2002-057 TOWN OF OUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
CER`.1'IFjrXTE OF OCCUPANCY
Permit Number: P20020057 Date Issued: Friday,March 01,2002
This is to certify that work requested to be done as shown by Permit Number P20020057
has been completed.
Tax Map Number: 523400-296-016-0001-016-002-0000
Location: 17 CRONIN Rd
Owner: JBJ QUEENSBURY LLC
Applicant: MOSELLE&CLARK CHIROPRACTIC
This structure may be occupied as a:
By Order of Town Board
Commercial.Alteration TOWN OF QUEENSBURY-
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020057 Application Number: A20020057
Tax Map No: 523400-296'0 16-0001-016-002-0000
Permission is,hereby granted to: MOSELLE&CLARK CHIROPRACTIC
For property located at: 17 CRONIN 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 Value
of Construction
Owner Address: JBJ QUEENSBURY LLC Commercial Alteration 36,000.00
8!TOBEY Rd
Total Value 36,000.00
PJTTSFORD,NY 14534
Contractor or Builder's Name f Address Electrical Inspection Agency
Plans &Specifications
2002-057 MOSELLLE& CLARK CHIROPRACTIC
1700 SQ FT,COMA,4ERCIAL INTERIOR ALTERATION AS PER APPLICATION
$204.00 . PERMIT FEE RAID - THIS PERMIT EXPIRES: Thursday,January 30,2003
(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 To of Quee- 11sbury, Wednesday,January 30,2002
110�10' " V SIGNED BY (' // for the Town of Queensbury.
Director of Buildirlmc%Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518}761-8256
-1 7
A permit must b-e obtained before beginning construction. Permit File No.<D00cX—
No inspection will be made until applicant has received a Fee Paid i�Lt�- *ID
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By:
application form.
wi
Applicant: Owner:'-T-4—
'Address: Address: =isu
Phone#(�j�) -24S- exn4 Phone#(�)e> )-74-S- 12,1
Property Location: Lot Number: House Number
Subdivision Name: Tax Map Number:. &LO,-a
C1 New Building- residence /commercial Estimated Market Value of Construction: $ SG,
0 Addition: residence/ commercial
an Addition,what will use of new addition be?
Alteration: residence/ commer"c a '
i 0 No change to exterior size: residence co
E3 Other work(de scribe
Check Occupancylnformation is`Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
(a Single family dwelling
ca Two family dwellig
U Townhouse
U Multifamily dwelling
#of units
Office 'Joe!,
Mercantile
0 Manufacturina
0 1 car detached garage J A,fq :4
u , 2 car detached garage
u , 3 car detached garage rowl",01:C,t
C31 I car attached garage
0 2 car attached garage
C, 3 car attached garage
C3 Storage building-
commercial
0 Storage building
residential
a Other
What is the proposed height of the structure feet (-p Inch"
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas wood /Iforced hot air -b-Aeboard other:
Number of Fireplaces to be installed
-,_---INumber of Woodstoves to-be installed
List below the persons)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician -7 ZA -Y4 t5 - :S 4:�+
A -1
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 line and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zonis Ordinance and all other laws pertaining to the proposed work shall be complied
c'oom 7
with,whether specified r noted,and that h work is authorized by the owner. Further,it is understood that Uwe shall
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submit prior to a Ce� cate of Occupancy r Certificate of Compliance being issued,as requested by the Zoning
.Z
ecf Z
Administr tgr or D 7 or of Building:,"Md?fodes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
at location of, 11 ne ns
Si,natur owner,owner's agent,architect,contractor
F=IF;ZF= MAT,wS"^L-
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(=lUaar-1,'SE3UF2-Y-. P4-V- I2804
(518) 7151 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RMEIVCE> D PERMIT -0
NAME
LOCATION
SCHEDULE INSPECTION ON
==,g .�M M ANYTIME
APPF;ZC3VF=D
N/Pk, YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
1A, T%n rA
FIRE EXTJNC3UlSHEP
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
EM
FIRE SUPPRESSION S-Y-ST00--- -Z
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPF:ZINKLEP,,S
CLEARANCE--rd HEATING; UNITS
REQUIRED Sit,-3NA<3E -drAMA
CHIMNEY
WOOFS- STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: F-1 OK TO THIS DATE
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fCOMMONWEALTH ELECTRICAL INSPECTION SERVICE, INS
* Main Office 176 Doe Run Road- Manheim PA 17545
MUNIOPAL CERTIFICATE w ELECTRICAL APPROVAL
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In8tallition Consisting of.
