2014-043 TOWN OF QUEENSBURY
Er
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140043 Date Issued: Monday, June 02, 2014
This is to certify that work requested to be done as shown by Permit Number P20140043
has been completed.
Location: 959 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-018-000-0000
Owner: RAYMOND HIPPELE
Applicant: ADIRONDACK URGENT CARE
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, ort(--DJ¢�
other issues and conditions as a result of approvals by the Planning Board
Director of Building&Code Enforcement
or Zoning Board of Appeals.
0.//` TOWN OF QUEENSBURY
f 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140043 Application Number: A20140043
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: ADIRONDACK URGENT CARE
For property located at: 959 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: RAYMOND HIPPELE Commercial Alteration
50 ACORN Dr Total Value
DIAMOND POINT,NY 12824-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
PATRICK BURKE
936 BAY Rd
OUEENSBURY.NY 12804-0000
Plans&Specifications
2014-042 Adirondack Urgent Care - Space P and 0
Comm. Alterations 3,333 sq ft
•
$666.06 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, February 24,2015
(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 ex iration date.)
Dated at the To of Q sh ; P . .:4 y, February 25,2014
V
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO, gI2,( 3--I-/ g PERMIT NO. 3 i 8 at
e
FEES: PERMI (oto Ln. CiliTRECREATION ENGINEERING ~'
b a e- (If applicable)
tamp
dlO(�,� 3� � -�����( �i�vt=� Ce; j `�Ar nuc/Q.g/f�-- '
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: Ptl-UL o'" i"" OWNER:
ADDRESS: 1ll9 fikel F !'; k ( & ADDRESS:
PHONE NOS. 'in-.611.41C PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Ur tj(}{- PHONE: 222-q7(pc
kW LOCATION OF PROPERTY: �-I . voQiSg
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YE )<NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: 'ted v
"p1` r,
VU
�� J
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW
CHECK ALL THAT z —
APPLY TO YOUR zz 0 0 0 CCS o
PROJECT O w
ill -J
.2 i F- tL— Qp •
= «Zw Cl - H Cc �NZ < < — Cl)eOoQ. s
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE X/' 1311/1117
f /1I',' *MA-
< - *U .
MERCANTILE
P) (7) .
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-N" E OF BUSINESS: h(01N04-G(�, V 1 (iii-fle.,
ESTIMATED CONSTRUCTION COST FUEL TYPE:
HEAT TYPE:f1( W *HOW MANY FIREPLACE(S): 0 AND/OR WOODSTOVES(S): a
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 09
IS THIS A HISTORIC SITE? N 0
PROPOSED USE OF BUILDING OR ADDITION: NnA0A(1 A'c1,(t
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Nt
ARE THERE EASEMENTS ON PROPERTY? N(A
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,4 the abov:.
—601.7r..r / 7 /
Signe. AP
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)
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 7614256 OR EMAIL
codes(c aueensburv.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No Www•clueensburv.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury Building&Code Enforcement
Office No.(518)761-8256
Commercial Final Inspection Report
Inspection request r ceived: /�
Name: 611 IA.) LAA.Ge_JiJr" l CLQ- Inspected on: • 'fa"
Location: 9 5T•f -i-*-. ?. t5 1 Arrive: 4.Aa� 0 .
Permit No.: /-111-4/4 11 9-0 13 Inspector's Initials: - 6,/
. f COMMENTS
Y N NA
Chimney 1"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 I Decks
Interior!Exterior Balusters 4 inch Spacing Platform/Decks ✓
Stair Handrail 34 inch-38 inch!Step Risers 7"I Treads 11" J
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)1 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 1/2 doors >10%>1000 sq.ft.
'/.Hour Corridor Doors&Closers
Firewalls I 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" ,j
Smoke Vents Or Fan,if required V.
