2003-634 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CE1111.111IFICATEOF OCCUPANCY
Permit Number:- P20030634. Date Issued: Friday, October 17,2003
q :: P2
This.is�,to certi that--work.re uested.to be-done as shown b Permit Number
0030634_.. _
has been.coinpleted,
Tax Map Number: 523400-303.005-0001.086-000.0000
Location: 360 QUAKER Rd
Owner: NORHTGATE ENTERPRISES INC
Applicant: CRAIG CHIROPRACTIC
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Director of Building&Coe Enfor ement
TOWN OF QUEENSBURY
/4
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030634 Application Number- A20030634
Tax Map No: 523400-303-005-0001-086-000-0000
Permission is hereby granted to: CRAICICT-TTROPRACTM
For property located at: 360 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. T-
Ype of Construction Value
Owner Address: NORHTGATE ENTERPRISES INC
PO BOX 4514 Commercial Alteration $1,500.00
Total Value $1,500.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-634 CRAIG CHIROPRACTIC
COMMERCIAL ALTERATION AS PER APPLICATION
(in the*former Prudential Office space)
$50.00 PERMIT FEE PAID-THIS PERMrr EXPIRES: Wednesday,August 11,2004
(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 Town bury Mond y,August 11, 2003
SIGNED BY Mel for the Town of Queensbury.
Director of Building&GVe'Enf Nzernent
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.'�
No inspection will be made until applicant has received a Fee Paid $ �r�p
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By
application form.
Applicant: A) 11 t Q 1;- C'fxt a`5 Owner: C h-' --
Address: 3S S MLA eetz-- Address: L-1sr44-7e .
Phone#(519 ) -7;,? - /t! 1 a Fit cC Phone#{_) -_ {y G g 4 2D03
c
Property Location: Lot Number: ! House Number / O AND GODS
n �'
Subdivision Name: Tax Map Number: -
36
0 New Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial If an Addition,what will use of new addition lie?
"ifs] Alteration: residence/<s` nerd
0 No change to exterior size: residence/com'l
❑ Other work(describe )
Check OecupancyInformation 1" Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
"m Office 5,77
❑ Mercantile
❑ Manufacturin
0 1 car detached garage
❑ 2 car detached garage _
0 3 car detached garage
0 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
0 Storage building-
commercial
❑ Storage building-
residentiai
❑ Other �.
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Beating System: electric/ oil / gas I wood /forced hot air/ baseboard/other:
Number of E-Ireniaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
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 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 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 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 AN Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: R owner,owner's agent architect,contractor
Commercial Final,Inspection Report
Office No.: (518) 761-8256 Date Inspection r'eque c d:
";P�
Queensbury Building&Code Enforcement Arrive: a In D eipart: (> a
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
NAME: PERMI
LOCATION: DATE:V
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 1111
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if reqwired
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.
Y4Hour 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
'T-Tanrliq�ed B�a /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
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by,20' /Driveable Surface 201 wide
Oka y To Issue T
Okay To Issue CIC
Last printed 6/3/2003 9:27 AML:\PamW\Build1ng&Codes\Commercial Final Inspection Report.doe
Town of Queensbury
Fire Marshal's Office
742 Bay Read S
Queensbury, NY 12804
Phone(518)761-8205 Fax(518) 745-4437
Fire Mi p�rshallls Inspection Report
Request SCHEDULE
Received: Permit# - _ INSPECTION ON.
Name; � PM
Location:C��t i`tiD
APPROVED
N 1A YES NO COMMENTS
AISLE WIDTH
EXIT SIGNS-NORMAL �L�
- - BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM COP
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES .V
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO SEATING
UNITS
CIX_A_ LECTRICAL
REQUIRED SIGNAGE
MAXIMUM
EMERGENCY
PLAN
M
MAXIMUM OCCUPANCY sfGN -_--
CHIMNEY
MASONRY ROUGH IN ( �
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE* ROUGH IN
FINAL
VENTED GAS
-APPLIANCE ROUGH IN
FINAL
REPLACE
MASONRY ROUGH IN OK THIS OA.TE FO CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSP
FINAL
_ COIViDSW+CHRIS,ifiSU'ORDPI.ETTEIRs2001/FiREMARSHALINSPIECTIONREITORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,
Main Ofte 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL �
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The conditions following governed the issuance of this certificate, and any certificate previously issued ill
cancelled:
This certificate only covers the electrical equipment and installation conditions as of date, Upon th(
introduction of additional equipment or alterations, application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin 1 ections at any time, and if it(,
rules are violated, the Company shall have the righpty oke this icatei
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MamhAr N.R.p_d__ 1.All
71 Town of Queensbury
Fire Marshal's Office
742 Say Road 'iihS
Queensberry! NY 12804
Phone (518)M-8205 Fax(518) 745-4437
Fire Marshalls Inspection Report
Request SCHE®TILE
Received: Permit# INSPECTION QN: � ��
Name: �AI - i�0 °� �� Q0 AM PM ANYTIME
Location:
A ED
_ NIA YES NO ®MMENTS
EXITS xj
AISLE WIDTHS 4__ -' �� a Q 51 , �°" (!� �'-•
EXIT SIGNS-NORMAL r
- BATTERY
EMERGENCY LIGHTING T Q, �,�1,�'In� U�,l lvq lq-w 0,1+
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM r a
HOOD INSTALLATION d C11 y n
INTERIOR FINISHES
STORAGE _ _._
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATIIvt3
UNITS �� 1 �' �l a,
CLEARANCE TO ELECTRICAL
RECEUIRE®SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY Ag e,('4..jmtt4 be affvovej.
MASONRY ROUGH III
FILIAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE' ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS ®,ATE FORS Ht�T OK
R
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPE EIS BY
FINAL
_ COMD EV/CHRISJANOF81)/LETTERS2001AFIREMARSHALINS 'ECTIONREPOH2TI1022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection reque§ir*9eived-
Queensbury Building&Code Enforcement Arrive: a in /De a -pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTUR5-
Y IN N/A COMMENTS
Ming
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stair-wells 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 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 V2inch or 518 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:\Stieliemingway\Buildin.-.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003