97-655 CERTIFICATE -OF . OCCUPANCY
TOWN OF QUEENSBURY
> WARREN COUNTY, NEW YORK
Due November 3 19 97
' ()1 , .
• ti -
This a to ccimf[y1 that ak reieat�E'd to be done as shown by Permit No. 97655
•
has been completed.
s CERTIFICATE OF OCCUPANCY This -structure may be occupied as,a
4 WESTERN AVE. SOUTH -
Location
Owner HAIR CUTTING CO , THE
TAX MAP NO. 117 ;-10-6 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement'
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE: $ 0 . : ;.. No.: 9:7GS5:
TAX HAP NO.. 117:-10-6 WARREN COUNTY; NEW YORK
PERMISSION is hereby granted to
•
OWNER of property located at 4 WESTERN AVE. SOUTH Street, Road or Ave.
in the Town of Oueensbury,To Construct or place a
CERTIFICATE Of OeCCUpANCY
at the above location in accordance to.application together with pot pans and outer information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
;BERRY HILL PLACE SUITE 5, 4 SOUTH WESTERN AVENUE
.,_QUEENSBURY _ NY_= 12804
2. CONTRACTOR or BUILDERS Name.
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction=(Please indicate by XI
..OCCUPANCY
( 1 Wood Frame ( 1 fviasonry l l steel'B$T�'IFICATE OF: .:�. INLY - � -
."_
7. PLANS and Specifications
CERTIVICATE, OF: OCCUPANCY.: PERMIT A8 ..PER >APP.LLCATZONra;
8; Proposed Use
k; CERTIFICATE:=:O :OCCUPANCY..,
$ s =` ; "L5061:6?4.a;'PEflMIT^=FE.EPA1.O ,.THIS:PERMIT. EXPIRES ; w Noveabe ;.i3s>r<<oNin-,. 9 Stivv,.,
(if a longer period is required an application for an eictension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
- a
Dated at the Town of Queensbury this �� 4=� -flay off- .. .rNo:V.e�be �• ..� : ,6t9 : :s 97 .3 �,_4a:
}
SIGNED BY for the Town of Queensbury
Building and Zonc Inspector . .
- ' Building Permit Application
Town of Queef?S�uly - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-82561
-O BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
of this permit: PERMIT FILE NO. 9
A permit must be obtained before
''-� S
beginning construction. No inspections ?lob
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ ti
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application �'��
MUST be completed and the signature n Planning Board Action REVIEWED BY: )
of the applicant must appear on the SPR / Subdivision /Other I , Building Inspector
n
pplication form. mskyou. Recreation Fee Payment -1'C D � '
Applicant: 7 7Y �7`i 'P Cu tisi3 C'a sM.tp&.c-). Owner: 4. ► � 1c..: k<o
• Address: "T S tap s-tcr,-t, `4 v Address: /b f S°. A `-- I S-6-, ,
Phone # (:_c/dam ) 792- - / tV3 V Phone # (S'1S' ) 6z. F_ ' 3er SG 7-7 f' r.es7`ir`
Property Location: Scout-Z cc.a A-in.v-e-- d-
eI 0 � � umber —1—�
Subdivision Name: -- �� -
Section Block T.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
yNew Building: CONSTRUCTION: $ �_residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATIO : .�
Alteration to Building: Primary Building ��}}
residence / commercial v e Single Family Dlliff 7 31 i997
Residence / Commercial Two Family DwelIi
no change to exterior size . Family Dwkla4 0` Q°i rze.. uRY
Office ���t-1'12 Oj�
Other Work ( escri below) Mercantile
Qpri:V-txr a X.O__at
_1'lt Manufacturing
Other •
GROSS AREA OF PROPOSED STRUCTURE: +
If ADDITION, what will use
1st Floor sq. ft. of new addition be? :
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: / SQ. FT. Attached Garage 1, 2 car
/ Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addresss Phone
Builder:
Plumber:
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: A, l i ---
(o ner, owner's agent, archit , contract
ka . 1 0 0 ii)/kh .
(518) 761-8256 FINAL INSPECTION REPORT i
Building &Code Enforcement (commercial -- multiple dwelling) �
Town of Queensbury (hotel, motel, apt. complex) Arrive: /3' Inspec �/J�
742 Bay Road •
!'
i, D 7
Quecnsbury, NY 12804 Date inspection request received: /�— u
i.
NAME: '`Q. ' Cti Y ,� I/ PERMTT NO. q -7 .
LOCATION: 14 (A Xlc ry V1 _ -. ." .. DATE l .0----q`7
TYPE OF STRUCTURE: /\
N/AI YESI NO r` COMMENTS -9 ��
Chimney/"B" Vent/Direct Vent Nation
Plumbing Vent
Roof Complete X 1-
Exterior Finish Grade Complete \ I
Interior/Exterior Guardrails 42" Platfor,, ►/Decks
Interior/Exterior Ballasters 4" Spacing Platform/Decks r
Stair Handrail 34" -38" It, 1
Step Risers Min. 7 3/4" ‘ I
Main Door 44" .1'
All Others 36" ‘ a
Lever Handles Required \ 1
Exits at Grade or Platform \ I
Canopy to Cover Req. Exit Doors \ I
Gas Valve Shut-Off Exposed & Regulator (18") above'grade
Floor Bathroom Watertight S.