Elevator Operation and Signage I Shaft Sealed ✓
Handicapped Bathroom Grab Bars/Sinks I Toilets/Mirrors
Handicapped Bath I Parking Lot Signage
Public Toilet Room Handicapped Accessible Vf
Handicapped Service Counters,34 inch,Checkout 36 inch J
Handicapped Ramp!Handrails Continuous/12 inch Beyond[Both sides]
Active Listening System and Signage Assembly-Space ✓
Final Electrical I Flex Gas Piping Bonded
Site Plan I 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
Water Fountain or Cooler ,/ V21CC� LD
Building Access All Sides by 20'!Drivable Surface 20'wide /" C7
Special Inspections I Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/O
Okay To Issue C/C
Commercial Final Inspection_11 27 12
Inspection FormAv
Town of Queensbury Fire Marshal 0 0/#/iTime:97
Periodic Inspection Date:
742 Bay Road,Queensbury NY 12804 =�,Re-Inspection ��`� y�
518 761 8206/518 761 8205 Inspection Permit#:
Fire Marshals Representative �� J J
MJ Palmer Business Nar: / /,ZL�at //ip...#jt'�9
Location: S 141—LTZ)
iJGK Stillman Contact:
��
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
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:
Interior FC 1006.3&FC1029.8 .--•-...-
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
F.D.Signage- FC 510 /�
No Smoking Signs FC 310.3 _/ IN
— Storage FC
— Compressed Gas FC13003 _...././.."
✓ BM 4(
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 Vi
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 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual /11/X DATE: OK NC
HVAC Shutdown
Sprinkler System Annual .#1./ {
Sprinkler FDC /
Kitchen Suppression Semi Annual
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
fricia.tb S -10
Inspection Form �t
Town of Queensbury Fire Marshal o Periodic Inspection Date: 5,30) %
/Time: lit/
742 Bay Road, Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 o CO Inspection Permit#: / 4 O<1 3
Fire Marshals Representative (.114N0
nn
MJ Palmer Business Name: l. 1 4\-k- Care_
Location: q 66i
X GK Stillman Contact: P7---<.(714) 2".5.--
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& FC1029.2fr'�i 5 k yen_ den-
Sign: Normal FC 1011 &FC1029
Sign: backup FC 1011.5.3&FC1029.7.5 • 41--
AISLES:
�
AISLES: - S �� - i2 dZ
Main Aisle Width FC 1024/1025&FC1029.11 �/ �. 1 tp'y a i�� ;, �, In
Secondary Aisle Width FC 1025&FC1029.11 / v
FIRE EXTINGUISHER: Hung FC 906 -/". .
Inspection of extinguisher FC 906 . 4d42. .145413- i .
EVAC Plan FC 404.2 1 ) 14.2erill h i P"'0'
TRUSS ID SIGNAGE FC 505.3 Z �� 1
EMERGENCY LIGHTING: r� J ' �.ty
Interior FC 1006.3&FC1029.8 „/ _ C�-�u�:2 iG1�/i�/9L2 `�`/�' /
Exterior FC 1006.3 f
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 .,----
Combustibles
/Combustibles in Equipment Rooms FC315.2.3 — ,Z/1 4L4 E )L Pokst
F.D.Signage- FC 510 I i?61,0 41 i rif2/ifj� -5"
No Smoking Signs FC 310.3
Storage FC 315.2 •
Compressed Gas FC 3003 i- 9 L �/1 ;N 2i, h j
Vehicle Impact Protection FC 312.1 / �
Interior Finishes FC 803-804
Smoke Detectors FC 907 1 PO 4-)/4 /�5 � k F
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 / rt i�r /91-.glL/-f
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
._ J1211 Ue✓11 3 iet _. 'V-
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
•
FIRE ALARM Annual DATE: OK NC
p
HVACShutdown
Sprinkler rinklerer S stem Annual lr
Sprinkler FDC
Kitchen Suppression Semi Annual
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
Fr° (d (g-- /C
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received:
Name: u l'3 0( + 0 '( C�'c4. Inspected on: 5.-30 ",�,
Location: ! 5q 0- Arrive: a : F7 e p.m.
Permit No.: / <f —6 y.*. _ Inspector's Initials: /�' IV
: i COMMENTS
Y/ N NA
Chimney/"B"Vent I Direct Vent Location
Plumbing Vent Through Roof,{/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 inch Platform/Decks 44
Interior 1 Exterior Balusters 4 inch Spacing Platform/Decks
Stair Handrail 34 inch–38 inch I Step Risers 7"/Treads 11" f
Vestibules For Exit doors>3000 sq.ft. J
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 J,
Relief Valve,Heat Trap!Water Temperature 110 Degrees Maximum J
Boiler I Furnace Enclosure 1 hour or Fire Extinguishing System f
Fresh Air Supply for Occupancy I Ventilation Combustion
, ./—Low Water Shut Off For Boilers J ��V 65 Pt Q Pa
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area ,/ L
'/2
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 doors > 10%> 1000 sq.ft.
