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2011-084 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 CERTIFICATEF � OCCUPANCY Permit Number: P20110084 Date Issued: Friday, July 01, 2011 This is to certify that work requested to be done as shown by Permit-Number P20110084 has been completed. Location: 375 BAY Rd Tax Map Number: 523400-296-019-0001-032-000-0000 Owner: PROVIDENT BAY ROAD, LLC Applicant: PROVIDENT BAY ROAD, LLC 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 (Thc4.. ,,,,P 1 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110084 Application Number: A20110084 Tax Map No: 523400-296-019-0001-032-000-0000 Permission is hereby granted to: PROVIDENT BAY ROAD, LLC 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 BAY ROAD, LLC 353 BROADWAY, 2ND FLR Commercial Alteration $55,000.00 SARATOGA SPRINGS, NY 128664 Total Value $55,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-084 1628 sq ft commercial alteration $325.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 06, 2012 (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 a iration date.), ,. m Dated at the Towrlfof Qu sbu ,pf 'JY day,April 06, 2011 av SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Z *6 ; N ._._ / _ OFFICE USE ONLY ii- 1 fTAX MAP NO./ PERMIT NO. L'" / ' � �FEES: PERMIT 3:2,(,67.9 ENGINEERING (If applicable) , , 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: PRov►pk.,4r P17 V4V14r OWNER: -Fp-- ..'►V i-"'r V' i mak ° L.L.L- �-t R-1p ADDRESS: ?)53 v.9A1' 2- p -ooh_ ADDRESS: _7 Bre a'rJ ,--'`C 2,u'4 Eta, PHONE NOS. ?F5' —5100 04 T ?a" PHONE NOS. 'j�o - 5-1°0 txT- 3O6 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: I'L1'I4o -S PHONE: &C/ -51-17 LOCATION OF PROPERTY: 727'7 IPilk-r 12-0 WO Q U� S 13%./ + 1-iY 4200y HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? )0 YES NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:' -1-kX I n f.t- 51 - crie, 1 q SL/2 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT zz 0 APPLY TO YOUR z P rz O w O wLL, w PROJECT i p 0 H: O = _ w a U_ S2 w o wC! Z O I- 1- 0 � (Xwz z < < - cn (NI ( Ow I- IL d = o6 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE 'i r4L . t I_ BUSINESS OFFICE e-'-19.______ C� I ) VZ0 — t, L 247 to F-7- RETAIL- MERCANTILE TRETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: I 1,-t fILP-1-t 4,-- -, f J -—f (7w12-LtC--e ESTIMATED CONSTRUCTION COST �-> ; C'C. — FUEL TYPE: HEAT TYPE: NA-1 Otis *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): -- ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? '-f0 IS THIS A HISTORIC SITE? NC PROPOSED USE OF BUILDING OR ADDITION: 13 L,',/HI:5 OF1 rcr ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? i'10 ARE THERE EASEMENTS ON PROPERTY? M% 'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 a d agre 'to the above. Signed // -7--2-1`/ `/ //i/ 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) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: � c BUI/: 8 CODEPROVAL ZONING APPROVAL — RATE • DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a�queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 2 -4. Inspection for Permit to Occcu Fire Marshal's Office Request Rec'd Permit No. 11-0, Town of Queensbury � � � � 742 Bay Road �o Queensbury,NY 12804 Scheduled inspection Date: nye: s____ ___z_c Phone: (518)761-8206 Business Name: IZ'Ui -00 /?‘„/"---- Fax: (518)745-4437 Location: 7,5---- f Type of Inspection N/A . Yes No EXITS: `� / ,1 /A Exit Access -� Exit Enclosure � COMMENTS Exit Discha,r9 a ./ C/PC-4-44firtv-&' AISLES: Main Aisle Width «/' Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-battery EVAC signs in rooms TRUSS ID SIGNAGE -..-0" EMERGENCY LIGHTING ‘/ FIRE EXTINGUISHER: Hung ✓' Inspection of extinguisher .,,/ FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System (FDC) Fire Suppression-kitchen Fire Suppression-Gas Islan Generator Hood Installation Elevator Interior Finishes 60 Storage -.--•". CA, Compressed Gas Clearance to Sprinklers Clearance to Electrical -� � Electric Wiring Enclosed/Labeled Combustible Waste I Vehicle Impact Protection •./ Knox Box F.D.Signage-Utility Rooms �" No Smoking Signs `� Maximum Occupancy Sign `� Emergency Evacuation Plan pproved (If no other approvals apply,the B&C Office will issue the Certi' ate of Occupancy) ❑ Denied / call for Recheck , By: Inspe -d ./s,/ / _ _� Pr, r L:\FireMarshal\FM Forms Masters\permitto occupyform.doc 2 u Commercial Final Inspection Report Office No.: (518 761-8256 Date ins• =cl• • -• , • *Queensbury Building&Code Enforcement Arrive: - • Depart: e rt: a pm 742 Bay Road,Queensbury, NY 12804 Inspector's nitial :. NAME: Pro tf PERMIT 1'01 LOCATION: DATE: / . , COMMENTS: . Y N Chimney I"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6°/Roof Complete Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior I Exterior Guardrails 42 in.Platform/Decks F\ Agb\-\eLb Interior I Exterior Banisters 4 in.Spacing Platform!Decks Stair Handrail 34 in.