premises. •
Signature: //a/A, •(owner, owners age L. chileet, contractor) •
•
ELECTRICAL INSPECTORS
The following are Electrical Inspection Agencies, Certified by
the Town of Queensbury to do inspections .
Inspectors can be easily reached and live locally (within a 25
mile radius of Queensbury, NY. )
We cannot recommend an inspector; however, please ask your
contractor who he prefers to inspect his work.
NEW YORK BOARD OF FIREUNDERWRITERS
John Beaudette - local office no.. (518) 793-2851
ATLANTIC-INLAND, INC.
Stan Matyka - local office no. (518) 692-9295
(518) 638-6339
COMMONWEALTH ELECTRICAL INSPECTION SERVICES, INC.
Donald Loveland — toll free local no. 1-800-562-9934
please call between 7 - 9 a.m.
•
MIDDLE DEPARTMENT •
Lou Riccardi - toll free main office no. 1-800-479-4504
•
ALLIED ELECTRICAL INSPECTION AGENCY
John Dalton - local office no. 793-2661
> TOWN OF QUEENSBURY
� ",71 FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT 3:-J-0-q7
• REQUEST FOR PECTION RECEIVED
NAME
LOCATION /
DATE PERMIT # _ • -l 0)
APPROVED
N/A YE$f NO •
EXITS //
AISLE WIDTHS
EXIT SIGNS /
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHIN SIiStEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS /
CLEARANCE TO HEATING UNITS /
REQUIRED SIGNAGE
CHIMNEY 4-
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: 0 OK TO THIS DATE
INSPSLIP.PUB IN P_E TOR
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: 11-H--7 DEPART: 172 1'5 INS .
FINAL INSPECTION 4 PqR
COMMERCIAL MULTIL DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME RFFP01' \
LOCATION 1 1K (9 ��lT, I
DATE 3`\��\CR PERMIT
# 9�<JI/
OI
C TYPE OF STRUCTURE c t-\►"\o
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT _
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE �L
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR `//
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING /
FINAL ELECTRICAL ///
SITE PLAN/VARIANCE REO. ✓
FINAL SURVEY PLOT PLAN, IIFF REQ
OK TO ISSUE C/O OR C/C T l
I\ ,
(518) 761-8256
,tz-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ""+• , *l✓Ir
F 1
INSPECTOR'S REPORT: ARR .?DEPART O ' le;¢
REQUEST FOR INSPECTION
-�RECEIVED:
NAME
LOCATION`469-,N (�
DATE l‘S\c“ PERMIT 9 CA-1
TYPE OF STRUCTURE: 0,C),y` qt
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
X)
MONOLITHIC POUR FO
REINFORCEMENT IN LACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING .
PLUMBING UNDER SLAB •
%` ,F RAMING: -_
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS •
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
R-
WALLS R-
CEILING R- _
DUCT WORK OR PIPING IN I
UNHEATED SPACES R- •
- NI1 /
Ill (518)761-8256
TOWN OF QUEENSBURY ':
BUILDING 5 CODE ENFORCEMENT " `
742 BAY RD., QUEENSBURY NY 12804 F *a, j .
I
INSPECTOR'S REPORT: ARRV°AC) DEPART.ZQ
REQUEST F PECTION,RECEI ED _ C:;
NAME �(:)1 ) r.
LOCATION \W fJ c cc & Q aC1
DATE 3--/o-_C 7 PERMIT O ft 0
TYPE OF STRUCTURE: TA4k- J�r-T
RECHECK APPROVED
N/A • YES NO
4
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT I ACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _ f_______,
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
P MBING UNDER SLAB /
FRAMING: FI eL1 \/
JACK STUDS/HEADERS
BRACING/BRIDGING f
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
°6
Panel Board No.
Cert. 4 3" 9 r Cut-in Card No.
Owner /ee- / -a it /
Occupant y�
Location fZ r 9 - 62ce. 41 c/c/
e
Installation Consisting of Pl O f . , .G J07
t�pishi !26— 's ,e / e'c T L r 7-6--
Installed By \T! /a1 rE/elee- Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers 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 maki inspec ' s at any time,and if its
rules are violated,the Company shall have the right to revok th' ertifi to
Date INSPECTOR ..
mber N.F.P.A.,I.A.E.1.