2010-583 40" TOWN OFQ UEENSBURY
FOTO742 Bay Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20100583 Date Issued: Tuesday, March 15, 2011
This is to certify that work requested to be done as shown by Permit Number P20100583
has been completed.
Location: 1424 STATE ROUTE 9
Tax Map Number. 523400-288-016-0001-001-000-0000
Owner. JOCKY LAKE GEORGE PLAZA LLC
Applicant: LEVI STRAUSS & CO.
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve thef a*' f ii
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
41 " TOWN OF QUEENSBURY
146Nak,
FoN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100583 Application Number. A20100583
Tax Map No: 523400-288-016-0001-001-000-0000
Permission is hereby granted to: LEVI STRAUSS &CO.
For property located at: 1424 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: JOCKY LAKE GEORGE PLAZA LL
C/O GREENRIDGE MANAGMENT Commercial Alteration $233,000.00
701 WESTCHESTER Ave Suite 310 Total Value $233,000.00
WHITE PLAINS,NY 10604-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2010-583
4364 sq ft commercial alteration
$523.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 06,2012
(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 To ensbry; / TJi 1rs4ay,January 06,2011
SIGNED BY L :1 .Ate` �` f --/77' for the Town of Queensbury.
Director of Building&Code Enforcement
g'3'4.;
� !a _ j w % OFFICE USE ONLY
47 aJ I/
TAX MAP NO. PERMIT NO. ie SI-
J\
-227 6 j - �.:�.)
FEES: PERMIT ) RECREATION ENGINEERING ,
(If applicable)
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 1.bv( STRAticS & GO. OWNER: tCraffIRIO4E MANA4 MST CORE.
ADDRESS: /I53" 9A1TOKY s7•, SP, CA. 91111 ADDRESS: 7ot.tosTaiesiim Ave. S`I ..9/DL(1
Nero t#/NS, NY woof
PHONE NOS. ISIS. Zdd 404
1?4 PHONE NOS. o!IN•T1t9•b3O
uia t-F.,o clo
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Mali 14ft TS PHONE: 99.9 0#•AS O
WE 6E0124E P44 "MK Ceiti7Pft
LOCATION OF PROPERTY: - r-••cStA'TT RD LATE q, SUrrE #i , Mia 4E-02.470/M, /2645'
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o I-
APPLY TO YOUR z0 1= 0 O g u) LU LI. w
PROJECT O O
5 w Ow U. ti- _ p � c�
w 0 I Cl z ci I— F: O w
Z < < r- u) CNA CO OL E- U- d1eS
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE ✓ 13 6 it 1064
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: L 1/( Bi4fnoT
ESTIMATED CONSTRUCTION COST: #13 ,0012 p�FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): �/ AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? Aj0
PROPOSED USE OF BUILDING OR ADDITION: Mt 1 C/Wrii..
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and a• et to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
£71' ;.
B I .G & CODES O L ZONING APPROVAL
y
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a queensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Inspection Form
Town of Queensbury Fire Marshal oPeriodk Inspection Date: 3/ I '/I I
742 Bay Road,Queensbury NY 12804 __Reinspection o
518 761 8206/518 761 8205 °11°CO Inspection Permit#: i O 653
Marshals Representative
Fie I
MJ Palmer Business Name: t.---.&.V f 3
Location: I t-I l l L{ y 15
GK Stillman Contact: tJ o.A 3 +vd)S t-
Type of Inspection N/A Yes No
EXITS: NOTES
Exit Access FC 1014
Exit Enclosure FC 1020
Exit Discharge FC 1024
Sign Normal FC 1011
Sign backup FC 1011.5.3 s '
AISLES: �-,
Main Aisle Width FC 1024/1025
Secondary Aisle Width FC 1025 f - 'FIRE EXTINGUISHER: (3 ):/ ll..
Hung FC 906
lnsp of extinguisher FC 906
EVAC SIGNS IN R ooms FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: 11111M.Interior FC 1006
-
Exterior FC 1006 MI
Clearance to Electrical FC 605.3
Compressed Gas FC 3003
Knox Box FC 506
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1
18"/24"
Exterior Storage FC 315.3
Operating Permit
Vacant Buildings FC 311
C /. REINSPECTION DUE APPROXIMATELI
21 DAYS
SYSTEMS: FC 901 Insp OK NC DATE: OK NC
Dote
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual _
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual {-7-7.47----siciic141;,.ilq + " � �
Fuel Island Suppression Semi Annual s m b ISS IE 61()Jr Y 1�
Hood Cleaning 3-6 '' n&Cida; i Ow8A r
}
,isl
__ Fire Marshal
1 Tffi1Ls2f_Q4:"11110r'r - -
I!
