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2004-292 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: P20040292 Date Issued: Monday, August 09, 2004 This is to certify that work requested to be done.as shown by Permit Number . P20040292 has been completed. Tax Map Number: 523400-296-016-0001-010-000-0000 Location: 213 MEADOWBROOK Rd CAMP Owner: ADIRONDACK GIRL SCOUTS Applicant: ADIRONDACK GIRL SCOUTS This structure may be occupied as a: By Order of Town Board Commercial Addition TOWN OF QUEENSBURY 0 Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040292 Application Number: A20040292 Tax Map No: 523400-296-016-0001-010-000-0000 Permission is hereby granted to:. ADTRONT)AC;K CTTRT, SC01JTS For property located at: 213 MEADOWBROOK Rd CAMP 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: ADIRONDACK GIRL SCOUTS 213 MEADOWBROOK Rd Commercial Addition $1,000.00 Total Value $1,000.00 QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-292 41 SQ FT ADDITION(ENLARGED BATHROOM) , $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, May 14,_2005 (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 own of jeeurray 14, 2004 4 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761.8256 A permit must be obtained before beginning construction. Permit File No. Oil-aR a No inspection will be made until applicant has received a Foe Paid $! 'fit o� valid building permit. All applicants' spaces on this Rec:Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant:a;oA StaylS, J Owner: �,gzd Address: L 3. AvthAftall0 Address: ;d m r Phone#(S'4_ ) ?12-- PQ - Phone#(—) Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: o New Building: residence /commercial 'Estimated Market Value of Construction:$ - V Addition:. — residence-1-coaamereial - - an Addition,what will use of new46dition bet o Alteration: residence/ commercial 0 No change to exterior size. residence/com'1 a Other work(describe ) Check Occupancylnformation 189Floor 2° Floor Other floor Total Below sq.ft., sq.ft. sq.ft. Square Feet v Single family dwelling o Two fimiUy dwelling a Townhouse o Multifamily dwelling �ECEIVmD #of units o Office { o Mercantile Y'"` Z O 4 .0 Manufacturin . ,Ato, �u E-1,io JUKY O I Car detached garage RI III roq n i.�p ni " n 2 car detached prage 0 3 car detached pra.ge a 1 car attached garage o 2 car attached garage a 3 car attached garage o Storage building- commercial o Storage building- residential r O/ Other 60*&M, IIF What is the proposed height of the structure ZO feet �inches Will any second-hand or ungraded lumber be used? If so,for what? oS/b Type of Heating System• electric/ oil / gas/wood /forced hot air/ baseboard/other: Number of Fkeykrces to be installed 8 Number of Woodstoyes to be installed d List below the person(s)responsible for supervision of work as regards to building codes: Name Address- Phone Number Builder Plumber Mason Electrician Declaration please sigabelow after you have carefully read the statement: To the best of my knowledge the statements�conta`�inod mi this application,together with the plans and specifications submitted,are a true and complete state ent of all proposed work to be done on the described premises and that all provisions of the Building Codo;the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or-noted,_and that such work is authorized by the owner. Further,it is understood that Uwe shall subnii Occupancy Compliance g q Y g t,prior to a Certificate-of Occ anc or Certificate of Co Nance being issued,as requested b the Zoning Administrator or-Director of Building and'Codes,an As Rut It Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Sipna(ure:Z owner,owner's agent,architect,contractor Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Rhone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request a SCHEDULE Received _Permit# a0©4, cQ � INSPECTION ON: —o Name: �I'� ���� �' ef �' � AM PM ANYTIME Location:qI&A40019Ad APPROVED �� ---� N JA YES NO COMMENTS EXITS -- AISLE WIDTHS EXIT SIGNS-NORMAL BATTERY EMERGENCY LIGHTING /I t FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM_!--_ _ ,� ��� n �� y� t � 40 to HOOD INSTALLATION Ci INTERIOR FINISHES STORAGE COMPRESSED GAS A- CLEARANCE CLEARANCE TO SPRINKLERS TO HEATING UNITS CLEARANCE T®ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY . MASONRY ROUGHIN FINAL -. � CHIMNEY FACTORY BUILT ROUGH IN WOOD -- FINAL STOVE ROUGHIN ` FINAL VENTED GAS T __ APPLIANCE ROUGH IN FIREPLACE FINAL MASONRY ROUGH IN OK THI DATE OK-F --CO NOT OK FINAL c' FIREPLACE FACTORY BUILT _ ROUGH IT_N�__ 1W ECTED FINAL COMDEV/CHRISJMORDILETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY = Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection re uest re eiv d: k443� Queensbury Building&Code Enforcement Arrive: p rDepart: 742 Bay Road,Q eensbury,NY 12804 Inspector's Initia . NAME: l� PERMIT . v -d2 LOCATION: DATE: 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 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 Stoclaoom/Siorage/Receiving/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/ t Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space F Final Electrical 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 Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\Pamw\Building&,Codes\Commercial Final Inspection Report.doe �9 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request r' (�i�t=�Q/�. SCHEDULE Received: -7 d --Permit# °�' INSPECTION ON: b Name: L L17 ��~t AM M ANYTIME Location: a3qt APPROVED �--- y-- N!A