CC-000763-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: CC-000763-2016 Date Issued: Wednesday, December 20, 2017
This is to certify that work requested to be done as shown by Permit Number CC-000763-2016
has been completed.
Tax Map Number: 303.15-1-25.1
Location: 24 QUAKER RIDGE BLVD
Owner: Wal-Mart REBT
Applicant: Harrison French&Associates,Ltd.
This structure may be occupied as a: Commercial Interior Alteration 151,345
s.f. By Order of Town Board
Wal-Mart Produce Lighting TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000763-2016
Tax Map No: 303.15-1-25.1
Permission is hereby granted to: Wal-Mart
For property located at: 24 QUAKER RIDGE BLVD
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
Tvce of Construction
Owner Name: Wal-Mart REBT Retail-Mercantile-Alteration $64,849.00
Owner Address: 702 SW Eighth ST Total Value $64,849.00
Bentonville,AR 72716
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Commercial Interior Alteration 151,345 s.f.
Wal-Mart Produce Lighting
$1,160.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 21,2017
(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 Town of lens / f Mond I� o I,2016
SIGNED BY: (/// /a/ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRU-1CTUR'EnAPPLICATION Office Use Only
Date: I O 12 ` I Zd `I' GG-
PermitNo. �j• ZOI to
Tax Map ID Permit Fee k l la Q. 00
Zone Historic? _Yes No B=-F166 wi_Vai3 n , 112
Subdivision Name Lot# Site Plan#
Subdivision#
Project Location 1 VAI �J
U� ton
TOWN BD.RESOLUTION 86-201 : $8so recreation ee for new dwelling units—single family,duplexes/two-family,multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This Is in addition to the
permit fee(s).
Primary Owner(s) Ay
I ' n p
Address 11rzI I 'f ISIS•IN _ a h� 1► °L& M�l l-f' 1 I f` 12J I (0
Phone/Email Lt_l C1. 1� 6 U
Applicant � � GI V 1 Mari n-e z
Address Id �. M b ft nn �01v b I1A1fiV( eIe� _IT1I2
Phone/Email '14•Z"� 77'-1� u 2 W k5 IP�1"i��al•mArhnezay�p.aGAVI
Contractor
Address
Phone/Email II n
Contact Person for Building&Codes Compliance: Lct �I i I`1/�V AM rl-p�lam�Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration In floor sf 2'floor sf Total sf Height
Single Family
Two-Family D
Multi-Family qOV 0 3 2011 1
(#of units
Tom r7c
Townhouse BU LDING& CO ES
Business Office
Retail-Mercantile ✓ I�I i 3 1 5i
wlll beyor doo
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
r >
If commercial or industrial please indicate name of business "at-Mart p
Proposed use of building or addition M
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? _Yes _No
c. Will the grade be changed as a result of construction Yes —No
d. Public water or Private well(circle one) ublic Private
e. Sewer or Private Septic System(circle one) ewe Private
Value of all work to be performed(labor or materials) $ • OC)
DECLARATION.
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. 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 NYS
Building Codes,local building laws and ordinances,and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate
of occupancy.
5. 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 tto'the
' aboo've/� �/� /� ✓'�"�1/� Q
PRINT NAME: LV 1 l `' �1 �' 41/ll I '' DATE:
SIGNA DATE:
For office
Operating Permit Issued: —Yes _No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
COMcheck Software Version 4.0.4.0
�( Interior Lighting Com lianceCertifi ate
oECE111 NOV 2 1 2 �
Project Information q,5
Energy Code: 2015 IECC
Project Title: Walmart Remodel
Project Type: Alteration TOWN OF QUEENSBURY
BUILDING 8 CODES
Construction Site: Owner/Agent: Designer/Contractor:
24 Quaker Ridge Blvd HFA
Queensbury, NY 12804
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) watts/tt2 (B X C)
I-Grocery Sales(Retail:Sales Area) 27366 1 .59 43512
Total Allowed Watts. 43512
Proposed Interior Lighting Power
A 8 C D E
Fixture ID :Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
rrocacy Sales(Retail:Sales_Area 27366 sa.N.)
Track lighting 1:Produce strip lighting: Wattage based on current limiting device capacity 0 0 6925 6925
Track lighting 2:Produce Cylinder Lighting: Wattage based on current limiting device capacity 0 0 2770 2770
Linear Fluorescent 1:21/22:Sales Floor Lighting:48"T8 32W(Super T8):Magnetic: 4 146 114 16644
Linear Fluorescent 2.20-Perimeter Lighting:48"T8 32W(Super T8):Magnetic: 4 52 58 3016
Total Proposed Watts. 29355
Interior . PASSES
Interior Lighting Compliance Statement
Compliance Statement: The proposed interior lighting alteration project represented In this document is consistent with the
building plans,specifications,and other calculations submitted with this permit application.The proposed Interior lighting
systems have been designed to meet the 2015 IECC requirements In COMcheck Version 4.0.4.0 and to comply with the
mandatory requirements listed in the Inspection Checklist. NOVn(r ,� 2016
�(N� �Q�aAI�EAIa 'V V
Name-Title i Date
f
303.15-1-25.1 CC-000763-2016
Wal-Mart
24 Quaker Ridge Road
Comm. Int. Alterations 151 ,345 s.f.