,t Inspection Form
Town of Queensbury Fire Marshal C)Periodic Inspection Date: 2/1 J1//
742 Bay Road,Queensbury NY 12804 o Reinspection
518 761 8206/518 761 8205 '=CO Inspection l Permit#: 11- �J ��
Fir Marshals Representative
MJ Palmer Business Name: Lt-4, S
Location: NO 01 q
_ GK Stillman Contact: rJuv C1crsIL-
Type of Inspection N/A . Yes No
EXITS: NOTES
Exit Access FC 1014
Exit Enclosure FC 1020 ,�
Exit Discharge FC 1024 /
QSign Normal FC 1011 .�)L o 4•A 4j_ +‘ C. c..i1 Yu
Sign backup FC 1011.5.3 C1c.sLft0,,,w- h�1W V.:;, 00
AISLES:
Main Aisle Width FC 1024/1025 ,,"" `l
Secondary Aisle Width FC 1025 / ' __' (,- +--- v 1 - \.)St\ ;,( C' ilCt- --,
FIRE EXTINGUISHER:
Hung FC 906 ,,./
Insp of extinguisher FC 9067
EVAC SIGNS IN Rooms FC 404.6 +l 't-L�ti Jl.�} f t, \)S h-j C iS c,.n r�4.
f
TRUSS ID SIGNAGE FC 505.3 4� {‘�_ 1
EMERGENCY LIGHTING: i
Interior FC 1006 LW
Exterior FC 1006 _ L i ' .on-v-.
Clearance to Electrical FC 605.3 .7
Compressed Gas FC 3003 .�
Knox Box FC 506
F.D.Signage- FC 510 s'"'
No Smoking Signs FC 310.3 .,/ L-- 1��(-3= Pt+, CE .I"*G 4�
Storage FC 315 e
Electric Wiring Enclosed/Labeled FC 605.3.1 ,e"! —\
Vehicle Impact Protection FC 312.1 !! {t I+
Interior Finishes FC 803-804 ...7is moi) i i f� ` t SS
Smoke Detectors FC 907 .j''� poo,-,...0
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1 / r0
18"/24" 2 r,Ct , : ter 7 13
Exterior Storage FC 315.3 1 . /
Operating PermH C 6;N' `it u`c E`P4'n t
Vacant Buildings FC 311 7-
_ REINSPECTION DUE APPROXIMATEL]
21 DAYS
SYSTEMS: FC 901 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual OILS I1oh h1
Sprinkler FDC �
Kitchen Suppression Semi Annual t ^,,�3c i_ 1:::),--4.,K Mil
f,[
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection i ed:
Queensbury Building &Code Enforcement Arrive: 6•- il, /T • :part: 'L -
742 Bay Road, Queensbury, NY 12804 Inspector's In ' :
NAME: /5-raAt1 PERMI .
LOCATION: _G . - 1,1r ► DATE: -- -- 1
COMMENTS:
Y , NA
Chim - /13'Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete �..
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior!Exterior Balusters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in.I Step Risers 7"I Treads 11"
Vestibules For Exit doors>3000 =•.ft.
MI Docs 36 in.wlLever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44'(lyCanopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight!Other Floors Okay
Relief Valve,Heat Trap l Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Sly 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
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bath I PaBathroom
gGrab
Lot Signage Bars/Sinks/Toilets
SAT a u.' 4 , ... 41 'A
Public Toilet Room Hand ,• -• Accessible1111 Handicapped Service Counters,34 in.,Checkout 36" lipi ► .!.1
Handicapped Ramp/Handrails Continuous/12 In.Beyond(Both
sides)
Active Listening System and Signage Assembly Space
Final Electrical I Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' limn
�' � flWater Fountain or Cooler
Building Access All Sides by 20'!Driveable Surface 20'wideLj-
Oka To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:U3uilding&Codes Fomrs Building&CodesUnspection FormslCommercial Final Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection ��, =•: •
Queensbury Building &Code Enforcement Arrive: + . • - rt: -
742 Bay Road, Queensbury, NY 12804 Inspector's In /.�
NAME: //1' __
'!. i ) :13)4 .