I
E11"ii_ u3,„_,_>u3,„_,_>'/<Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete!Fire Dampers/Fire Doors Ih S 2,LU L76
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" J
Smoke Vents Or Fan,if required ,/'
Elevator Operation and Signage I Shaft Sealed ,` -- F vk�� lea C._!)Handicapped Bathroom Grab Bars/Sinks/Toilets I Mirrors JJ
Handicapped Bath/Parking Lot Signage C 0\
Public Toilet Room Handicapped Accessible ,/
Handicapped Service Counters,34 inch,Checkout 36 inch V /
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] J/
Active Listening System and Signage Assembly Space d
Final Electrical/Flex Gas Piping Bonded
I
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" i / ' v n,
Water Fountain or Cooler Y/ L_'`— ti L}/1'
Building Access All Sides by 20'I Drivable Surface 20'wide
Special Inspections 1 Engineer or Architect Approval
Okay To Issue Temporary or Permanent CIO
Okay To Issue C/C
Commercial Final Inspection 11 27 12
1
- de_c__ 3P.m
Inspection Form
Town of Queensbury Fire Marshal 0 Periodic Inspection Date: ime: -5i C
742 Bay Road, Queensbury NY 12804 )� -Inspection . ,
518 76 8206/518 761 8205 CO Inspection Permit#: `U 7 I
Fire arshals Representative
VhhJ Palmer Business Name: �l Pin --ems
Location: 9 sg R--k9
17/GK Stillman Contact: Ri B3vrz.k"c__ / /Aehe
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 f
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:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 /
_ Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 z
Combustibles in Equipment Rooms FC315.2.3 — .24,L2- ac. f'G'lel-5
F.D.Signage- FC 510 /'
No Smoking Signs FC 310.3 ^
Storage FC 315.2 t LC(.,G /9-it c...>1 r L)7h .)7L�S
Compressed Gas FC 3003 w� _111 /
Vehicle Impact Protection FC 312.1 C l J/
Interior Finishes FC 803 -804 ' / �J {� 1 S �� a3�s 7 !
Smoke Detectors FC 907
CO detectors FC 610 / r An%S A""T� If�r
Clearance to Sprinkler/Ceiling FC 315.2.1 I
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
Vacant Buildings FC 311 } REINSPECTION DUE APPROXIMATELY
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
FIRE ALARM Annual .�/ DATE: OK NC
HVAC Shutdown /
Sprinkler System Annual '"VSprinkler FDC t
Kitchen Suppression Semi Annual
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
Inspection Form
Town of Queensbury Fire Marshal = Periodic Inspection Date:644ime: /"
742 Bay Road, Queensbury NY 12804 o Re- c ction 7/�
518 761 8206/518 761 8205 O Inspection Permit#: I "c '
Fire Marshals Representative
A,„MJ Palmer Business Name: Pt--diracirlLocation: gJ -1
GK Stillman Contact: Pa b w .k 0. ._
Type of Inspection N/A Yes No 1?A/Ndr\ Lii
EXITS: Exit Access FC 1014&FC1029
Exit Enclosure FC 1020&FC1029 N i
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 /Z. 4' 1J. ---•��ji r
Sign: Normal FC 1011 &FC1029Sign: backup FC 1011.5.3&FC1029.7.5T--14-,>� 0� -'$f 11J— ,2? 'z e
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 / y� A7
Secondary Aisle Width FC 1025&FC1029.11 7 "-- '1 ,,t1 `rJ
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 J Airlift
/-ei11",a‘
s)411EVAC Plan FC 404.2 `�,, A 4 _.../_.../ .. i 1 ��".....,
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: •
Interior FC 1006.3&FC1029.8 1 .../or/ > -i .I/
Exterior FC 1006.3 / Air- . s -
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3N5) ,e- ,ZJ /p 5---7
F.D.Signage- FC 510
No Smoking Signs FC 310.3 rJf
Storage FC 315.2 , / ��//
Compressed Gas FC 3003 T '
Vehicle Impact Protection FC 312.1 •re'." f
Interior Finishes FC 803-804
Smoke Detectors FC 907 ---_____-7—
CO
.
