2004-053 TOWN OF QUEENSBURY
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
� � Q ry,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040053 Date Issued: Wednesday, April 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040053
has been completed.
Tax Map Number: 523400-296-019-0001-032-000-0000
Location: 375 BAY Rd
Owner: PROVIDENT DEVELOPMENT GROUP, LLC
Applicant: ARC
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
(''°'" 4 ir 1/
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
cors 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040053 Application Number: A20040053
Tax Map No: 523400-296-019-0001-032-000-0000
Permission is hereby granted to: ARC
For property located at: 375 BAY 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: PROVIDENT DEVELOPMENT GR
Commercial Alteration $100,000.00
1656 STATE ROUTE 9
CLIFTON PARK, NY 12065-0000 Total Value $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-053 ARC
13900 SQ FT COMMERCIAL INTERIOR ALTERATION
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, February 25, 2005
(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 T wn of ueen A At e,, esday, February 25, 2004
for the Town of Queensbury.
SIGNED BY IFJ. Q ry
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 0,0 FF�
A permit must be obtained before beginning construction. Permit File No.0 ` (-)
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: ARC- Fri- UP Owner: anui ioi 7 O6/. o tf
Address: AN( P\ Pc0 Address:/6r4 s'rar�vut� q
ccrrrDAi � 2y
Phone#(_) Phone#(CV ) ?7/ - 74 b
Property Location: Lot Number: / House Number? r / ioyy £ D
Subdivision Name: Tax Map Number:«gs►o •246-eI?-.vet-c?Z•w•-ve"
o New Building: residence /commercial Estimated Market Value of Construction: $ / C?000
o Addition: residence/ commercial If an Addition,what will use of new addition be?
arz Alteration: residence/ commercial
No change to exterior size: residence/com'l
O Other work(describe )
Check OccupancyInformation 2"Floor Other floor Total
Below t. I/ sq.ft. sq.ft. Square Feet
CI Single family dwelling
O Two family dwelling
o Townhouse
o Multif*+nily dwelling
#of units
er Office £//11A. 190O f)
o Mercantile
o Manufacturing
O 1 car detached garage
O 2 car detached garage
O 3 car detached garage
O 1 car attached garage
O 2 car attached garage
O 3 car attached garage
O Storage building-
commercial
O Storage building-
residential •
o Other •
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber bebe used? If so,for what?
Type of Heating System: electric/ oil�./ wood /forced hot air/ baseboard/other:
Number of fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder (g )dk`,p ?3-Lpo v
Plumber 14om a14, Ch u/Anr4l44 E-777
Mason (13. \ (i)Li Ire' T 20 '
Electrician EkcA [' ei (js) ?7 6 -q Syf e
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building : .• •.des,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of co 'on.
Signature: I v ' owner,owner's agent,architect,contractor
€ Town of Queensbury Fire Marshal's Office . 1v1
742 Bay Road 'r,.
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437 /
l
Fire Marshal's Inspection Report
t
Request SCHEDULE
Received: Permit# 0 Lt -0 S INSPECTION ON: C.?�
Name: nc-- � t �' ✓ PM ANYTIME
Location: , .> \ cl 9 i C.qt..,
r
APPROVED
- N/A YES NO COMMENTS
EXITS
AISLE WIDTHS ' - \ cl (It (‘)141 .L1 r. oT h 5
EXIT SIGNS—NORMAL
- BATTERY )
EMERGENCY LIGHTING 1C r'-- --
FIRE EXTINGUISHERS x I r cc
ALARM SYSTEM X \ 1 V�i
FIRE SPRINKLER SYSTEM X { �1� �, r ` (L``)S '7
FIRE SUPPRESSION SYSTEM i G<( Get
( Ct)
HOOD INSTALLATION ( _j
INTERIOR FINISHES 7�
STORAGE X COMPRESSED GAS R � _ (T /° , P tl2 2
CLEARANCE TO SPRINKLERS X ¶ V 4 n I f" ! • 1
CLEARANCE TO HEATING v±
UNITS "\'
CLEARANCE TO ELECTRICAL X
REQUIRED SIGNAGE `-?
EMERGENCY PLAN ,/ �G
MAXIMUM OCCUPANCY SIGN KC (- (6 I .-)
CHIMNEY
MASONRY ROUGH IN " c \ �; C. i- I at�
FINAL f�11 •
CHIMNEY
FACTORY BUILT ROUGH IN `
ilsc kri`
•
D4NNt-
FINAL WOOD Cam-N fi•\Cl \ ( ( L - ( / .
STOVE ROUGH IN `"7 1 4 U T
FINAL
VENTED GAS .
is'
APPLIANCE ROUGH IN A,. ,
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE, i K OR CO NOT OK
.�_._._ FINAL ,r--s.,, ,` _.
FIREPLACE
FACTORY BUILT ROUGH IN _ INSPEC Y
_ FINAL
COMDEV/CHRISJIWORD/L.ETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
YELLOW—OCCUPANT COPY
WHITE—BUILDING DEPARTMENT COPY
CV-00 ---CV-Noi
Commercial Final Inspection Report --�—
Office No.: (518) 761-8256 Date Inspection requ r c •.
Queensbury Building&Code Enforcement Arrive: a m Depart: ,i +
742 Bay Road,Queensbury,NY 12804 Inspector's Initia :
NAME: k g,C (aJ 1.)*) PERMIT#• ZO
LOCATION: '�j—'j��j R� Rp 4Nfl DATE: —
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/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 sq. ft. Vj
All Doors 36 in.w/Lever Handles/Panic Hardware, if required V
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 Okay
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 '/2 doors
> 10%> 1000 sg_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"
o`er 013 C0
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed J
Handicapped Bathroom Grab Bars/Sinks/Toilets Ft s -\k___
Handicapped Bath/Parking Lot Signage ✓� 1�� ‘DO Toilet Room Handicapped Accessible J uk. `:
Handicapped Service Counters, 34 in., Checkout 36" l? \ti' �. t& Vt
Handicapped Ramp/Handrails Continuous/12 in.Beyond .�r
Active Listening System and Signage Assembly Space / , �` 1L�1 -\v%
J
Final Electrical
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 ,l�
Water Fountain or Cooler .l
tldi,r Access All Sides by�0' /Driveable Surface 20'wide
o Issue Temp. or '( nanent CLO)
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection re• --st ece' -+
10
Queensbury Building&Code Enforcement Arrive: • p Depart: ,o i;I• e,
742 Bay Road,Queensbury,NY 12804 Inspector's Initia -: 41'
NAME: A RC (ad t PERMIT ( f `-- 025-
LOCATION: 7,c 13 ' At) DATE: '41-"- -04
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/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 sq. ft.
All Doors 36 in.wlLever 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 Okay
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 %2 doors
> 10%> 1000 sq. ft.
%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/Sinks/Toilets .77 l
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond
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 Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides b 20' /Driveable Surface 20'wide
Okay To Issu e . or Permanent C/O V
Okay To Issue
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc