2012-598 ARK TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q 17'�
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120598 Date Issued: Friday, February 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20120598
has been completed.
Location: 375 BAY Rd
Tax Map Number: 523400-296-019-0001-032-000-0000
Owner: 375 BAY ROAD LLC
Applicant: PROVIDENT BAY ROAD, LLC
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
t /.
other issues and conditions as a result of approvals b the Plin Board 1
y anng Director of Building&Co. nfo�',ment
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
"712 B.[V RW(1,QIR-CrIqbUry,NY 12804-i9O2 (518)761.82()1
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Perinit Number: P20120598 Application Number: A20120598
Tax Map No: 523400-296-019-0001-032-000-0000
Permission is lie reby granted to: PROVIDENT BAY ROAD. IA, '
For property located at: 375 13AY Rd
III dICTONVII Of OUCCIISI)Llry', to construct or PLICC
at the above location in accordance withapplication together with plot plans and other information hereto FtJcd
acrd approved and III compliance with the NYS Uniform Building Codes and the Otiecrisbury Zoning
Ordinance.. TvT)e of Construction Value
Owner Address: 375 BAY ROAD LLC C ornmercial Alteration $41,517.00
6 INDUSTRY Rd Total Value $41,537.00
WATERFORD NY 12188-0000
Contractor or Budder's Name / Address Electrical InspectionAgency
JI-L'R.SEN CONSTRUCTION GROUP
518-233-06(:10
6 INDUS'T'RY Dr
WATERF"ORD NY 12188-0000
Plans&Specifications
2012-598
Comm. Alteration of 3,600 sq I't
$720.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,January 08, 2014
(1f a.longer period is required,an application for all extension 11111st be made to the code Enflucement Officer
,of the Tower of Queensbory before the expinition date)
Dated at the Town of Queensbury; Tuesday, January 08, 2013
,SIGNI,"D BY for the Town of Queensbur)
Director Of Bllildillg&Code Itnforccnient
DEC --1-2O1z$_-s-1J�o�o
I/ � OFFICE USE ONLY i C� p
TAX MAP NO.p�61(P. 1.9 -1 ^3 5 1 O
PERMIT NO.
FEES: PERMIT 712DRECREATION 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 S 41/O,064ccri:' OWNER: 375 33�r `�D I - C'
ADDRESS: iv IN a/Z, 1,4rErc le-1) .Nj'/2daADDRESS: /‘/4`DdST/'y1�/2-- WATo. /AT /2i $
PHONE NOS.��/g) 2 3 3 60 c, PHONE NOS. CSV).0 - OGOU
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:J 0/P/ PHONE:(5)-e)Z-5jj .0‘az
LOCATION OF PROPERTY: �o
37 �'
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z p w co
PROJECT <
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w ❑
11-
- cs off W -
Z < < ,- CI) N U) O Li_ I- u- CL l a'S
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE k ? � /1600
RETAIL-
MERCANTILE
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: C ' ZEN' b9 /4i& '/LJ(7
ESTIMATED CONSTRUCTION COST:3 1/4 5 37 a"v FUEL TYPE: AVA.
HEAT TYPE: N/A *HOW MANY FIREPLACE(S): i'VA AND/OR WOODSTOVES(S): Al A
ZONING CATEGORY: /Y//A ARE THERE WETLANDS ON THIS SITE? ///-F
IS THIS A HISTORIC SITE? /1//4
PROPOSED USE OF BUILDING OR ADDITION: NVA-
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N/A
ARE THERE EASEMENTS ON PROPERTY? N/A
*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 , e'e -c----1--71....."
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
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:
I, / 4t
iii
BUIL► , & CODES A °DRi AL ZONING APPROVAL
3
B ' E DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesqueensburv.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
RX Date/Time 03/04/2013 12:06 518 273 1202 P.003
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c MIDDLE DEPARTMENT INSPECTION AGENCY, INC. '
7.
••Y••• ce6M that the electrical wiring to the electrical equipment listed below has been examined and is approved as �'
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date G,
ySj noted below and is issued subject to the following conditions. ;�,
l Owner: Chris Brown Date; 02/21/2013 .4
6.V'
IU4.
