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2013-458 aTOWN OF QUEENSBURY ` v 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130458 Date Issued: Friday, November 29, 2013 This is to certify that work requested to be done as shown by Permit Number P20130458 has been completed. Location: 402 BAY Rd #396 Tax Map Number: 523400-296-016-0001-016-003-0000 Owner: STEWARTS ICE CREAM CO INC Applicant: STEWARTS ICE CREAM CO INC This structure may be occupied as a: Commercial /Industrial By Order of Town Board TOWN OF QUEENSBURY Issuancewr theof this Cersicate of pliac DOES NOT relieve the an property / n owner of the responsibility for compliance with Site Plan,Variance, or ( J1 Ccvafl�/ Go�l�/ other issues and conditions as a result of approvals by the Planning Board Director of Building& e En ement 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: P20130458 Application Number: A20130458 Tax Map No: 523400-296-016-0001-016-003-0000 Permission is hereby granted to: STEWARTS ICE CREAM CO INC For property located at: 402 BAY Rd #396 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: STEWARTS ICE CREAM CO INC Commercial/Industrial $175,000.00 PO BOX 435 Total Value $175,000.00 SARATOGA SPRINGS,NY 12866 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-458 Comm Canopy 46' x 50' Cross Ref.: SP 40-2013 Planning Board approval $529.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 18, 2014 (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 o •uee bury; "'rid , #/to i _ 18,2013 SIGNED BY for the Town of Queensbury. Director of Building& Code Enforcement �; : #� q& Office Use Only ' 26 2013 Town of Queensbury Building & Codes SEI Received: PRINCIPAL STRUCTURE APPLICATION Tax Map ID: Aq<c,pig-i .lta, 3 Permit No.: / 3-I 5- A permit must be obtained before beginning construction Permit Fee: $_ 5r,)9 "a Please read: `TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ N/A units,including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes.eThis is in addition to the permit fee. Date 9/)4/13 Applicant �s xisCOyP- Tax Map ID e1(p - LY. 3 Address / y Zoning la nt la/ / /4 (pr Phone�ail , ie jE1 s C�, Property Owner Opp/ /C1)& Contractor/Agent Address Address Phone/E-mail Phone/E-mail Contact Person for Building& `Code Compppliancesi J In! �f ( turd Day Phone:L5 '/�/ Y '{/I Building Street Address: 169 SCJ o j r?d Subdivision Name: P1 Q Lot#: Historic Site: _Yes _V**-110 Estimated cost of construction: $ 115 DUD CO Type of Construction: Check all that apply Please indicate measurements as required below: c .2 1st Floor 2nd Floor Other Total Height F a a Single Family Two-Family Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile i$50 Factory-Industrial 3470 Attached Garages(ft ) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business 5&cub r-± c> Proposed use of building or addition ('ata it 3-15 5 So /eS Source of heat(circle one) Gas Oil Propane Solar Other Fireplace-complete a separate application for°Fuel Burning Appliances&Chimney? Yes No (' Are there structures not shown on plot plan? ^f O Are their easements on the property? I^t,0 Site Information (/ /3 '7• a. Dimensions or acreage of lot ` f b. Is this a corner lot? c. Will the grade be changed as a result of construction: Yes 1•410 • d. Public water or Private well %L"'a lot I c 1 e. Sewer or Private Septic Systems b( cc, Value of all work to be performed(labor and materials) $175 ODD 00 • Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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 agreetothe above. / Print Name: CP/eft / I trial and A Signature: ' [ 1.,.