LOCATION: 1'i '`l K�.. __rk -&�:,... . z I' / ,
E OF STRUCTURE:
111
Y // ,.A b ' -.,`
- • ...,ss 22"x 30* minimum
Jack Studs/Headers _ :\..c..A aL-T IQ v._- -z-,5
Bracing/Bridging
Joist hangers Ki ---t. h,�sk` \ Zi,
Jack Posts/Main Beams �� i > Q_ ), 1-.75-
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. 'P‘`-`- iy 5 --''>
Stairwells 36 in. or more
Exterior Deck Bracing . .) .,,(:_-c r - k-k .-��L--
Headroom 6 ft. 8 in. t NC,k--k-.R.vc
•
Notches!Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) ism nails each side L'1 hT
/Draft stopping 1,000 sq. ft. floor trusses (T ) 4.'1 Eu;
Bolts 6 ft. or less on center
� �t'E. 1, vti 1----c_-) �5
Ice and water shield 24 inches from wall
ADT- 6 �0. _t3-�
Fire wall 2, 3, 4 hour _.-
Firestopping
Penetration sealed
16 inch insulation in cavity min.
\` '
Garage Fire Separation 6 �'` ��
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X /5-TT v C‘3 -E_ C'
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\BuiIdk g&Codes Fortns-ot.DDBuiiding&Codeslinspedion Fo mssFram ng Firestopping Inspection Repo4t.doc Revised January 7,2008
Rough Plumbing / Insulation Inspect o sport
Office No. (518) 781-8256 Date In,: - M ••- • j. d.:
Queensbury Building &Code Enforcement Arrive: 1W- - !• '.- tart. r ,• •7,
742 Bay Road, Queensbury, NY 12804 inspector's In''- -7'7... •
NAME: V o `S Sr'� PE MIT#: ST
LOCATION: /4 57/ Saj- V INSPECT ON: 2- --
TYPE OF STRUCTURE:
� s
\.,,) ....I 1 I IN I I•... NI DI .)
4 Y N '/A
Rough Plumbing/ = I Plates r
• umbi • ents in Place //
1 %inch minimum Drain Size Vo
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet l chan•e of direction
Pressure Test
,% /''
•,,,• / -
0 -ead
P.S.I. or 10 ft. above h' hest connection for 15 minutes
Pressure Test //
i/� =upply Piping ✓
1' k /
• P.S.I for 15 minutes -
Insulation/Residential Check/ mesa
Tyvek or Similar Exterior Sealant
-..___1
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct 1 Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: \ `�-'- ';--- c_-__• \vsi-)'2\), ` -tic
M ,c LA__ ‘ wt\\— C�:.> ttJ ----‘ 0 _
,5
(r1/V
Rough Plumbing insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
V\'C53 -- GC)
Framing / Firestopping Inspection Re.
Office No. (518)761-8256 4:, �*!•
Date I rued.
Queensbury Building&Code Enforcement Arrive: • • :rt: twin ► •
742 Bay Road, Queensbury, NY 12804 Inspector's In , =.
NAME: E \ ,6-TR is b) 4RMIT#:
LOCATION: Lfl V.a asizA NSPECT ON: — —
TYPE OF STRUCTURE: ' o dM . G
PeF cote-,�Q�'�C i\c
Z t aoltt "Tit)\, _
Y ma COMMENTS:
Framing Q..--
Attic Access 22 x 30" minimum
Jadc Studs/Headers ►
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly `T'ELE� -\ R
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
� nc�or Bolts 6 ft. or less on centerce and «- i 4 inches from wall
0,1s-P19tir
�' ►JEEP To �'—E` \� �u�T
Fire waN 2, 3, 4 hour F1 gu F\LL f3E�+
Firestopping
fly'�L`t i 136 \VE tZS\
Penetration sealed oft . (4:6` F1
16 inch insulation in cavity min.
Garage Fire Separation
House side IA 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:1Buildirg&Codes Forms-OLD1Bulding&Cod®sIrapsction ForrnsCraming Firestopping inspection Reportdoc Revised January 7,2008