2011-129 TOWN OFQ UEENSBURY
low742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110129 Date Issued: Tuesday, May 03, 2011
This is to certify that work requested to be done as shown by Permit Number P20110129
has been completed.
Location: 1048 STATE ROUTE 9
Tax Map Number: 523400-296-009-0001-012-000-0000
Owner: GAM OF THE ADIRONDACKS, LLC
Applicant: DEALER FOCUS, INC.
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (T/ ,/9
property owner of the responsibility for compliance with Site Plan, c 4_- �:�' ./.L.�`
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforceent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
ga 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VS
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110129 Application Number: A20110129
Tax Map No: 523400-296-009-0001-012-000-0000
Permission is hereby granted to: GAM OF THE ADIRONDACKS, LLC
For property located at 1048 STATE ROUTE 9
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: GAM OF THE ADIRONDACKS,LL(
Po BOX 95 Certificate of Occupancy(COM)
ATTSKILL BAY,NY 12844-0000 Total Value
K
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-129
DealerFocus Inc- Suite 1 -Management Office
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 20,2012
(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 iration date.),
A
Dated at the To of Qu sb , 4 fdaApril 20,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Q/� � �Jc cAs r 1,o
5,;</ei
1 K5 Community Development Office
y Town of Queensbury• 742 Bay Road • Queensbury, New York •12804 Date
Stamp
• David Hatin,Director of Building&Codes a i/
Craig Brown,Zorting Administrator-Michael J.Palmer,Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION .. _.
TAX MAP # 96 , I—/—/o2 BLDG. PERMIT FILE# ��-
' It applicable
Name of Business: QCkL c,v-
Address
of Business: 10 t4diWooVZ-t-
�S 1 1 L I}-
) r QUESTIONS? CALL 761-8256 OR
EMAIL/\1\
Le
codes(a?queensburv.net
` n VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: SoLl v, / Y .(, ,
j INFORMATION
- www.queensburv.net
Business Phone Number: S�5 — FO e — F L -2
16- Type of Business: VL JL)() h C L4'LCevttrj/ - Cbs-row-Lu•- cru 1et
i\)b P(4zzl,
- S'
Owner of Property: or-64_ AA. S Phone Number(s): ti l -� -e
Home Cell
Owners
Address: O EX7X, q c I s,�[ LL EAL-44 qjz'(1
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: r� Date: 41- LTJ ' 1/
Of person subrri .this form
Notes/ Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: (1-16-
BUSINESS NAME: #0. ert--C(j v L
BUSINESS ADDRESS: 0:21- � 6kari
BUSINESS PHONE: C'S C. ' FO OE- — I2_3
HOME
CONTACT 1: j()I4V MiLi& 1.3 C-2 9 g06?)
ADDRESS: Yom.
HOME
CONTACT 2: 6)1 WI- PI ittir HONE 4I3 SZ8 g00
ADDRESS:_g r Z441 A I24J
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR fIRE PERSONNEL
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net wwzv.queensbuny.net
4(Ojitl "`t ,0
Framing / Firestopping Inspection Report - L
Acip
Office No. (518) 761-8256 Date In iop-request received: t,,/ / //
ojN qC
Queensbury Building &Code Enforcement Arrive: /f am/pm ,Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's I itials: .�
NAME: Ja-'i) T3lM2 , S PERMIT#:
LOCATION: 41, INSPECT ON: Oet)-/i
TYPE OF STRUCTURE: l3 t d-e-\
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing /Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
•
Notches/ Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Building&Codes Fom+s-QLD\wilding&Cod s'Jnspedion Forn 5\Frarning Firestopping Inspection Repoftdoc Revised January 7,2008
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. :' 2 7
Town of Queensbury
742 Bay Road /MIA,
3 '-(
Queensbury,NY 12804 Scheduled Inspection Date: 171/g0,/, Time:
Phone: (518)761-8206 Business Name: G
Fax: (518)745-4437 Location: ✓ API I�7.' . --
Type of Inspection N/A Yes No
EXITS:
Exit Access
Bdt EnclosureCOMMENTS
Exit Discharge f
AISLES:
Main Aisle Width
Secondary Aisle Width 1 .
•
EXIT SIGNAGE
Sign-normal 1/"
Sign-battery i/`
EVAC signs in rooms ] ' ,
TRUSS ID SIGNAGE
EMERGENCY UGHI1NG 1
FIRE EXTINGUISHER:
Hung ")
Inspection of extinguisher
FIRE ALARM SYSTEM1 ., g -..e'll"-d 6.?
Fon Shutdown
Are Sprinkler System (FDC1 -
Fire Suppression-kitchen
Fire Suppression-Gas Islan 1<, .
Generator
Hood Installation 4j
Elevator
Interior Finishes
Storage
li,/ I/
Compressed Gas
Clearance to Sprinlders -4, try -
Clearance to Electrical
Electric Wang Enclosed/Labeled I(/'
Combustible Waste
Vehicle impact Protectiont/z,gi
Knox Box
F.D.Signage-Utility Rooms V
t‘. (/
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
2! Approved (If no other approvals apply,the B C Office will issue the Certificate of Occupancy)
a Denied /call for Recheck
'All _
Inspect= • By: CIA
.k
• l:.\RreMarshal\FM Forms Masters\permitto occupyform.doc
GAM of the Adirondacks
Build Out
Existing Exit
Door
isinewrxremrmerzi
Bathroom
P
Light s
a
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Swth Lght O Ughti.
