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2008-498 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF 0CCUP-A-NCY Permit Number. P20080498 Date Issued: Friday, January 29, 2010 This is to certify that work requested to be done as shown by Permit Number P20080498 has been completed. Location: 891 STATE ROUTE 9 Tax Map Number. 523400-296-017-0001-036-000-0000 Owner. WAL-MART PROPERTY TAX DEPARTMENT Applicant: WAL-MART PROPERTY TAX DEPARTMENT This structure maybe 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, V X 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 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080498 Application Number. A20080498 Tax Map No: 523400-296-017-0001-036-000-0000 Permission is hereby granted to: WAL-MART PROPERTY TAX DEPARTMENT For properly located at: 891 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: WAL-MART PROPERTY TAX DE PROPERTY TAX DEPT-0555 Commercial Alteration $10,000.00 PO BOX 8050 MS 0555 Total Value $10,000.00 BENTONVILLE, AR 72712-8050 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2008-498 REGAL NAILS -nail salon alteration $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, September 17,2009 (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 Tov ci of ensb d ; September 17, 2008 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY 00 c,. ; TAX MAP NO. PERMIT NO. � , , FEES: PERMI4_` RECREATION ENGINEERING ; ; (if applicable) ; 1 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: Gll �� OWNER: pock ADDRESS: I s -c ADDRESS: Wd w"I UWASOU11 AH, IU4 PHONE NOS. Y Ity4 . I p PHONE NOS. 20 1` 06 0 ' CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Ai 4, PHONE: 2Z -6193 LOCATION OF PROPERTY: �e SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p c1 w L.L APPLY TO YOUR Z P: O v0 v7 cn w PROJECT O O �' w ¢ a = U u_ z Q Q :- d NW OLL � LL a = xs SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE '\ RETAIL- b .o®o � �VV� ZfICiC�'Ar MERCANTILE ' S /�` FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME O F BUSINESS: ESTIMATED CONSTRUE IQN COST: 10,000 FUEL TYPE: HEAT TYPE: P'S Cif llL"HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION:— U �� j /��C/ ��tiS "Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 QTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ( ARE THERE EASEMENTS ON PROPERTY? L r ' y`moo 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 a,�.gree to the above. Vim` Signed A � 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 o Applicant to erect or alter the building herein is found to be in accordance with the 11 described herein in accordance with said o zoning Laws of the Town of Queensbury. o Application: + , , , , , , , , / , + ' BUILD I G & ODES PROVAL ; ZONING APPROVAL + ' 0 + ' DAT DATE 01 QUESTIONS? CALL 761-8256 OR EMAIL codes(ft ueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Onlv www.ciueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: ' ' Toum of Queensburyy- Community Development Office - 742 Bay Road, Queensburyj, NY 12804 P C->O y cG-� Commercial Final Inspection Report Tice No.: (518) 761-8256 Date Inspection re r i d: Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's In NAME: e-(A ' klYk& PERMIT#4�I,OCATI N: DATE: COMMENTS: Chimney/"B"Vent/Direct Vent Location Y N NA Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/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 s . ft. All Doors 36 in. w/L.ever Handles/Panic Hardware,if required 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/Other Floors Oka Relief Valve,Heat Trap/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 '/z doors > 10%> 1000 s .ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in.,Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. \ As-built Se tic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler \ � Building Access All Sid 'yeable Surface 20'wide Okay To Issue Tem or Permanent C/O Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc ec D 24. h�ry FiAM MDIA ��, wa,K1 P , i/? MIDDLE DEPAPTMENT INSPECTION AGENCY, INC. V,,tVo,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 niles in effect on the date noted below and is issued subject to the following conditions. Owner_ Waimarts Date: 12/22/2009 Occupant: Commercial LocationRoute 9 Waimarts Occupancy: Queensbury, Warren Co. NY Non-Residential Applicant-F � MikeAdams/MNJ Services 20 Willowbrgok Rd. �'ti y A rIc Gienville,NY 12302 ;fir' �' y �� ".w. �.. , ; �' ' . Raymond A. Nov h No. 0322 E � Equipment: .. 2-Switches; 29 -Fixtures rpr This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership Inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and vold. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this cerfficate becomes Invalid based upon the above condltbns. be valid for a period of one your from the above noted date. Should the electrical this Certificate may be revalidated upon rainspeption by Middle Department system to which this certificate applies be altered in any way,including out nat limit- inspection Agency.Inc, An application for inspection must be submitted to Midi® ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the Inspection and revaildation any of the components installed as of the above noted date,this Certificate shall be process. A fee will be charged for this service. Commercial Final Inspection Report =Do A� Office No.: (518) 761-8256 Date Ins ction re es r ei ed: Queensbury Building& Code Enforcement Arrive: s Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's In is S. NAME: R r14t t3 n`1 lj PERMIT#: LOCATION: �L � DATE: COMMENTS: Y N NA Chimne /"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/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 (w)x 44"(I /Canopy(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/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 s .ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond [Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System La out Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Temp, or Permanent C/O Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Rough Plumbing / Insulation Infection Report Office No. (518) 761-8256 Date Inspection req st re ' ed: Queensbury Building &Code Enforcement Arrive: ��la ` part: �4,m/� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial . z NAME: t_ . zr Iltr ER IT#: h LOCATION: Y INS ECT ON: TYPE OF STRUCTURE: t N NIA n I Nail Plates ov- lumbing Yjwit i Vents in Place Tm— ��b 1 minimum Drain Sizes Washing Machine Drain 2 inch minimum PR� � Cleanout every 100 feet/ change of direction Pressure Test MAR Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check 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 Su for Furnace Duct work sealed proptrly/No duct to COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 ACORD CERTIFICATE OF LIABILITY INSU� ANCE OP L_ DATE(MM/DD/YYYY) MARKL-1 09/16/08 PRODOCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Jaeger and Flynn Assoc. Inc. / V HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 30 Corporate Drive /l J/ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clifton Park NY 12065 Phone: 518-373-0069 Fax:518-373-0121 INSURERS AFFIRDINGCOVERAGE NAIC# INSURED , INSURER A ,range Mutual "5 Co FINSURF_R B Mark Lee dba Mark Lee & Sons, INSURER C 34 Thistle Dr. INSURER D Ballston Spa NY 12020 11-- - - ----- INSURER E: COVERAGES _ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL:Cv t,OD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC I TO WHICV I I�1'�S CL12TIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERt.":I. L;cJIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NISP ICY EFFECTIVE IC EXPIRATION I`-- LTR NSR TYPE OF Rt SURANCE, POLICY NUMBER DATE(MM/DD/YYt ^-"n�D iYVI LIMITS GENERAL LIABILITY LACH OCCURRENCE $ 1000000 DAMAGFTCfRENT ED A X X COMMERCIAL GENERAL LIABILITY MW80143 10/16/07 2_0/16/08 '',. PREMISES(Ea occurence) $ 50000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO LOC JECT X AUTOMOBILE LIABILITY i I COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS , (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO .I ' OTHER THAN EA ACC $ AUTO ONLY: AGG $ F1 EXCESS/UMBRELLA LIABILITY EACH OCG!`�!lLNCE $ OCCUR L CLAIMS MADE LAGGREGA-iE $ DEDUCTIBLE { $ RETENTION $ $ U- WORKERSCOMPENSATIONAND 7JkTc .',ITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH CCIDENT $ --- -- — OFFICER/MEMBER EXCLUDED? L,L DISL," '_-i A EMPLOYEE $ SPECIAL PROVISIONS below If yes,describe under E.L.DISEA.z.,_-POLICY LIMIT $ OTHER — DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTI I SPECIAL PRO 01:S Town of Queensbury is named as an Additional Insured wit': respect to work performed by the named insured. CERTIFICATE HOLDER CANCELLAT1 J TOWNQUL+ SHOULD ANY rHE F,BOVE DESCRIBED POLICIES E':CANCELLED BEFORE THE EXPIRATION DATE THEREC� :E ra SUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE -..'..r ICATE HOLDER NAMED TO Tr,F LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OF' T ':OR LIABILITY OF ANY KIND l''ON THE INSURER,ITS AGENTS OR Town Of Queensbury 742 Bay Road REPRESENTA' < Queensbury NY 12804 AUTHORIZED rlvE� 1 ACORD 25(2001/08) — ' ACORD C i)ORAT"ON 19801f 1 r IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pc"— s) must be endorsed. A statement on this certificate does not confer rights to the certificate hcl ' in 'ieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and c, , ":s of the policy, certnin policies may require an endorsement. A statement on this certificate doc, of confer rights to the c: tificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this fon not constitute a cor, between the issuing insurer(s), authorized representative or produce -;nd the certificate holder, nor does It affirmatively or negatively amend, extend or alter the cover..—, afforded by the policies listed thereon. ACORD 25(2001/08) f IG Vo 4 g � Yam. � �.C2'� n, �' 1\�.1�t•aailii i•s t # �� Ij a!d`Odv YtV ilia 11e,:a e'wv f. 2 . oh ` cn fix,�� JA 4 lI I1.��. t) 1 v1 � +`