2011-177 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: P20110177 Date Issued: Monday, September 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20110177
has been completed.
Tax Map Number: 523400-309-010-0001-088-002-0000
Location: 53 LUZERNE Rd
Owner: A & Q HOLDINGS INC
Applicant: LABOR READY
This structure may be occupied as a:
Certificate of Occupancy(COM)
Deck By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the f (�
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the C:�6vfi'
Director of Building&CodeT Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110177 Application Number: A20110177
Tax Map No: 523400-309-010-0001-088-002-0000
Permission is hereby granted to: LABOR READY
For property located at 53 LUZERNE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with 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. Type of Construction Value
Owner Address: A&Q HOLDINGS INC Certificate of Occupancy(COM)
10 SAGAMORE St Deck $8,000.00
GLENS FALLS,NY 12801-0000 Total Value $8,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
LINDEL CONSTRUCTION
Plans 8&Specifications
2011-117
LABOR READY- CO only&handicap ramp
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 13,2012
(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.)
Dated at the Town of Q.ueensbury; 'ridgy ,l ay 13,2011
SIGNED BY F �y for the Town of Queensbury.
r V
Director of Building&Code Enforcement
I QP41
10�f_ L OFFICE USE ONLY
L
TAX MAP NO PERMIT NO. y� 4Ez
FEE PAID BLDG. &CODES APPROVAL' k `
MAY 092011
.................................................. ....._........._...
. ACCESSORY STRUCTURE EU DING PERMI d 'LIdY
Use this application for any structure other than the Principal .Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3.entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER:Sfeyc 4?alr faoF1 p INSTALLER/BUILDER:
ADDRESS:/D S/A�, �,v/� J S� a4lf 4I/11 ADDRESS: 9� J�dh S� �u�Jv`� -F<f��
PHONE NOS. �Z,� a� /O PHONE NOS.
LOCATION•OF PROPERTY: ' �Ag SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ,S V-S S- G9 &e1_7
HAS.THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES 3--t46'
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $�U'y ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? /f y
IF YES',PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:Tj--7 QVflm PHONE: O %—2W 0
ST ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK tI-G g4lylo
3 SEASON,COVERED OR ENCLOSED PORCH'
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR [FLOOR AREA RATIO].REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the 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 Codes, 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, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
QUESTIONS? CALL 761-8256 OR EMAIL
codesc@gueensburv.net
have read and agree to the above.
VISIT OUR WEBSITE FOR MORE INFORMATION
mm.oueensburv.net
Signed r i_ .� Dated: . '",�//
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804
05r'09/2011 22:23 7937869 7869 LEVACK REAL ESTATE FA(-iE U /;J�j
02/15/2021 01:, 1 FAT �J009
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05/09/2011 22:23 7937869 LEVACK REAL ESTATE PAGE 04/.03
02/1.3/2021. 01:1.0 PAX 004
EMERGENCY CONTACTUPPATE"
TO:WARREN-COLJ TY SHER(fS DEPT, FAX. 743-25Lk2
PLEASE PINT
DATE:
01USINESS NAME. Lab r PZea-of
BUSINESS ADDRESS,
BRISINESS PHONE; 7 q 2—
6 , HOME
CONTACT 1,.-F,Ct
HOME 3 (0179
awAW; 1.
AORESS!
This form is uied to OSSlit Frnsrgancy Service personnel who may be collod ic
your business after hours, Plessey be sure that the persons listed on thls farm VAII
be willing and available-to respond dulng off-hours to assist Police rind/or Fire
personnel in gaining entry to your bugging.
PLEASE SO ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERG914CY SERVIC9
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PeRSONNK.
TOWN OF QVfir.r4SEURY Fj,RE AfARSHAL'S OF-rICE
Pki)nj, Sig-",61-8206 a Fax: 515-745-4437
,2,remaFshq1(5 U(T",5 110. WW1U),aytn1bUfy-;v,4
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection req t iv
Queensbury Building &Code Enforcement Arrive: Z . a m part: pm
742 Bay Road, Queensbu Y 12804 Inspector's Initial .
NAME: &- .hocPERMI . IL
LOCATI . u2er DATE:
COMMENTS:
Y N NA
Chimney/'B'Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in W or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Balusters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Stop Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.wilever Handles/Panic Hardware if required
Exits At Grade Or Platform 36 w x 44'(IyCanopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18' Above Grade
Floor Bathroom Wa ' ht 1 Other Floors Oka
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Sup&for Occu /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Vlfithin 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.
%Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
Ceiling Fire Stoppin 3,000 i4.ft.Wood Frame
Attic Access 30"x 20"x 30' h Crawl Spam Access 18"x 24'
Smoke Vents Or Fan, if required
Elevator 2p2rafion and Si /Shaft Sealed
Handica Bathmorn 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(Both
sides
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain cerUlkadon if
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access Ail Sides by 20'/Oriveable Sudlace 20'wido
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
LABuilding&Codes Forms%Building&Codeskinspection ForrWCommer+cial Final Inspection ReporLdoc Revised January 7,2008
Inspection Form
40
Town of Queensbury Fire Marshal Periodic Inspection Date: � » Time.
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 7618206/518 7618205 ®CO Inspection Permit#: I I
W Marshals Representative
_ J Palmer Business.Name:
Location: 5 a
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 1
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles In Equipment Rooms FC315.2.3
F.D.Si na e- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection 'FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Celling'FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6 R1 &R2
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE. Old NC
HVAC Shutdown
Sprinkler System Annual -_
Sprinkler FDC
�K Ma �+spr,�tf
Kitchen Suppression Semi Annual0 m I elf
g G�� •
Fuel Island Suppression Semi Annual
Hood Cleanin 3-6-Annual 9
Knox Box:Installed/checked FC506 J U L �V�2 t
Operating Permit, if required will be issued after o ® h
Completion of Inspection T u
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection st re
Queenstwry Building &Code Enforcement Arrive: m Depart: 2=�
742 Bay Road, Queensbury, NY 12804 Inspector's Initials,
NAME: LAf;c)F, P M.
LOCATION;
COMMENTS:
Y N NA
Chimney/V Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in IV or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior l Exterior Ballisters 4 in.Spacing Platform/Decks
Stair Handrail 34 in.—38 in.I Step Risers 7"I Treads lips
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' I Cano or Equiv.,,'
Gas Valve Shut-off Exposed&Regulator 18" Above Grade -.
Floor Bathroom Wateftht/Other Floors Oka
Relief Valve Heat Trap I Water Temp.110 Degnms Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Sup&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.
%Hour Corridor Doors&Closers
Firewalls I fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors ��
CeilingFire Stopping 3,000 ft Wood Frame cot"
Attic Access 30"x 20'x 30' h ,Crawl Space Access 18"x 24'
Smoke Vents Or Fan, if required
Elevator operation and Si /Shaft Sealed
Handlcapp2g 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[Both
sides
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Suer , New Structure/Flood Plain certification ff req- PRE
As-buiti System Layout Required or On File TE
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler "CA
'Building Access All Sides by 20'l Driveable Surface 20'widv
0!9y To Issue Temp. or Permanent C/O
Okay To Issue C/C
LABuilding&Codes Forms%Building&CodesUnsiw6w FomnslCommercial Final Inspection Report.doc Revised January 7,2008
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
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 Building Codes of
New York State.
PAIITOWN OF QUE
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