97-031 • BUILDING PERMIT
VALUE $ 0 TOWN OF -QUEENSBURY . 97031
No.
TAX MAP NO. 105. —1-12 WARREN COUNTY, NEW YORK
`'TerInf(��Rip, VarCe,lf- . 211 IDON.'S FURNITURE STORE
Ftg S ION is h re ranted to
46 COLLINS DRIVE Street,Road or Ave.
OWNER of property located at
COMMERCIAL ALTERATIONS TO BATHROOMS
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 incompliance with the Town of Queensbury Building and Zoning Ordinance. .
6:0 $•StddresRAMS TENANT 46 COLLINS DRIVE
QUEENSBURY, NEW YORK 12804
•
2: CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECTS Address -
•
6. TYPE of Construction—(Please indicate by X) COMMERCIAL ALTERATIONS
( )Wood Frame ( ) Masonry ( )Steel ( ) ' - .
7. PLANS and Specifications.
COMMERAL INTERIOR ALTERATIONS TO BATHROOMS AS PER PLOT PLAN _ -,
AND SPECIFICATIONS .
8. Proposed.Use
COMMERCIAL ALTERATIONS TO BATHROOMS
5 February 21 - 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
I
(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.)
21 February 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Buil i a Zoning Inspector .
i
I .
Building. Permit` Application
Town o (' ueensbury - Dept. of Conutiunity Development, .742 any Road, QueembuR Y
NOTICE BUILDING c& . CODE ENFORCEMENT
Requirements prior to issuance FEB 21
A permit must be obtained before of this permit: PERMIT FILE NO. /' O3 I
beginning construction. No inspections - , g ri ,,•�, c , atit.
will be made until applicant has received n Zoning Board Action . '
a VALID BUILDING PERMIT. All Area /Use ./
applicants' spaces on this application , RECREATION FEE PAID$
MUST be completed and.the signature •
n Plannhtg Board Action ;D BY:of the applicant must appear on the RLVICWL
`pplication form. n ,.,. SPR / Subdivision /Other I Building Inspector
mm( •
Recreation Fee Payment J
Applicant: ' sI A) S' ./-L-��/Li j G>A°1 Owner: 1) I(3i//N 3
• /
Address: /1av'z" 0 // Address: /c'� 42
1
Phone # ( ) - Phone # (���o ) -
Properly Location: f30y Q 047iC ' 1
Subdivision Name: Tax Map Number, /d`"/ / / J/
Section Block Tat
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: ,. 1$
e CONSTRUCTION:
residence / commercial , I40
Addition to Building:
residence / commer.ciallr OCCUPANCY INFORMATION:
Alterati •
on to Buil Primary Building -
residence / c es ial Single Family Dwelling
`� aar"4 r"'" l Two Family! Dwelling
e Family Dwelling •
Office
O her ork (descri bei w
q ) A' Mercantile
vt.7-107wS r\ 1 Manufacturing ,
Other
GROSS AREA OF' PROPOSED STRUCTU
1st Floor If ADDITION, ;what will use
6' sq. ft. of new addition be? :
2nd .Floor sq. ft.
• Other Floors sq. ft.
(not unfinished cellar or basement) I
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA:% 50 SQ. FT. Attached Garage I, 2 car
S 6 Private Storage Building
SIZE OF STRUCTURE: 5 ,, Commercial Storage Building
0 FEET X C) FEET Other
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 OF HEATING SYSTEM:
Number of fireplaces and/or woodstove ((circle all which appli s)
to be installed: Electric / Oill/ Gas //Wood
. Forced Hot Air !/ Baseboard / Other
I
Person responsible .for/sy .t
ups vision of work as regardso building .
7 Li
codes is: ii- ' ' d / --/ .
Name Addresss Phone
Builder: ir; T ?r, /J,vs (57:L.6q/� /0;7.4r—s j'9�--.fry+'.
Plumber: i
. 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 II 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; draw, to scale, showing actual location of project on premises.
Signature: cam' �G
Zowner's agent, architect, contractor)
,
TOWN OF QUEENSBURY 91-'0
41111% BUILDING & CODE ENFORCEMENT 5/i
ET 1
742 BAY ROAD
QUEENSBURY, NY 12804
... ... . _. _
(518) 761-8256
1997
NEW BUSINESS
CERTIFICATE OF OCCUPA ,CY PERMIT
DLii DINC;AND C.:60E .._.'
(For occupancy only, with no work req iring a bu I ing permit)
No Fee Is Required For Thi' Permit
PLEASE FILL OUT AND RETURN TO ABOVE ADD ESS ,,/1
Name of Business: DON "S FoRA)17-cti /le /NC,
.,
I
Address: (2 7 g 734V `RO O. 6--1 e Ai S- Aug ci 9/ i 2, o y
•
,---i- / 1/u/ ' .
Person In Charge orManager: —1-'0 A LL 1 - - Z-, - ABRA-04-z_..c'___ _ , Ai 0
91-Tv v
Bu§ines§ Phone-Number: ( 578") /4-W--: (,-7 o _o___J---eq-, G-m r_.7. ,(2._,_.,'N lagi--1
Type of Business"(i.e., Mercantile, taestaurant, obby Shop, Plumbirig Store): i
i
7.--e (..i ,a -76,91_ , .1
Owner of Property: Fleili,L coLL,N S' ',,,
1
Address: /(77 /X • A-VE' °P(.1( II\Ue-cf /. . /Z -(9(-/
Phone Number:
Please provide layout sketch of y.0 st re showing all vk/ 14, exits,
stockrooms, re rooms, counters an..Ure layout on a seov)rate t of
• paper. Pleas try to make th:f dra , ing as close to . aleiii Ot; sib .
t ' • /
Signature f persOn submitting this form- 7 ,00„-wrioip ' ,.
Office Use Only
Property Tax•Map Number; - _ , r e Received:
1
FIRE MARSHAL
4#. TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME I )cr\Ai l}V NN.�
LOCATION L4 (p ( )lei f1SI(PERMIT# l i--031
SCHEDULE INSPECTION ON el - t- l
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING- --
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SY EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARAN ,E TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
--hctr)1.-e,15
C1 �
INSPSLIP.PUB INSPE OR
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive'',/3 am/pm Depart am/pm
742 Bay Road Inspector's Initial'
Queensbury,NY 12804 ''
NAME %; l�Y`f1\ PERMIT • !7-0,3 /
LOCATION I k k d, DATE CI S
TYPE OF STRUCTURE
N/A YES NO CO •I I S
ChimneyP'B"Vent/Direct Vent location 43- 4jli
fPlumbing Vent �� , /a$►' kki/'
Roof Complete
Exterior finish grade oomplete
Interior/exterior guardrails 42 in.platform/decks /�
haerior/exterior ballasters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in. , (��
Step risers 7 3/4 m. (/,C�/ k�' `/�F/
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 8c regulator(18 in.)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 of 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 doors
I './z hour doors and closers
'4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation 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 sigtage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot sigiage
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)
TOWN OF QUEENSBURY
-`; I
„ BUILDING & CODE ENFORCEMENT
lot 7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: ''GJ'-
DEPART: INSP: (-41/
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION EST RECEED:
NAME ( �s �/ IV4P'ti4t
LOCATION 6AvI 0-+ •
DATE 3/1
4 7 PERMIT # 7'03
. TYPE OF STRUCTURE
FOOTINGS BACKFILL FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIX RES
ROOFING
EXTERIOR FINISH /
HEATING/HO ATER
RELIEF ALVES
FLO RS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
F-IRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN', IF REQ
OK TO ISSUE C/O OR C/C
Ave- 0'eG✓' /7 ‘ sa
/2'' O / �� ,4' :, it
,/ V
A fe ,L vit ,,:i c,� 7.-4
— /N.rux4 . s,,,, i car i.',
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
141!)
742 BAY ROAD
•,. 40. .YI" '' QUEENSBURY NY 12804
° (518) 761-8256 ARRIVE: .5 /�0 DEPART: INSP': __
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, ap'. complex)
DATE IN .CTION REQUEST RECEIVED: , /
NAME S �VV
LOCATION LIrp Cc Jimn•s N !/"r--
DATE �/ � ) PERMIT # St
TYPE OF STRUCTURE AI+ 0 m S
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION G�
7/9 -6.7°5
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
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING --
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
�j� 61-41- ai / . it s/.c -.4 4Kam,-
c L ow Sl&Z Ai6,r 71/
TOWN OF QUEENSBURY
4:11FIRE MARSHAL
. .
=!* QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 5/ 97
NAME 421 P74
LOCATION - /) (,�'A"a,2/1//0
DATE PERMIT # ory7
Aigirtapo /9174) APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS 7"
EMERGENCY LIGHT!
FIRE EXTINGUISHERS ✓
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM /
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS �.