�� ' /� Alit L /i Date: (61) FOR OFFICE USE ONLY: Operating Permit Issued: _Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Checklist - Single family dwelling or Multiple dwelling / Commercial project SINGLE FAMILY DWELLING PROJECT CHECKLIST PROJECT NAME: Please include two(2)sets of the following documentation: Yes No WA 1. Building Permit Application Completed 2. Energy Code Inspector's Report from ResCheck 3. Septic application(if applicable) 4. Solid Fuel Buminq or Gas Appliance Form (if applicable) 5. Driveway Permit 6. Structural Drawings Floor plan(s) Foundation plan Cross Sections Elevations Window and door schedule Natural Light,Ventilation and Emergency Egress Requirements Plans signed and sealed by registered architect or engineer 7. Plot Plans-Indicate proposed structure,showing setback dimensions from all surveyed property lines; Show location of all existing structures on the property; Show location of water supply(well or water lines); Show location and configuration of septic disposal system or sewer line 8. Electrical Inspection agency selected MULTIPLE DWEL • OR COM RCI• •ROJECT WECKLIST PROJECT NAME: ALi :/_.i r S. :391a Please include two(2)sets of the following documentation: Yes No NIA 1. Building Permit Application Completed 2. Energy Code ComCheck and Inspector's Report Form 3. Septic application completely filled out(if applicable) 4. Solid Fuel Buming or Gas Appliance Form(if applicable) 5. Driveway Permit 1/- 6. Structural Drawings t/ Floor plan(s) Foundation plan Cross Sections Elevations Design loads including floor,snow load and wind load Seismic design(required after January 2003) Plans signed and sealed by registered architect or engineer Window and door schedule 7. Plot plan: Indicate proposed structure, showing setback dimensions from all surveyed property lines (/ Show location of all existing structures on the property Show location of water supply(well or water lines) Show location and configuration of septic disposal system or sewer line 8. Electrical inspection agency selected Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 • OP ID: NW A OR0 CERTIFICATE OF LIABILITY INSURANCE DAT09/24D%YYY) 09!24/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 518-587-1342 CINTACT NAME' Marshall&Sterling Upstate 518-587-1348 (q L0'.No,EdF (FAX A/C,Noy 8 Circular St,Ste#4 POB 931 EMAIL Saratoga Springs,NY 12866 PRODUCE Harry D Bucclferro PRODUCER ID s STEWA-7 INSURER(S)AFFORDING COVERAGE NAIC S INSURED Stewart's Shops Corp INSURER A:Liberty Mutual Fire Ins Co P 0 Box 435 INSURER B Saratoga Springs, NY 12866 INSURER C: INSURER D. INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE AUDI SUNK POLICY EFF POLICY EXP LTR INSR %WD POLICY NUMBER (MMDDIYYYY) (MM,OD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X EB2611260852033 01/01/13 01/01/14 DAMAGE IORLNTbD vREMlses(Eaoznrrana=.I $ 100,000 CLAIMS-MADE I X I OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 n POLICY n JECT n LOC 4 AUTOMOBILE LIABILITY COMEINED SNGLE UNIT(Ea acadenn $ ANY AUTO BODILY WJJP.Y/Per person/ $ ALL OWNEDAUTOS BODILY INJJRY(Per acadent) $ SCHEDULED AUTOS PROPERTY DAMAGE HRED AUTOS (Peracodent) $ NON-OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAMS-MADE AGGREGATE f DEDUCTIBLE RETENTION $ $ MARKERS COMPENSATIONWC STATU- OTH- APDEMPLOYERS'LLAELITY YIN I TOR YLNITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N l A (Mend story In NH) EL DISEASE-EA EMPLOYEE $ It yes.desmbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLCY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHCLES (Attach ACORD 101,Additional Remarks Schedule,if more apace is required) • Town of Queensbury is provided Additional Insured status when required by signed written contractor agreement with respect to Shop#396, under the General Liability policy. CERTIFICATE HOLDER CANCELLATION TOQUEEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Queensbury ACCORDANCE WITH THE POLICY PROVISIONS. 