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2005-363 . � TOWN OF QUEENSBURY 742 Ba Road ueensb NY 12804-5902 518 761-8201 4O v Q urv, ( ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050363 Date Issued: Thursday, September 22, 2005 This is to certify that work requested to be done as shown by Permit Number P20050363 has been completed. Tax Map Number: 523400-296-019-0001-032-000-0000 Location: 375 BAY Rd Owner: PROVIDENT BAY ROAD, LLC Applicant: PROVIDENT BAY ROAD, LLC This structure may be occupied as a: Commercial Alteration GLENS FALLS BLOOD LAB By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve ther- J04' / 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 I;TM 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050363 Application Number: A20050363 Tax Map No: 523400-296-019-0001-032-000-0000 Permission is hereby granted to: PROVIDENT RAY ROAD. IA,C 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 Budding Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: PROVIDENT BAY ROAD, LLC 3 TALLOW WOOD Dr Commercial Alteration $15,000AO Total Value $15,000.00 CLIFTON PARK, NY 12065-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-363 915 SQ FT INTERIOR ALTERATION (BLOOD LAB) $109.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 28, 2006 (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 of Quee bu ; %•sda , June 28, 2005 SIGNED BY 4. for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 • • A permit must be obtained before beginning construction. Permit File No, No inspection will be made until applicant has received a Foe Paid $ j O ,cQ valid building permit. All applicants' spaces on this application must be completed and must appear on the Roc. we Paid $ application form. Reviewed By: • Applicant: P404- fv ~i i Stir,. Owner: vtottinl Vl ., g.J , L. L,G, Address: et Vt4.4 � rz,t . Address: 00 1 Phone# N ' V 1 7-06�✓ .�w+�Fs �ft7 1J L� , t-�-e 6S•- (22) 37�- '°O Phone#(40 ) - 37a5 Property Location: Lot Number: I / House Number 'h 15"/ ,ob(, Subdivision Name: Nip Tax Map Number: 45?-3"No - "/`t aahv - Oar Z-- 000 —00,0a • 0 New Building: residence /commercial Estimated Market Value of Construction:(J�� eon 0 Addition: residence/ commercial Alteration: residence/ commercial If an Addition,what will use of new addition be? No change to exterior size: residence/com'l "1' 't 0 Other work(describe Z- 0.f • • Check OCenpaneylnfOrmation 1"Floor 20°Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single fnn,ily dwelling 0 Two family dwelling 0 Townhouse 1. ❑ Multifamily dwelling #of units Offices�' odi L. 15, ❑ Mercantile • Manufactuting RECEIVED O 1 oar detached garage ❑ 2 oar detached garage MAY 7 4 2005 0 3 car detached garage • 1 oar Attached garage TOWN OF t1UEENSBURY 0 2 oar attached garage BUILDING AND CODE 0 3 oar attached garage 0 Storage building- commercial ❑ Storage building- residential Other What is the proposed height of the structure N A feet inches Will any second-hand or ungraded lumber be used? If so,for what? o Type of Heating System: electric/ oil / s2/wood /f co of air/ baseboard/other: Number of Fireplaces to be installed rNA Number of Woodstoyes to be installed 14'4' List below the person(s)responsible for supervision of work as regards to building codes: Name Address- Phone Number Builder Plumber Tt,(e.(di � -1,.00 Mason N� Electrician .,G- e40,4Gier 3?‘-1st st 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 and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all now construction. Signature: owner,owner's agent,architect,contractor Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. l$ c 3 Town of Queensbury 742 Bay Road ( )2 c t o i c)`k- P Queensbury,NY 12804 Scheduled Inspection Date: U Time: 1 Phone: (518) 761-8206 Business Name: oirc sic Fax: (518) 745-4437 Location: 3 c4cAhcftoYc Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width 1� � Y EXIT SIGNAGE Sign-normal 914 Sign-battery CONNA TRUSS ID SIGNAGE EMERGENCY LIGHTING Complete FIRE EXTINGUISHER: of Occupancy Hung Inspection of extinguisher Hydro extinguisher I JUN 2 7 2006 FIRE ALARM SYSTEM I _ Fan Shutdown Fire Marshal Fire Sprinkler System `..„„1 Fire Suppression-kitchen 1 Fire Suppression-Gas Island Hood Installation L.(Of) I ?1,y kI c 5- Interior Finishes _ Storage ff 5 `1 E Compressed Gas I Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed 11I Combustible Waste Vehicle Impact Protection Fire Lane F.D.Signage-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan �( Approved (If no other approvals apply,the B&C Office will issue the ertifi ate of Occupan, VI ❑ Denied f` o Call for Recheck rvrc Inspected By: " L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Queensbury Building & Code Enforcement - Residential F' al Inspection 1 Office No.(518)761-8256 C Arrive: pm i-.art: a m PVII Date Inspection request received: 7/2/ CJ Inspector's Initi• s• _ / NAME:()✓t f�e4 1 r 6 A 12�. 