REQUIRED SIGNAGE
CHIMNEY /
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: ❑ OK TO THIS'DATE
Z/4 • e
INSSPSLIP.PUB INNS ECT R
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR,916 DEPART INT J/
REQUEST FOR I ION RECpED•
NAME / al/ , Pk+/17t •
LOCATION �iC w5/;145
DATE o2�� PERMIT
__!1412.2.7D3(
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR L -
REINFORCEMENT IN PLACE }
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE -
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
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
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
4$11" QUEENSBURY NY 12804
(518) 761-8256 /�
j
ARRIVE: �' DEPART: INSP: /)®�/
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. co 1ex)��"/, 7
DATE INSPEC REQUEST RECEIVED: gyp- �
NAME .1 0 r�.,S ITL I int:f . I C�. L °�
LOCATION f ^„'
DATE % 7 P R IT7r ` / 63/
/ 1
TYPE OF STRUCTURE Oi-
FOOTINGS BACKFILL RAMING PL BING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXT ES
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
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE /C/O OR��C//C `/,
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N
MAGNETIC NORTH
SHOP 81 SAVE
S 85 _ 541— 5011 E
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6ENT IPF 1 2 DEEP 321 /
1.2 DEEP
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CATCH BASIN
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STORM DRAIN
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IRON ROD FOUND
IPF
IRON PIPE FOUND
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SUBDIVISION LOT No.
321 320
I
MAP REFERENCES
1. "Map of I,8I1dO of U.S. Catheter & Instrument Corporation" 4. "Map of Property of Ashley T. Kellogg"
Byl Leslie Coulter By: L.A. Beach, C.E.
Dated: September 3, 1955 Dated: June 2, 1909
Filed: September 28, 1955
5. "Map and Survey of the Coolidge Farm"
2. "Right of Wa•., and Track Map - The Rensselaer & Saratoga By: L.A. Beach, C.E.
Railroad Com:,any - The Delaware and Hudson Company - Dated: June 2, 1909
Saratoga Division - Lake George Branch - Fort Edward to
Lake George". 6. 'Warren County Department of Highways
Dated: June 30, 1916 Description and Map for the Acquisition
of Property", Bay Road, County Road No. 7,
3. Map of a survey made for Kenneth C. Hopper, M.D. Warren County, Map Nos. 65, 69, 70, 71, 74,
By: VanDusen & Steves 75, 02, 83
Dated: January 14, 1983 By: Rist-Frost Associates, P.C.
Filed: January 26, 1903 Dated: October 3, 1974
7. "Boundary Survey Portion of Lands of Mark C.
DEED REFER.Nce & Elizabeth B. Doyle"
By: C.T. Male Associates, P.C.
1. F.T. COLLINS CONSTRUCTION CO., INC. TO Dated: March 4, 1986
FRANK T. COLLINS AND EILEEN COLLINS
D: JANUARY 22, 1980 FI JUNE 13, 1900
631/920
2. KENNETII HOPPER, M.D. TO
F.T. COLLINS ANU E.P. COLLINS
D: JUNE 14, 1985 it JUNE 17, 1985
671/054
TA MAP DATA
319
SECTION 105 BLOCK 1 PARCELS 10, 11, AND 12
ELEVATIONS SIIOWK ARE BASED UPON BMQ25 AS SHOWN UPON PLANS FOR THE
CENTRAL QUEENSUU,,Y QUAKER ROAD SEWER DISTRICT.
LANDS N/F
MACADAM
MB NEW YORK 319 DRIVE
682 /683
( MAP REF No.4)
318
319 318
C.B. 318
i
MACADAM I
PARKING AREA
\ 1
320
LANDS N/F
C,R. BARD, INC.
553/3
NCTE:
UNDERGROUND UTILITIES SHCWN A F AS DEPICTED ON PLANS FOR THE
CENTRAL QUEENSBURY QUAKER RCA1r SEWER DISTRICT MAP. ACTUAL
LOCATIONS SHOULD BE FIELD VER:.IED BY THE UTILITY COMPANIES
BEFORE ANY EXCAVATION.
I
315
316
317
1318
HOUSE
I �
I
\ J HOUSE
w HOMER
L J M. 5-30-91 ADDED 11NAfPrA-,ou1v,0 Ui/L/l/ES
l J641 S ,1 To ,eEFLECT 611-'/{O CD,C'N{Q M,4,eA'Ce5 �LY/rVQ
REV.: BY: DATE: I NOTE:
TITLE: ram`
TOPOGRAPHIC MAP
OF LANDS OF
"• FRANK T. a EILEEN P COLLINS
MORSE ENGINEERING
j U9 LOWER DIX AVE
Town of t�ueensbu - -- Count of �/M rren — State of New York QUEENSBURY, N.Y. 12804
URVEYED: CHECKED: SCALE: SHEET
�F DRAWING NO.:
J. G. Martin U. G. Martin I11_ 401 I SHEETS
DRAWN: DATE PROJECT NO.:
M. Cortese 4/23/91 91-012
FEB 211997
Try,�; r: .3RY
_ODE
7-03
1