1993-001 19
. ',CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I1.91z.t,/ 3O 19 c%3
This is to certify that work requested to be done as shown by Permit No. 93-001
has been completed.
This structure may be occupied as a warehouse/distribution
Location 515 1/2 Big Bay Road
Owner Adirondack Coffee
By Order Town Board
TOWN OF QUEENSBURY
(777)C...
Director of Bldg. & Code Enforcement
—►
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-001
WARREN COUNTY, NEW YORK
i X,y
PERMISSION is hereby granted to
ADIRONDACK COFFEE S
Box 515 1/2 Big Bay Road
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1-4
Alterations-Interior 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.
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1. OWNER'S Address is
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same
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2. CONTRACTOR or BUI LDER'S Name
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name 0
X
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01
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) co
( )Wood Frame ( ) Masonry ( )Steel ( )
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B)
Q.
7. PLANS and Specifications
N46 sq ft Interior alterations as per plot plan, specifications and 1°
applicaiton.
8. Proposed Use
War"chousc/distribution m
J.
0
75.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 8 19 94 -1
(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.) c-i-
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•
8th January 93
Dated at the Town of Queensbury this Day of 19
0
SIGNED BY Gl � � for the Town of Queensbury
�� Buildi ing Inspector
TOWN OF QUEENSBURY
;lb
REVIEWED BY:
FEE PAID: 45- 7,-,-5,741 VO ,25
PERMIT NO. : / ,. AN 1993
r CODE DEPT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .
Owner of Property: 0/Rp, Ja_AL ('I L
P.O. Address: I.? .eO'C . /5 �/z 8/6 ,tealto asose.i -yPHONE79 OS-O.
Property Location: 54,v16._ Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: -
-Rut_ NT. VA ANIES
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ .�ed O.
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 1 ft. x 2Ob ft.
X S Other work (describe) * Existing Building Size:
�i- -o;;. ei- * 640 ft. x y0 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line: p//01
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: )--//‘ Sq. t. ' * Primary Building -
One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab%Crawl,/Partial/Full (Circle One) X Business
* Industrial
No. of stories (Habitable space) v * Other tiMezer(o+6s —.0iSTRitgurzOn)
Height (grade to ridge) ft. *
If residential , no. of families: * If addition, what will use be? d/A
No. of rooms (excluding baths) : * 11
No. of bedrooms:
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof _
Size, wood studs " x "; spacing " o.c. ; length ft.
Joists (floor beams) : 1st Floor " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: " x "; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: of what material ?
Interior Wall Finish:
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof •
ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
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
not, 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 drawn to scale, " ).'" act, al
location of project on premises.
Signature AoOf ?if
,V''er, owner s .:gy' r architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
•
By:
Code Enforcement Officer
r
TOWN OF QUEENSBURY Agplof.
BUILDING AND CODES DEPART' IT
531 BAY ROAD
QUEENSBURY, NEW YORK 1280
TELEPHONE (518) 745-444
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME e4,,C-fz--
LOCATION GJ
DATE '' G PERMIT # 2-00
TYPE OF STRUCTURE
RECHECK APPROVED
• N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM f,'
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. ,
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR 1 - Al
REINFORCEMENT IN PLACE ','
FOUNDATION/DAMPROOFINGi
BACKFILL APPROVAL 9 I`
ROUGH PLUMBING I'
PLUMBING VENT/VENTS INS LACE
PLUMBING UNDER SLAB 1
I
FRAMING:
JACK STUDS/HEADERS 14
BRACING/BRIDGING
JOIST HANGERS r''ta
JACK POSTS/MAIN BEAM!/
HEATING ROUGH-IN 1 \
INSULATION: if
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS ; \c, R-
WALLS ti ,R-
CEILING A'
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
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DEPART /Mil
' INS ECTOR
TOWN OF QUEENSBURY
,r& 531 BAY ROAD
T, QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME dif::ir,_y„,,Z 4Ye%'e4—
LOCATION
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DATE ,2 fl 0
- PERMIT# 0-0 d 1
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TYPE OF STRUCTURE
RECHECK C4 cc Gi 4.-4— .