742 Bay Road AUTHORIZED REPRESENTATIVE Queensbury,NY 12804Xivas�/ �7 � r , fY �� O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ( STATE OF NEW YORK WORKERS' } �; WORKERS' COMPENSATION BOARD COMPENSATION 328 STATE STPLET �;.: u._ SCHENECTADY, NY 12305 ANDREW M.CUOMO (866)750-5157 GOVERNOR ROR@2rE eH-oTBJ CF7AIR COMPLIANCE WITH DISABILITY BENEFITS LAW (Pursu:mt To Section 220,suhd 8 of theDia60ity Bmelts Law) EMPLOYER EMPLOYER'S U.I REGISTRATION NUMBER 14-1323607 Stewart's Shops. Corp. • LOCATION OF OPERATIONS New York State ADDRESS(HOME OR MAIN OFFICE) OPERATIONS TO BEGIN ON OR ABOUT: P.O. Box 435 Self-Tnsured Status Saratoga Springs,NY 12866 Effective: 01/01/1992 Carrier I.D. No.: B6305o3 There are on file with the Workers'Compensation Board,documents indicating that the above-named employer has complied with the Disability Benefits Law with respect to all of his or her employees,in the following manner: X By approved self-insurance pursuant to Section 211,subdivision 3 of the Disability Benefits Law. By a combination of approved self-insurance pursuant to Section 211,subdivision 3 of the Disability Benefits Law and insurance with authorized insurance carrier(s). Date: March 13,2013 Likie l By: Michele A. Kiuber Secretary DB-155(08-12) THIS AGENCY EMPLOYS AND SERVES PrPLE WITH OISABIDTIES VATHODT DISCRIMINATION yLLT ., STATE OF NEW YORK 'YORKERS GiltK;l Vellf ' WORKERS' COMPENSATION BOARD 5 ;.� li t. COMPENSATION 382 State Street, 3r° Floor . Vit.:u: �(� ( 41e1X:::BOARD a�- .: Schenectady, NY 13305 P ANDREW M. CUOMO (866) 750-5157 GOVERNOR ROBERTBELOTEN CHAIR Office of the Secretary I, Kim McCarroll, Secretary for the New York State Workers' Compensation Board, DO HEREBY CERTIFY,that STEWART'S SHOPS CORPORATION F.E.I.N. 14-1323607 - has secured compensation to its employees as a self-insurer in the following manner: X Pursuant to Section 50, subdivision 3 of the Workers' Compensation Law. Pursuant to Section 50, subdivisions 3 and 4 of the Workers' Compensation Law. (County, city,village, town, school district, fire district or other political subdivision) Pursuant to Article 5 of the Workers' Compensation Law. (County Self-Insurance Plan) The status of self-insurer was effective as of 03/09/1994 and such status still remains in full force. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of the Workers' Compensation Board this 8`h day of March 2013. STATUS CONFIRMED .a Michele Kinser Self-Insurance Office L� !fry et Km McCan-oll, Secretary SI-12 (08/12) - THIS AGENCY EMPLOYS AND SERVES PEOPLE WITH DISABILITIES WITHOUT DISCRIMINATION 1 Towt,Queensbury Building&Code Enforcement OfficeTns-$8)761-8256 Commercial Final Inspection Report Inspection request received: n Name: 6 ' EU3ART J) GM CPit3t)P/ Inspected on: — 4d' Location: 4©7_ Y)A`i RD Arrive: Z° 7Lt'� a.m.! alb Permit No.: , '' 5 Inspector's Initials: • COMMENTS Y N NA Chimney!"13"Vent I Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish!Grade Complete 6"in 10'or Equivalent V/ Interior/Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform!Decks Stair Handrail 34 inch-38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft All Doors 36 inch w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36'(w)x 44"(I)/Canopy or Equiv Gas Valve Shut-off Exposed& Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve, Heat Trap/Water Temperature 110 Degrees Maximum Boiler!Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply 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/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 Bathroom Grab Bars/Sinks/Toilets/Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp!Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space , tJ E-a© \g Final Electrical!Flex Gas Piping Bonded J / GROUNS/J- U�e 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" Water Fountain or Cooler Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection 11 27 12 r`. evergreen TESTING&ENVIRONMENTAL SERVICES, INC. ❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238 0 PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521 LETTER OF TRANSMITTAL DATE: October 31, 2013 PROJECT NO: ETE-13-113 Oueenshury Stewart'-e Canopy TO: Terry Root Stewart's Shops PO Box 435 Saratoga Springs, NY 12866 REPORT ENCLOSED: DATES: CONCRETE: 10-23-13 DENSITY: SITE OBSERVATION: REINFORCING STEEL: SIEVE & PROCTOR: OTHER: DISTRIBUTION: Terry Root troot@atewartsshops.com evergreen f TESTING & ENVIRONMENTAL SERVICES, INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax 518-266-9238 ,t CONCRETE FIELD OBSERVATION REPORT r" PROJECT:Queensbury Stewart's CLIENT: Stewart's Shops REPORT NO: E-13-113-10-23-13 CONTRACTOR: Dalrymple CONCRETE SUPPLIER: Bonded Concrete DATE: 10-23-13 LOCATION: Canopy piers(4)at gas pumps JOB NO: ETE-13-113 TIME WATER (GALLONS) Load Ticket Truck Cubic Slump Air V. Conc. Mix No. No. No. No. Yards Batched Start Empty Agg. Added: Total Design lin.) Temp. Air Temp. Set No. Plant Total Remarks +Field _ i 2 55 353F Set 1 of 3 cyis COMPRESSIVE STRENGTH DATA SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:JSC NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(psi) AS RECEIVED Field Results Reported to: 1 6805 10-24-13 10-30-13 140.1 7 2560 6806 11-20-13 140.1 28 3110 Transported By: CC 6807 140.3 28/H 3510 Remarks:Trucks were empty at 3PM arrival.Shoveled sample from forms.3.5K mix; 3K required. Weather: Cloudy Specification at 28 Days: 3K Average 28 Day Strength: 3310 Average 56 Day Strength: I A f. eS / 13o • Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inssection re..-= ved: Queensbury Building &Code Enforcement Arrive: \`, �,t7 a • • iM Depart: %17'7 a p 742 Bay Road, Queensbury, NY 12804 Inspecto s Initial. ,� ' NAME: cs Lo Q.ft PERMIT # / 3- LOCATION: 4/10,:ktq Id DATE: /%—J /3 devnOf COMMENTS: Y N NA Chimney/ "B"Vent/ Direct Vent Location Plumbing Vent Through Roof 6"/ Roof Complete Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/ Exterior Guardrails 42 inch Platform/ Decks Interior/ Exterior Balusters 4 inch Spacing Platform f Decks Stair Handrail 34 inch- 38 inch I Step Risers 7"/Treads 11" Vestibules For Exit doors > 3000 sq. ft. All Doors 36 inch w/Lever Handles/ Panic Hardware, if required Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed & Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply 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 1/2 doors > 10% > 1000 sq. ft. 3/4 Hour Corridor Doors&Closers Firewalls/ 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 r^ Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors ') ,<-O Handicapped Bath/ Parking Lot Signage Public Toilet Room Handicapped Accessible n�Js Handicapped Service Counters, 34 inch, Checkout 36 inch VV�/�� Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both des] Active AListening System and Signage Assembly Space Y/J Final Electrical/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" Water Fountain or Cooler ? Building Access All Sides by 20'/ Drivable Surface 20'wide /1t I -155 ` Special Inspections/ Engineer or Architect Approval 1' Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection Report revised 11-27-2012 OCT-25-2013 10:25R FROM:L H RUTLAND, P. E. 3990327 T0:5011209 P.2 P.O. Box 171 Middle Grove,NY 12850 Phone: (518)584-8284 LAWRENCE H. RUTLAND. JR. Mobile:540 527-6383 Fax: {511 )8))5584-84-8408 meet E-mail lhrpe®nycap.rr.com • • STEWART'S ICE CREAM SHOP BAY ROAD QUEENSBURY This shop was visited on October 24, 2013 to inspect the canopy support steel. The steel erection process was complete in accordance with the approved plans and specifications. tusiste IA. Rukt4% • J L. H. 'moi,%i- ��t,.:, s:,�@. PE Inspection Form "ii y Town of Queensbury Fire Marshal 0 Periodic Inspection Date: Time: 742 Bay Road,Queensbury NY 12804 °Re-InspectionP� 518 761 8206/518 761 8205 'S CO Inspection Permit#: 13 1-46V }F'e Marshals Representative n� j�MJ Palmer Business Name: S-17ay Location: Zg GK Stillman Contact: ror-c_ ^sic) Type of Inspection N/A Yes NoEXITS: Exit Access FC 1014 8 FC1029 NOTES Exit Enclosure FC 1020 8 FC1029 Exit Discharge FC 1024 8 FC1029 Locks and latches FC1008 8 FC1029.2 Sign:Normal FC 1011 8 FC1029 Sign:backup FC 1011.5.3 8 FC1029.7.5 AISLES: f,N>ti — 5c Main Aisle Width FC 1024/1025 8 FC1029.11 Secondary Aisle Width FC 1025 8 PC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 �V EVAC Plan FC 404.2 &kk TRUSS ID SIGNAGE FC 505.3 � EMERGENCY LIGHTING: — Interior FC 1006.3 8 P0029.8 .4 Exterior FC 1006.3 . IST Clearance to Electrical FC 605.3 - 1 Electric Wiring Enclosed/Labeled FC 605.3.1 '` Combustibles in Equipment Rooms FC315.2.3 U W 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 I 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 