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CC-0626-2021 4 ' Office Use Only ADDITION/ALTERATION PERMIT Permit#: Cam"13 ko -W017 25 6__ , APPLICATION Permit Fee:$ 'L• 25 Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net Flood Zone? Y N Reviewed By: Project Location: M SA4 F,®AC> D C E E Tax Map ID#: Subdivision Na AUG 2 3 2021 TOWN OF QUEENSBURY PROJECT INFORMATION: r6 € &031pr7T I L &-. q — LWTO/4/!L / ,A BUILDING& CODES �l �r PrtmaEc-t 2 ANA RiwrRaom 1/s.f'6eRADSS TYPE: Residential X Commercial, Proposed Use: tsrNulr�C�r �N� �r�Cedety _Single-Family —Two-Family _Multi-Family(#of units ) _Townhouse Business Office _Retail _Industrial/Warehouse _Garage (#of cars_) Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 2nd floor: 2"d floor: 3rd floor: 3rd floor: Basement(habitable space): Basement (habitable space): Total sq ft: Total sq ft: 93!r aT 035 Y, 3S' ® zg2•2.S Scope of work to be done: I,.%A-Pow vx Loce '. Got45TjQW T r► 6W wALLS To rARr.49 11ew LA13 IZPowj :- 14 SITRUL �1�5't� ®v�i F it a �x e a�►�- 0��1I S ��1k Ro®,tea NEW M C-NS 8 avb 'T& Be LA'V-4rLErt, WtTl+ #400 1®jVitL, fox-rWzC-f 6 C0J671E(AXT M15W 3)#V(rLL F1y,1' x6 S 'eIf j*DJge_fiHT 'Pa .8A71J1Z00Aa AAeA To 6A11&,oSE. A(ew P1.00121 9G- 7HILem-61 to All A3j4'rgAovpU RAID OFF/Ce /4xeik . Addition/Alteration Application Revised January 2021 1 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ Zlgs 000 2. Source of Heat (circle one): Y, Gas _Oil _Propane _Solar_Other Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? YES X NO Explain: 4. Are there any easements on the property? YES X NO SITE INFORMATION: • Is this a corner lot? _YES NO • Will the grade be changed as a result of the construction? _YES NO • What is the water source? X PUBLIC _PRIVATE WELL • What type of wastewater system is on the parcel? SEWER _PRIVATE SEPTIC DECLARATION: 1. I acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be completed within a 12 month period.Any changes to the approved plans prior to/during construction will require the submittal of amended plans, additional reviews and re-approval. 2: If,for any reason,the building permit application is withdrawn,30%of the fee is 'retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 certify that the application, plans and supporting materials are atrue and a complete statement and/or description of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. 1 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 certificate of occupancy. I have read and agree to the above: PRINT NAME: fAMRr-M q&1aP4& — RweeLt_ ItibloSTRagS SIGNATURE: DATE: Addition/Alteration Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): MAUAS 61ANk 01ELL, INWISIR1LS Mailing Address, C/S/Z:- 13.1i Now Rom . Q mfir. lSiRI& H � N 4 11-904 Cell Phone: r s l9 ) 3�-1,-Zo9�' Land Line: ( S18 ) 7143-JG394 Email: W40%ANbr @ Rote.►. IN b- toM • Primary Owner(s): Name(s): JoSE94 CARICARI — 56ctoN ®ICY-WSON (C.