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2003-417 TOWN OF QUEENSBURY t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 d , Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: ' P20030417 Date Issued: Monday, January 26, 2004 = ' This is to certify thawork requested to be done as shown by Permit Number P20030417 has been completed. Tax Map Number: 523400-309-017-0001.021-000-0603 Location: BIG BOOM Rd Owner: GLENS FALLS READY MIX Applicant: AT&T WIRELESS COMMUNICATION FACILITY This structure may be occupied as a: By Order of Town Board Commercial Addition TOWN of QUEENSBURY m Director of Building&Code Enforcement S. TOWN OF-QUEENSBURY 742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201 Community Development 7Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030417 Application Number: A2003-0417 Tax Map No: 523400-309-017-0001-021-000-0603 Permission is hereby granted to: AT&T WIRELESS COMMUNICATION FACILITY For property located at: BIG BOOM Rd in the Town of Queensbury,,to constructor 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. Tpe of Construction Value Owner Address: GLENS FALLS READY MIX Commercial Addition 774 STATE HWY 5S Total Value PO BOX 430, AMSTERDAM,NY 12010 Contractor or Builder's Name/.Address Electrical Inspection Agency Plans&Specifications 2003-417 AT&T WIRELESS SERVICES ANTENNAS AND.EQUIPMENT AS PER APPLICATION $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 18,2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) _Dated at the Tow of Q e nsli June 1$,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Department of Community Development;742 Bay Rd.,Queensbury,NY 12804 (518)761-8256 .- A permit must be obtained before beginning construction. Permit No.: 4+ 7 �No inspection will be made until applicant has received a Fee Paid: ' -valid building permit. Form must be completed. Ree.Fee Paid: Reviewed By: Applicant:. Owner: r.-r"."n Address: /.,it—" /1?' G Address: y/6 j1•�p t.✓ 2.D Phone#: g .7f Of31 Phone#: 01*1 J U N 12 2003 Tax Map Number: ,3 �!�_f " Zt TOWN OF QUEENSBURY - Subdivision Name: SUIMING AND OOUF {if applicable} Lot Number:-_/House Number: T!Street Name OR ?_J Property Location: o New Building: Residential!Cgnpercial Estimated Market Value of CObst mCdOw. jp ddition: Residents ommerci If an Addition,what will use of addition be.? ❑ Alteration: Residential TCUMMMzW ❑ No change to Bxterior size: Residential/Commercial ❑ Other work: {descnlie __ w} CheckBetow OccupsaLTYnfo 1 floor sq. t. 2° floor sq ft Other!Icon sq.ft. Total Sq.Ft Single FarJIyDwcWng Two Family Dwelling Townhouse MultifamilyDwelling #ofnnits Office Mercant& Manufactming 1 car detnohed garage 2 car detached garage 3 oar detached garage 1 car atfaehed garage 2 car attached goings .;� 3 car i;ttaehed goings . Storage Bldg.,Comm. � Storage Bldg„Rea. y Other Cyr►t�r What is the proposed height of the structure: feet inches //r Will any second-hand or ungraded lumber be;;ed? If so,for what? No.of Fireplaces to be installed: No.of Woodstoves to be installed: List below the person(s)responsible for envision of work inregards to Building Codes: Name Address Phone No. Builder Plumber Mason Electrician 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 pions 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 i ar Ceo iZ by the owner. Further,it is understood that I/we shall submit,prior to a Certificate Of Occup y of Compliance ' g issued,as requested by the Zoning Administrator or Director ofBuilding and Codes,an As Built Sn y a ` sury >r•,drawn to scale,showing actual location of all new construction. Signature:- (circle one own >owmzr's agent; contractor) Commercial Final Inspection Report „ elt- ;w Office No.: (518)761-8256 Date Inspection re st recei, ed- - Queensbury:Building&&Code Enforcement. Arrive: � p �, Depart: 742 Bay Road, Queensbury,NY 1 804 Inspector's Initials r NAME: PERMIT / LOCATION: DATE: COMMENTS: Y N NAB 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 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 Stoclaoom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors >10146> 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 Ramp/Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required 1 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 Tem . 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 oc->T �v I :DM READ 13ECTR I C,INC. FAX NO. 914.246 2365 Jul. 15 2003 03:56PM P2 �C�I1I3�� I)1:�'ARTMJF.N`1' t�Si'FC'1'YC)N AC=�I�SC'Y', INC. �1 <rr/r,�eas that the electrical wiring to the olectrical equipment listed below has been examined and is approved as being in accord with Irte National Eledirical Code. applicable goverttrnentatl, uM!ty and Agency rules in effect on the date noted below and is issued subject to the following conditions- r; Owner; ,� Date: ,7 i +,%s�ON s AT&T 11RIFIL.E�'c f Occupant Cyr tl lIE Location; Si C— SWIM ��! ,•.tiT Occupancy" N�n_kasidentia j Applicant: Rr�C �:- c.GT I G .L�'w +'^v el v r J JAN 22 �-- TOWN op QUEENS au ? UILb1NG AND Cp RYA: Equipment: "20, -- Amp , rt V).t: :qui�;n4n �T t �> 4. _ �lJ i11i+Gortif care 3ppltes to tthe eiectriml wiring to Una electf`icsi equipment.ri red oweetrttlp es irx�rated h+nra inull and void. h Unenis �t�9G n the use,c appilas only To the use. or ow cr3r�p 4; abovo and the irwaurtnon inspwated as of the r�,tKivs naosd data tub:ort on b inptC ed abovb trlia COrMeate..hall be 4,nrnedl8a*nail and void. inspec on, No warranty is expressed or itnaGed •a the mocrwioai eafaty.8di- iont the propeentrty i tttu Cenifiaaw boCemea arvaiid based upon tha above conddions, cWicy or fitness of#*.agOPrnent for any p2rtve ar purpose_ Tars Should ttif ele titan this certificate may be revaWat*d upon reinspection by Middfa Department be valid for a prod at one your tmrn trio above notCd data. Stx,utd the e�l9ctrteai lam. An applicX on for inspection rnuet be"bus d to iV We �y system to which this certificate;t oftS W attersd in any way,indud'rrtg but nn ntvt DeInsparanib aY• ed to,iRtt lntroductiarr or addit'sc hal ew=ical cquiPFftanx and/or the rspiacameru ai Depsttm�bnrt Snaisecrian AAenc/,ins to iriitiare the lncpar won and revaJidt�zion arty*f thQ�Wnponenrs in3ttdtats u Cf the obove n*W d810,thin cx�e tclue ZhWl be pt'Ocess, A lea Will be cAargcd for th35�°frnc ` 6 YabD30 Ve Cav\ 1 Z00/900•a 96W s2ssvo MMOU0 6M—£E� 819 WET t00Z,ZZ•XV-[?