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2014-184 sfir 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: P20140184 Date Issued: Thursday, August 07, 2014 This is to certify that work requested to be done as shown by Permit Number P20140184 has been completed. Location: 1415 STATE ROUTE 9 Tax Map Number: 523400-288-000-0001-053-000-0000 Owner: NORTHWAY OUTLETS, LLC Applicant: ADIDAS This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property I34J9 4 >E� owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140184 Application Number. A20140184 Tax Map No: 523400-288-000-0001-053-000-0000 Permission is hereby granted to: NORTHWAY OUTLETS. LLC For property located at: 1415 STATE ROUTE 9 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: NORTHWAY OUTLETS, LLC Commercial Alteration $152,000.00 2700 WESTCHESTER Ave Suite 407 Total Value $I52,000.00 PURCHASE NY 10577-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans &Specifications 2014-184 ADDIDAS suite#150 Comm. Alterations 5,432 sq ft $1,086.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 03, 2015 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Quee bury ire ue y un 03,2014 SIGNED BY �,Yf for the Town of Queensbury. Director of Building&Code Enforcement eEu � � Town of Queensbury Building & Codes i ed: PRINCIPAL STRUCTURE APPLICATION Taxap IDgAY 2 I 1 �, Pe it No.: A permit must be obtained before beginning construction {{ tt 9 9 P�ermi Eee:N OF$QU r� �( !_ f3U1LDUJD Please read: `TB resolution 86-2013(1.28-2013): $850 recreation fee for new dwelling 'Rei te:,.----^$ A units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date 5-16- 14 Applicant (-'LAW l(,L(As rets, Tax Map ID Address (t t b.)- kilts k. h?4t. Zoning CiH c&-coo (e oe .2_ Phone/E-mail In--7-9(o."I W�r+�urb"a.� 1Lun-n ,amna-Koni tide. Com Property Owner L0D SofW4-ioh/ L Lc Contractor/Agent ' E-TFSD Address 350 LA,NQI Cec&. # Address W�CKoPF N�' 0114 SI Phone/E-mail 2ot-4 85 — $1-402 Phone/E-mail Aobin.C7Cnevese, LOO Cora }iohs. town Contact Person for Building&Code Compliance: E.R4 AJ 6LAck.ee RtA Day Phone: Co6-Cg3-S6o3 Building Street Address: 1415 Statc, A0.-ke• `� SuiFC it ISO Queu.. "nj M 12-b°11- Subdivision Name: Lot#: Historic Site: Yes ), No Estimated cost of construction: $ 1(11 coo Type of Construction: Check all that apply Please indicate measurements as required below: c o l 0 a d 1st Floor 2nd Floor Other Total Height F Q a Single Family Two-Family Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile 1/ /r— Factory-Industrial Attached Garages(# ) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 • If commercial or industrial indicate name of business a a ( ol A. 5 Proposed use of building or addition e r-Ga-ti*i be Source of heat(circle one) teras Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Buming Appliances&Chimneys" Yes t✓ No Are there structures not shown on plot plan? uts- Are their easements on the property? NI Site Information a. Dimensions or acreage of lot • b. Is this a corner lot? c. Will the grade be changed as a result of construction: Yes ✓No d. Public water or Private well p l is e. Sewer or Private Septic System Se€'J ce- Value of all work to be performed(labor and materials) $ I y Zr Coo Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. I certify that the application, plans,and supporting materials are a true and complete statement/description of the work proposed,that all work will be performed in accordance with the NY State Building Codes,local building laws and ordinances,and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a • certificate of occupancy. I also understand that I/we are required to provide an as-built survey by.a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Print Name: P-'ta kdAIJ Co. we.rot Signature: ) Date: c- I te- Hi FOR OFFICE USE ONLY: Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 No Fat- x- pa+Xt. Town of Queensbury Fire Marshal Office Use Only Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: /y-1 g�0 *Note: This application is for occupancy( only,with no work requiring a building permit. Permit Fee: Name of Business Aa.. c1115 (*men C0. , Inc_ Address 14 l 5 ,i -fa � w c. q7 Su-"rf-e. ISO Type of Business Rel-a-)1 S-Fort : F-fru r I -50.1ts c-F 4¢{-t( MaPerson in chargenager S}tv-e.