2003-514 TOWN OF QUE,ENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
'Community Development-Building&Codes (518)761.8256
CERTIFICATE OF OCCUPANCY
Pernlit Number P20030514 Date Issued: .Monday, September 22, 2003
This is to certify-that work requested to be done as.shown by Permit Number P20030514
Iias been completed.:
y ... . .
Tax Map Number, 523400-308-015-0001-032-000.0000
Location; 472 CORINTH Rd
Owner: PAUL&SALLIE BRANDT
Applicant: ADIRONDACK NATURALS
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy(CON TOWN OF QUEENSBURY
Director of BuRding&Code Enforcement
f TOWNOF QUEEN SBURY
742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030514 Application Number: A20030514
Tax Map No: 523400-308-015-0001-032-000-000O
Permission is hereby granted to: ADTRONF)ACK NAWRALS
For property located at: 472 CORINTH 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 compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: PAUL& SALLIE.BRA.NDT
472 WEST MT. Rd Certificate of Occupancy(COM)
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-514 ADIRONDACK NATURALS 472 CORINTH ROAD
CERTIFICATE OF OCCUPANCY ONLY.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 13,2004
(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 of ueen August 13,2003
�d
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
4
)3P File
�TEr'7R mmi m*!e&s
Dept of Community Development
742 Bay Road 4eXVX-AX*t
Queens6uM]VIr 12804
(518) 761-8256
'ar occuPaney only, with no work requiring braildingpermit no fee required for th&permit.
Name of Business: It r t'.'A. I CQ C- t c
Address: e-} n
,.-� � ID
Person in Charge or Manager: `_ Vic. L t--L 4..,r � �.s � �,r�
Business Thane Number: "-7Y 3"—
JUL 0 7 2003
TOWN-OF�U1LD NG AND CODE
-Type of Business: (i.e.,:mercantile,-restaurant,hobby shop,p1�u�nbing store):_
Y`
Owner of Property:
.Address: U a.s 4 {h, xw CLr�--f �- V
Phone Number: 'rl � .
X'lease provide an accurate layout of your,sore showing all walls, exits, stockrooms,rest rooms,
counters attd ftxlure layout on ca separate skeet of paper: i
Signature: Date: o' J
afp-,w=s7&vqutAg this form;
Property Tax Map No.
Notes/Comments:
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SIMPUYS DEFT. PAX: 76 x-0210
PLEASE PIRJNT
DATE:
BLT ASS NAME: I k --- ,Al& 'v,-�x
BUSINESS ADDRESS:__ Z C�r'c•-i `r-�Q., r u X.4
� 2SOY
BUSINESS PHONE: _77 ''-
HOME
CONTACT C4 fu PHONE
t 6 t
- - TOE RESPONDING FROM:
HOME
'CONTACT _2:
TOWN RESPONDING FROM-
CONTACT i'~YG-, L � c�`�,n ��' 11`0MONE
TOWN RESPONDING FROM: r
''ire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer
Phone 761-8205,FAX 745-4437
REGUE T FOR PROPERTY ADDRESS r�
Town of GueensburY! !
Warren Count NY ,
61 y
Department of Community Development
Building Code Enforcement
Bate of Request; 1� c. .� I ,
'rO nW er circle or e
Namet (pro t enant)
�r
Telephone Number; (518 - (on property where request for address is made)
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1 ` ' r
Talc Map Number; 1 .�._._..� � � ' " � �.
section block lot
a� jl f
New .Address. z'
Street zip code
1
Old Address (if Imown):
street N zip code
Street Range ,
Comments,
Date notified of new address: By telephone 0 In person
1 l(— teNg &Codes Yellow/Assessor Pd/Sheriff
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: .3,1! am/p I Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME.: PERMIT
LOCATI
ON. DATE-
CONE%IENTS:
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 711/Treads 1111
Vestibules For Exit doors>3000 sq. 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 Okay
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'Fumace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors
>10%> 1000 sq.ft.
Y4Hour 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")(24'
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
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
Final Electneal
Site Plan/Variance required
Final Survey,New Structure Flood Plain certification,if re .
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 201 wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 ANL:\PamW\Building&Codes\Commercial Final Inspection Report.doc
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 _ SCHEDULE
Received: Permit# 03S/--9 INSPECTION ON:
Name:
I AM PM ANYTIME
Location: 4-7a �-OV�LRA ................
APPROVED
N/A YES z NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY N/
EMERGENCY LIGHTING X/
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES AA
STORAGE
COMPRESSED GAS ✓
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE MASONRY ROUGH IN
OK THIS OAT F RCO OT OK
FINAL
FIREPLACE V
FACTORY BUILT ROUGHIN
I INSPECTED BY
FINAL
COMDEV/CHRISJANORD/LETTERS20OI/F IRE MARS HALINSPECTIONREPORT11022001
WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
COit<Sf URCYAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive !/S"amlpm Depart am/pm
742 Bay Road Inspector's Initials
QueensburyjNY 12804
NAW PERMIT# S~
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO CONM ENTS
ChimneyP'B"Vent/Direct Vent.location
Plumbing Vast.
Roof Comppldee
Exterblerior/finish r grade complete platform/decks;
Irnesior/eaderior guardrails 42 in.
Iaerior/exierior ballasts s 4 in.spacingplatform/derks /
Stair handrail 34 in.-38 in.
Step risers 7%in. /
Main door 44 in. �e- ' a.t,
All others 36 in. c.7
Lever handles j
Exits at grade or platform
Canopy to cover req.exit.doors
Gas valve shut-off exposed®ulator(18 in.)above gra
Floor bathroom watertight
Other floors okay / J
Hat water relief valve _ 5 `� js� Ie G(1}U_ �sk-,-3
Boiler/furnace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(I hour) ��~~--�
>1,000,000 BTU's(2 hour) r .�1
Gas furnace shut off within 30 TL or within line of site
Oil furnace shut off at entrance to furnace area / C,
Stockroom enclosure(I hour),'/.hour doorj�
&oragelreceivinglshipping room(2 hour), I '/z doors
1 3'i hour doors and closers
3 4 hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters 11/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.@.
Fan shutdown,smoke vets or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinksAoilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space 00
Final Electrical
Site PlanNariance required_
Final Survey,new structures
As-built septic system layout required
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Ooccupancy}
Okav to issue C/C(Certif.of Compliance)
Lf
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 e-"ckc-� N)OX�� SCHEDULE
Received: Pet# INSPECTION ON:
Name: C)0J\o,-A-(qtC- "- noylrmi —s PM EANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS M�N� V"o ��(, \�u ,
AISLE WIDTHS lt
EXIT SIGNS-NORMAL A,5 ',4(4
- BATTERY x
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM X
FIRE SUPPRESSION SYSTEM C> C\,-.
HOOD INSTALLATION
INTERIOR FINISHES 6"1
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY 1"I wv-
'MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN �''`�'
WOOD FINAL
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN r-
FIREPLACE FINAL I e7 cY L t � kl�-'!'Y q-t"
MASONRY ROUGH IN
OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEVICHRMWORM ERS20011FIREMARSHALINSPECTIONREPORT11022001
-OCCUPANT*COPY,
WHITE-BUILDING DEPARTMENT COPY INC.
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N 0 T I C E KRAFT PAPER INSULATION MUST BE
COVERED BY NON-COMBUSTIBLE BARRIER
LEVER HANDLES REQUIRED RS NOTICE
ON ALL PASSAGE DOO
WHETHER INTERIOR OR FOAM INSULATION MUST BE COVERED
EXTERIOR DOORS BY A 15 MINUTE THERMAL BAP')!ER
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