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBINGFINAL ELECTRICAL _SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS
r APPROVAL
CHIMNEY HEIGHT/LOCATION 1' N/A YES NO
B VENT/LOCATION i
PLUMBING VENT • I
ROOFING I
SIDING f
DECK/PORCH/STEPS/RAILINGS /
RELIEF VALVES 1
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DVS
FINISH FLOORS:
BATH/KITCHEN WATERTIGT\„
OTHER FLOORS SWEEPAB[E
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS X
HANDICAPPED ACCESS / 4,
SMOKE DETECTORS
BATHROOM FANS/WHOLE,-DOUSE `k OUSE FANS,
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFIt4G X
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALL
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C
COMMENTS:
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DEPART A.2). c /�
IS EC
TOWN OF QUEENSBURY
/,A. .:531 BAY ROAD
�'�"'}' QUEENSBURY, NEW YORK 12804
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TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED //��
NAME g/.�ld/�>? .1� C�
LOCATION `S/S/L 9 t 4 y
DATE .,2//;74.5 PERMITO / G9,3-�/7 /
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
/CHIMNEY HEIGHT/LOCATION d N/A YES NO
B UBNGOVENION f -'
PLUMBING VENT
SODFIGG ='
SIDING
DECK/PORCH/STEPS/RAIUINGS b
RELIEF VALVES 1 „
m. FURNACE/HOT WATER OPERATING -'
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY000RS
FIBITH FLOORS: G
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE -i
OTHER FLOORS CARPETEp),
STAIR CLEARANCE/RAILINGS%
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEH'OUSE FANS
ALL PLUMBING FIXTU ES OPERATING
GARAGE FIRE PROOFIG �'
DOOR CLOSERS /(/
OTHER FIRE SEPARATION
FIRE/DEMISE WALL
DUMPS TER ,/ ,
SITE PLAN/VARIANCE REQUIREMENTS`?
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C iming
COMMENTS:
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DEPART /�„))
INSP
TOWN OF QUEENSBURY
_ 537 BAY ROAD
, r, QUE'NSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR SPECTION RECEIVED
NAME ira . 4:
LOCATION / � •
DATE o2 PERMIT# 93-d /
• /
TYPE OF STRUCTURE �/rV3°ilk-.
RECHECK .
. FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
,
REMARKS 4 2Jr
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT •
ROOFING
SIDING j
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING I
BASEMENT INSULATION/DUCTWORK 7
INTERIOR TRIM/PRIVACY DOORS /
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT 1
OTHER FLOORS SWEEPABLE>.
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS {%
HANDICAPPED ACCESS
SMOKE DETECTORS r
BATHROOM FANS/WHOLEHOUSE FA1S
ALL PLUMBING FIXTURES dOERATINGG
GARAGE FIRE PROOFING ;Q `
DOOR CLOSERS I' k
OTHER FIRE SEPARATION/' "t
FIRE/DEMISE WALLS I
DUMPSTER 1' . I;
SITE PLAN/VARIANCE REQUIREMENTS'
FINAL ELECTRICAL j
OK TO ISSUE C/O OR CrC
COMMENTS: °
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DEPART /4
PECTOR
efi-a(2-\5 -171- )
TOWN OF QUEENSBURY
/, . 531 BAY ROAD
t�"�'�:, QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
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BUILDING INSPECTOR'S REPORT
l F FINAL INSPECT%ON � (��3
REQUEST FOR INSPECTION RECEIVED
NAME 71- Lj,h)cQ
LOCATION
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DATE ff')� ("(°�3 PERMIT# C)/
.