Other Floors OK I \
Hot Water Relief Valve / \
Boiler/Fumace Enclosure 't:
<250,000 BTU N/R 1
250,000 BTU to 1,000,000 BTU'sg�(l hour) \
>1,000,000 BTU's (2 hour) ,'`
Gas Furnace Shut Off within 30 Feet or within Line of Site \
Oil Furnace Shut Off at Entrance to Furnace Area \
Stockroom Enclosure (1 hour) / \,
Storage/Receiving/Shipping Room(2�our) 1, \ ,
3/4 Hour Doors and Closers `1
1 1/2 Hour Doors and Closers
3/4 Hour Corridor Doors and Clos is
Firewalls 2 hour, 3 hour comple '
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5, sq. ft. \
Fire Dampers, 2 hour fire wal separation or greater
Fan Shutdown, Smoke Vents or Fan \ ,
Exit Door/Panic Bars Asse ly Hardware
Elevators
Elevator Signage / \,
Handicapped Bathroom ab Bars/Sinks/Toilets "/
Handicapped Bath/Par g Lot Signage
t/- \
Handicapped Service ounters 34", Checkout 36"
Handicapped Ramp/ and/rail Continuous / 12" Beyond
Active Listening Sy tem nd Signage Assembly Space
Final Electrical - '�
Site Plan / Varian a Required
Final Survey, N Structures
As Built Septic System Layout Req.
Okay to Issue Temp. C/O
Okay to Issue C/O
Okay to Issue C/C
Ilin ,' € -
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
• FIRE MARSHAL INSPECTION REPORT C�
REQUEST FOR INSPECTION RECEIVED !7
NAMET\--P.-- \(-1-6, VI/CC')
• LOCATION 14 WCJ..-frit.NA DATE
am-
DATE PERMIT # Jt i0 - 7 Q`1, < ^t v
C"
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS l I
EMERGENCY LIGHTING \
` J
/
FIRE EXTINGUISHERS ✓
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS:. ❑ OK TO THIS DATE
tiK CI°
INSPSLIP.PUB INSPECT
.•. • TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
'`'-` QUEENSBURY NY 12804
`•• (518) 761-8256
ARRIVE: 3// DEPART: INSP: 04-
FINAL INSPECTION REPORT •
COMMERCIAL MULTIPLE DWELLING
(hotel, motel,�pt. complex),,
DATE INSPECTION REQUEST RECEIVED:
NAME \r £ ��iC
LOCATION H. W es--I-2JYn `�' < c�.
DATE �, ! r l JP�ERMIT H ' �
C.TYPE OF STRUCTURE 0
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER / •
RELIEF VALVES (O/
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATI• 1O/_
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS (f
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF RE
OK TO ISSUE /O R C/C
I
•
SOW.
seer !A-
(518) 761-8256 FINAL INSPECTION REPORT
Building &Code Enforcement (commercial --multiple dwelling) J�
Town of Queensbury (hotel, motel, apt. complex) Arrive: //jr) Inspec
742 Bay Road
Quecnsbury, NY 12804 Date inspection request received: '
NAME:
dGuc.. PERMIT NO. 7—i
LOCATION: p it )7'// I/ z DATE:
TYPE OF STRUCTURE:
N/A I YES I NO I COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vent
Roof Complete
Exterior Finish Grade Complete
Interior/Exterior Guardrails 42" Platform/Decks
Interior/Exterior Ballasters 4" Spacing Platform/Decks
Stair Handrail 34" -38"
Step Risers Min. 7 3/4"
Main Door 44"
All Others 36"
Lever Handles Required
Exits at Grade or Platfo
Canopy to Cover Req. Exit rs
Gas Valve Shut-Off Exposed &Re r(18") above grade,
Floor Bathroom Watertight
Other Floors OK
Hot Water Relief Valve
Boiler/Furnace Enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's (1 hour)
>1,000,000 BTU's (2 hour)
Gas Furnace Shut Off within 30 Feet or within Line of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom Enclosure (1 hour)
Storage/Receiving/Shipping Room (2 hour)
3/4 Hour Doors and Closers
1 1/2 Hour Doors and Closers
3/4 Hour Corridor Doors and Closers
Firewalls 2 hour, 3 hour complete
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5,000 sq. ft.
Fire Dampers, 2 hour fire wall/separation or greater rAtr
Fan Shutdown, Smoke Vents or Fan
Exit Door/Panic Bars Assembly Hardware
Elevators
Elevator Signage '''';;����
Handicapped Ba s oom Grab Bars/ /Toilets "
:. ./t� Lot Signage ! L
Handicapped� arkm i � �J�, f�
Handicapped Service Counters 34",Checkout 36" ( - ,i(i `� Aef
Handicapped Ramp/Handrail Continuous / 12" Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan /Variance Required
Final Survey, New Structures
As Built Septic System Layout Req.
Okay to Issue Temp. C/O
Okay to Issue C/O
Okay to Issue C/C / / 1
S@4 /{ 4// 11,4AWe /,/�/ ` 4eD ialaii
P\of- (518) 761-8256
TOWN OF QUEENSBURY a
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY�NY 12804 1, ,.
INSPECTOR'S REPORT: ARR -.3,TI DEPART INT
REQUEST FO�INSPEC ION RECEIVED:
NAME \ A,C11/4A_V-Vi �-Vl
LOCATION M\0J��; �� k\ ''
DATE \\--L\= L. PERMIT A (N1— 4'5S
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO', FRO • • ING
FOR 48 HOURS FOLLOW G O
MENT OF THE CONCRETE.
MATERIALS FOR THIS PJRPOSE ON SITE
FOUNDATION/WALLPOU
REINFORCEMENT I PLACE —_
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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—
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