YES No - —�- COMMENTS EXITS AISLE WIDTHS _` fd137�-� EXIT SIGNS-_NORMAL __ Q` - BATTERY EMERGENCY LIGHTING _ FIRE EXTINGUISHERS FIRE ALARM SYSTEM a X+FIRE SPRINKLER SYSTEM i _ FIRE SUPPRESSION SYSTEM _ ��j� � J HOOD INSTALLATION ���� balt�A� . INTERIOR FINISHES STORAGE _— COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING -� UNITS _ CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SKIN _ CHIMNEY i MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN . FINAL _ VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE -- MASONRY _l ROUG_ H IN OK THIS DATE OK FOR 0 NOT ®E( FINAL � FIREPLACE - - - — FACTORY BUILT _ ROUGH IN I B TED S _ FINAL - COMUEVICHRISJIWORDILETTERS2001/FIREMARSHALINSPECTIONREPOR YELLOW-OCCUPANT COPY WHITE--BUILDING DEPARTMENT COPY ` Commercial Final Inspection Report Office No.: (518)761-8256 Date Inspection re es r ei ed: Queensbury Building&Code Enforcement Arrive: a p Depart: r am/pm 742 Bay Road, lQueensbury,NY 12804 Inspector's Initi s: NAME: C 4 �CS PE MIT LOCATION. DATE: — COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location :?I Plumbing Vent Through Roof 6"/hoof Complete k- 'T o AE 8 ZTTe 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" v / 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 � j��� 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 Q \ � Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %a doors > 10%> 1000s . 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 tom. TU 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" Handica ed Ramp/Handrails Continuous/12 in.Beyond Active Listening System and Signa e 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 Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request ei Queensbury Building&Code Enforcement Arrive: a p D part: a prh 742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: C� �� �, �:,�g PERMIT #: LOCATION: - >UU-4 _ �� INSPECT ON: - p - GN TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout eve 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family Insulation/Residentia Check/Commercial Check Proper Vent is Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request r ive Queensbury Building&Code Enforcement Arrive: 12-11 - am) s De art: ; ' ain,Um 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME:�a, ��,k_ �l�C,(�(,�aCIJ PERMIT #: , o4- A 2 LOCATION: Aj S ) J I INSPECT ON: W 30 6 TYPE OF STRUCTURE: '"` Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction Water Supply Piping Cooper Commercial 14 Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent ' Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: vN 0— L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing insulation Report.doc November 17,2003 1 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectio r cei / Queensbury Building & Code Enforcement Arrive: n e 742 Bay Road, Queensbury,NY 12804 Inspector s Im a NAME: Cv i f PERMIT#: ` C LOCATION: INSPECT O _ TYPE OF STRUCTURE: Y N N/A aming I COMMENTS Jack Studs/Headers J racm ridging Joist rangers / Jack Posts/Main Beams J Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/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 snow 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 '/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 L:\SueHemin-way\Building.Codes.Inspecti on.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection reque ceived Queensbury Building&Code Enforcement Arrive: a pm D an-/pm 742 Bay Road, Queensbuly,NY 12804 Inspector's Initia . NAME: C, OFT- C_ PERMIT#: LOCATION: M�=trn1�OL�� Oh� �a��n INSPECT ON: TYPE OF STRUCTURE: Y IN N/A PVC- 1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Colnm. Plumbing Vent/Vents in Place Rough Plumbin ail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: z 1-0 1-k C L:1Sucliemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Foundation Inspection Report Office No. (51'8) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: L. < PERMIT#: , LOCATION: INSPECT ON TYPE OF STRUC Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place • Foundation Dampproofmg Foundation/Waterproofing Type of Dampproofing/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:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 1 ° 1 i V �� �� ► i d C041��t�l 1 . 'I /v0/1 n?/15C v 0'7 [r, .;y;am. NCB r , 4t 4 i BUILDING & COD EVIEWED BY 20 Uu TOWN OF QUEENSBURY BUILDING EPAR . ENT 3Ig+ T I r Based on oar limited exa natio compliance with our comme shall not be construed as indica ng th plans and specifications ar in fu 1 ce w+th the Buildin Cod '' I f ; -,rq,2, N 0T1 LEVER HANDLES RE ON ALL PASSAGE WHETHER INTERIO ® EXTERIOR DOOR xlJ NOTICE /N f0AM HOUNN1M MM BE COVET'.) TtAl N�IIUttO�I MUST BE BY A 15 JAMMJWMAL BARB►L -CDVM BY N00140181MILE BARRIER LMM M/F OF pxl \ . \ \ I N 0 20 RE YARD Q . . . . SETBACK . . . . . _ . PROPOSED WETLAND - \ DEC WETLANDS I MITIGATION AREA \ N -_-.-.- -. - 1500 S.F. \ \ h . -. _ . . . . 1 f. . . . .. . . .. . . . . . . . . . .. . . .. . . .. . . .. . . . . . -- WINTER LODGE / OCK LEDGE OUTC P J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. _ _ ►� ROCK LEDGE OUTCROP - - - - - - - - - - - - - - f. _ AREA �. Tp. _ 13. acres ' LEAN \ -r _ _ r - _ 53 -FRI IP LODGE - . . . . . . . . . . . . . . . . . . . . . . . . V I_ . - .R0CK�_0U.T.CR0P. . . . . - . _ � r- . . . . . . . . . . _ BOTTOM OF ROCK LEDGE . . . . . . . . . . . . . . . . . . .. j - - - - - - - - - r / ��,� F RCK OUTCROP •, . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` ' �