—38 in.I Step Risers 7"/Treads 11" 11----Ob VI Vestibules For Exit doors>3000 sq.ft. All Doors 36 In.w1L.ever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44"(l)/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 Nr 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 1/2 doors 10%>1000 sq.ft. s Hour Corridor Doors&Closers Firewalls I Fire Separation,2 Hour, 3 Hour Complete!Fire Dampers/Fire Doors CeilinaFire 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 Accessible Handicapped Service Counters,34 in.,Checkout 36" Handicapped Ramp I Handrails Continuous/12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required J� Final Survey,New Structure/Flood Plain certification,if req. r-jh As-built Septic System Layout Required or On File -C°Buildirj Number or Tenant Address on Building or Driveway 4' p�- Water Fountain or Cooler 7 Building Access AIM. : • , :`,. : Surface 20'wide F'Okay To Issue Temp. •ermanent CIO Okay To Issue C/C ) L:1Buiding&Codes Formaknicfing&CodesVnspection FommssCommerclal Final Inspection Reportdoc Revised January 7,2008 Inspection Form f Town of Queensbury Fire Marshal C Periodic Inspection Date:( 0/ Time:3 742 Bay Road,Queensbury NY 12804 c Re-Inspection 4°:6518 761 8206/518 761 8205 "CO Inspection Permit#:20--ll 24arshals Representative A'S M almer Business Name: .2- Location: 37.x3 9419' GK Stillman Contact: i�� p-,/,/c__ Type of Inspection 'N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 .I Exit Discharge FC 1024&FC1029 / ti\iN5i4.1 I Locks and latches FC1008& FC1029.2 • ./ t g- /-4,a A cd'' kwit eia''2 Sign:Normal FC 1011&FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 -.---' - , L ,1,-.4` Secondary Aisle Width FC 1025&FC1029.11 '�-� PSCJ FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 / I EVAC Plan FC 404.6 .., '' TRUSS ID SIGNAGE FC 505.3 ./ V2e24-‘'e-� .. L .7!�1 =c> EMERGENCY LIGHTING: 1.--�� Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 .... Clearance to Electrical FC 605.3 ./ Electric Wiring Enclosed/Labeled FC 605.3.1 ...0". Combustibles in Equipment Rooms FC315.2.3 ,.J F.D.Signage- FC 510 No Smoking Signs FC 310.3 ----"' Storage FC 315.2 i Compressed Gas FC 3003 ---c Vehicle impact Protection FC 312.1 _ Interior Finishes FC 803-804 ./ Smoke Detectors FC 907 .,.--"-- CO detectors FC 610 -/ -777-— `--- Sr Clearance to Sprinkler/Cel[ing FC 315.2.1 • ! EVAC SIGNS IN Rooms FC 404.6(R1&R2) •---•". Fuel Pump Warning Signs FC2205.6 � . .M Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 / 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual / DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC 6j/ X Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit,if required will be issued after Completion of Inspection HT—ieSdc Commercial Final Inspedion eport Offu, No.: (518) 761-8256 Date Insction ! ► ed: Queensbury Building & Code Enforcement Arrive: a •►;/ Depart: '3,Zt= ar 742 Bay Road, Queensbu , NY 1 .:+ • Inspector's Initial+ / NAME: }� 71‘c. f ;t / / 17- LOCATION: DATE:t 6) -_� COMMENTS: Y N NA Chimney 1'B'Vent/Direct Vent Location Plumbing Vent Through Roof 6"1 Roof Complete Exterior Finish/Grade Complete 6" in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior!Exterior Banisters 4 in. Spacing Platform 1 Decks Stair Handrail 34 in.—38 in. /Step Risers 7"l Treads 11" Vestibules For Exit doors> 3000 sq. ft. V' All Doors 36 in. wlLever Handles/Panic Hardware, if required f �� t \ %\—\ Exits At Grade Or Platform 36(w) x 44' (I)/Canopy or Equiv. ✓ �/ Gas Valve Shut-off Exposed &Regulator(18")Above Grade Floor Bathroom Watertight!Other Floors Okay Relief Valve, Heat Trap 1 Water Temp. 110 Degrees Maximum Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System -- i Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers 1 � 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 sq. ft. '/. Hour Corridor Doors&Closers Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I 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, it