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The conditions following governed the issuance of this certificate, and any certificate previously issue i
cancelled;
This certificate only covers the electrical equipment and installation conditions as of dater Upon th(
introduction of additional equipment or alterations, application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections y ins ections at an time, and if it,�
rules are violated, the Company shall have the right to revoke this certificate,
Date far INSPECTOR
66 le t b i f/ b IE Nil IiMNib�ifeH bd l!}4�irrt
COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:
Office No. (518)761-8256
(Dept.of Community(Development ,,_
Town of Queensbury Arriv�ant(y impart
742 Bay Road Inspector's Initi
Queensbury,NY 12804
NAME �. �11_E- PERMIT#
LOCATION DATE 3-1-0-7—
TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney1"B"VoWDired Vent location
Phrmbing Vent.
Roof Complete
Exterior finish grade complete
hiterior/exterior guardrails 42 in.platform/decks
16crior/extesior ballasters 4 in.spacingplatform/deeks
Stairhandrai134 in.-38 in.
Step risers 7 3i;in.
Main door 44 in.
All others 36 in.
l..ever handles
Exits at grade or pl orm
Canopy to cover req. doors
Gras valve shut-off exp ®al or
(1aabov.egm.
Floor bathroom wateeti
Ocher floors okay
Hot water relief valve
Boiler/fumace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 B 's(1 hour)
>1,000,000 BTU's(2 hour)
Gras furnace shut off within 30 or i thin line of site
Oil furnace shut off at entrance to furnal area
Stodcroorn enclosure(1 hour),314 hour
Storage/receiving/shipping room(2 hour 1 1/2doors
1 i/z hour doors and closers 11
14 hour corridor doors and closers
FirewalIs/fire separation,2 hour,-3 hour complete
Fire dampers,2 hour fire wall/separation or eater
Fire door/shutters 1 1/2,hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan j
Exit door/panic bars assembly hardware_. _„_
Elevators i
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space
Final Electrical
Site PlanNariance required
Final Survey,new structures
.As-buih septic system layout required
Okay to issue temp.C/O(Certif.of Oc upancy)
Okay to issue permanent C/O(Certif:of Oc pancy)
Okay to issue C/C(Certif.of Compliance)
S
1
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time.:
Dept. of Community Development Request received: Meet:
,Building& Code.Enforcement At time:
742 Bay Road .
Queensbury, AT 12804 ARRI a RT a Notes:
(518) 761-8256 ; Inspector's Initials
NAME: PERMIT# CQ
LOCATION: INSPECT ON(date): �/
�r S'
--
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place
The contractor is resp risible
providing protection -om freezi g
for 48 hours followin the place ent
of the concrete.
Materials for this purposeon site- _,-- --
Foundation/Wallpour 1 -
Reinforcement in Place /
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior Rt
1
Foundation Walls Exterior RFloors R-
Walls R-
C
eiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging '
Joist Hangers
Jack Posts/Main Beani
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire a 3,4 hour
Firestopping
L:\SueHemingway\3uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Offlee Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town o Queensbury
�f
Dept. of Community Development Request received:
Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuiy, NY 12804 ARRIVE m- .7P Tf6-p faml Notes:
,
(518) 761-8256 Inspector's Initials
NAME: --rK e- PERMIT#od "-% ,
LOCATION: INSPECT ON ate)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site—
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_ Y
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
(2Do Ig�Iumb
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R—
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Main Beam
it Infiltration Barrier
Fire Separation 1,2,3,hour t oy-\
PeneitratioSpled
r
Firestopp*ulg-------------------L—I
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L.-\SueHemingway\Building.Codes.Inspection.FORrvfS\GENERAL INSPECTION REP
GENERAL INSPECTION REPORT
( 518 ) 761•-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Depa a
Inspector's In
NAME: PERMIT# -0 ` 7
LOCATION: DATE :
TYPE OF STR TURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers E
Monolithic Pour Form
Reinforcement in PI cc
The contractor is esponsib a for
providing protect on from f eezing
for 48 hours folio ving the lacement
of the concrete.
Materials for this pu se on site
Foundation/Wallpour
Reinforcement in Play'
Foundadon/Dampproo- g
Backfill Approval
Plumbing UnderSI
Plumbing Vent/Vents in Mace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls InterioV-
CeilingFoundation Walls ExteriFloors
Walls Duct work or piping in
unheated spaces
Pro Vent,Attic Vent
r ng i AV
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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TOWN OF QUEENSBURY
FIRE MARSH FFICE
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REVIEWED BY
DATE
C 0pYiW,' '-,N
TOWN OF QUEENSBURY FIRE MARSHAL
Based on our limited examination,
compliance with our comments shall
not be construed as indicating,
TOWN OF QULcENSSURY
BUILDING
REVIEWSC) By DEPT.
DATE I I =2t
FILE COPY
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KRAFT PAPER INS U BE
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BY A 15 MINUTE THERMAL BARRIER
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law r *14id
A minimum of Fire Extinguishers N 0 T C E ra 61 a
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W-r , IV, � SIS:-z—
with a minimum rating of
must be properly tested and installed LEVER HANDLES REQUIRED'"
prior to occupancy. ON ALL PA,"AGE DOORS
WHETHER INTERIOR ORpAcE S
EXTERIOR DOORS
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