CO detectors FC 610 / M .
t '
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24" M ,-- ./11_#),/y,
,
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FCes FC 26 �/ % 52/141 //r
Fuel Station Emer Procedures FC2204.3.5 � �// c
Exterior Storage 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
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
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
i
p / rJ
Town of Queensbury Building&Code Enforcement I ("I da/t
Office Nq, (518)761-8256 U
Commercial Final Inspection Report
Inspection request received:�� ""
Name: * i �� rJlJ+ etK ti{1L ,Q%,c 0_62:.2 Inspected on: — {
Location: '1 5 q R+ ? O i
Arrve: Z . . p.
_
Permit No.: iy.-6 41A Inspector's Initials:•
J�( ifICOM—MENTS d���� /9�
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"!Roof Complete
Exterior Finish 1 Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 inch Platform/Decks
Interior I 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)1 Canopy or Equiv.
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/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 1/2 doors >10%>1000 sq.ft. 1
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete 1 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 I Sinks 1 Toilets 1 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"
Water Fountain or Cooler
Building Access All Sides by 20'/Drivable Surface 20'wide
Special Inspections I Engineer or Architect Approval
Okay To Issue Temporary or Permanent C/0
Okay To Issue C/C
Commercial Final Inspection 11 27 12
1-,urs gRough Plumbing / Insulation Inspection Report
� to
Office No. (518) 761-8256 Date Ins'ection requ•-• re :' :
Queensbury Building & Code Enforcement Arrive: r • am/i
742 Bay Road, Queensbury, NY 12804 Inspectors Initial•• _
NAME: h 2 PERMIT# jti -' 0(13
LOCATION: CEJ .s A 9- INSPECT ON: 9—/V
TYPE OF STRUCTURE: 0_49--N-LN-NN P�
Y N N/A
Plumbing under slab
nu9 h Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size JE0 N
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction t tV
Pressure Test 1//
Drain /Vent V ,% 1_
Air/ Head v T
5 P.S.I. for 10 ft. above highest connection for 15 minutes G��
Pressure Test v/
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly /No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
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Rough Plumbing / Insulation Inspection Report 1 IQ())
Office No. (518) 761-8256 Date Inspection req s e i,
Queensbury Building & Code Enforcement Arrive: , a,j
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: WA
NAME: f 61JJ , C c@2Q_ PERMIT#:
LOCATION: °/ 6 INSPECT ON: •? r/o .-I
TYPE OF STRUCTURE: 1 +'
1:(1/ N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pre a Test ‘iy/,
1010i ‘06M'M‘ ,
/Vent
ot-teld
P/ r 10 ft. above highest connection for 15 minutes
• re Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request receive :
Name: Inspected on: 3�7
Location: /Yh/ rl / Arrive: %C Yd— a.m.I p.m.
Permit No.: / —0.13 Inspector's Initials: ;�7�
TYPE OF STRUCTURE:
N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided / 1
Bracing!Bridging ce/ s f�// r c�.� < ,` Q14—
Joist hangers
Jack Posts/Main Beams 1/ 1.14 �4
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 '/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 1/2 inch or 5/8 inch Type X
Garage side 518 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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: (0, 'II- am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: )�-
NAME: Pr( -LA, t.A.l k-C � sZ PERMIT#:
LOCATION: 9 5 611-R+-c-i INSPECT ON:
TYPE OF STRUCTURE: :S-ren,-a,15(
rpt-r--,3cgrie,
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum /1,I . ' ,,
Cleanout every 100 feet/ change of direction `
Pressure Test "fl ��� , rs
Drain /Vent / clime
Air/Head V GG�� h
5 P.S.I. for 10 ft. above highest connection for 15 minutes J
AA) A cf--
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
V
0
Mount Royal Plaza
959 State Route 9
stairway to 2nd floor "Suites" is shown -rax Map No. 296.13-1-18
on layout between Store 0 and Store M
Layout shows "Stores"
1 st floor or ground level