2008-499 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20080499 Date Issued: Wednesday, February 08, 2012
This is to certify that work requested to be done as shown by Permit Number P20080499
has been completed.
Tax Map Number: 523400-302-005-0001-098-000-0000
Location: 474 AVIATION Rd
Owner: JOLLEY ASSOCIATES, A VERMONT GENERAL PARTNERSHIP
Applicant: JOLLEY ASSOCIATES, A VERMONT GENERAL PARTNERSHIP
This structure may be occupied as a:
Installation of Tank
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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 r,
Director of Building&Code�9Enfo ��ent
Planning Board 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: P20080499 Application Number: A20080499
Tax Map No: 523400-302-005-0001-098-000-0000
Permission is hereby granted to: JOLLEY ASSOCIATES,A VERMONT GENERAL,PE
For property located at: 474 AVIATION Rd
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 with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyke of Construction Value
Owner Address: JOLLEY ASSOCIATES,A VERMON
Installation of Tank
PO BOX 671
ST. ALBANS, VT 05478-0000 Total value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2008-499
installation of fueling system
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,February 08,2013
(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 Tueen ury;, a nesday,February 08,2012
7
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
---- -- -- - --
J } OFFICE USE ONLY _ -;
TAX MAP NO. PERMIT NO. ? % ✓ + 0
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: vot-ccY i��FrRocE�iM S'�R`iY��ttCQWNER: _S,Q C'oCC;4
ADDRESS: /6 A/rz 6ev- A✓E S'c c74Z /VP. ADDRESS: Sy Lo�..er 1✓c%. r� sTA/��r vT.
PHONE NOS. 3 9y-69Ss— 396-6Y30 PHONE NOS. 90-2- S-7.J-O//8
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:�i 04 f/e.1iw4,y7 PHONE: 396-6Yc�O
LOCATION OF PROPERTY:--�-y 7 y A✓�iJ,4T�U1J �Oi¢
SUBDIV NAME: V OCZee h`sSpGZy - --r 1VOOZ .
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR O d d w
PROJECT O Q O O i a~_
~ W I _j U- 111 Q �U
z ¢ a HuLL ai NEn oLL F-LL mots
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO.__} j
I
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
4
i c
d'YSY'EiS�(,
Town of Queenshury - Community Development Office - 742 Bay Road, Queensh«rit, NY 12804
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: �/oLe�-Y 14sroci.4.4er L
ESTIMATED CONSTRUCTION COST:- 07o25 000•00 FUEL TYPE:
HEAT TYPE? A11A _"HOW MANY FIREPLACE(S)-!� AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? AIC)
IS THIS A HISTORIC SITE? /mod
PROPOSED USE OF BUILDING OR ADDITION: 1?67,4 = f VST--/-7
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Nb
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 agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codesAm ueensbu ry.net
systems) VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www.gueensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
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 accordance with said Application:
' / 00
00
I
ZONING APPROVAL DATE ; BUILDING&CODES APPROVAL DATE
,
1
Totem of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
___________________________________,
PROJECT NAME: T//may r«, ,(7 �o8zr OFFICE USE ONLY ;
STAFF INITIALS:
DATE:
BUILDING PERMIT SUBMISSION
CHECKLIST FOR: :_.___
MULTIPLE DWELLING or COMMERCIAL PROJECTS
1. Building Permit Application Completed? YES NO N /A
[ 2 Energy Form or Checkmate Energy Code Compliance
.Forms Complete? (2-copies)__
3 Energy Code Inspector's Report from Checkmate
Program? (2-copies)
4 Septic application completely filled out? —
(if applicable)
5. Electrical Inspection Form complete? Ye,5
I 6. Two (2) sets of the plans each of the following: I YES NO N /A
I
a. Floor plans (s)?
b. Foundation plan? I w
�n
c. Cross sections (s)? _ ►�
d. Elevations? f
e. Design loads including floor, snow load, and wind
load? _
f. Seismic design (required after January 2003)?
g. Plans signed and sealed by registered architect or
engineer?
i
h. Window and door schedule?
Two (2) site plans showing location of the structure to be }
? built, location of well or water lines, location of septic Gy
system or sewer line with all setbacks and separation
_ + distances shown, and all improvements to the property
8. ' Solid Fuel Burning or Gas Appliance Form (if applicable)?
9. i Driveway Permit j Q I
TOWn of Queensbury - Community Development Office • 742 Bay Roam, Queensberry, NY 12804
Community Development Office
Tozon of Queensbury - 742 Fay Road - Queensbury, New York -12804
Electrical Inspectors
THE FOLLOWING ELECTRICAL INSPECTION AGENCIES ARE CERTIFIED BY THE TOWN
OF QUEENSBURY TO PERFORM ELECTRICAL INSPECTIONS:
NAME&ADDRESS OF BUSINESS INSPECTOR CONTACT NUMBER(S)
Commonwealth Electrical Inspection Services Donald Loveland Local Office:1-800-562-9934
176 Doe Run Road Ron Mumblo Ron: 518-798-0905
Manheim, PA 17545
- Main Office: 1-800-873-6432
Middle Department Local Office: 1-800-479-4504
143 Troy Schenectady Road Ray Novak 518-273-0861
Watervliet, NY 12189 (Office Hours:7:00-9:00 AM)
Ray:369-6614
The Inspector,LLC Richard Moon Main Office: 1-800-487-0535
4755 McConchie Rd. Douglas R. HullBrian D. Sweet Local Office: (518)882-6140
Galway, NY 12074 David J. Irwin
1
New York Board of Fire Underwriters
40 Fulton Street-6"'Street Walter Sonntag Local Office: (518)373-7003
New York, New York 10038
I
PLEASE NOTE: WE CANNOT RECOMMEND AN INSPECTOR, HOWEVER, PLEASE ASK
YOUR CONTRACTOR WHO HE PREFERS TO INSPECT HIS WORK.
3/28/07
Queensbury Building & Code Enforce ent - Reeideritial F' I spection
Gu►'�t,irkC�' i
Office No. (518)761-8256 Arrive: a pm rt: am/pm
Date Inspection request received: Inspector's Initials:
NAME:
PE #: -4,-x7?
LOCATION: i1i D
TYPE OF STRUCTURE:
SM I I n 4 0 LA l Comments:
YNo NIA
,V Building Number Address visible from roa469xr
Chimney,Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete / ua� ///�s
Platform at all exterior doors _ �"
Handrail 4 or more risers r �
Guards at stairs decks atios more than 30 inches above grade
Guard at stairwell at 34 inches or more (-
Guard at deck porches 36 inches or more / e�� /� /
Handrail Termination at Newell Post or Wall !�`
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapp2d Ramp Compliant �
Grade away from foundation 6 inches with 10 feet Q
6 inch clearance to sill plate b
Gas Valve shut-off 2ypojed/regulator 18 inches above grade .�
Interior privacy/trim/doors/main entrance 36 inches C -�
Bathroom/Kitchen watertight
Safety lazin /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 .ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum'A"Gypsum___
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer L�
Duct work Sealer properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Boni
As Built Septic System/Sewer Dept. InspectionSticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspectiopxeque
Queensbury Building&Code Enforcement Arrive: N"N5 ,_ epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initia .
c�
NAME: f - 1%e f. �'y�`� ERMI # ! C/
LOCATIO' /
�, DATE:
COMMENTS:
Chimney/"B"Vent/Direct Vent Location n c;
Plumbing Vent Through Roof 6"/Roof Complete /
Exterior Finish/Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks _ L
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
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/Recciving/Shipping Room(2 hr.), 1 %2 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, 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