97-673 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date r irnmF,.cs+^ 1 u 19 0,-,
/qA\ \\\ J)D4
This is to certi y that work requested to be done as shown by Permit No. >673
has been completed.
This structure may be used as a CERTIFICATE OF OCCUPANCY
Location 4 WESTERN AVE. SOUTH
Owner K.L.SYSTET-IS
By Order of Town Board
TAX HAP NO . 117 . -10-6 TOWN OF QUEENSBURY
•
Director of Building & Code Enforcement
BUILDING , PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 No., 97673
TAX HAP NO. 117. -10-6 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to K.L SYSTEMS
OWNER of property located at 4 WESTERN AVE. FrOUTII Street.Road or Ave.
in the Town of Queensbury.To Construct or place a
CERTIFICATE :OF OCCUPANCY- P. :
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
BERRY HILL PLACE SUITE 35 4 SOUTH WESTERN AVENUE
'QUEENSBURY.1, NY'- . 12804 .
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction-(Please indicate by X)
EinIFICATE OF, OCCUPANCY.,,.ONLY
I I Wood Frame ( I Masonry t-rSieec
7. PLANS and Specifications
ZERTIVICATE,.10r,OCCUPANCY AS PER APPLICATIOIL.,:,-,;,;:
8. Proposed Use-
' CI R TI FICAT E 0 0 CC UP AN C
$ Ti1EE.44t50itaiiii)EgttlxrdfE:Ei,PAIDTHIS'PR
(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.)
Dated at the Town of Queensbury this ri?siL «A.L4.gAi:4Zqtypfr,.-;:.,:.i.,No,veviber_-,,,-!- .9rt'-'d,z,-;'k-o-L-4-v ;4-r -:
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
tsuluaing fermi- Application
Town of Queensbui y - Dept. r f Conmrunity Develo anent 742 Ba Road
o / Bay Road, Qrreerasbrrry, NI' 12804 1761 825GJ
NOTICE BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. ��"
beginning construction. No inspections 0 O
will be made until applicant has received (1 Zoning Board Action PERMIT FEE PAID$�(>
a VALID BUILDING PERMIT. All • Area /Usc •
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and.the signature n Planning Board Action
rZ2)#---
of the applicant must appear on the REVIEWED BY.•
SPR / Subdivision /Other Du1Idi,, Inspector
form. pet. .) Recreation Pee Payment J
Applicant: Wel✓nJe)41 . f— j Li Owner:
' Address: "? 0.5��,P1I Ate s:/, s Address: , —1 R-,
Phone # ( ) - Phone #
Properly I.ocntion: 'j
1 TC13 \M:nli'Ntiiitf�i+.r` BIJRt .,....�.,.rl....--
,i ilttllYltilun Niiiii ie BUILo1N AELCSIgtilukii Mon lot
'NATURE OF PROPOSED WORK:
ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ We.1)
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
ether
GROSS AREA OF PROPOSED STRUCTURE:
sq. ft.
1st Floor �tjc7 If ADDITION, what will use
�
2nd .Floor of new addition be7 :
sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: - SQ. FT. Attached Garage 1, 2 car
Private Storage Building •
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X 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 OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which appli s)
to be installed: Electric / Oil / Gas //Wood
Forced Hot Air. / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : eaki,,,/ r'r i/; ,i) ,?7 e ,fvr`- f '74f- -
m `
Nae A resss Phone
Builder: S'e cJ7P 1-11 0:1'34 40`19/( •
Plumber: /
Mason:
Electrician:
DECLARATION: Please sign below alter 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 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: IL' • n ei
(owner, owne 'sae74,z,,,,f
cl, , contractor)
TOWN OF QUEENS
,>�'r FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED \��" �1 R 7
NAME n/
LOCATION
DATE PERMIT # !
APPROVED
�-. N/A Y5 NO
EXITS ✓✓!
