2012-086 TOWN
OF Q UEENSBURY
7 2
4 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120086 Date Issued: Wednesday, May 23, 2012
This is to certify that work requested to be done as shown by Permit Number P20120086
has been completed.
Location: 1172 STATE ROUTE 9
Tax Map Number: 523400-288-020-0001-020-000-0000
Owner: GREAT ESCAPE THEME PARK LP
Applicant: LUMBERJACK GRILL
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 the property raysfi'w
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
ti
TOWN OF QUEENSBURY
f742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120086 Application Number: A20120086
Tax Map No: 523400-288-020-0001-020-000-0000
Permission is hereby granted to: GREAT ESCAPE THEME PARK LP
For property located at: 1172 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: GREAT ESCAPE THEME PARK LP
PO BOX 543185 Commercial Alteration $15,000.00
DALLAS TX 75354-3185 Total Value $15,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-086
LUMBERJACK GRILL-270 sq ft commercial alteration
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 09,2013
(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 nsb w Fr' y arch 09,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
• • OFFICE USE ONLY i, � ��, � � � i
_ TAX MAP NO. PERMIT NO. I l-Q?6 I D
FEES: PERMIT 4f7c7ECREATION ENGINEERING MAR 0 7 2012
(If applicable)
TOWN OF QUEENSB`IRY
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPR.Q.MAIRSIII,DIND
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:G<<4k i-= „ 11-,e.,cQick Lt-c_ OWNER: Cc-ec.A Esc,.pc�Th•....- pork LPL
ADDRESS: 1\-Z 5 A-4A, Q0,-t- q ADDRESS: \1-11 k4-L . Ci
PHONE NOS.(S l'( "-41 -�5oa exF 3Zo PHONE NOS. --) Z - 5oc eXf: `13ZC1
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: I�A. Sc\niccde--- PHONE:`--4-91--350c,e,}.`23Z0
LOCATION OF PROPERTY: \\-4-Z czv}wA� co,,k-. Ci
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?
❑ YES EK1O
IF SO, INDICATE APPLICATION NO, AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p cc CJ C. 0
w APPLY TO YOUR Z F cc O co
F n c w
8 d = =PROJECT o � Q U w .j U U_ L w U
Z � cn N � I—
O 11 0 < OIL - � 205
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Z I
1 i210
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
i
Revised 4/14/2010
• IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS: G co-9,1
ESTIMATED CONSTRUCTION COST:- /S,vov FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? Yes
IS THIS A HISTORIC SITE? A/0
0
PROPOSED USE OF BUILDING OR ADDITION:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? l6pu, y_
ARE THERE EASEMENTS ON PROPERTY? No
*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 agre- 0a j .
Signed 7> Z
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:
1
i'/4i 411
•D '''P'OVAL ZONING APPROVAL
DAT DATE
QUESTIONS 7 CALL 761-8256 OR EMAIL
codes(@.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
Revised 4/14/2010 -
WINDOW SCHEDULE
JOB SITE/ADDRESS: \\--4Z. cewke 9 DATE: / /2oo_
OWNER: Gt«k r--c,,ec L L
APPLICATION NO.:
WINDOW NO. WINDOW WINDOW UNIT OR STOCK ROUGH ROUGH SQ.FT. SQ.FT. CLEAR CLEAR SPECIAL
OR LETTER MANUF. MODEL NUMBER OPENING OPENING VENT EGRESS OPENING OPENING HARDWARE
ON PLAN NAME TYPE CALL SIZE WIDTH HEIGHT /CLEAR WIDTH IN HEIGHT IN OR
OPENING INCHES INCHES INSTRUCTI�j ONS
f°�a"Z Cj�e�lnercl. R,o\1-up GeG�S Co— 1 k%"
(-0 p. ‘")acr o p
—7I/az ave• Ind... Roou - Ole 6 " y 9 "
Door ( c \-oor OOOO
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
ii t?r c;<-1 6c q I —3
Framing / Firestopping Inspection Report v
Office No. (518) 761-8256 Date Inspection = :• •: ••=•• _ .+ -
Queensbury Building &Code Enforcement Arrive: • • rpm • • : : Z� a '
742 Bay Road, Queensbury, NY 12804 Inspector's Init'- :• � r. '
NAME: &7 Lea*.�ACr -/PERMIT#: J -C (r,
LOCATION: I.u f�� (-el i QV INSPECT ON: � -1-7-J7i
TYPE OF STRUCTURE: 1111•i ;
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) 160 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
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:\Building&Codes Forms-OLO\Building&Codes\Inaped on FormsFrrning Firestopping Inspection Report.doc Revised January 7,2008
Framing I Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: 1' am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 'D%
/t` J NAME: � PERMIT#: /2—O?6 ,
LOCATION: ,L c r^, II INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
1 Framing
Attic Access 22° x 30' minimum
Jack Studs/Headers / "Y / c"
Bracing/Bridging e
Joist hangers 0.4 rt 19i✓�'s
Jack Posts/Main Beams " `
Exterior sheeting nailed properly /4 j4'-
12" O.C.
Headroom 6 ft. 8 in,
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(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 wall 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:\Building&Codes Forms-OLD\Building&Codesllnspedion FormslFraming Firestopping Inspection Reportdoc Revised January 7,2008
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:. ) e: �J 73 CAVI
742 Bay Road,Queensbury NY 12804 Inspection '
518 761 8206/518 761 8205 CO Inspection Permit 4f: /27-096
Fire rshals Representative
MJ Palmer Business Name: /Location: 1/ 7 _ /
jK Stillman Contact: i,l`/, t7 /77 -,g '7/:(2‘)
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 .e"---- NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024& FC1029 'r-
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 & FC1029 /'
Sign:backup FC 1011.5.3 S. FC1029.7.5 ,--.---�
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 .-------.
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 ,_-------
EMERGENCY LIGHTING:
Interior FC 1006.3 S. FC1029.8
Exterior FC 1006.3 s
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3 >>.< J 0 r) '"‘ c 7Z i ZG a"-" 1')
F.D.Signage FC 510 —C_--J(7-g-'+ Cf / , C/
No Smoking Signs FC 310.3 / [ be/
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/Ceiling 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 / REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC
DATE: OK NC
SYSTEMS: FC 901.6 Date
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 111-
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:Installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:4ime:742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 c Inspection Permit 7
i
Fire Marshals Representative /
MJ Palmer Business Name: .C.!%7 ete 6/LL-
Location: /'7 � ,e 9
., K Stillman Contact: , A"7 h/)z.2
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 J NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024 E. 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
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 �
r
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- 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 ,.SIF
CO detectors FC 610 .�M/ S
w
Clearance to Sprinkler/Ceiling FC 315.2.1 ��ir
18" / 24" f
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
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
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: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC ' f
Kitchen Suppression Semi Annual 1•f
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:Installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
a �7
Queensbury Building & Code Enforcement I R: :i► - [al Fi,- .. • •�-�/ 1
Office No. (518) 761-8256 i f `S ) --Z-V Arrive: Z• -rt: a -40.Date Inspection request received: I I ! inspector's Initial-
NAME: j fora j `Cc ti{'Q -14, t f' L-k 6 , l PE �T#: I ` G� ��
LOCATION: j j ,—.�_� 1 I2 U ; i DA":r L 45177
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/13"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors Le•) — k Z%` _1> o V
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more 1A .C . (,p
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall EL
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss, draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
' en `flfi{Gq€mg 13/,hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan �,l
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ` J
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Pian /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/O (Tempora. /Permanent
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Horne of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Lumberjack Grill
2012-086
4/15/2012
I have reviewed the submitted drawings for the above project, and offer the
following comments.
1) Fire Extinguisher locations to be discussed.
2) Egress door hardware shall comply with 2010 Fire Code of NYS, section
1008
3) Exit/Emergency lights plan appear adequate.
4) Chapter 14 of the 2010 Fire Code of NYS must be adhered to.
Deputy Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437
-flremarshal@queensbury.net - zvu)zv.queens bury.net
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