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2005-658 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: P20050658 Date Issued: Wednesday, September 28, 2005 This is to certify that work requested to be done as shown by Permit Number P20050658 has been completed. Tax Map Number: 523400-296-017-0001-036-000-0000 Location: 891 STATE ROUTE 9 Owner: WAL-MART REAL ESTATE BUSINESS TRUST Applicant: WA,-MART REAL ESTATE BUSINESS TRUST This structure may be occupied ENS BANK 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, Variance, or other issues and conditions as a result of approvals by the Director of Building&Co a Enfoement 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: P20050658 Application Number: A20050658 Tax Map No: 523400-296-017-0001-036-000-0000 Permission is hereby granted to: WAL-MART REAL ESTATE BUSINESS TRUST CITIZENS BANK For property 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 REAL ESTATE BUSI PROPERTY TAX DEPT-0555 Commercial Alteration $23,500.00 1301 SE 10TH St Total Value $23,500.00 BENTONVILLE, AR 72716-0555 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-658 CITIZENS BANK '(inside Wal-Mart) 480 SQ FT COMMERCIAL INTERIOR ALTERATION $57.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 26, 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 f n of een i gust 26, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Permit No. 01�) (0. ) Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 15 n-L O 742 Bay Road,Queensbury, NY 12804 Recreation Fee Dave Hatin,Director codesQaueensburv.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subject 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. 11 Applicant/Builder C.E. Owner: ���� ycir4 I ru5+ Address: 3l2 ` a- _-f 1`1OTAoJ) /u l2/3y Address: `1�`01 St., Ts lis► �• ��Ak1L1.),i lC 1 K 131,116 Home Phone: t5 fir- 1116p Home Phone: Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: 1 "GGI` `l'`I 11 FAX Phone: Person responsible for supervision (o`f work with respect to building and codes compliance: Name: S—kcwN Address: 3!2 1� crg 1� I' c. �uY /Q13At Phone Location of proposed construction: Lot No. Legal Address: Tax Map Number:C�,_l(0,�T_� � Subdivision Name: -L(N'V dC, CAA� ro C,f n Estimated Cost of Construction: $ d 3i°' OU• 0D Proposed construction is for: _Residential Use commercial Use Name of Business: .+: ZCrS &n If proposed construction is an addition,what will use of new addition be? New Addition Alteration Proposed Construction V 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 Garage 1, 2, 3 Type of Heating System: Electric, Oil, as Wood, Forced Hot Air, Baseboard, Other: Is a fireplace and/or woodstove being installed, please refer to a separate application. _Yes V**N o 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 cons n. Date: Applicant/Builder Signature: The application of dated s hereby approved and permission granted for the c ns uction, reconstruction or alte n of uild / nd ce scary structure as set forth above. � Date: o Authorized Signatur L:\Sue Hemingway\Building.Permit.FOR MS\Principal Structure Permit Appri ion.doc V:12/14/04 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No V5- r Town of Queensbury 742 Bay Road Queensbury. NY 12804 Scheduled Inspection Date: L Time: Phone: (518) 761-8206 Business Name: Fax: (518) 745-4437 Location: Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-.battery TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher Hydra extinguisher FIRE ALARM SYSTEM 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.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan t' 1 t Approved (If no other approvals apply,the B&C Office will issue the Certificate of pccupancy) ❑ Denied t ❑ Call for Recheck Inspected By: L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection re est ec d: `�/ S �/ Queensbury Building&Code Enforcement Arrive: a p Depart: a 742 Bay Road, ueensbury,NY 12804 Inspector's Initial : ' NAME: ( PERMIT# LOCATION: (,,,} DATE: `T COMMEN S: Y N NA Chijme /"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"(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 t/2 doors > 10%> 1000 s . ft. 'K Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dam ers/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 Signagej 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 Listenin 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 by 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Inspection for Permit to Occupy Fire Marshals Office Request Rec'd Permit No. ib (?s Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: � Time: Phone: (518) 761-8206 Business Name: C KI 2`''% PS�^'IU Fax: (518) 745-4437 Location: Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: a 6 L` C1 Main Aisle Width K ?tiopfaly Secondary Aisle Width pvy, L EXIT SIGNAGE Sign-normal Sign-battery TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun k P�1 t ti K:�4 C Afv�1�� �-1�1s Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown FireSprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation interior Finishes .^ Storage !jam t �L p �{�►VCR Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed Combustible Waste Vehicle Impact Protection ✓ - �J�tGI LL G, Fire Lane F.D.Si na e-Utility Rooms �� 1 No SmokingSigns Maximum Occupancy Sign Emergency Evacuation Plan tertificate ❑ Approved (If no other approvals apply,the B&C Office willupancy) ,Vtenied ❑ Call for Recheck Inspected By: L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Framing / Firestopping Inspection Report l Office No. 518 ( ) 761-8256 Date Inspection re est e v Queensbury Building&Code Enforcement Arrive: p part: t : a 742 Bay Road, Queensbury,NY 12804 Inspec�:or's Initia NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: M TS a ng COM Attic Access 22"x 30"minimum 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 '/z(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 water 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 %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 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 MEMORANDUM To: John OBrien From: Mike Palmer Date: 8/25/2005 Re: Plan review Citizens Bank, 2005-658 After review, the following comments are submitted: 1) Letter must be provided from sprinkler contractor regarding NFPA 13 compliance for modifications 2) Change the emergency light in the security to area to an Exit/EL combo. TOWN OF QUEENSBURY COMMUNITY DEVELOPMENT DEPARTMENT