1 '/ IT#: 0 SJ-3 la, LOCATION: 3 S �' ��2� ATE: TYPE OF STRUCTURE: 137��0'✓�-1 4,13 Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @,stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. _ Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/a" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade , Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. , Bathroom/Kitchen watertight _ Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: i Every Bedroom: _^ Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbingfixtures Ct J Foundation insulation E �� Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade C2 t Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/<hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure i Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker -'ood Plain Certification, if required kay to issue C/C or C/0[Tempora Permanent L:'PamW\Building&CodeslInspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. 0 Town of Queensbury 742 Bay Road jV Queensbury,NY 12804 Scheduled Inspection Date: �� Time: i I? Phone: (518) 761-8206 Business Name: -- )I Cod3 . L CcL Fax: (518) 745-4437 Location: 3'?3 Type of Inspection N/A Yes No EXITS: Exit Access 4' CMJ/MiNTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal k Sign-battery TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hung Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown }� Fire Sprinkler System }� Fire Suppression-kitchen Fire Suppression-Gas Island X Hood Installation Interior Finishes Storage Com_pressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed �( Combustible Waste Vehicle Impact Protection Fire Lane F.D.Signage-Utility Rooms A No Smoking Signs X Maximum Occupancy Sign X Emergency Evacuation Plan a Approved (If no other approvals apply,the B&C Office wil issue the erti cate of Occupancy) ❑ Denied XCall for Recheck Inspected By: L:\Sue Hemingway\Fire Marshals Office lnpsection 08.17.2005.doc / - f- L •ti , _ _ Commercial Final Inspection Report / Office No.: (518)761-8256 Date Inspection re est r c ive : Queensbury Building&Code Enforcement Arrive: pm Depart: 0a 742 Bay Road,Queensbury,NY 12804 Inspector's Initi s: NAME: Y C3 � PERMIT 3 : LOCATION: 7 - DATE: COMMENT': Yi 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.w/Lever 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 I 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. 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/Sinks/Toilets Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped ssible Handicapped Service Counter , 4 i eckout 36" Handicapped Ramp/Handrail ntinuous/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 / k Building Number or Tenant Address on Building or Driveway �( Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide1./ Okay To Issue Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building es Codes\Commercial Final Inspection Report.doc Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ t r iv d: Queensbury Building &Code Enforcement Arrive: a pm Depart: a 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial : NAME: 1 RMIT#: a'nS___— 363 LOCATION: "j- 7 • INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings ^— Piers ____ Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wall.pour Reinforcement in Place Foundation Dampproofing T Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil •ol for wet areas under slab Backfill A•• oval .+Ling Under SlabIt/ Ve/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building,Codeslnspection.FORMS\Foundation Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re est e ive . Queensbury Building& Code Enforcement Arrive: pm D art: a 742 Bay Road, Queensbury, NY 12804 Inspector's Initial . NAME: C-< - PAC-0PERMIT#: LOCATION: S �) INSPECT ON: :7-)1_ C} TYPE OF STRUCTURE: Y N N/A COMMENTS aming Jack Studs/Headers 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. S J C Town of Queensbury 742 Bay Road Qt .- Queensbury,NY 12804 Scheduled Inspection Date: t )•If L Time: I Phone: (518) 761-8206 Business Name: ) ()du L c '• Fax: (518) 745-4437 Location: 3'7 Type of Inspection N/A Yes No EXITS: Exit Access X COMMENTS Exit Enclosure Exit Discharge .k AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-battery TRUSS'ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hung }� Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen X. Fire Suppression-Gas Island Hood Installation Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed x Combustible Waste Vehicle Impact Protection Fire Lane k' F.D.Signage-Utility Rooms h No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan ❑ Approved (If no other approvals apply,file B&C Office wil(ssue the ir cate of Occupancy) u Denied Call for Recheck Inspected By: 0C\---21\ L:\Sue Hemingway\Fire Marshals Office lnpsection 08.17.2005.doc 1 Lr , { i n C L c L 08730/2005 16:14 8850526 PAGE 02 • Itottd Eade fuze Aoteetioa $qeem& Mote. P.O. BOX 508 BURNT HILLS, N.Y. 12027 (518)885-1115 FAX(518)885-0526 lir August 30,2005 Michael Palmer Fire Marshal Town of Queensbury 742 Bay Road Queensbury,NY 12804-5902 Re: Glens Falls Blood Lab. 375 Bay Road Tenant renovations Sprinkler renovations Michael: The existing sprinkler system at the above referenced project have been modified only to the extent of relocating and/or adding new heads as required to accommodate new ceilinlgs and/or partitions,All methods employed are as specified in NYS Building Code and as outlined in NFPA 13,Installation of Sprinkler Systems. ( Rey Michael Phinney Vice President cc: Bast Hatfield glens falls blood lab.que