8 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 Emergency Disconnect FC 2203.2 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 Fire Marshal inspection Oemplete 6 Kitchen Suppression Semi Annual ` Co may be issued aproONLY with Fuel Island Suppression Semi Annual 111 Building&Codes approval Hood Cleaning 3-6-Annual 111 Knox Box:installed/checked FC506 E` U 1, 01J Operating Permit, if required will be issued after Completion of Inspection Fire Marshal ,ansbury_ • Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection rel • r "a Queensbury Building & Code Enforcement Arrive: =5a i ! 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: .jT'FiA PicCi h ooP4 PER ie 13 LOCATION: L{ DZ BB AO INSPECT ON: I l y-1?t TYPE OF STRUCTURE: N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs /Headers Truss Specification Provided Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" 0.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 11/2 (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 ans water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping QF_CEsa'a ' c_sTh ETE C_aLLI M vJ Penetration sealed Jcr L, FoR— Fact tvJ65 16 inch insulation in cavity min. Fad C t S'a Garage Fire Separation House side 1/2 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 E Design Professional Sign-off, If required EV---' 1 6 t bL. bE Glistzb CitO Framing Firestopping Inspectian_Revised_0 0513 OCT-a5-2013 10:25A FROM:L H RUTLAND, P. E. 3990327 TO:5811209 P.2 P.O. Box 171 Middle Grove,NY 12850 Phone: (518) 584-8284 Mobile: (518)527-6383 LAWRENCE H. RUTLAND. JR. Fax: (518)584-8408 SAofc+szonaf e, ,2,.s, E-mail lhrpe®nycap.rr.com STEWART'S ICE CREAM SHOP BAY ROAD QUEENSBURY This shop was visited on October 24, 2013 to inspect the canopy support steel. The steel erection process was complete in accordance with the approved plans and specifications. 0112184 e„L .)). 0 .3444/ L. H. 0 img, . .• . , PE I • evergreen TESTING&ENVIRONMENTAL SERVICES, INC. ❑ 594 Broadway Watervliet, New York 12189 Phone: 518-266-0310 Fax: 518-266-9238 ❑ PO Box 482 Orchard Park, New York 14127 Phone: 716-649-9474 Fax: 716-648-3521 LETTER OF TRANSMITTAL DATE: October 31, 2013 PROJECT NO: ETE-13-113 Onpenchury Stewart's Canopy TO: Terry Root Stewart's Shops PO Box 435 Saratoga Springs, NY 12866 REPORT ENCLOSED: DATES: CONCRETE: 10-23-13 DENSITY: SITE OBSERVATION: REINFORCING STEEL: SIEVE &PROCTOR: OTHER: DISTRIBUTION: Terry Root troot@atewartsshops.com evergreen TESTING 8 ENVIRONMENTAL SERVICES, INC. 594 Broadway Watervliet, NY 12189 Phone: 518-266-0310 Fax: 518-266-9238 CONCRETE FIELD OBSERVATION REPORT PROJECT: Queensbury Stewart's CLIENT: Stewart's Shops REPORT NO: E-13-113-10-23-13 CONTRACTOR: Dalrymple CONCRETE SUPPLIER: Bonded Concrete DATE: 10-23-13 LOCATION:Canopy piers(4) at gas pumps JOB NO: ETE-13-113 TIME WATER (GALLONS) Load Ticket Truck Cubic Slump Air % Conc. Mix No. No. No. No. Yards Batched Start Empty Agg. Added: Total Design (In.) Temp Air Temp. Set No. Plant Total Remarks +Field 2 55 353F Set 1 of 3 cyls COMPRESSIVE STRENGTH DATA SET LABORATORY DATE DATE UNIT WT. AGE COMPRESSIVE Tested By:JSC NO. NO. RECEIVED TESTED OF CYL. (Days) STRENGTH(pal) AS RECEIVED Field Results Reported to: 1 6805 10-24-13 10-30-13 140.1 7 2560 6806 11-20-13 140.1 28 Transported By:CC 6807 140.3 28/H Remarks:Trucks were empty at 3PM arrival.Shoveled sample from forms. 3.5K mix;3K required. Weather:Cloudy Specification at 28 Days: 3.5K Average 28 Day Strength: Average 56 Day Strength: Foundation Inspection Report we • �- P Ca Office No.(518)7614256 Queensbury Building&Code Enforcement Date Inspection request received: (d 3d ( 3 742 Bay Rd.,Queensbury,NY 12804 InsAnpect �'`'4))ft an/pm Inspector's Initials: �j NAME: PERMIT#: vie 13-4 s'e LOCATION: It. INSPECT ON: /.ti TYPE OF STRUCTURE: /3 C4tA-617dm Co n N N/A Footings ' V Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing V for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codesunspection Fonns\Foundauce Inspection Report.doc Last printed 12/20/2005 9:24:00 AM