2013-412 TOWN OF QUEENSBURY
131 742 Bay Road,Queensbury,NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130412 Date Issued: Friday, October 11, 2013
This is to certify that work requested to be done as shown by Permit Number P20130412
has been completed.
Location: 25 WILLOWBROOK Rd
Tax Map Number: 523400-296-012-0001-037-001-0000
Owner: SCHERMERHORN COMM. HOLDINGS, LP
Applicant: SCHERMERHORN COMM. HOLDINGS, LP
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
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
064 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130412 Application Number: A20130412
Tax Map No: 523400-296-012-0001-037-001-0000
Permission is hereby granted to: SCHERMERHORN COMM. HOLDINGS. LP
For property located at: 25 WILLOWBROOK Rd
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: SCHERMERHORN COMM. HOLDII
536 BAY Rd Suite 2 Commercial Alteration $150,000.00
QUEENSBURY,NY 12804-0000 Total Value $150,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
BBL CONSTRUCTION
452-8200
302 WASHINGTON Ave
ALBANY.NY 12203-0000
Plans&Specifications
2013-412
COMM. ALTERATION 198 sq ft X-ray room
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 04,2014
(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 of Que sbu • /J W • t a eptember 04,2013
SIGNED BY , for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received: c
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: �v i : -1 f
Permit No.:
A permit must be obtained before beginning construction
Permit Fee: $
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
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 Applicant Be)L 6,,✓S4-rcvch0.J Sacs , LGC-
Tax Map ID Address 30 el‘-'E Z-t-.-
Zoning Ad)0A A/kb /77 IzLa
Phone/E-mail pmc_coy Obbl��►c.can
D 1 S/8-6yo-o z9.S-
Property Owner R1chA- Jc c��M e tz k a R.. / Contractor/Agent Rot ',tic Col - 8 9L (.ods-kuCI io/
Address ZS t./i1\oJfbh°O)(. /) Address .SI'vr2
&...)ees4rbvitl /z eO/
Phone/E-mail .41Phone/E-mail /✓tCCuy U' bb ►Vc•CO,n
(yo-6z ss
Contact Person for Building &Code Compliance: PAul n(-6"1Day Phone: 64° "6 IV—
Building Street Address: ZS tJ1,N\oA'2ook ( St-Z."1co.-t, e-.( "1 C-e—
Subdivision Name: Lot#: Historic Site: Yes�c/l /N No
Estimated cost of construction: $ /5-0/DOC
Type of Construction:
Check all that apply /fl Please indicate measurements as required below:
c ,
0'741st Floor 2nd Floor Other Total Height
? a a
Single Family
Two-Family
Multi-Family(#of w,
units_) ��
Townhouse
Business Office X 221 X /t S(-gni ILO"M 1CV SF
Retail-Mercantile
Factory-Industrial (9)—(` 1 .
Attached
Garages(#_)
9
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Dry apA6- 1c Ste,
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes _No
Are there structures not shown on plot plan? A
Are their easements on the property?
Site Information (46
a. Dimensions or acreage of lot
b. Is this a comer lot? (VA
c. Will the grade be changed as a result of construction: _Yes X No
d. Public water or Private well )IC-
e.
ILe. Sewer or Private Septic System C n
Value of all work to be performed(labor and materials) $ /.O r0 O d
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: A�1 Ye‘G(01
Signature: P > Date: Z Z' )
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
Inspe tion Form �y
Town of Queensbury Fire Marshal eriodic Inspection Date: /v��)✓ Time: 7j /7/1
b
742 Bay Road,Queensbury NY 12804 Re-Inspection ,`
518 761 8206/518 761 8205 o CO Inspection / Permit#: /3-41/Z
Fire Marshals Representative r / �a �
/�
M almer Business Name: �IV/(// J/ r � 0- /,
Location: S )I L 1. ,: - ,,e
i GK Stillman Contact: �ZK • 'A.I
Type of Inspection N/A Yes ,,No
EXITS: Exit Access FC 1014&FC1029 �� NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029 .f
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 r6(2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: /
Interior FC 1006.3&FC1029.8 / °.-01.2.°-
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 J.
Storage FC 315.2 /
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 -/-
Interior
Interior Finishes FC 803-804 ...--- -
Smoke
.�Smoke Detectors FC 907 AalinftWa'/
CO detectors FC 610 ! _1 �11i�I�.� LG/
Clearance to Sprinkler/Ceiling FC 315.2.1 /� �t tar •
18" / 24" /
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) � ar ' / - te3(e-CeA)Fuel Pump Warning Signs FC2205.6 f _
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
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 J?!
Sprinkler System Annual _
Sprinkler FDC /\JO
n ,�1 Kitchen Suppression Semi Annual �U[Jia177Fuel Island Suppression Semi Annual ,�/�y/ V
HoodnCleaning 3-6-Annual 441/41
*, ?Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Town of Queensbury Building&Code Enforcement ��
Office No.(518)761-8256
Commercial Final Inspection Report
Inspection request received: \O 1 —(3
Name: aTN C0()kYTR`/ (46') tE 1' Inspected on: 1D -9 — 12-
Location:
L'3Location: w1LLOUJI))R(N1E, Arrive: •t - _1 frie.01P ..m.
Permit No.: 13 —4\2— Inspector's Initials: A/
: COMMENTS
YN NA
Chimney/"B"Vent!Direct Vent Location r
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior I Exterior Guardrails 42 inch Platform I Decks
Interior/Exterior Balusters 4 inch Spacing Platform I Decks
Stair Handrail 34 inch–38 inch I Step Risers 7"!Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 inch wlLever 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 1 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 1/2 doors > 10%> 1000 sq.ft.
3/.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 1 Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks I 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 I 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'I 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 27 12
nes l&_`r.
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection reque', ved:
Queensbury Building & Code Enforcement Arrive: IIi demvf
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: "
NAME: NLS C' �' S te` PERM! ': /3 'v W
LOCATION: Gk.) LQP19-c_v t_fr- R( INSPECT ON:
TYPE OF STRUCTURE: C Pr_
yN N/A COMMENTS:
Framing 7� F� \,7
Attic Access 22" x 20" minimum
Jack Studs/ Headers
Truss Specification Provided
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
11/2 (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 ans 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 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_Revised_02 0513