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2005-123 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050123 Date Issued: Wednesday, June 08, 2005 This is to certify that work requested to be done as shown by Permit Number P20050123 has been completed. Tax Map Number: 523400-302-007-0001-044-000-0000 Location: 154 QUAKER Rd Owner: NIICHAEL & SUSAN KAJDASZ Applicant: DR. ANIL RAJADHYAX 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 owner of the responsibility for compliance with Site Plan, V 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: P20050123 Application Number: A20050123 Tax Map No: 523400-302-007-0001-044-000-0000 Permission is hereby granted to: DR ANTL RAJADHYAX For property located at: 154 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: MICHAEL & SUSAN KAJDASZ PO BOX 268 Commercial Alteration $5,000.00 Total Value $5,000.00 CLEVERDALE, NY 12820 Contractor or Builder's Name / Address Electrical Inspection Agency Plans&Specifications 2005-123 DR ANIL RAJADHYAX COMMERCIAL INTERIOR ALTERATION $50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, March 10, 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 TovVa-b,Q;eep ury� dt!d", March 10, 2005 SIGNED BY fffJ(d�/J for the Town of Queensbury. Director of Building&Code Enforcement Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Recreation Fee Dave Hatin,Director codes@aueensbury.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subiect to review before issuance of a valid permit for construction Instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants' spaces on this application must be completed and must appear on the application form. Applicant/Builder 3C 1 ►�.�'� 1 �► I �j Owner: M C,ki42A I-} , ��, Aci C Address: Address: i \ Home Phone: ,c -� Home Phone: Email Address: c 1 Email Address: Cell Phone: Cell Phone: FAX Phone: -r FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: ►��c ice,' Tit i i JCl 5 Address: p� Phone Location of proposed construction: Lot No. Legal Address: 15,� Tax Map Number: ' "� " Subdivision Name: Estimated Cost of Construction: $ no Proposed construction is for: _Residential Use _Commercial Use Name of Business:, C T If proposed construction is an addition, what will use of new addition be? New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height Ft.&in. Single-Family Dwelling Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Gara a 1, 2, 3 Type of Heating System: Electric, Oil,�ras, 'Vood, Forced Hot Air, Baseboard, Other: If a fireplace and/or woodstove are being installed, please refer to a separate application. Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the 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 Codes, 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 new construction. Date: Applicant/Builder Signature: cn The application of dated 44- is hereby approved and permission granted for the c nstruction, reconstruction or alterati o a ilding/and or accessory structure as set forth above. � Date: Authorized Signature: L:\Sue Hemingway\Building.P rmit.FORMS\Principal Structure Permit Application.doc V:12/14/04 BLDG. PERMIT NO. 2005-123 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; I56 01,ak,, Rn d for the following uses: The Lighthouse, b ate?_ c gun Apxa 8, 2005 DATE SIGNATURE O APPLI ANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby PROVED ( )DISAPPROVED with the following conditions: Ce ti Aicn_xe of Qccupap ncu to be .ia6ued upon 1 ) Compketi%.on o f ato,%age and comptuzed gab Loom. TIMPORARY CERTIFICATE OF OCCUPAN,CY FEE: DEPOS : OLVA0.00 received on ApAxi 8, 2005 Date of Issuance Dlwior of Bldg. & en THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID tfnless signed by the Director of Bldg. & Code Enforcement or his designee. Commercial Final Inspection Report Office No.: (518) 761-8256 Date Ins ection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: (pit NAME: )' PERMIT#: �� LOCATION: U DATE: T COMMENTS: Y N NA Chimne /"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Com lete Exterior Finish Grade Complete 6"in 10' or Equivalent l 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"(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. 3/4 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 Ram /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 reg. 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 able Surface 20'wide Okay To Issue Temp. or rermanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON. v U Name: t -�- AM PM NYTIME Location: APPROVED N/A YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH _ N C k6 V SECONDARY AISLE WIDTH EXIT SIGN-NORMAL EXIT SIGN-BATTERY �\7 ,�� C.v� CY EMERGENCY LIGHTING _ FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION U /� INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN_ EMERGENCY EVAC PLAN OK THIS DATE OK FOR CO NOT OK INSPECTED BY COMDEVICHRISJNVORD/LETTERS2001/F IREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 1 Yf am/pm Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: �` G -PERMIT#: -�t-M5 — / 01*1 LOCATION: DATE: COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Com lete 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"(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. 3/4 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 Ram /Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space `1A/5z Final Electrical wo 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 — ✓�� !am++ �F Water Fountain or Cooler �r Building Acce des b 20 ble Surface 20'wide Okay To Iss e temp. r Perma ent C/ ti, �.*� Okay To Issue Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Town of Queensbury Fire Marshal's Office 742 Bay Road Queen buury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE ` Received: Permit# '" �� INSPECTION ON. - �� II ' Name:_ LIut-tt i`� 2 �� - �� AM ANYTIME Location: 116 01-XCt 1L 4 tA _ 16- APPROVED N/A YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH lap EXIT SIGN-NORMAL EXIT SIGN-13ATTERY EMERGENCY LIGHTING _ FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER INSPECTION ` FIRE EXTINGUISHER HYDRO —7� FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN_ EMERGENCY EVAC PLAN OK THIS DATE O R NOT OK INS EC COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARS HALINSPECTIONREPORT 11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. 84844 Cut-in Card No......................... Owner............../1........ ................................................................. ............ Location....... ........... ...................aafi)e'&�.......�60,...................................... ............... [nstallation Consisting of... 6 P6'-'V1—d0& rA4'001- 10?- ............... ....................... ..... 2 - .41...Aer,"A W................................................................... it ........................... ....................................................................................... ................................... ................................................................................................................................................................................. [nstalled By........ ..........................................................Lic.No................................................. The conditions following governed the issuance of this certificate,and any certificate previously issued i! .ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall b romptly made for inspection. te�s c Inspectors of this Company shall have the pr,'v,'IegeAf making coons at any time, and if it: 't to _ e'h c Ica rules are violated,the Company shall have the rig] this c rt icate. ................. ...................................... Date..... ................ INSPECTOR... .......... Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report k° Request SCHEDULE 0 , Received: Permit# INSPECTION ON: % 0 . 07 Name czfaLf /0 —// 3 PM ANYTIME Location: 1 C K Zw R A APPROVED N/A YES NO I COMMENTS EXIT ACCESS EXIT ENCLOSUREL ,,�,�► EXIT DISCHARGE JAIC MAIN AISLE WIDTH ( , l Q` K- SECONDARY AISLE WIDTH �( \✓ EXIT SIGN-NORMAL EXIT SIGN-BATTERY Q EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG LL FIRE EXTINGUISHER INSPECTION Y, FIRE EXTINGUISHER HYDRO / FIRE ALARM SYSTEM ( � Q�� r" l� �3'�"` K+y FIRE ALARM -FAN SHUTDOWN \� FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL C" ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS �( NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN OK THIS DATE O O OT OK INSPECTED BY COMDEV/CHRISJMIORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspecti n request received: Queensbury Building & Code Enforcement Arrive: 4A10 am/p Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: c.� PERMIT #: _ LOCATION: INSPECT ON: TYPE OF STRUCTURE: i Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet change of direction Pressure Test 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 Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection port Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: ' 3 ° am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector,s Initials: 1)Ir NAME: A-,4 so PERMIT #: LOCATION: ey INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test 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 Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly o duct tape COMMENTS: �yy � r 44 LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Memorandum To: Dave Hatin From: Steve Smith Date: March 8, 2005 Re: Plan Review Comments—BP#2005-123— Dr. Anil Rajaclhyax Dave— I reviewed the submitted drawings for this project, and currently have no comments or changes. The previous tenant had the same layout of the space, so exit and emergency lighting should be acceptable, assuming that the appliances are still in place. Fire extinguisher placement will be determined later, prior to occupation and issuance of CO. TOWN OF QUEENSBURY COMMUNITY DEVELOPMENT DEPARTMENT TOWN OF QUEENSBURY �") f 742 Bay Road, Queensbury, NY. 12804 590 Memorandum To: Dave Hatin, Steven Smith, File 05-127 From: Mike Palmer Date: 3/24/2005 Re: Mike Kaidas Application The question that has been raised is that within this structure,it is proposed to have(2)244cuft cylinders of oxygen and(2)244cuft cylinders of Nitrous Oxide. Are there any special requirements that must be met. I researched the Fire Code Chapters 27,31,35 and 37-44 to try and draw a conclusion. At this time I will conclude that a gas cabinet or 1 hour interior or exterior room is required.This is based on the following: The gases proposed are classified as oxidizing gas in the DOT guide book.In addition,during a phone conversation this date with Mr.Kaidas,he indicated that this is a closed system being proposed.Table 2703.1.1(1)of the Fire Code limits the storage to 15#liquid gallons(nitrous oxide)per control area This quantity may be increased 100%when stored in approved cabinets or exhausted enclosures.Because the storage quantity exceed the allowable,I researched Chapter 40,Section 4003.1.1.3 which sends me to Section 3006. Section 4005.1 refers back to Chapter 30 In reviewing Section 3006,it indicates that when the storage exceeds the allowable chart values,Section 3006.2.2 or Section 3006.2.3 is required for interior storage or Section 3006.2.1 for exterior storage. TOWN OF QUEENSBURY COMMUNITY DEVELOPMENT DEPARTMENT rHrZIF— UZ M op /y, \tn ,RID &/cc, pe 4 K 5y y g/o veoo 4✓1, hop,MA ie d)6sc7 T Pr S 14 siwy 674c— de?4 yl .tip A ►� e ;` r�am-•�( #Y"f�—A� R,�.w+ •rf TOWN OF QUEENSBURY BUILDING DEPARTMENT BUILDING D EF��" Based on odr limited examination, . omp o with our comments shall n COPY not be conn strued as indicating the REVIEWED 8Y plans and sppc ftabms are in full F11, F Oh the Building codes DATE of Nr3w York State. Z2 RICI ejela.) Fos 3 4v.9 win dab )OA w ee lO -'f- G 6 y Ea t b IL I `