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B .VENT/LOCATION /
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS I I
RELIEF VALVES
FURNACE/HOT WATER OPERATING /
BASEMENT INSULATION/DUCTWORK �r
INTERIOR TRIM/PRIVACY DOO S e
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS ,
SMOKE DETECTORS--
BATHROOM FANS/WHOLEHOUSE1 FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING 1
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
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DEPART
INSPECTOR
DoLiAf,
TOWN OF QUEENSBURY
531 BAY ROAD
;tM4 t; QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ad-VandaiA
~
LOCATION ,5; 2 c&; 7 if
DATE l/l / 93 PERNITB 67,3--007
TYPE OF STRUCTURE i f,. le,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS rJ
APPROVAL
CHIMNEY HEIGHT/LOCATION
/ N/A YES NO
B .VENT/LOCATION
PLUMBING VENT 4 /
ROOFING t; if
SIDING /
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES ,fi`
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVAO4Y DOORS
FINISH FLOORS: /F \,
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE%
OTHER FLOORS CARPETED 't
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS •
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
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DEPART V/6
INSPECTOR
n t0 TOWN OF QUEENSBURY /0/�f
FIRE MARSHAL
j/zJ/
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED /fa,519:?
NAME 61,1043-,dawi,
LOCATION 3-g. ' ./14 y &
DATE //2/®/9 Y PERMIT# q3-6dJ
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS ✓
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM J
ALARM SYSTEM ,/
INTERIOR FINISHES ,
STORAGE:
CLEARANCE TO SPRINKLERS,
CLEARANCE TO HEATING UNIJS,J
REQUIRED SIGNAGE '
/\
CHIMNEY /
WOODSTOVE /
FIREPLACE-MASONRY /
FIREPLACE-FACTORY BUILT \
REMARKS: U OK TO THIS DATE
1 ,14/
. _
2/015 I SPECTOR
TOWN OF QUEENSBURY
A, _,, 531 BAY ROAD
i:ifit''. QUEENSBURY, NEW YORK 12804
',1, 7:' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED.
___4.15"*4
NAME (/‘h.Dr/. f,J (--
LOCATIQ@+I � ,e), /"r�I r TAB AcA)
DATE //,�,0-/� PEERMIT# 9 —420,
TYPE OF STRUCTURE / gt Z//rd.)
RECHECK L, 1
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFI'LL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
_INSULATION _WOODSTOVE/FIREPLACE
REMARKS /6/7Lee..6 z,-x,e76
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION, ,S e �r �/
B VENT/LOCATION ',),5' 'e l�rf. , r/
PLUMBING VENT , '
ROOFING A /
SIDING k N ✓
DECK/PORCH/STEPS/RAILINGS y, V,
RELIEF VALVES I \ V
FURNACE/HOT WATER OPERATING \
INTERIOR TRIM/PRIVACY/DOORS \ ✓
FINISH FLOORS: N
BATH/KITCHEN WATERTIGHT ),
OTHER FLOORS SWEE"ABLE \ ,/
OTHER FLOORS CAR?ETED \ ' /
STAIR CLEARANCE/RLINGS K ..
SMOKE DETECTORS ✓ .
DOOR CLOSERS � � ,r'
BATHROOM FANS ,/,.\
ALL PLUMBING FI URES OPERATING ✓ \ ,
GARAGE FIRE PRO FING ✓ \
DOOR CLOSERS i/ \
OTHER FIRE SEPARATION i/e;
FIRE/DEMISE WALLS jy., Al.k. V'
FINAL ELECTRICA l
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OK TO ISSUE /0 R C/C V \,
COMMENTS: -/rr`ujaZ^ at'
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DEPART 0520 , � . �'-"'�
INSPECTOR'
. TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
. • 531 BAY ROAD
. QUEENSBURY, NEW YORK .12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO
N RECEIVED
NAME g,t4e4" 64Z.-
LOCATION T2 ?G i€
DATE / /.j g? PERl9IT # a-GrO/
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
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/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL ,
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB '`
FRAMING:
JACK STUDS/HEADERS !i"
BRACING/BRIDGING t.
JOIST HANGERS ‘ 4,
JACK POSTS/MAIN BEAM ,
HEATING ROUGH-IN %,,,
INSULATION:
FOUNDATION WALLS INTERIOR` R-
FOUNDATION WALLS EXTERIOR R'$ •
FLOORS V1/4
WALLS .;' R-\, _
CEILING R- \
DUCT WORK OR PIPING.'IN UNHEATEDy
SPACES 4` ti.