AISLE WIDTHS ,
EXIT SIGNS \ `
EMERGENCY LIGHTING\ ,/
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYST
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
)
INSPSLIP.PUB INSPECTOR
(518) 761-8256 FINAL INSPECTION REPORT
Building &Code Enforcement (commercial -- multiple dwelling)
Town of Queensbury (hotel, motel, apt. complex) Arrive: ��� Inspec l
742 Bay Road q
Quecnsbury, NY 12804 Date inspection request received: /fr/7 r /
NAME: V.,, ., L , Q._,Cri-v-v0c � l �. PERMIT NO. q 7 -:& Z3
LOCATION: LA k.,k)(?..SAR)-y- (41 'L O ��- —� DATE: 11 /7 —67
TYPE OF STRUCTURE: C✓2('12
N/A I YES I NO) COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vent
Roof Complete
Exterior Finish Grade Complete
Interior/Exterior Guardrails 42" Platform/Decks
Interior/Exterior Ballasters 4" S acing Platform/Decks
Stair Handrail 34" -38" _
Step Risers Min. 7 3/4"
Main Door 44"
All Others 36"
Lever Handles Requi
Exits at Grade or Platfo
Canopy to Cover Req. Exit I••rs
Gas Valve Shut-Off Exposed Regulator (18") above grade,
Floor Bathroom Watertight
Other Floors OK
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 Feet or within Line of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom Enclosure (1 hour)
Storage/Receiving/Shipping Room(2 hour)
3/4 Hour Doors and Closers
1 1/2 Hour Doors and Closers
3/4 Hour Corridor Doors and Closers
Firewalls 2 hour, 3 hour complete
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5,000 sq. ft.
Fire Dampers, 2 hour fire wall/separation or greater
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", Checkout 36"
Handicapped Ramp/Handrail Continuous / 12" Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan /Variance Required
Final Survey, New Structures
As Built Septic System Layout Req.
Okay to Issue Temp. C/O /
Okay to Issue C/O f�
Okay to Issue C/C t
(518) 761-8256 FINAL INSPECTION REPORT
Building &Code Enforcement -(commercial --multiple dwelling)
Town of Queensbury ' (hotel, motel, apt. complex) Arrive: 4Tel Inspec .
742 Bay Road l
Quecnsbury, NY 12804 Date inspection request received:// /2- 97
NAME: Cs,-..3---cvl, r PERMIT 0.9 +( 3
LOCATION: L^ .IP3 c 1if r A1_, S ,,-, Gy�n�ls /DATE:
TYPE OF STRUCTURE: -
N/A I YES NO1 COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vet /
Roof Complete %'
Exterior Finish Grade omp e\te
Interior/Exterior G drails 42\Platform/Decks '
Interior/Exterior llasters 4" Spacing Platform/Decks 1
Stair Handrail " 38" 1 ✓
Step Risers
's M . 7 /4 I
Main Doo 44" 1
All Oth s 36" ,s
LevLev41andles Required s/
kits at Grade or Platform /17
-- Canopy to Cover Req. Exit Doors i
Gas Valve Shut-Off Exposed &Regulator (18") above grade V
Floor Bathroom Watertight
Other Floors OK
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 Feet or within Line of Site ✓',
Oil Furnace Shut Off at Entrance to Furnace Area � -
Stockroom Enclosure (1 hour) �i
Storage/Receiving/Shipping Room(2 hour)
3/4 Hour Doors and Closers V.
1 1/2 Hour Doors and Closers .,,►'
3/4 Hour Corridor Doors and Closers
Firewalls 2 hour, 3 hour complete
Fire Door/Shutters 1 1/2 hour, 3 hour 1 /V
Ceiling Fire Stopping 3,000/5,000 sq. ft. V,
Fire Dampers, 2 hour fire wall/separation or greater
Fan Shutdown, Smoke Vents or Fan
Exit Door/Panic Bars Assembly Hardware °//
Elevators �/
Elevator Signage
11/1/12-
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Handicapped Service Counters 34", Checkout 36" , V /I /4.ri/a
Handicapped Ramp/Handrail Continuous / 12" Beyond ✓/
Active Listening System and Signage Assembly Space ✓ / f�"-
Final Electrical e/ i " ice? / ike �i� �`'��isik "'�"
Site Plan /Variance Required
Final Survey, New Structures /
As Built Septic System Layout Req. t/
Okay to Issue Temp. C/O a/
Okay to Issue C/O
Okay to Issue C/C
Yoo V • C °ftY
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