- et- �G tu' Ar f rare/ MaJ Business Phone No. 5p3 -333 -75340 Property Owner SC oft Rsh4X Address N 21 st-a-(re.. Rout 1 , Lan Gepr5c ()y 1.2J39-5- Phone 22'}sPhone +_518 - 1'13 -381C ✓Provide an accurate layout of your store showing all walls, exits,stockrooms, rest rooms,counters, and fixture layout on a separate sheet of paper. Print Name: Er'cendt) Qt. 1C-g- Signature: ,�� 4itt At horizedAg� Date: L: 2014 Notes/Comments: IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire extinguishers, fire sprinkler systems, and fire alarm systems require annual inspections by an outside contractor and the corresponding documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semi-annual inspections. Anv violations noted during an inspection, require immediate corrective action. CONTACT NUMBERS: Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 EMERGENCY CONTACT UPDATE TO: Warren County Sheriff's Department 1. This form is used to assist Emergency Service personnel who may be called to your business after hours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police and/or Fire personnel in gaining entry to your building. 2. Please be advised that failure to respond to assist emergency service personnel may result in damage to your building to facilitate entry by police and/or fire personnel. PLEASE PRINT JUL 0 2 2014 DATE: BUSINESS NAME: AoUctas 4ier=rca f$'tc BUSINESS ADDRESS: 11-41 S 51a,l-e. {Q01t Q sir 150 Lake 6-ee,-9e ,Ny . 12gYS BUSINESS PHONE: 503 - 3s3- 78 3(0 eve, Earner CONTACT 1: Stg HOME PHONE � -333 - 783 ADDRESS: 14 t S 5-ftt .3c +e- /SD CONTACT 2: n Z HOME PHONE 1 - 6cgo - t f g`I 7- ADDRESS: 1 L1 t 5 stt j2a.c-ba qScta-iQ. /so. Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 Town of Queensbury Building&Code Enforcement Office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: -olAc{d,c Inspected on: %-11-N14 Location: )'-Ii 5 R41 Arrive: . Adr . / ,.m. Permit No.: I 7-f Sy Inspector's Initials: pia COMMENTS 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 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch-38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles/Panic Hardware, if required Exits At Grade Or Platform 36"(w)x 44"(0/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve, Heat Trap 1 Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Fumace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors > 10%> 1000 sq.ft. %Hour 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"x 24" Smoke Vents Or Fan, if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded 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 4" � J , YhSJ� Water Fountain or Cooler O , •-"Cp Building Access All Sides by 20'/Drivable Surface 20'wide V ` Special Inspections/Engineer or Architect Approval (p - Okay To Issue Temporary or Permanent 0/0 Okay To Issue C/C Commercial Final Inspection_11 2712 THE (-6t)1 G 6 tkE L� 143pc A ' E tk) Cc 0 Townof Queensbury Building &Code Enforcement g6�Q�!a- 3o .j .. Office No. (518)761-8256 b Commercial Final Inspection Report Inspection request received: Name: �c� Act__3 Inspected •on: � ,�_ �f Location: %�//,`j 6+9 ��-�/SO Arrive: �M/*p.m. Permit No.: / —f gy Inspector's Initials: Win • K 'j i e 2&b _gO8 - 816)41 f COMMENTS 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 inch Plafform/Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch—38 inch/Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles/Panic Hardware, if required � Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. V Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System Fresh Air Supply for Occupancy I 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 Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 'A doors >10%u>1000 sq.ft. .._kOOtjj R-t) %Hour Corridor Doors&Closers � / Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors Y F>,1J(m_ \Scarey.a. Ceiling Fire Stopping,3,000 sq.ft.Wood Frame �� Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" � lsJ� r� 'PtzA Smoke Vents Or Fan, if required 1E Gce.) Elevator Operation and Signage/Shaft Sealed / Q� Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors V p Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 inch,Checkout 36 inch Handicapped Ramp/H. or.' _••:• : • e• < • • .•;'.] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded 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 4" �// Water Fountain or Cooler Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections/Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection_11 2712 .4 CERTIFIED TEST, ADJUST, AND BALANCE REPORT Lti\JIL I Date: 8/1/14 ; ' "1111 i lit 1.n h!.11... N1 PROJECT: ADIDAS AMERCA - OUTLETS ADDRESS: LAKE GEORGE, NEW YORK ENGINEER: ARCHITECT: BKA ARCHITECTS, INC. HVAC CONTRACTOR: GRIMALDI' S HEATING & SHEETMETAL 808 THIRD AVE. UTICA, NEW YORK 13051 reeChnolo ier s NEBB TAB CONTRACTOR: NEW YORK TECHNOLOGIES CORP. ��_ 180 FOREST HILL DRIVE TERRY p1NTER.P.E. CERTIFlCATION SYRACUSE, NY 13206 2770 Exp.3/dvu e PHONE: (315) 432-1917 .i • a: t; FAX: (315) 432-5627 � � National Environmental Balancing Bureau Report Not Valid Unless Cover Sheet Stamped With NEBB Certification Seal TAB 2005 Copyright, NESE 2005 8.11 ` New York Technologies Corporation 180 Forest Hill Drive Syracuse,New York 13206 Phone: 315-432-1917 FAX: 315-432-5627 E-Mail: TDNYTECH@MSN.com New York Technologies PROJECT: ADIDAS AMERICA—OUTLETS AT LAKE GEORGE,NEW YORK TABLE OF CONTENTS Air Outlet Test Report 2 pages Notes: The data presented in this report is a record of system measurements and final adjustments that have been obtained in accordance with the current edition of the NEBB Procedural Standards for Testing,Adjusting, and Balancing of Environmental Systems. Any variances from design quantities, which exceed NEBB tolerances,are noted in the Test-Adjust-Balance Report. • __ AIR OUTLET 1 TEST REPORT ► % •. . PROJECT: ADIDAS AMERICA-OUTLETS AT LAKE GEORGE, NEW YORK SYSTEM. VAVS 1 -4 OUTLET MANUFACTURER: — TEST APPARATUS: FLOW HOOD/HOT WIRE AREAIRM# OUTLET DESIGN _ PRELIMINARY FINAL REMARKS SERVED NO. TYPE SIZE AK VEL CFM CFM CFM CFM CFM CFM CFM DISPLAY AREA 1 SA LINEAR — 200 295 220 VAV-1 2 _ 278 205 3 r 270 198 4 - , _ _ 284 210 I ENTRY 5 12x12 279 200 STORE AREA 6 18"RND 400 512 415 STORE AREA 7 18"RND 400 465 404 DISPLAY AREA 1 SA LINEAR — 200 152 202 VAV-2 2 _ 160 210 3 156 207 4149 196 5 164 215 STORE AREA 6 18"RND 400 320 404 STORE AREA 7 18"RND 400 345 398 STORE AREA 1 SA 18"RND — 400 182 425 VAV-3 2 570 409 , g 3498 405 4 553 420 • STOCK ROOM 1 SA 18"RND — 300 410 304 VAV-4 STOCK ROOM 2 SA 18"RND — 300 456 322 VAV-4 REMARKS: TEST DATE: 7/29, 7/31 2014 READINGS BY: AARON JACKSON,ADAM JACKSON National Environmental Balancing Bureau TAB 2005 Report Not Veld Unless Cover Sneed Stamped Mk C Copyright.NEBB ams NEBB Cenmratan Seal Page 1 of 2 - AIR OUTLET t % { TEST REPORT A k ( . PROJECT: ADIDAS AMERICA-OUTLETS AT LAKE GEORGE, NEW YORK SYSTEM: VAV-5&TEV-3 OUTLET MANUFACTURER — TEST APPARATUS: FLOW HOOD/HOT WIRE AREAIRM# OUTLET DESIGN PRELIMINARY FINAL REMARKS SERVED NO. TYPE SIZE AK VEL CFM CFM CFM CFM CFM CFM CFM OFFICE — SA 12x12 — 100 183 101 VAV-5 TOILET 1 EA 24x24 — 75 5 6 TEV-3 (1) _ CHANGING ROOM 2 EA 6x6 — 50 3 4 II REMARKS: (1)There is no actual exhaust fan installed as part of the existing "exhaust" system. TEST DATE: 7/29, 7/31 2014 READINGS BY: AARON JACKSON,ADAM JACKSON National Environmental Balancing Bureau TAB 2005 Report Not vara Unless Cover Sheet stamped WO @Copyright NEea 2C05 NEou Centrraron Seat Page 2 of 2 i uw sac9 Inspection Forms. r3v Town of Queensbury Fire Marshal 0 Periodic Inspection Date: /S)/ ty/ Time: pi 742 Bay Road,Queensbury NY 12804 o Re-Inspection G/ rb/w� 518 761 8206/518 761 8205 e'CO Inspection Permit#: / /—I F e Marshals Representative MJ Palmer Business Name: 4--et 0.S Location: i yt i 9 C9{-,c316 b _)(GK Stillman Contact: K31 etc573 (4 tin Type of Inspection N/A Yes No O' sog - b EXITS. Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 / Sign. Normal FC 1011 &FC1029 Sign backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 ./' Inspection of extinguisher FC 906 / EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Intenor FC 1006.3&FC1029.8 Extenor FC 1006.3 Clearance Electrical / Electric Wiring Enclosed/Labeled d FC 605.3.1 Milk Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 / Ern Storage FC 315.2 Compressed Gas FC 3003 / . ' Vehicle Impact Protection FC 312.1 l _ — Interior Finishes FC 803-804 Smoke Detectors FC 907 .----- , CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 / 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2) Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 ----"-- Exterior Exterior Building FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 /— Emergency Disconnect FC 2203.2 / 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual c'' FIRE ALARM Annual '7 Y t DATE: OK NC HVAC Shutdown /t Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi AnnualFuel Hood Cea Suppression S-6-A n ual ���i�/I'Y/ K92C14( iCi Knod Cleanina 3-6-AnnualI 6' Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection H.411r n of Queensbury Building & Code Enforcement 'vnoc -3 Office No. (518)761-8256 _ Commercial Final Inspection Report Inspection request received:r/�ty Name: ckdt acitS Inspected on: —az Location: 1 4-ti 6 R+'? Arrive: o : S.m. IS Permit No.: t y -( VI _ Inspector's Initials: 41.2 r. COMMENTS Y N NA Marl( Chimney/"B"Vent/Direct Vent Location �e I � �a Plumbing Vent Through Roof 6"/Roof Complete V/ D Lob-- Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform/Decks Stair Handrail 34 inch-38 inch I Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. / All Doors 36 inch w/Lever Handles/Panic Hardware, if required J Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight I Other Floors Okay Relief Valve,Heat Trap I Water Temperature 110 Degrees Maximum Boiler/Furnace Enclosure 1 hour 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 V/ — Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%> 1000 sq.ft. — Ft?E Ai!Q-` ARLt,; V.Hour Corridor Doors&Closers r�t-1S 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"x 24" Smoke Vents Or Fan, if required levator Operation and Signage I Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors / K- B Handicapped Bath/Parking Lot Signage � n_ t LLE HFt Public Toilet Room Handicapped Accessible H tCNSS� andicapped Service Counters,34 inch,Checkout 36 inch 6 Fpm OW:66tt ' Handicappe• Ram Handrails Continuous/12 inch Beyond [Both sides] `t �-A Active Listening System and Signage Assembly Space / Final Electrical/Flex Gas Piping Bonded J Site Plan/Variance required Final Survey, New Structure/Flood Plain certification, if req. / As-built Septic System Layout Required or On File t/// Building Number or Tenant Address on Building or Driveway 4" } 6 V tsc), Water Fountain or Cooler / Building Access All Sides by 20'/Drivable Surface 20'wide Special Inspections I Engineer or Architect Approval ry / Okay To Issue Temporary or Permanent CIO ' Okay To Issue C/C Commercial Final Inspection_11 27 12 //At 1- 3 , Inspection Form Town of Queensbury Fire Marshal 0 Periodic Inspection Date:_-7�/L 4Ane: /3D7l 742 Bay Road,Queensbury NY 12804 o Re-Inspection �'�r/// /�, 518 761 8206/518 761 8205 CO r Permit#: /7/7T/L/� Fire Marshals Representative MJ Palmer Business Name: Location: ��� `- �J$ Ale - f ) St: /9) GK Stillman Contact: 47,91, Type of Inspection N/A Yes No EXITS Exit Access FC 1014&FC1029 - Exit Enclosure FC 1020&FC1029 NOTES Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 / Sign Normal FC 1011 & FC1 kar_� Sign backup FC 1011.5.33&&FC1029.7.5 r / �j j AISLES: �S v Tecicl Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Wdth FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 f� S `���, EVAC Plan FC 404.2 �J(-'-�Lj /40---- EVAC TRUSS ID SIGNAGE FC 505.3 I " I k(Gfc.-i Mir- EMERGENCY LIGHTING: f e L„ 1 Interior FC 1006.3&FC1029.8 �j�' Extenor FC 1006.3 ���//-/P�r,, Clearance to Electrical FC 605.3 .‘- j„ 1. /a.,C'n /'�_e , _4'02. Electric Wiring Enclosed/Labeled FC 605.3.1 Me/44 ct [iv(lf' Combustibles in Equipment Rooms 1C315.2.3 F.D.Smakingnage i FC 510 '242-4 � � ,�� No Smoking Signs FC 310.3 J li Stora.e FC 315.2 Com.ressed Gas FC 3003 �_� Vehicle Im•act Protection FC 312.1 �� r Interior Finishes FC 803 -804 _IM1_ Smoke Detectors FC 907 MIME_ j q LIC r CO detectors FC 610 t Qnl f; f_�X- Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2) Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 / 21 DAYS SYSTEMS: FC 901.6 lnsp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual -OJ }( DATE: OK NC HVAC Shutdown Sprinkler System Annual KSitchen upp 3(;,_ //I ,�.,rlK /9�� // ' / s/2‘ Kitchen Suppression Semi Annual / r (�.,'/'N VY7 (9 '/�+�—b Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Town of Queensbury Building &Code Enforcement I(,( a S 1-3 Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: 74-c Jt (jest S Inspected on: / Location: / 4115 R+9 Arrive: �, Permit No.: /- I g cf Inspector's Initials: �� TYPE OF STRUCTURE: Ct,5—rn-AcyN Y N N/A COMMENTS: Framing Attic Access 22"x 30°minimum Jack Studs(Headers Truss Specification Provided J/ Bracing I Bridging Joist hangers Jack Posts!Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate • 1 Y=(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 water 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''%inch or 518 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 Design Professional Sign-off,if required Framing/ Firestopping Inspection Report