% Occupant: Location' E5
0 Same 375 Bay Rd • it
Iiia Queensbury, Warren Co. NY
( � OOccupancy: 2nd Floor South -Office Space ;l
<< r-I 4
Applicant: /
(et, Togan Electric, Inc. .Y,.a ,t'::: '
('j ' 440 Visher Ferry Road •F;;f . . : ~ A.. l -' '`.T1,-;.- \
Au kk, Clifton Park, NY 12065''.. - .'` K-.4. •.....,,,--s-^,---,..„'., ;� .,• r ',:, !r•
4. S
Fra) Joseph A.Holm S `: -,. �,W.•7.1 ,K',:;;�� FVe'.!:, :...�\,.', l;'tc
1 No. � � :s>'. ,� ���:. :; ,- -a ' .. ... �%
140004, lE w. :.. a5` a. �,t"i:,.
• l + ..tis aS:�yp" ' a�:.; ..}6 :;' s.,y¢ t. ..-•, _.
• E ui menta >t;" ; 9•:. r sf� � s.
��� q P ;; 1 y ?._- ,ra:;>, ,.z, :fh IPV j ig: - b;,.W,,•..A.,F. �
lam 13-Switches; 18 - Receptacles; 8''�Fixtured, 6 -'Eyxi Light§, 4-Emerger Cy Lights'```'' $P
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: AY ',.' V5A.- .. /.y: Ti,•l. ; : wI•r ,:,t,1 ?, „::.!• .: n.:. •... •
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1311
C This certificate applies to the electrical wiring to the electrical equipment listed Immediate) null end void. This cefflficale applies on to the use,occupancy and Yid
• P. 9Y pP N P cY
ley; above and the installation inspected as of the above noted dale based on a visual ownership 8s Indicated herein. Upon a change In the use.occupancy or ownership O
(r j, Inspection. No warranty is expressed or implied as to the mechanical safety, effi-• of the property Indicated above,this certificate shall be Immediately null end void. (Cas
<a ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions.
I1+1
v. be valid for a period of one year from the above noted date. Should the electrical this Certilieale.mey be revalidated'upon reinspection by Middle Department �Si
l',54) system to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for inspection must be submitted to Middle efq
(Gj� ed to.the introduction of additional electrical equipment andfor the replacement of Department Inspection Agency. Inc. to initiate the Inspection and revalidation
,A any of the components installed as of the above noted dale,this certificate shall be process. A fee will be charged lot Ihis service. 4r
�=�3F\};:\' �;:r •,i�r�•i ;r::i%:;7;:i:\' i;a 5;�� •�:•r- ,7::➢;:).`v.\�,•� �•? i^`•i;: >:bR:>R�.-\' .\9.�•%`�• :i:"r':"rS:"i-_\s. ia6i� �4l�
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•..:.: 0 4 2013
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received: "UT I '( 3
Queensbury Building &Code Enforcement Arrive: /Oil l am/p Depart: / am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1/2-
NAME: / v' 1 PERMIT#: 1 Z- Y l
LOCATION: )zyp -/ ;�<< ,�1,� DATE: /
2- t-/
f
COMMENTS:
Y N NA
Chimney I"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform/Decks
Interior!Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 in. 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 I 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 %doors
> 10% > 1000 sq. ft.
4 Hour Corridor Doors& Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete I 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 I Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath I Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36" .