1 REMARKS: °" `
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DEPART 'I/VI . /)5745/Zi------
TNSPFf`T IP
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION /.2�/ �
DATE 0*? PERMIT 1V
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE <<
THE CONTRACTOR IS RESPONSIBLE C`
FOR PROVIDING PROTECTION FROM 1 ,
FREEZING FOR 48 HOURS FOLLOWINGe
THE PLACEMENT OF THE CONCRETE. e
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR \ a
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ' '
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING (,II
JOIST HANGERS !`
JACK POSTS/MAIN BEAM:I
HEATING ROUGH-IN s:
INSULATION: if
FOUNDATION WALLS INFERIOR R- \:
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS ,r R- r3
CEILING R•- .
DUCT WORK OR PIPING IN! UNHEATED
SPACES g
REMARKS:
.
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DEPART /J1101' 17
INS C R
iL/: yy vi ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
'Permit No. �9' -W
Owner A---P //'/ A-14. -e •
Occupant •
Location 1 C.0 b. " 9
No. Street t�
a.&I. SPraRy-
Town or City State
Installation as itemized� on reverse sidehas been visually inspected pursuant toapplicaf.e codes.
Installed by //"o `'Gl CC
Date ^�C� � X7.7),,i_
ACey, Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
�7 'WWk1-"ETS WIRING &CONTROLS FOR "BU,RNER
S' RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
,,_)AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
YAMP.SERVICE CONDUCTORS K.W.DISHWASHER
( Gr K.W.SURFACE UNIT K.W. DRYER
K:W.RANGE AMP. RECEPTACLE
11K.W.WATER HEATER FRAC. H.P.VENT FANS
l
)TORS H.P. 1/20 I/l2 I/10 % % % % y % 1 11/2 2 3 5 7% 10 15 20 25 30 40 50 75 100
\RK NUMBER
EACH SIZE q{ / J� / �1 ,'+ /
PPARATUS I�j litf' 4� J - f Lxt J / 7AJc /(/�.'1f/(r
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GENERAL BUILDING CONSTRUCTION LENZ & RIECKER EDITION
Checklist BUILDING:
NEW UNIFORM CODE C LOCATION:
DATE:
REVIEWER:
REQUIRED
OR
NO. ITEM CODE SECTION PAGE NO. ALLOWED ACTUAL
1. Jurisdiction Sec. 1231 638.333
New--Existing
2. Occupancy Classification Part 703 475 C y/
3. Type of Construction Table 111-704 483 /y�e .-
4. No. of Stories 0 // OR
5. Fire Area (Basic) Table VI-705 492 a"'
Accessibility Sec. 705.4E 486
No. of Sides
Sprinklers Sec. 705-4F 486
6. Fire Limits Sec. 770.3 601 AA
7. 1 Ceiling Height Sec. 762.3 572 r U S
8. Ventilation _,,,_
ASHRAE 62-73 � 1 ;i0e_ 3No. of Occupants Sec. 1004.2 638.182 T� � /4/
9. Exits Ael 2 T
A Number j G,//oF
(One exit permitted) Table X-765 593 it.,a;sf1o>s
_: B) Distance of Tray AO Table VI-765 590 /06 /0Y
C) Dead End Corridor Sec. 765-1 j 576 S`(} ' Yo-/
.. D) Enclosure Table 111-704 483 $'L ecru- ' //1
E) Corridor Width 7�'' 4��,,,iti Table 1-765 775577y'' /'
F) Door Width Table .V-765 588 32" 26 "
G) Smoke Stops Sec. 765.2a 577 /04
& Alarm Sec. 1060.9a 638.222
---2,> H) Opening Protectives Table 111-771 611 ,3/ 6e„;‘,.-, './
I) Panic Hardware Sec. 765.5a-4 587 4
J) Interior Stairs Table IV-765 583 Ifr—
K) Exterior Stairs Sec. 765.4c 585
L) Handrails Sec. 765.4a-11 585 N�/� •
10. Physically Handicapped Sec. 1102.1 638.247 ,/4 AA a --
Facilities-ANSI 117.1-1980
00104,2
11. Safety Glazing Sec. 766.1 594 . /v1
12. Malls between Buildings Sec. 768. 1 596 �
13. Atriums Sec. 769.1 598 !J/A
1 Openings in Rated Partitions Sec. 771.4 608
Sec. 7714L5 616 $y '`/
NOTES: 030-
a
• PAGE 2-GENERAL BUILDING CONSTRUCTION CHECKLIST
NEW UNIFORM CODE C
REQUIRED
OR
NO. ITEM CODE SECTION PAGE NO. ALLOWED ACTUAL
15. Design Loads
A) Snow Map 638.2
B) Floor Table 111-803 637
C) Wind Table V-803 638. 3ISAsi
D) Roof Drainage Table VI-903 638. 14 - y v/ 4
/ ✓
16. Foundation Sec. 800.3 629 ikj$ /
17. Distance Separation. Table 1-770 600 MI6
18� Fire Separation Table 11-771 609 ./`j` /-7. htee�
-� Mixed Occupancy)
OTT € r/- Aor vs-C.
