2003-358 TOWN OF QUEENSBURY
742,Bay Road,Queensbury,NY 12804-5902 (518)761-8201.
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF O'CCUP.ANCY
Permit Number: P20030358" Date Issued: Monday,June 28 2004
This is to certify that work requested to be done as shown by Permit Number` P20030358
has.been completed.
Tax Map Number: 523400=296-017-0001-051-000-0000
Location: 870 STATE ROUTE 9
Owner: ALEXANDER POTENZA
Applicant: PERFECTION EXERCISES
This structure may be occupied,as a:
By Order of Town Board
Commercial Alteration WN OF UEENsi3U Y
Director of Building&Code Enforcement
TOWN,OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-002 *(518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030358 Application,Number; - A20030358
Tax Map No: 523400-296-017-0001-051-000-0000
Permission is hereby granted to: ALEXANDER POTENZ,A
For property located at: 870 STATE R.OT.TTE 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 iri compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tvoe of Construction Value
Owner Address: ALEXANDER.POTENZA
FRANK BORK Cotninercial Alteration
403-GLEN St Total Value
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2003-358
Perfection Exercise. (Miller Hill Plaza)
Commercial Interior Alterations (2,800 sq. ft) as per plot plan and specifications.
$336.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 03,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T f Queen ury;, uesday,June,03,2003
SIGNED BY for the Town of Queensbury.
Director of Buildin '&Co Enforcem'ent
Building Permit Application �
Tow =
n of QueensburyDept;of Community Development,?AZ Bay Road,Quamsbury,NY I` Er)
(S 1$)161-825b
MAY 3 0 2003
A permit must be obtained before beginnins construetiom 1.emit Bile No. =3 S
Na inspection will be made until applicant]its received a Fee Paid Y��® ILD!TCAV IN F QUEENSgURY
valid building permit All applicants'-spaces on this Rec.Fee Paid r� ANRDE
application must,be completed and must appear on the Reviewed ay:
application fern.
Applicant, &d L �6 Uwaer:
.Address: --% 6 p drier-F !I _ Address.
-~C 6�r
phone#(_) - none
Property Location: Lot Nurnbert I House Number _/ of 7e T
subdivision Name: ',Tax Map Ntunlaer
❑ New Building: residenco /oommucia] /Estimated Market Value of Construction:S
0 Addition: residence/ conunmiel
Alteration: residence � tion,�vk�at will use ofnaw addition be?
o No change to exterior size- reardcnee Teom'1
o Other work(describe
Check OccupancyWormation in Floor z Floor other Door 'total
Below sq,ft. sq.ft. sq.fL Square Feet
❑ Single wily dwelling
c3 Two Agnily dwelling
to Townhouse
o Maltiiamily dwelling
#of tniits-
`f (571 'e
Mercantile
0 1 nor dela+etied gBrA�t
A Z cat detached prac
a 3 am detached Wage
0 1 carsMaehad garage
El tzar attached Aga
0 3 car attached garage
)0. Storage btn'lding-
cortraaerafad
a Storage building- U
residential
to Other ZA T- S
A Ad—
What is the proposed heigbt of the st metaro feet /`' Inch"
Will sty second-'hand or ungraded lumber be used? Tf so,for what?
Type of Heating System: electric I oil / agas-wood orcad Isot air baseboard/other:
Number of eater s to be installed h- Numberr of 1Woo to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Nmmber'
Builder G o er-RG r�r'ST 7lG
Plumber
Mastro
Mecizician
Declaration: plowe sign below afar you have carcfu]]y read the statement:
To the best army knowledge the atetenents coat duod in thin application,together with the plans and specifications
submitted,are a Urn and complete statement of all proposed work to be done on she described pxemiscs and tbAt alI
provisfom ofthe Building Code,the Zoning Ordinance and an other laws pertaining to the proposed work shall be complied
with,whether sgeclUed or noted,and that such work is authodzedby the owner. Furtber,it is understood that Uwe shall.
submit,prior to a Certificate of Ocrupaney or Certificate of Compliance being isnwd,as requested by the taming
,Administ mtor or Director of BuWug and Codes,a a AS XgU-Survav by a.licensed surveyor:drawn to seal.*,ahowiag aotuta
location of Alln9w conafsnoWm
...... owner,owner's agez;arehiteM contractor
TOO/T00I1 vus n7'sr liar hnn�s inn
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pi Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT 4:
LOCATION: 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 71'/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/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 '/2doors
> 10%>1000 sq.ft.
3/411our 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 Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in..Beyond
Active Listening System and Signage Assembly Space
Final Electrical Ll
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 by*���e Surface 201 wide
Okay To Issue Temp. ore—erma'nent C/O�2
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\BuiIding&Codes\Commercial Final Inspection Report.doc
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
o
NAME: C�<. r Cx""/G PERMIT#: S
LOCATION: �' DATE: -G
COMMENTS:
Y N NA
Chimne /"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 Shutoff Exposed&Re lator 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 %2 doors
> 10%> 1000 s .ft.
3/a 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
Handica ped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parkin 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 Signa e Assembly Space
Final Electrical
Site Plan/Variance required
Wee, CE�Jl
Final Survey,New Structure/Flood Plain certification,if req. V�
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
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 9 a <n3
Received: Permit# INSPECTION ON:
Name, AM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE EXIT SIGNS
C(NS-NORMAL \j
- BATTERY x ou-
EMERGENCY LIGHTING
FIRE EXTINGUISHERS x
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNVGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THIS DAT FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGHIN IV INSPECTED BY
FINAL
COMDEV/CHRISJIWORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Commercial Final Inspection Reports t��
Office No.: (518)761-8256 Date Ins e tion request received:
Queensbury Building&Code Enforcement Arrive: SN am/pm Depart: am/pm
742 Bay ad,Queensbury,NY 12804 Inspector's Initials:
NAME: ' PERMIT#:
LOCATION: 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
S
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 I 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 �nJ
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 'lZ doors
> 10%> 1000 s .ft.
3/4 Hour Corridor Doors
Firewalls/ Separation,2 Ho u 3 Hour Complete/Fire
Dampers!Fire o
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 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 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 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.doe
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#n2)- 55'6 INSPECTION ON:
Name: C-, U%,a AM PM ANYTIME
Location.
APPROVED'
N/A YES INO COMMENTS
EXITS
AISLE WIDTHS Nv�tj co r
EXIT SIGNS-NORMAL 7 x
- BATTERY
EMERGENCY LIGHTING dogs vkct 0 <)4
FIRE EXTINGUISHERS Y
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM OPP_ t 115?,6
HOOD INSTALLATION
INTERIOR FINISHES W---76�
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
CHIMNEY FINAL
FACTORY BUILT ROUGH IN f7)
FINAL D
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN I
FINAL
FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT ok
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJNVORDiLETTERS200liFIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: /0191-' an-/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION:
INSPECT ON:
TYPE OF STRUCTURIE:
Y N N/A
1� mg COMMENTS
Jack Studs J 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
I V2(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 separationA,2, 3 hour
a 4 hour
Firestopping
Penetration sealed 00-jer wi�k 7
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 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:\SucHemin.away\Building.Codes.Iiispection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
'Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 7'Z1V am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 30-
LOCATION: 6 skk fly 2 DATE: 613k
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.w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv. 41-1,-
oar /I Xal
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Waterti_gkt/Other Floors Okay
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure I 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 1/2 doors
> 10%> 1000 sq.ft.
3/4Hour Corridor Doors&Closers
Firewalls Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers 1 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 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-reg.
As-built Septic System Layout Required or On File Id
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