Project Title: Walmart Remodel Report date: 11/19/16
Data filename: JA09\09-16.70032 Queensbury.NY 4403\Con Docs\City,State-track-Current Limiter Produce Page 1 of 5
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COMcheck Software Version 4.0.4.0
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 100.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column Is provided by the user in the COMcheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that Is documented, or that an exception
Is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
&Re .ID
0303.2 Plans,specifications,and/or ❑Complies Requirement will be met.
[PR4]1 calculations provide all Information ❑Does Not
with which compliance can be ❑Not Observable
determined for the Interior lighting
and electrical systems and equipment ❑Not Applicable
and document where exceptions to
the standard are claimed.Information
provided should Include Interior
lighting power calculations,wattage of',
bulbs and ballasts,transformers and
control devices.
Additional Comments/Assumptions:
11 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) --F3-Low Impact(Tier 3)
Project Title: Walmart Remodel Report date: 11/19/16
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Section
w Rough-In Electrical Inspection Complies? Comments/Assumptions
& Re .ID
C405.2.1 Lighting controls installed to unlformly ❑Complies ,Exception: Daylight spaces that comply with this code.
[EL1511 reduce the lighting load by at least '❑Does Not
50%' ❑Not Observable
❑Not Applicable
C405.2.1 'Occupancy sensors Installed In ❑Complies
,Requirement will be met.
[EL1811 required spaces. ❑Does Not
❑Not Observable Location on plans/spec: n/a
❑Nat Applicable
C405.2.1, Independent lighting controls Installed ❑Complies Requirement will be met.
0405.2.2. per approved lighting plans and all ❑Does Not
3 manual controls readily accessible and,
[EL23]2 visible to occupants. .❑Not Observable
❑Not Applicable
0405.2.2. Automatic controls to shut off all ❑Compiles i Requirement will be met.
1 building lighting Installed In all ❑Does Not
[EL22]' buildings. ❑Not Observable I
❑Not Applicable ;
C405.2.3 Daylight zones provided with ❑Compiles Requirement will be met.
[EL36]' Individual controls that control the ❑Does Not
lights Independent of general area
lighting. ❑Not Observable
❑Not Applicable
C405.2.3, Primary sidelighted areas are ❑Complies Exception: Requirement does not apply.
C405.2.3. equipped with required lighting ❑Does Not
1, controls.
2405.2.3. ❑Not Observable:
2 ❑Not Applicable
[EL2011
0405.23, Enclosed spaces with daylight area ❑Complies :Requirement will be met.
0405.2.3. under skylights and rooftop monitors []Does Not
1, are equipped with required lighting []Not Observable
0405.2.3. controls.
3 ❑Not Applicable
[EL2111
0405.2.4 Separate lighting control devices for ❑Complies Requirement will be met.
[EL411 specific uses installed per approved ❑Does Not
lighting plans. ❑Not Observable
❑Not Applicable
C405.2.4 Additional Interior lighting power ❑Complies Requirement will be met.
[EL811 allowed for special functions per the !❑Does Not
approved lighting plans and Is
automatically controlled and Not Observable!
separated from general lighting. ❑Not Applicable
C405.3 Exit signs do not exceed 5 watts per ❑Complles Requirement will be met.
[EL611 face. [--]Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 1111gh Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Walmart Remodel Report date: 11/19/16
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Section
# Final Inspection Complies? Comments/Assumptions
&Re .ID
C303.3, Furnished O&M Instructions for ❑Complies Requirement will be met.
C408.2.5. systems and equipment to the ❑Does Not
2 building owner or designated
[F11713 representative. ❑Not Observable
❑Not Applicable
C405.4.1 Interior installed lamp and fixture ❑Complies ',See the Interior Lighting fixture schedule for values.
[FI1811 lighting power is consistent with what ;❑Does Not
Is shown on the approved lighting
plans,demonstrating proposed watts []Not Observable
are less than or equal to allowed ❑Not Applicable
watts.
C408.2.5. Furnished as-built drawings for ❑Complies Requirement will be met.
1 electric power systems within 90 days El Does Not
[F116]3 of system acceptance.
❑Not Observable I
❑Not Applicable
04083 Lighting systems have been tested to ❑Complies !Requirement will be met.
[F13311 ensure proper calibration,adjustment. ❑Does Not
programming,and operation.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Walmart Remodel Report date: 11/19/16
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Project Title: Walmart Remodel Report date: 11/19/16
Data filename: J:\09\09-16-70032 Queensbury,NY 4403\Con Docs\City,State-track-Current Limiter Produce Page 5 of 5
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