-2. BAftb) % to Mailing Address, C/S/Z: -°19J 13A4 RoAb . I( LAefWSRIAR4 . NW 12SoH Cell Phone: ( 914 ) 474-130T Land Line: ) %'®2 - 2.7A`►2. Email: JOSOM.CRRIC.A&I GO Ibb - CoPA ❑ Check if all work will be performed by property owner only • Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): iMrkRt us Ro�Eu. INDOASTPLIFIS Contractor Trade: &15 J91tAL CoAf72AcTop- Mailing Address, C/S/Z: 92.E PARic IQ®*p . j2&d4; ISBux-V . N`/ IZ$oM Cell Phone: ( 5'/-11 ) 32-1-7-o qS" Land Line: ( 5iS ) 743 - 263N Email: A - t.01V� "Workers' Comp documentation must be submitted with this application" • Architect(s)/Eneineeds): Business Name: FAX9AE .L- ,PARrA1/E1eSHIP J-s-C. Contact Name(s): JAMLIS Fazget-(, Mailing Address, C/S/Z: 38S'- Rowrg 19 Sttt-16 J . ERs7 OR-tw3tyick, AQ 08616 Cell Phone: Land Line: ( 732- ) 2.S'7- r700 Email: Contact Person for Compliance in regards to this project: #1 AP-C.WS "9oWMb- - P02-ELL U004-rlQ/ES , Cell Phone: ( 319 ) 321-200IS' - Land Line: S( 0 ) 793 .2634 Email: My®ctMb e Romru-/Hp - "PA CONSTR%AtTION M1kNh(rFV4P- JT : 'R w0 ZV-iNlf rJ19-EeT Talk I3 5W,-WkVFcL-1N P9,0ALT SER,111-6s INS,. �I1�� �of�l43v.�Kd 43b LReAr OR4 WotJ t stki-fe too H$H - HS!- IS-T (Crtl.) 1=w?®-9 Pik 693y l I Ih1KF-.borA&SKI @ SNCI-AVAL14., Addition/Alteration Application G 1®"S 7 4 - rq 71 ® (011 LF @ Revised January 2021 COMcheck Software Version 4.1.5.3 Interior Lighting Compliance Certificate 4 Project Information Energy Code: 2020 NYStretch Energy Code-90.1 (2016)Standard FILE ��P i Project Title:, BD 6� Queensbury G Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor: 289 Bay Road Joe Caricari James T. Farrell,A.I:A Queensbury,NY 12804 Becton Dickinson Farrell-Partnership 289 Bay Road - 385 Route'18,Suite J Glen Falls,NY 12804 East Brunswic&,NJ 08816 518-502-2272 848-209-1685 joseph.caricari@bd.com jfarrell@farrellpartnership.com Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 (B X C) 1-Bathroom/Office Renovation(Office) 467 0.69 322 Total Allowed Watts= 322 Proposed Interior Lighting Power A B C D E Fixture ID:Description/Lamp/Wattage-Per Lamp/Ballast Lamps/ #of Fixture (C X D), Fixture Fixtures Watt. Bathroom/Office Renovation(Office 467 sq ff) LED 1:LED Other Fixture Unit 28W: 1 7 32 P-24 LED 2:LED Other Fixture Unit 25W: 1 2 26 52 Total Proposed Watts= 276 i Interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2020 NYStretch Energy Code-,90.1,(2016)Standard requirements in COMcheck Version 4.1.5.3 and to comply with any applicable mandatory requirements listMthection Checklist. ITIi H A-LAia0 PE 6W 4-SV5V5 S-�AW� 0 Z 5 ?Pzl Name-Title Signature_ Date OF``� NE`l, FOR REv1-WED C c� ' *' �• MP�lp`� + N�RGY C�DE Z�•� •� per=.•102878 RQ'••......••' Project Title: BD Queensbury Report date: 08/25/21 - Data filename: C:\Usersyoe Stillman\Desktop\BD Queensbury Lighting Comcheck.cck Page 1 of 5 .nCOMcheck Software Version 4.1.5.3 Inspection Checklist 8/1 Energy Code: 2020 NYStretch Energy Code - 90.1 (2016) Standard Requirements: 0.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. Section # Plan Review Complies? Comments/Assumptions & Re .ID 4.2.2, ;Plans,specifications, and/or i❑Complies 9.4.3,9.7 :calculations provide all information ;❑Does Not (PR4]1 ;with which compliance can be determined for the interior lighting ;❑Not.Observable :and electrical systems and equipment ❑Not Applicable ; ;and document where exceptions to p ;the standard are claimed. Information ; :provided should include interior ;lighting power calculations,wattage of; bulbs and ballasts,transformers and I control devices. Additional Comments/Assumptions: 1 High Impact(Tier 1) _ 2 Medium Impact(Tier 2) 3 1 Low-impact(Tier 3) Project Title: BD Queensbury Report date: 08/25/21 Data filename: C:\UsersVoe Stillman\Desktop\BD Queensbury Lighting Comcheck.cck Page 2 of 5 . 1 Section # Rough-In Electrical Inspection Complies? Comments/Assumptions &Req.ID 9.4.1.1 ;Automatic control requirements ;❑Complies [EL1]2 !prescribed'in Table 9.6.1,for the :❑Does Not ;appropriate space type,are installed. 