2013-472 .411b) TOWN OF QUEENSBURY
742 Bay RoadQueensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130472 Date Issued: Thursday, January 09, 2014
This is to certify that work requested to be done as shown by Permit Number P20130472
has been completed.
Location: 118 QUAKER Rd
Tax Map Number: 523400-302-007-0001-012-000-0000
Owner: QUEENSBURY QUAKER. L.L.C.
Applicant: TRUSTCO BANK
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 r- a4r;Pw
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 nforc ent
or Zoning Board of Appeals.
0.4
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130472 Application Number: A20130472
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: TRUSTCO BANK
For property located at: 118 QUAKER 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: QUEENSBURY QUAKER, L.L.C. Commercial Alteration $42,000.00
90 STATE St Suite 1411 Total Value
ALBANY,NY 12207-0000 $42,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
ROSCH BROTHERS
Plans&Specifications
2013-472 TRUSTCO BANK
Comm. Alt. 1,728 sf
$345.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 15,2014
(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 T ••d.i 0 ober 15,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•
Office Use Only
Town of Queensbury Building & Codes
Received:
Tax Map ID: 013
PRINCIPAL STRUCTURE APPLICATION permit No.: (?i_: /3 y7
A permit must be obtained before beginning construction Permit Fee: $ a ZPD
Please read: *TB resolution 86-2013(1-28-2013): 5850 recreation fee for new dwelling *Rec Fee: $ /P
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 WO se ."TrtrypS, h3G
Tax Map ID 7 - ` / - Address 424- Ot-D 01514kf t>NA 2t
Zoning LA-Ti t.( t-L1 I 2-tip
Phone!E-mail ?,05-4-100 1301' OSc:-t{f3ROTf}ttp5 Cal
973- z4G
Property Owner v ��
- 1 u ,i1 Q hoCP-R- ILL Contractor/Agent "(3f ui. Rc L-{ lid CON 1 )
Address 90 5 5?, Address S ly
At-134.1—r
Phone/E-mail _ 412-- *002- Phone/E-mail >3t t-i. C-R4 5(.4-I13:Wi(N
'TEM cg-
Contact
Contact Person for Building&Code Compliance: _ 3i44-rosy.), &Rc Day Phone: 66,S-3(c,09
Building Street Address: I i S QUA V -
Subdivision Name: — Lot#: Historic Site: Yes / No
Estimated cost of construction: $ 421000.00
Type of Construction:
Check all that apply Please indicate measurements as required below:
c C
0 3
:— 1st Floor 2nd Floor Other Total Height
F ¢
Single Family
Two-Family
Multi-Family(#of
units_)
Townhouse
Business Office
Retail-Mercantile 51t 3 2_ ) 7 ZS`2 I
Factory-Industrial
Attached Garages(#_)
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business I f2051-co IA i c
Proposed use of building or addition Sou - 13,413Z,
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes _No .J/4 .
Are there structures not shown on plot plan? N�
Are their easements on the property? t,jp
Site Information
a. Dimensions or acreage of lot NVA
b. Is this a corner lot? 15S
c. Will the grade be changed as a result of construction: _Yes )( No
d. Public water or Private well f7t.)(�j
e. Sewer or Private Septic System F'� 151
Value of all work to be performed(labor and materials) $ 4-Z oo '
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:
Signature: Date: I -4`
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
Inspection Form
Town of Queensbury Fire Marshal = Periodic Inspection Date: `/�07TimeL /
742 Bay Road, Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 'CO Inspection Permit#: 1 3- Y
Fire Marshals Representative
/13 almer Business Name: / J - '
Location: //b?j 2 . �-r,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 510O
1:4/11/
No Smoking Signs FC 310.3 (I)
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 /
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
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
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:h t Time:"474:1
742 Bay Road,Queensbury NY 12804e-Inspection
518 761 8206/518 761 8205 _CO Inspection Permit#: / 3 L a
Fire Marshals Representative
MJ Palmer Business Name: ( ("usi 0 ccn, ti
Location: /18 Q u ezKe) . M
/GK 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 „/i
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 46,9-y--
Inspection of extinguisher FC 906 //1 11 /
J_�)• 4k_i_p.EVAC Plan FC 404.2 �- ��1[ !
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 p.- °
No Smoking Sid ns FC 310.3
Storage FC 315.2 /
Compressed Gas FC 3003 J
Vehicle Impact Protection FC 312.1 ,�
Interior Finishes FC 803-804
Smoke Detectors FC 907 /J
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 ✓
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 AnnualV DATE:__ OK NC
_HVAC Shutdown
Sprinkler System Annual ,:
Sprinkler FDC
Kitchen Suppression Semi Annual 1
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
\O',Up_h_q___.
Office No.(518)761-8256
Commercial Final Inspection Report
Inspection request received: _
Name: it(ft.s 44-0 _R 1.,1 Inspected on: ( "q-- ILS
Location: )1 1 Q Lida{io i—' Rd Arrive: .clardill a.m. p.m.
Permit No.: 13 .11 Inspector's Initials: •
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 I Exterior Guardrails 42 inch Platform/Decks
Interior/Exterior Balusters 4 inch Spacing Platform/Decks
Stair Handrail 34 inch—38 inch/Step Risers 7"I 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. 1//
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight I 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.
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 I Sinks 1 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. ci C-'
As-built Septic System Layout Required or On File ‘
b_t,3:....„. .,..---
Building Number or Tenant Address on Building or Driveway 4"
W ter Fountain or Cooler
uilding Access All Sides by 20'/Drivable Surface 20'wide
Special Inspections!Engineer or Architect Approval
Okay To Issue Temporary or Permanent CIO .1
Okay To Issue C/C
Commercial Final Inspection_11 2712