required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks I Toilets Handicapped Bath/ Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp 1 Handrails Continuous/12 in. Beyond [Both sides] Active Listening System and Signage Assembly Space j Final Electrical/Flex Gas Piping Bonded 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 4' Water Fountain or Cooler Building Access All Sides by 20'l Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue C/C L:1Building&Codes FamislBuilding&Codesllnspection Forms\Commercial Final Inspection Report_doc Revised January 7,2008 /fie Framing / Firestopping Inspection Repot Office No. (518) 761-8256 Date In n • • = •:' ed: Queensbury Building &Code Enforcement Arrive: •� • ���.: •.rt: :L!{ya p 742 Bay Road, Queensbury, NY 12804 Inspector's Initi- s: - � ry pe - NAME: 6". fRMIT#:LOCATION: \ PECT ON: TYPE OF STRUCTURE: Y JN NSA Framing COMMENTS: fLILLL Attic Access 22" x 30" minimum < \ \ � Jack Studs/ Headers Bracing 1 Bridging Joist hangers Jack Posts/Main Beams SSL s'- _ \� Exterior sheeting nailed properly L� 12" O.C. \ ��i ;`1(- Headroom 6 ft. 8 in. Stairwells 36 in. or more -• •••—""*.um^ Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/Holes 1 Bearing Walls Metal Strapping for Notches Top Plate 1 (w) 16 gauge (8) 16D Halls each side �-' \ ' Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall \ L � ,_‘\k‘5 v�s�LL- Fire separation 1, 2, 3 hour tZ\ -� i��-'�� � �- \ Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 518 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:\Buitding&Codes Forrns-OLD\Eui ding&Codes\Inspection FomvsFFraming Firestopping Inspection Reportdoc Revised January 7,2008 F.-/C7 Rough PlumbingI Insulation Inspection Report Office No. (518) 761-8256 Date Ins•ection r- •nest received: Queensbury Building & Code Enforcement Arrive: 41. 1 .W.01:- Depart: ' ro a = 742 Bay Road, Queensbury, NY 12804 Inspector's Ini a .: NAME: ID- rota, ���;,� , PERMIT #: i�4 LOCATIO .$ ,C ge/� INSPECT ON: ADM' TYPE OF STRUCTURE: Y N Rough Plumbing / Nail Plates Plumbing Vent 1 Vents in Place 1 'A inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test star Supply Piping \� Air mead IN r 15 e llibinsulation 'esidenminuttial s Check/Commercial Check t 7-evrrrw imilar Exterior Sealant -- - z - Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces ombustion Air Supply for Furnace uct work sealed properly/ No duct tape 4/g e Q_I's41\,f� 11:- ...7_.: �- e`er /V COMMENTS: Rough Plumbing Insulation Report..revised Nov 17 2003, revised February 95,2005, revised January 7,2008 _3 of • Rough Plumbing1 Insu ation Ins ion Report r talon Office No. (518)761-8258 Date Inspection - ► Queensbury Building &Code Enforcement Arrive:\=L-1a .r—1 - '• . • . = '� a • 742 Bay Road, Queensbury, NY 12804 Inspector's Initia joir,ff NAME: PO / jo LOCATION: 3-75 ' _ ", I PELT ON: TYPE OF STRUCTURE: Y N N/AJ Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 114 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 �. ■ : :,• 54-'.S.I for • minutes Insulation/ » •idential Check/Commercial Check Tyvek or ' Oar Exterior Sealant • T=r ent,Attic Vent Door/Window Sealed (No Insulation) — Z 141 JWI-mF' Duct I Hot Water Piping Insulation If required unheated spaces , Combustion Air Supply for Furnace ' Itt--N Duct work sealed properly I No duct tape e t i7t A-V vos CORAM SI Rough Plumbing insulation Report.revlsed Nov 17 2003,revised February 15,2005, revised January 7,2008 uki - 1'5 1301/e0 /0'- / 2 rc �. Rough Plumbing I Ins lation Inspection Report Office No. (518) 761-8256 Date Inspection r- • • ceiv.•: Queensbury Building & Code Enforcement Arrive: `2cC a _ •�•-` ' =•art: . a� 742 Bay Road, Queensbury, NY 12804 Inspector's Inrtia INV NAME: PrccL . P` " AlI1T#: LOCATION: Pc) INSPECT ON: -2 -j/ TYPE OF STRUCTURE: WPC- NWRout h Plumbin• I Nail Plates �� Plumbin• Vent/Vents in Place �'� vq. 1 % inch minimum Drain Size �■ Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction 1111�� Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test %" water Supply Piping ( 1/ Air ead _' � ` / 0P:S, or 15 minutes ` �--11 , Insulation/Residential Check I Commercial Check LT ek or milar Exterior Sealant Proper ent, Attic Vent Door/Window Sealed (No Insulation) Fa ‘ E,'?‘ R Duct/Hot Water Piping Insulation vDte3V–t-tx. If required unheated spaces Combustion Air Supply for Furnace — Duct work sealed properly/No duct tape AER- COMMENTS. 17 Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008