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EXIT
11011r jJ
Light Light
Swilch Switch •
Sffi i dR1 1 1 1 ..,...
Suite 1 - Light
EXIT
No Build Out , Lig6Oke 2 Boyd Investments()
Just a CO L
A Ughl LI ht Ught 9.
,, � L��j'/�. V s` C Switch Switch'0 riSwitch
q il
24.5X18 i Fill hol=with Glass O Light O Light ® Light
EXIT —
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" 87 i 1 4
IRON ROD FOUND
♦ ' 1 . 'I 3 1 �'�^"•.L
IRON PIPE FOUND
t .;:�i1; '•fit c{.
IRON ROD SET
ccb
UTILITY POLE
OOOC>
STONE WALL
TVtll
n/f
erties, LLC
P. 181
DEED REFERENCE:
1) SUTTON'S PROPERTIES, LLC TO 1048 STATE ROUTE 9, LLC, FILED IN THE
OFFICE OF THE WARREN COUNTY CLERK IN BOOK 3048 AT PAGE 177,
DATED JULY 27, 2006.
MAP REFERENCE:
1) "MAP OF A SURVEY OF LANDS FOR DENNIS GALLOWAY" DATED APRIL 13, 1982,
PREPARED BY D. L DICKINSON ASSOCIATES SURVEYORS AND ENGINEERS.
2) -PLOT PLAN OF LANDS OF DAVID F. MINEO, CHARLES F. MINED, FRANK C. MINED
AND HARRY G. BERES" DATED JULY 16, 1984, PREPARED BY WAYNE R. RAYMOND,
LICENSED LAND SURVEYOR.
NOTES:
1) BASE MAP PREPARED FROM A SEPTEMBER 2009 FIELD SURVEY.
2) NORTH ORIENTATION IS BASED ON MAP REFERENCE 2.
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND
IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE.
4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE
REGARDING THE SUBDIVISION AND DEVELOPMENT OF LAND.
5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
SURVEYORS SEAL IS A MOLA11ON OF SECTION 7209, SUBDIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.
7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM
SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY.
THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY
PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION.
I
( IN FM ) 3 03/07/11 ADD SIGN—HIGHWAY BOUNDARY DISTANCE
1 inch = 30 ft, 2 03/02/11 ADD SIGN—SIDEWALK DISTANCE
1 02/16/11 ADD SIGN SETBACK LINE
NO. I DATE DESCRIPTION
F i L
C� �c�S e�1C/)j
LEGEND
o IRF
IRON ROD FOUND
o IPF
IRON PIPE FOUND
o IRS
IRON ROD SET
ccb
UTILITY POLE
OOOC>
STONE WALL
x
WIRE FENCE
o
CHAIN LINK FENCE
n
WOOD FENCE
O
POINT
n/f
erties, LLC
P. 181
DEED REFERENCE:
1) SUTTON'S PROPERTIES, LLC TO 1048 STATE ROUTE 9, LLC, FILED IN THE
OFFICE OF THE WARREN COUNTY CLERK IN BOOK 3048 AT PAGE 177,
DATED JULY 27, 2006.
MAP REFERENCE:
1) "MAP OF A SURVEY OF LANDS FOR DENNIS GALLOWAY" DATED APRIL 13, 1982,
PREPARED BY D. L DICKINSON ASSOCIATES SURVEYORS AND ENGINEERS.
2) -PLOT PLAN OF LANDS OF DAVID F. MINEO, CHARLES F. MINED, FRANK C. MINED
AND HARRY G. BERES" DATED JULY 16, 1984, PREPARED BY WAYNE R. RAYMOND,
LICENSED LAND SURVEYOR.
NOTES:
1) BASE MAP PREPARED FROM A SEPTEMBER 2009 FIELD SURVEY.
2) NORTH ORIENTATION IS BASED ON MAP REFERENCE 2.
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND
IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE.
4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE
REGARDING THE SUBDIVISION AND DEVELOPMENT OF LAND.
5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
SURVEYORS SEAL IS A MOLA11ON OF SECTION 7209, SUBDIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.
7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM
SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY.
THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY
PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION.
I
( IN FM ) 3 03/07/11 ADD SIGN—HIGHWAY BOUNDARY DISTANCE
1 inch = 30 ft, 2 03/02/11 ADD SIGN—SIDEWALK DISTANCE
1 02/16/11 ADD SIGN SETBACK LINE
NO. I DATE DESCRIPTION
F i L
C� �c�S e�1C/)j
LEGEND
o IRF
IRON ROD FOUND
o IPF
IRON PIPE FOUND
o IRS
IRON ROD SET
ccb
UTILITY POLE
OOOC>
STONE WALL
x
WIRE FENCE
o
CHAIN LINK FENCE
n
WOOD FENCE
O
POINT
F.P.
FENCE POST
-ohw
OVERHEAD WIRES
n/f
NOW OR FORMERLY
MAP OF A SURVEY MADE FOR
1048 STATE ROUTE 9, LLC
Town of Queensbury County of Warren State of New York
BOLSTER AND ASSWIATES
REH� �- PROFESSI0IVAL LAND SURVEYORS
342 Main Street, Hudson Palls, New York 12839
REH Tax Map #:296.9-1-12
Russell E Howard, PLS N.Y.S. Lic. No. 50540 Date: 10%8/09
REH & 296.9-1-13
BY Date Sealed: &Ioq II I Scale: 1 inch = 30 feet Revised: Drawing #: 09061
i
1