1❑Not Observable (Mandatory lighting controls(labeled ;❑Not Applicable ;as'REQ')and optional choice controls PP i ;(labeled as'ADD1'and'ADD2')are implemented. 9.4.1.1 ;Independent lighting controls installed ;❑Complies [EL2]2 :per approved lighting plans and all :E]Does Not ;manual controls readily accessible and; ; ;visible to occupants. UNot Observable; ;❑Not Applicable ; 9.4.1.1f :Daylight areas under skylights and ;❑Complies [EL13]1 :roof monitors that have more than ;❑Does Not 150 W combined input power for (general lighting are controlled by []Not Observable �photocontrols. ;❑Not Applicable ; 9.4.1.3 ;Separate lighting control devices for ;❑Complies [EL4]1 specific uses installed per approved :❑Does Not ,lighting plans: ❑Not Observable 1 ❑Not Applicable 9.6.2 ;Additional interior lighting power I❑Complies [EL8]1 allowed for special functions per the ;❑Does Not ;approved lighting plans and is ❑Not Observable; ;automatically controlled and :separated from general lighting. ;❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13.1 Low Impact(Tier 3) Project Title: BD Queensbury Report date: 08/25/21 Data filename: C:\UsersVoe Stillman\Desktop\BD Queensbury Lighting Comcheck.cck Page 3 of 5 Section # Final Inspection Complies? Comments/Assumptions &Re .ID 8.7.1 Furnished as-built drawings for ;❑Complies [FI16]3 !electric power systems within 30 days :❑Does Not 'of system acceptance. ; ,❑Not Observable: !❑Not Applicable 8.7.2 Furnished O&M instructions for ;❑Complies [FI17]3 systems and equipment to the !❑Does Not building owner or designated. ;❑Not Observable representative. ;❑Not Applicable ; 9.2.2.3 ;Interior installed lamp and fixture ;❑Complies ;See the Interior Lighting fixture schedule for values. [FI18]1 lighting power is consistent with what :❑Does Not ;is shown on the approved lighting • ; ;plans, demonstrating proposed watts ;❑Not Observable !are less than or equal to allowed ❑Not Applicable watts. 9.4.4 ;At least 75%of all permanently ;❑Complies ; [F120]1 !installed lighting fixtures in dwelling !❑Does Not units have>= 55 Im/W efficacy or a ; >=45 Im/W total luminaire efficacy. ;❑Not Observable! ;E]Not Applicable ; Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: BD Queensbury Report date: 08/25/21 Data filename: C:\Users\loe Sti lima n\Desktop\B D Queensbury Lighting Comcheck.cck Page 4 of 5 Project Title: BD Queensbury Report date: 08/25/21 Data filename: C:\Users)joe Stillman\Desktop\BD Queensbury Lighting Comcheck.cck Page 5 of 5 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW FILE Copy Becton, Dickinson & Company- CR Bard (ADA restroom upgrade & Lab) 289 Bay Road, Bldg 4 Y CC-0626-2021 ' ' A 0 BE N PF'OJ SI ALTA S © TION CONSTRUC ION 8/25/21 The following comments based on review of the submitted plans: 1) Verify existing Fire Extinguisher. inspection & locations. 2) Locks & latches shall comply with 2020 NYSFC. 3) Verify existing CO detection. 4) Verify operation existing/new Exit & Emergency lights. 5) Provide NFPA13 letter for sprinkler modifications. 6) Provide NFPA72 letter for fire alarm modifications. d'K7 7�- Deputy Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Marshal 's Office ■ Phone: 518-761-8206 Fax: 518-745-4437 -flremarshal@queensburj.net - MVIV.queensbury.net �G 75 Carey Rd. Suite.