19. Firestopping Sec.771.5c 617
20. Day Care in Mixed Occupancy Sec. 771.6 617 /J//L
21. Areas of Public Assembly Sec. 790 625 /IA
22. Finishes N f
- - , Interior Sec. 772.2 619 ass B
Exterior , Sec. 770.8 605 \
23. Fire Protection Equipment 5,;,
A Fire Alarm System Sec. 774.2 622
Fire Station Connection Sec. 774.1b 622
Zoned System Sec. 1060.2a-5 638.216
/1:////
Battery Backup Sec. 1060.2d-1 638.217
D.O.T. Table 1-1060 638.216
B) Fire & Smoke Detecting System Sec. 774.3 623
C) Sprinkler System Sec. 774.4 623 ///Q
D) Standpipe Systems Sec. 774.5 624 /0
E) Auto Vents Sec. 774.8 624. 1 li
& Alarms Sec. 1060.9a 624. 1
F) Coordinated Fire Safety Sec. 774.9 A/Q
G) Gas Pump d`
Fire Extinguishers Sec. 774. 10 624. 1 �,c/A
H) Emergency Ventilation Sec. 1004.2f-1 638. 184 /0
I) Fan Shutdown Sec. 1004.2E-2 638.184 /14
J) Exhaust Hood
Extinguisher Sec. 1064.2b 638.233 /O
24. Plumbing
Fixtures Table 1-900 638.89
Materials Sec. 904.6d • 638.147 g/54,Freezing Sec. 850.7 638.112 ,
25. Heatin Producing Equipment
A Enclosure Sec. 771.4j 614
B) Air Supply Sec. 1000.2g 638.173
NOTES:
PAGE 3-GENERAL BUILDING CONSTRUCTION CHECKLIST
NEW UNIFORM CODE C
REQUIRED
OR
NO. ITEM CODE SECTION PAGE NO. ALLOWED ACTUAL
26. Chimneys, Flues, Gas Vents
A) Prohibited Use Sec. 1005.2a 638. 186
B) Spark Arresters Sec. 1005.5 638. 186 0(./.
C) Outlet Locations Table 1-1005 638. 187
27. Electrical
Metal Veneers Sec. 1030. 1g 638.201
Emergency Power ' Sec. 1032.2a 638.203
Emergency Light Table 1-1032 638.204
��- - Exit Lights Table 1-1033 638.205 ;� 4&/.444
28. Signage
Fire Alarm Sec. 1163.13f-4 638.277
Assembly Space V Sec. 1164.2 638.279
Gas Pumps Sec. 1164.3c-4 638.283
Elevators Sec. 1194. 1a 638.322
Incinerator Sec. 1194.1a 638.322
Evacuation Route Sec. 1195.1c 638.323 4 4 , 14 C1/
29. Insulation as per NYS Energy Code
The Local Building Department is expressly authorized and empowered to approve plans
and specifications for compliance with the code: therefore our comments are to be
considered advisory only. Based on our limited examination, compliance with our
comments shall not be construed as indicating the plans and specifications are in
full compliance with the code.
Legend
N.A. : Not applicable
N.R. : Not required
N.S. : Not .shown on drawings
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