Handicapped Ramp/Handrails Continuous/12 in. Beyond (Both
sides]
Activve Litteriing System and Signage Assembly Space
Final EI Flex Gas Piping Bonded
trial
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'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:1Building&Codes Forrns\Building&Codesllnspeclion Forms\Commercial Final Inspection Report.doc Revised January 7,2008
/W` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
Inspections per Permit
Permit# P20120598
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
12/31/2012 Miscellaneous Commercial Alteration STAFF
Misc 2012-598
permit app rec'd&entered
01/07/2013 Miscellaneous Commercial Alteration CRAIG BROWN Staff
Approved 2012-598
permit approved
01/08/2013 Miscellaneous Commercial Alteration DAVID HATIN Staff
Approved 2012-598
permit approved
01/08/2013 Miscellaneous Commercial Alteration STAFF
Misc 2012-598
permit issued
02/06/2013 Fire Separation Commercial Alteration .101-IN O'BRII N
Denied 2012-598 9:50 am
Not ready-recheck at 3:30 pm
02/06/2013 Fire Stopping Commercial Alteration JOHN O'B R I EN
Approved 2012-598
patch corridor wall
Commercial Final Inspection Report G "- `
Office No.: (518) 761-8256 Date Inspection request received: q.).4/D__613
Queensbury Building & Code Enforcement Arrive: am/pm, Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,/,/i2
NAME: 1 .1)\/\'616-4- PERMIT#: CI a - sgg
LOCATION: 31 412i/ 2C3 DATE:
COMMENTS:
Y N NA �3
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 I Exterior Banisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in. -38 in. /Step Risers 7"1 Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. wlLever Handles I Panic Hardware, if required Z
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. 190 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 '/z doors
> 10% > 1000 sq. ft.
'/, Hour Corridor Doors &Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Damjers/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
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36" f.Iiv W(( LitG b- ( 60er.
Handicapped Ramp/Handrails Continuous/12 in. Beyond [Both
sides]
Active Listening System and Signage Assembly Space z
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' L Q {34lS
Water Fountain or Cooler / /
Building Access All Sides b_2( 13ifftable Surface 20'wide /
Okay To Issue Temp. or ermanent C� ;
Okay To Issue CIC
L:1Building&Codes Forms\Building&Codesllnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
41, Community Development-Building&Codes (518)761-8256
Inspections per Permit
Permit# P20120598
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
12/31/2012 Miscellaneous Commercial Alteration STAFF
Misc 2012-598
permit app rec'd&entered
01/07/2013 Miscellaneous Commercial Alteration CRAIG BROWN Staff
Approved 2012-598
permit approved
01/08/2013 Miscellaneous Commercial Alteration DAVID HATIN Staff
Approved 2012-598
permit approved
01/08/2013 Miscellaneous Commercial Alteration STAFF
Misc 2012-598
permit issued
02/06/2013 Fire Separation Commercial Alteration JOHN O'BRIEN
Denied 2012-598 9:50 am
Not ready-recheck at 3:30 pm
02/06/2013 Fire Stopping Commercial Alteration JOHN O'BRIEN
Approved 2012-598
patch corridor wall
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection -• : -. r-
Queensbury Building &Code Enforcement Arrive: Z. 1 a :-part: Z." -c2-) ar�
742 Bay Road, Queensbury, NY 12804 Inspector's Initial-c _'
NAME: 'RCA) t 0 C_.v .e`5 Ro) LLC__ , P' RUT#: 17---
LOCATION: ?>77 _\ t1 �[ R t) 1 SPECT ON: Z fn -I
TYPE OF STRUCTURE:
N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing / 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 I Holes /Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 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 • C—C)
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:1Building&Codes Forms-OLD1BulldinA&Codes\nspection Fam ;\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report 9-1/
Office No. (518) 761-8256 Date Inspec,tion -.•u= re«:i ••
Queensbury Building &Code Enforcement Arrive: - ar434• s=• . : ` -CC m/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials'
NAME: ri-DN>11 def‘ 8 i -ERMIT#: -69s
LOCATION: _ 5 �E, INSPECT ON: —
J
TYPE OF STRUCTURE: A�
N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing /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 %(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 ` 4�
Firestopping �U� 1A
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:\Building&Codes Fomes-OLD\Building&Codes'inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
FramingFirestopping! � L / .�
Inspection Repo -
Office No. (518) 761-8256 Date Ins p-req -•: ved:
Queensbury Building &Code Enforcement Arrive: ' ° t ") a 40part:
742 Bay Road, Queensbury, NY 12804 Inspector's Initials, A
NAME: f"S •,► Ct- t- "ERMIT#:
LOCATION: . 4,0 . INSPECT ON: 3
TYPE OF STRUCTURE:
s ev
Y N NIA COMMENTS:
raming
Attic Access 22" x 30" minimum
Jack Studs 1 Headers
Bracing /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 %(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 sideY2 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-OLD\Building&CodeslInspection Forms\Framing Firestopping Inspection Report.dac Revised January 7,2008
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