# 1,.Queensbury, , NY 12804 www.fireteksprinkler.com Phone: 518-244-3772 10/28/21 Rozell Industries 129 Park Rd. Queensbury,NY 12804 Attn: Marcus Young RE: BD Building#4 289 Bay Rd. Glens Falls,NY 12801 Marcus, The alteration of the wet fire sprinkler system, at the above address, has been completed. The alteration to the best of my knowledge.conforms to NFPA 13 and IBC Chapter 9 Installation of Fire Protection Systems standards. The fire sprinkler system is on and operational. Should you have any questions or concerns, please do not hesitate to contact us. Sincerely, 144 Bob Wood Vice President • SECURITYALARMS 14M YORK FIRE EXTINGUISHERS ' • FIRE ALARMS • CLEAN AGENT SYSTEMS • WATER DETECTION • CO2 SYSTEMS • CCTV SYSTEMS RESTAURANT HOOD BDUCT • CARD ACCESS SYSTEMS PRE-ENGINEERED SYSTEMS • ALARM MONITORING • EXTINGUISHER CABINETS FIRE 6"ECOUcRITY • INTERCOM SYSTEMS FIRE HOSE&FITTINGS TEMPERATURE ALARMS 4 GLENS FALLS TECHNICAL PARK,GLENS FALLS,NEWYORK 12801-3802 ' SAFETY EQUIPMENT SPRINKLER MONITORING • FIRETRAINING NYS LIC.#12000076894 PHONE(518)798-9551 FAX(518)792-5199 December 3, 2021 RE: BD, 284 Bay Road Queensbury, NY 12804 To whom it may concern, This is to advise that New York Fire and Security has recently modified the existing fire alarm system at BD, 284 Bay Road Queensbury, NY 12804 to include three new ceiling-mounted horn strobes two-strobes and one smoke detector. In the remodeled portion of building 5 New York Fire & Security installed three ceiling- mounted strobe horns and re-enabled the previously covered smoke detectors due to construction. In building 4, New York Fire & Security installed two new strobes one in each of the restrooms as well as a smoke detector in the new restroom. One new horn strobe was installed in the hallway and a smoke detector was re-enabled in the existing restroom. The installation and the testing of which, were performed in accordance with NFPA 72 and the Fire Prevention Code of New York State and its reference standards. This facility is monitored by a 24 Hour UL. Listed Central Station Service. If you have any questions, or if I can provide any further assistance in this matter, please feel free to call 798-9551. Yours in Service, Vice President Seawn Eggleston SYSTEM RECORD OF COMPLETION This form is to be completed by the system:installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets,data,or calculations as necessary to provide a complete record. Form Completion Date: December 2,2021 Supplemental Pages Attached: N/A 1. PROPERTY INFORMATION Name of property: BD Address: 284 Bay Road Queensbury,NY 12804 Description of property: Medical Manufacturing Name of property representative: Joe Caricad i Address: 284 Bay Road Queensbury,NY 12804 Phone: 518-793-2531 Fax: N/A E-mail: N/A 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: New York Fire&Security Address: 4 Glens Falls Technical Park Glens Falls,NY 12801 Phone: (518)798-9551 Fax: (518)792-5199 E-mail: seawn.eggleston@nyfire.biz Service organization: New York Fire&Security Address: 4 Glens Falls Technical Park Glens Falls,NY 12801 Phone: (518)798-9551 Fax: (518)792-5199 E-mail: seawn.eggleston@nyrtre.biz Testing organization: New York Fire&Security Address: 4 Glens Falls Technical Park Glens Falls,NY 12801 Phone: (518)798-9551 Fax: (518)792-5199 E-mail: seawn.eggleston@nyftre.biz Effective date for test and inspection contract: N/A Monitoring organization: Emergency 24 Address: 999 East Touhy Des Plaines,IL 60018 