2009-075 TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090075 Application Number. A20090075
Tax Map No: 523400-309-010-0002-015-000-0000
Permission is hereby granted to: DAVID & SANDRA BARLOW
For property located at: 45 MAIN St
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. Tyne of Construction Value
Owner Address: DAVID & SANDRA BARLOW
121 SANFORD St Commercial Alteration $5,000.00
GLENS FALLS,NY 12801-0000 Total value $5,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-075
COMMERCIAL ALTERATIONS -handicapped bathroom& stairwell
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, March 26,2010
(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 o eens tour day, March 26, 2009
SIGNED BY 4�' / for the Town of Queensbury.
Director of Building&Code orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090075 Date Issued: Friday, May 01, 2009
This is to certify that work requested to be done as shown by Permit Number P20090075
has been completed.
Location: 45 MAIN St
Tax Map Number. 523400-309-010-0002-015-000-0000
Owner. DAVID & SANDRA BARLOW
Applicant: DAVID & SANDRA BARLOW
This structure maybe occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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.
O��CE USE ONLY
TAX MAP NO. .v�' �V �v�-�.� -PERMIT Nv. 6' �
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 IA VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 10,.5 OWNER: Sum.
ADDRESS: ADDRESS:
PHONE NOS. PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: i PHONE: 3� SSY�
LOCATION OF PROPERTY: LI 1'�l�
SUBDIVISION NAME: NIA
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR O o►-
PROJECT O ~ O 00 CD U3 �F CO
W 0 J LL G7 z (1 �I— O F w
Z Q Q rCo NCO Ou. HLL aS-6
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO._)
TOWNHOUSE
BUSINESS OFFICE y
I c
RETAIL- '
MERCANTILE
FACTORY OR
INDUSTRIAL as �
ATTACHED
GARAGE(1,2,3)
OTHER
la�',.. '1 [ �T1'�.
7c�zcfr.�?! o ��t�etashzir-1/ Co�artr=a;�Li/�� De��t�lc��zilre�rt �.��r�E � 74� Br?T/ Ror7��, L)r�z-efist,rrf�/; :�� s?bQ4
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 5 0 �+'� FUEL TYPE:
HEAT TYPE? �a#` `'HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S):
ZONING CATEGORY: a 1 16f- ARE THERE WETLANDS ON THIS SITE? A X-
IS THIS A HISTORIC SITE? �! 1
PROPOSED USE OF BUILDING OR ADDITION: itu.
h
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
'P#ease complete a separate Application for"Fue! Bi it Jnq Appliances&(�.nimr;cvcz"available in our office
1 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 agree to the abbove.
Signed J
i rector of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits. construction codes or septic codesiagueensbury.net
systems) )
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 781-8218 (tor questions regarding
vaww.gueensbury.net
required permits, the permit process, application; requirements or to
schedule an appointment)
------------------------------------------- --------------------------------------------
This ______r__________________{_________________-
t
This application/proposed action described Permission is hereby granted to the above
herein is found to be in accordance with the Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. herein in a dance with said Application:
' r
r r
r t
ZONING APPROVAL DATE B D &CODES PROVAL PATP
r
� r
---- -- ------------------- --------------- ------ ----------- - ----'
Town o neensbury • Community pity Development 0ice • 742 wail Road, Queensbw-y, Nl 12804
Commercial Final Inspection Report '°-
Office No.: (518) 761-8256 Date Inspection r est e' ed• _
Queensbury Building&Code Enforcement Arrive: a Depart: pm
742 Bay Road,Queensbury,NY 12804 Inspector's Ini is s:
NAME: Eo-6- LL _ PERMIT#:
LOCATION: 1 ��1—j t t �'r@ DATE: °u
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 in. Platform/Decks _
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in. w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade v� 1
Floor Bathroom Watertight/Other Floors Oka PCB o
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. 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 s . ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping'
to in , 3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
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
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
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Inspection for Permit to Occupy
Fire MarshaPs Office Request Rec'd Permit No. q`6-7S
Town of Queensbury 04
�
742 Bay Road J3L /-1 '
Queensbury,NY 12804 Scheduled Inspection Date: Time:_l
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location: (J�N `;4
T of coon N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Widthr �,d r N
Second,ar Aisle Width CA
ww
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC +-
Fire Suppression-kitchen �--
Fire Suppression-Gas Islan 1 ,GCJ ✓Y � e
Generator
Hood Installation IstC,
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical �cJ '� C S h C/►--�
Electric Wiring Enclosed/Labeled AM-
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs �\ 61cafic)w4 QS
Maximum Occupancy Sin �--
Eme[gency Evacuation Plan (:�:&U t r C
❑ Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
Commercial Final Inspection Report
Office No.: (518) 761-$256 Date Inspection re tie{� ei ed:
Queensbury Building& Code Enforcement Arrive: a Depart: a
742 Bay Road, Queensbury,NY 12804 Inspector's Im ' s:
NAME: �., PERMIT _ f
LOCATION: DATE:;' 1-}
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 in. Platform/Decks
Interior/Exterior Ballisters 4 in. S acing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44"(])/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. 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 '/2 doors
> 10%> 1000 s .ft.
3/a Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e �
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 V,E 1A C",
Final Electrical VF ? C_ 5E V
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
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Tem . or Permanent C/O
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
ermit No. i.... ...���..f.. ..Cem N2 11056 Cut-in Card No.....................................
lwner..............r! ..... ..................
...........................................................................................
.........................................................................�..
ocation.....f... .' (..!..:......... ..... ` D � 4 ...................
istallation Consisting of./.�..............................t. �?...����....�.��....�...... ..y'�'�J..................
L..Fti .... -. arc t �,.��T7rzE . .��.................................................
............................................................................................................ ................................................................
istalled By......
............. 10E�..............................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
itroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
iles are violated,the Company shall have the righWtore ke is c rtifica
►ate....7..."�--�. 5..��c..C�............. INSPECTOR.. ........................... �...............
Member N.F.P.A.,I.A.E.I.
MU�`Rou h Plumbing / Insulation In �pection Report
Office No. (518) 761-8256 Date In -' request received:
Queensbury Building &Code Enforcement Arrive: 7 am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 128 Inspector's InitralsJR--'-�
NAME: a 1,.�� "J'�a � PERMIT#: 0q - 67 S
LOCATION: INSPECT ON: i;,,, c� S
TYPE OF STRUCTURE: � M
Y N NIA
Rough Plumbin / ail Plates
um in Vent/Vents in Place 41
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If rjequired unheated spaces
C mbustion Air Supply for Furnace
,Duct work sealed properly/No duct tape
(_ 1
rt'Lf0
COMMENTS:
IT
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008