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2012-341 TOWN OF QUEENSBURY w742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120341 Date Issued: Wednesday, March 06, 2013 This is to certify that work requested to be done as shown by Permit Number P20120341 has been completed. Location: 6 IIEARTS Way Tax Map Number: 523400-296-016-0001-016-015-0000 Owner: CARDIAC REALTY, LLC Applicant: GLENS FALLS HOSPITAL 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 • owner of the responsibility for compliance with Site Plan, Variance, or yf other issues and conditions as a result of approvals by the Planning Board Director of Building&Code En!cem 1 or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IT Community Development- Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120341 Application Number: A20120341 Tax Map No: 523400-296-016-0001-016-015-0000 Permission is hereby granted to: GLENS FALLS HOSPITAL For property located at: 6 HEARTS Way 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: CARDIAC REALTY, LLC Commercial Alteration $60,000.00 6 HEARTS Way Total Value QUEENSBURY,NY 12804-0000 $60,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency ADIRONDACK CARDIOLOGY ASSOC. F 6 HEARTS Way OUEENSBURY.NY 12804-0000 Plans&Specifications 2012-341 Commercial Interior Alteration 1,490 sf $298.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 27,2013 (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 Tow eensb A •s / November 27, 2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement r >ss.�do01U OFFICE USE ONLY 1 TAX MAP NO. a(�`'6I 1 (..0-1 -I Ce •I5PERMIT NO. 1?-3 <1 1 JUL I_ j 2012 FEES: PERMITAq g Oa RECREATION ENGINEERING (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: Adirondack Cardiology OWNER: Glens Falls Hospital ADDRESS: 100 Park St. ADDRESS: Glens Falls, NY 12801 PHONE NOS.518-798-7835 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: R. Zimmerman PHONE:518-926-2732 LOCATION OF PROPERTY: 6 Heart's Way, Queensbury, NY 12804 J( gaa- 0( II. HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? YES AI.NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z CCS w u~- � PROJECT O H 2 F.: r -j 2 " J LL LL LL w Q o O U w o LL0 Z a• t=- � OI-= ecw - z Q Q r cn (.1 u) O LL H LL CL otf SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE X 1490 1490 RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS:Adirondack Cardiology @ Glens Falls Hospital ESTIMATED CONSTRUCTION COST:$60,000.00 FUEL TYPE: Natural Gas HEAT TYPE: *HOW MANY FIREPLACE(S): AND /OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? No PROPOSED USE OF BUILDING OR ADDITION: Cardiac Rehabilitation Services ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO ARE THERE EASEMENTS ON PROPERTY? *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 a Revised 4/14/2010 Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 03 Commercial Final Inspection Report Re rt '1: Office No.: (518) 761-8256 Date Ins'-ction • =. r,= - -d: Queensbury Building &Code Enforcement Arrive: • , Depart: --�= 742 Bay Road, Queensbury, NY 12804 Inspector's [nib- : NAME: ROS n.RCV (.. �'nl��Q(�, PERMI . 1Z- — ,72)k-‘,72)k-‘ LOCATION: Ct�1-1LOA`t' DATE: R— —!• 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 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform I Decks Stair Handrail 34 in.—38 in.I Step Risers 7"I Treads 11" Vestibules For Exit doors>3000 sq. ft All Doors 36 in.wlLever Handles I 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 I 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 Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room (2 hr.), 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 Bare/Sinks/Toilets Handicapped(lat /Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical I Flex Gas Piping Bonded t J 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'/Driveable Surface 20'wideir I Okay To Issue Temp. or Permanent CIO Okay To Issue C/C 06b 1 D 6iGAG v/ L:1Building&Codes Forms\Building&Codes inspection Fonns\Commercial Final Inspection Report.doc Revised January 7,2008 Inspection Form pG Town of Queensbury Fire Marshal O Periodic Inspection Date: /t�/“Time:_II 742 Bay Road,Queensbury NY 12804 o Re-Inspection /�' y 518 761 8206/518 761 8205 CO Inspection Permit#: FirMarshals Representative MJ PalmerBusiness Name: 41A/7 .u-,Q (-444k LA Location: L.J.") 4--k- ,..s20/14- 1, c 1. '-J GK Stillman Contact: "r3 /*WA NI tic_ Type of Inspection N/A Yes No 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 NO K\(JO Icf 4Tl c, S +G AISLES: Main Aisle Width FC 1024/1025&FC1029.11 A IGv`—f Secondary Aisle Width FC 1025&FC1029.11 , FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 n EMERGENCY LIGHTING: ��^\ 4) C11 Interior FC 1006.3& FC1029.8 ' `� �w°�r��YY CCC Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 0/4-- C � CC)' F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 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 Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 21 DAYS Insp OK NC DATE: OK NC SYSTEMS: FC 901.6 Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC ---f Kitchen Suppression Semi Annual -Thu r'r, t-' 1.'1..1. 1'- Fuel Island Suppression Semi Annual ` I �rl�` 1 `' � },15`�� Pp ' , Hood Cleaning 3-6-Annual �ag;c .-��. •;'' --. (� al Knox Box:installed/checked FC506 Operating Permit, if required will be issued after �� T Completion of Inspection F -Iv%.IP.r;,;i 11Z% lla/In Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection re••est rr ce.'ed: Queensbury Building & Code Enforcement Arrive: 4v. a a p•- Depart: \\r Ftf�rr�/ n 742 Bay Road, Queensbury, NY 12804 Inspector's In . : � NAME: ( S l (` nr L C PERMIT ; : / 3 N LOCATION: Z-f',�1 � .a, DATE: . .3 - '/-1 -3 COMMENTS: Y N NA Chimney/ "B"Vent/ Direct Vent Location i Plumbing Vent Through Roof 6"/ Roof Complete IVA 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. 