Phone: 1.800.800.3624 , Fax: NIA E-mail: N/A Account number: 133031 Phone line 1: N/A Phone line 2: N/A Means of transmission: Cell/Internet Entity to which alarms are retransmitted: Cell/lntemet Phone: N/A 3. DOCUMENTATION On-site location of the required record documents and site-specific software: Maintance Shop 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ❑New system ID Modification to existing system Permit number. N/A NFPA 72 edition: 2013 4.1 Control Unit Manufacturer: Silent Kinght Model number: 5820XL 4.2 Sofhvare and Firmware Firmware revision number: N/A 4.3 Alarm Verification ®This system does not incorporate alarm verification. Number of devices subject to alarm verification: NIA Alarm verification set for N/A seconds Copyright©2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p.1 of 3) SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 121.1 Control panel amps: 6 amps Overcurrent protection: Type: Breaker Amps: 20 Amps Branch circuit disconnecting means location: Breaker box located in Number: circuit#7 mechanical room 5.1.2 Secondary Power Type of secondary power: Sealed lead-acid Location,if remote from the plant: N/A Calculated capacity of secondary power to drive the system: , In standby mode(hours): 24 In alarm mode(minutes): 5 5.2 Control Unit ® This system does not have power extender panels ❑ Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line N/A N/A Class B EOL Device Power N/A N/A AC NIA Initiating Device N/A N/A Class B EOL Notification Appliance N/A N/A Class B EOL Other(specify): 7. REMOTE ANNUNCIATORS Type Location N/A N/A N/A N/A 8. INITIATING DEVICES Addressable or Type Quantity Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations N/A N/A N/A N/A Smoke Detectors 1 Addressable Alarm Photoelectric Duct Smoke Detectors N/A N/A N/A N/A Heat Detectors N/A N/A N/A NIA Gas Detectors NIA NIA N/A NIA Waterflow Switches N/A N/A NIA N/A Tamper Switches N/A N/A NIA N/A Copyright©2012 National Fire Protection Association.This form maybe copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (p.2 of 3) SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible NIA N/A Visible 2 System Sensor Strobes(Bathrooms Bldg.4) Combination Audible and Visible 3 1 System Sensor Ceiling Strobe/Horn(Bldg.5) 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices N/A HVAC Shutdown NIA Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt Trip N/A 11. INTERCONNECTED SYSTEMS ® This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system��specified herein has been installed according to all NFPA standards cited herein. Signed: -,�,,, o f f., y, Printed name: Seawn Eggleston Date: 12/2121 Organization: New York ire&Security Title: Vice President Phone: (518)798-9551 12.2 System Operational Test This system�gs specified erein has tested according to all NFPA standards cited herein. Signed: �- 1, ;2 - ,., Printed name: Seawn Eggleston Date: 12/2/21 0—�17 Organization: New York Fire&Security Title: Vice President Phone: (518)798-9551 123 Acceptance Test Date and time of acceptance test: 12/2/21 11:00am Installing contractor representative: Nathan Krusko Testing contractor representative: Nathan Krusko Property representative: Joe Caricari AHJ representative: Mike Palmer Copyright 02012 National Fire Protection Association.This form maybe copied for Individual use other than for resale.It may not be copied for commercial sale or distribution. (p.3 of 3)