2001-586 FILE No.518 07/10 '01 AM 09:07 ID:TOWN OF QUEENSBURY FAX:518 745 4437 PAGE 2
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Cho4. �`,.
TO / ;�� k . TOWN OF QUEENSBURY
B friV Iii& , : COMMUNITY DEVELOPMENT DEPARTMENT py
w�y—� FIRE MARSHAL ���
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3 1 BAY ROAD �r
QUEENSBURY, NY 12804•
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FIREMARSHAL SPECIAL PERMIT APPLICATION �.05 _
P .
s
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK. ALL APPLICABLE SPACES
ON TIIIS APPLICATION MUST Iili.COMPLEMEl) AND TII E SIGNATURE;OF TIlE
A PPLICANT MUST APPEAR ON 'I'llE APPLICATION FORM.
BUSINESS NAME + PROPOSED) S#, A9art5
(WHERE LtK/US
OWNER OF PROPERTY:, r K pit
MAILING ADDRESS:
TELEPHONE NUMBER(S): . —
PROPERTY LOCATION: h
[TAX MAP NUMBER: Section Block I - Lot9l.gaa 10,/r, /91
DESC IPTI N OF PROPOSED WORK OR SPECI USE: .
r. PSSi00
...�..-
ON REVERSE SIDE, SKETCH LOCATION OF PROPOSED WORK OR SPECIAL
USE, ON THE PROPERTY. SHOW MEASUREMENTS IF APPLICABLE.
PERSON(S) RESPONSIBLE FOR SUPERVISION Olt WORK/SPECIAL USE,
REGARDING COMPLIANCE WITH CODES:
NAME: r C CD4o
. MAILING A D ES :
TELEPHONE NUMBER(S): +p p1., .
NAME:
MAILING ADDRESS:_ —
TELEPHONE NUMBER(S):
DECLARATION-
To the best of my knowledge the statements contained in this application, together
with the plans and specifications submitted, are a true and complete statement of all
proposed work/special use on the described premises and that all provisions of. the
NYS Uniform Fire Prevention and Building Code, Code of the Town of
Queensbury, and all other laws pertair ' ig to the proposed work shall be complied
with, whether specified or noted, an th t sucir ork i agtl�orizIlied by th owner.
Signature (—t
wn r, Own r s gent, dioWnetor, rc nett
COMMERCIAL FINAL INSPECTION REPORT •
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
Dept. of Community Development
Town of Queensbury Arrive 1,,, ` Depart
742 Bay Road spector's Initi
Queensbury,NY 12804
NAMES .� S PERMIT#C- •
LOCATION • V o t DATE; —
TYPE OF STRUCTURE .y-Nes -11--- aN\
/A YES NO COMMENTS
Chimney/"3"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Interior/exterior guardrails 42 in.platfor /dedts
Interior/exterior ballasters 4 in.spacing platform/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Main door 44 in.
All others 36 in.
Lever handles
Exits at grade or platf.
Canopy to cover req.e doors •
Gas valve shut-off exp ®ulator(18 in.)above grade
Floor bathroom waterti eT
Other floors okay •
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/RI
250.000 BTU to 14/00,0 a 0 BTU's(1 hour)
>1,000,000 BTU's(2 ho
Gas furnace shut off within 30 ' or within line of site
Oil furnace shut off at/entrance o furnace area
Stockroom enclosure(1 hour),3 hour door
Storage/receiving/shipping room(2 hour), 1 'A doors
I ' hour doors and closers
?4 hour corridor doors and cl. •
Firewalls/fire separation,2 hour, hour complete
Fire dampers,2 hour fire wall/sep., •tion or greater
Fire door/shutters 1 '/A hour,3 ho r •
Ceiling fire stopping 3,000/5,000 .•.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hart are
Elevators
Elevator signage
Handicapped bathroom grab bars/•inks/toilets
Handicapped bath/parking lot sign:ge
Handicapped service counters 34 .,checkout 36 in.
Handicapped ramp/handrails cant.. uous/12 in.beyond
Active listening system and signa a assembly space
Final Electrical
Site Plan/Variance 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 Occupancy)
Okay to issue C/C(Certif.of Compliance) '
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive/detoam/pm Depart at pm
Inspector's Initial )
NAME: PERMIT# I—
LOCATION: d DATE •
TYPE OF STRUCTURE: -Tgl1
RECHECK
N/A YES-NO COMMENTS
Footings/Piers �, I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon: bleTlbr
providing protection fr freezing
for 48 hours following 'i e place ent
of the concrete.
Materials for this purpose n n site
Foundation/Wallpuur
Reinforcement in PlIe
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R •
Floors R-
Walls R-
Ceiling R- I ,
Duct work or piping in
u eated spaces R-
Pro Vent,Attic Vent
awing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
creA-1-0 go)
FIRE MARSHAL
Al + ` fejrnit TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
jfr 518) 761-8205
FIRE MARSHAL INSPECTION REPORT ®r 52
REQUEST RECEIVED PERMIT
NAME
LOCATION
SCHEDULE INSPECTION ON — I -i is 1
t t Da AM 7M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIG� TING
FIRE EXTINGU SHERS
FIRE ALARM S� T...\M
FIRE SPRINKLEVY';TEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATIO
� ,,� II
INTERIOR FINISHES\
STORAGE:
CLEARANCE\T SPRINKLERS
CLEARANCE TO EATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY I
FIREPLACE-FACTORY BUILT \"
REMARKS: ❑ OK TO THIS DATE
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