2002-1033 ~� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CER". IF ATE IC F �CCUPANC
Permit Number: P20021033 Date Issued: Thursday; Julie 05,2003
This is to certify that work requested to be done as.shown by Permit,Number P20021033
has been completed.
Tax Map Number: 523400.296-007-0001-019-000-0000
Location: 105 COUNTRY CLUB Rd
Owner; GLENS FALLS COUNTRY CLUB INC
Applicant:, GLENS FALLS COUNTRY CLUB INC
This structure may be occupied as a:
By Order of Town Board
Commercial Addition TOWN OF QUEENSBURY
G�
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: P20021033 Application Number: A20021033
Tax Map No: 523400-296-007-0001-019-000-0000
Permission is hereby granted to: GLENS FALLS COUNTRY CLUB INC
For property located at: 105 COUNTRY CLUB 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: GLENS FALLS COUNTRY CLUB I Commercial Addition 2,200.00
272 ROUND POND Rd Total Value 2,200.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
GLENS FALLS COUNTRY CLUB
150 ROUND POND Rd
OUEENSBURY.NY 12804-0000
Plans&Specifications
2002-1033
Commercial storage addition, 192 sq ft,per plot plan and specifications.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 08,2004
(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 ,7f Que b ;2dinesday,January 08,2003
SIGNED BY '777 for the Town of Queensbury.
Director of Building&Coe Enforcement
Building Permit `Application
Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY
(518)-761-8256.
Apermit must be obtained before beginning construction. Permit File No.
No-inspection will be made until.applicant has received_ a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $ L+'
application must be completed and must appear on the -- �
application forma
Reviewed By
Applicant: G LENS FALLS CGVN-1"91. C.l.vi; u
pP � Owner: G1.El•rS f=AtLSTQI�/IUl�•7,,G�v3
Address: W 10c CauN'rK\j CLUB 2oht) Address: _ 1S"U
i��E�i�sl3ux`1 1yY. t 23b;! vEE $gt,lz�, NY i28v -P®E
Phone#{5"1& ) - Doll b Phone 5 2- !t
Property Location: Lot Number: / House Number 105; 1 C a uNifR Y c_i-v r3 KoA D
Subdivision Name: Tax Map Nunnber:-2 qe4, —I
❑ New Building: ,residence /commercial Estimated Market Value'of Construction: $ :2,Z b p
residence/ o ereial If an Addition,what will use"of new addition be?
(3 Alteration: residence/ commercial S Ti71Z A 6 5
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check I OccupancyInformation I"Floor 2'd Floor •Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling"
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office .
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage A 11 $
❑ 3'car attached garage y?
rc�trig- 1'cJ 2 S 'f;
V j Z S A
❑ Storage building-
residential
❑ Other.
What is the proposed height of the structure feet b inches
Will any second-hand or ungraded lumber be used? If so,for what? JV>
Type of Heating System: electric/ oil / gas 1 wood. /forced hot air! baseboard/other: A/Wj 6
Number of Fireplaces-to be installed - )3 Number of Woodstoves to-be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder `Qos -PAeKAzla R. s7c 25(O-J- WAI?K-rA4'1?VRG jVj 929•- 23ge
Plumber 12Fs�'c
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
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 to be,done on the described premises and that all
provisions of the Building Code,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
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested,by.the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed-surveyor;drawn to scale;showing actual
location of all new construction.
f� n ,/
Signature: f �t� "`r owner,owner's agent,architect,contractor
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: 0!;k
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: co V^TA 64 PERMIT#:
C e20 J-r,
LOCATION: a'ly-s DATE:
e
TYPE OF STRUCTURE:"
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: — / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 2 in.x 30 in. (ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq. ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan,
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C 1 0(Cert. Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupan y)
CORMERCLA-L FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
IDepL of Community Development ►
Town of Queensbury Arrive am/pm Depa
742 Bay Road Inspector's Initt s
u Al �a
Queensbury,NY 12804
NAME PERMIT'# t..l
LOCATION ) DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Clhimneyf'S"Veit/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade complete
Imaior/exterior guardrails 42 in.platform/decks
hicrior/exferiorballasters 4 in.spacingplatform/decks
Stair handrail 34 in.-38 in.
Step risers 7 3/4 in.
Alain door 44 in.
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req.exit doors '
Gas valve shut-off exposed 8c regulator(18 in.)above grade
Floor bathroom watertight
Other floors okay
Hat water relief valve
Boiler/fumace enclosure
<250,000.BTU N/R
250,000 BTU to 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 how)
Gas furnace shut off within 301 or within line of site
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(I hour),3/t hour door
Storagetreceiving/shipping room(2 hour), I '/z doors
11,i hour doors and closers
3,hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire walllseparation or greater
Fire door/shutters 1 '/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.I
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signagg
Handicapped bathroom grab bars/sinkshoileLs
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
Final Electrical
Site PlanNariance required
Final Survey,new structures
As-built septic system layout required
Okay to'issue temp.C/O(Certif.of Occupancy) j
Okay to issue permanent C/O(Certif.of Occupancy)
Okay to issue C/C(Certif.of Compliance)
Office Use
.GENERAL INSPECTION REPORT Inspqctor.,
Town of Queensbury Ready at time..'..
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensburj,, AY 12804 ARNVE,2'3' am/pm: DEPART anilpin Notes:
(518) 761-825d Inspector's Initials
7)
NAME: PERMIT 4
LOCATION: INSPECT ONSdate):
03)
TYPE OF STRUCTURE: fc
RECHECK
N/A i YE COMMENTS
Footing s/piersxA&�
Monolithic Pour Form (3
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
Toundation/Wallpour
Reinforcement in Place
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-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
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_.
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