44 All Doors 36 inch w/Lever Handles/ Panic Hardware, if required 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/ Other Floors Okay Relief Valve, Heat Trap / 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 Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1 doors > 10% > 1000 sq. ft. 3/4 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 ,i Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both L» `�-� sides] \ Active Listening System and Signage Assembly Space - 7'NTWZO4{`1/\ 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 Report revised 11-27-2012 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Ins•ection requ,, r- ed: Queensbury Building & Code Enforcement Arrive: '-", '1;y1 ! =•art: am/� 742 Bay Road, Queensbury, NY 12804 Inspector's` +a AZ, NAME: :I t►.. 10* pe, Cp: 10 op o - PE". ,' IT #: 1Z—?,41 LOCATION: Co 1-\E,A RV-) v� INSPECT ON: Z—1 - 1 TYPE OF STRUCTURE: Y N NIA Rough Plumbing / Nail Plates Plumbing Vent I Vents in Place ✓ 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head t// 5 P.S.I. or 10 ft. above highest connection for 15 minutes VV/ Pressure Test ✓/ Water Supply Piping Air/Head i/ 50 P.S.1 for 15 minutes Insulation/ Residential Check/ Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct l Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape _ COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date m In on -• e= rer-ived: Queensbury Building &Code Enforcement Arrive: 1V-2-1-) . p , . Depart: \ \ -;(\s, Dm 742 Bay Road, Queensbury, NY 12804 Inspector's Initi.I : NAME:�.../-; D V i C-)P T V, co R O\c&i �`� ?E'MIT#: I Z— 1-1 \ LOCATION: (q l-1 �=i RT) l.0 A) .NSPECT ON: 1 — L;Z-1 3 TYPE OF STRUCTURE: Y_ N NIA COMMENTS: Framing _ r Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing / Bridging 1j 1�vC\u R�l� F �'1 N1�r�� \tJ?V IL13 Joist hangers \R 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 % (w) 16 gauge (8) 160 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 "A inch or 5/8 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 _ L:\Building&Codes Forms-0LD uilding&Codesllnspec:tion Fomis\Framing Firestopping Inspection Report.doc Revised January 7,2008 c � hc architects January 16, 2013 To: Town of Queensbury Building and Codes Department Queensbury,New York 12804 Re: Exterior Canopy Addition for Adirondack Cardiology 6 Corporate Circle Queensbury,New York 12804 Attn: Mr. John O'Brien Building Inspector Dear Mr. O'Brien, This is to certify that we have inspected the installation of the structural steel and light gage steel framing of the exterior canopy addition at the project and find that it conforms to our construction documents and is accepted by us. Please let me know if you need further information. Very truly yours, ,A4 Joseph Riley, AIA Partner James P. Coleman, AlA Daniel Patane, AlA Joseph M. Riley, AIA,LEEDAP Benjamin J. Nassivera, AlA,LEEDAP HCP Architects, LLP • 302 Washington Avenue Extension • Albany, New York 12203 • p: 518.218.0614 • www.hcpdesign.com Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection -4: Queensbury Building & Code Enforcement Arrive: -ixtar s-part: ftm 742 Bay Road, Queensbury, NY 12804 Inspector's !nit NAME: K-Oc' �`� ' PERMIT#: �,�' �I LOCATION: INSPECT ON: / - 1 � TYPE OF STRUCTURE: C! Y N N/A COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/ Headers A ti Bracing /Bridging Joist hangers � i✓� )--,-�7-' � Jack Posts/Main Beams U � Exterior sheeting nailed properly V ` 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 '/2(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 5/8 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 L:\Building&Codes Fomes-OLD\Building&Codes\lnspection Famms\Framing Firestopping Inspection Report.doc Revised January 7,2008 N,o Foundation Inspection Report _G �� Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: amy nm Depart: tam/pin 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: — 'l NAME: �. jQLI PERMIT#: 1 Z— (4 LOCATION: N t=ARS (A)R -1 INSPECT ON: i Z_-n—17 TYPE OF STRUCTURE: Comm@nts 7%(c--S06�E\)E FtC$A(Y-) Y N N/A Footings Piers Monolithic Slab 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. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing /4 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM '► ' n Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ Depart. • am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• L NAME: 11\-7-).\<— )--( PERMIT#: JZ- LOCATION: G-7--- 1,.--A-r77-`) INSPECT ON: (z t 1 ) lZf TYPE OF STRUCTURE: (4.-e_ A-X/*_. I Y N N/A COMMENTS: Framing ..,---2 Attic Access 22" x 30" minimum Jack Studs/Headers t�� —�L(�� BracingI Bridging g 9 Joist hangers Jack Posts/Main Beams fc , `9"-\- �� Exterior sheeting nailed properly 12" O.C. 1. -- __ Headroom 6 ' • in. Stairwells 36 i T ,• more Exterior Deck Bra'ing Headroom 6 ft. 8 in., Notches/Holes/Bearing a s Metal Strapping for Nitches op Plate " v-N) 1 %(w) 16 gauge (8) 16D n: s each side Draft stopping 1,000 sq. ft. fl• trusses � 5 Anchor Bolts 6 ft. or less on cent; Ice and water shield 24 inc, -s fro wall � Fire separation 1, 2, 3 hou Fire wall 2, 3, 4 hour A x 3 -Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:IBuilding&Codes Forms-OLDIBuilding&Codes\inspedion Foms\Framing Firestopping Inspection Repod.doc Revised January 7,2008