2001-556 1 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010556 Date Issued:. Tuesday, November 12, 2002
This is to certify that work requested to be done as shown by Permit Number P20010556
has been completed.
Tax Map Number: 523400-302-009-0001-029-000-0000
Location: AVIATION Rd
efK
Owner: GLENS FALLS INN ASSOCIATES, L.P.
Applicant: INDEPENDENT WIRELESS-SPRINT PCS
This structure may be occupied as a:
By Order of Town Board
Commercial Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
1
_�` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201..
Wit*y
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010556 Application Number: A20010556
Tax Map No: 523400-302-009-0001-029-000-0000
Permission is hereby granted to: INDEPENDENT WIRELESS-SPRINT PCS
For property located at: AVIATION 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. Type of Construction Value
Owner Address: GLENS FALLS INN ASSOCIATES,] Commercial Addition 100,000.00
PO BOX 269 Total Value 100,000.00.
ROME,NY 13440
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-556 INDEPENDENT WIRELESS-SPRINT PCS
20 X 20 COMMERCIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$100.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,July 30,2002
(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 Queen ury ,July 30,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Building Permit Application
Town of Quccnsbury-Dcpt of Community Development, 742 Bay Road,Quecnsbury,NY ,
018)761-8256..
��,�� ' •
. - . A permit must be obtained before beginning construction.• Permit File No �t3� L ® 2Qo1
No'inspection:.will be made until applicant has received a Fee Paid $
valid tiiiilding jicrniit: 'All'applicanls' spaces on this Itcc. I�cc Paid $.
application must be completed and must appear on the Reviewed 13y -TOWN-OF QUEF�ISBUAV
application form. • BUILDING AND CODE._ ,
1 r. ' �I.
Applicant:, kiViit'EaJ .W1Qf 1.144 VW. Owner: R.a cN .�- 1C11t' bp .6.14-6„`Sk, .. ..
.1)T •
Address: Z-9-- i 1bN Ni ikT'. Address: A4G
' ttl t3r►�f I.'NI • l7-2•O l - . (1t w �Ws . Nk
'Phone# 51g - ZS l li' `' Phony# - /!lei --' Na.{
ZI gL -S„a,:, . . , . U1/4141-0 ' ' . • . •-• ,
• Property Location: Lot Number: : / House Ntt>it • / .
Subdivision Name: • - Tax Map Number: 35o? , 9=/-, --9 • ,
❑ New Building: residence /commercial Estimated Market Value of Construction: $ /d ll?T •
l - -Addition: residence./ ► • ` ,
If an Addition, what will use of new addition bet
❑ Alteration: residence/ commercial
❑ No change to exterior sife: residence/com'l C 14I
o Other work(describe 1�C�/1�'hcN t�xl1 v.-C `�
Check OccupancyInformation I" Floor 21"!Floor, Other floor Total
Below sq. ft. sq. It. sq. I•t. -Square Feel
: f ❑ Single family dwelling ,
❑ Two family dwelling
❑ Townhouse .
o Multifamily dwelling
#of units • •
. ❑ Office
o Mercantile •
❑ Manufacturing
' ❑ I car detached garage . '
CT 2 car detached garage
o • 3 car detached garage '
• ❑ 1 car attached garage
•
❑ 2 car attached garage
•
- ❑ 3 car attached garage
u Storage building- — -- .
commercial
❑� Storage building- --- ----_-------
' residential
• ❑ Other 7.0 )( Ce PoJe ,•
Will any second-hand or ungraded lumber be used? If so, for what? t l°
Type of hleating System: electric./ oil. / gas/wood /forced hot air I' baseboard/other: U LO lVe •
--=- Number of-Fireplaces,to be installed.----- - Number of.Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
t e Iccoudc
Ad Phone Number
Builder. �, Ki-ek, si �ig
Plumber
Mason �22��
' Electrician r -
Dcclnratiol: please sign below after you have Carefully read the statement: •
'1'o the best of my knowledge the statements contained in this application,together with the plans and specifications .
submitted,arc a true and complete statement of all proposed work to be done on the described premises and.that-all -
provisions of the Building Code,,th e 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 I)'• ctor of 13 adding and Coe • an its Buhl Saner by a licensed.surveyor;drawn to scale,showing actual
local' I of al n % attstructio 1.
/(
Signature: (/'\ CI. owner,owner's a' architect,contractor
TOWN OF QUEENSBURY
eat}' r4, BUILDING & CODE ENFORCEMENT
": 1- 742 BAY ROAD
-;% QUEENSBURY NY 12804
'. }� r<ti;'n?:` (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:NAME C J \). )t,c- Le S
LOCATION
DAT4 PERMI #
• TYPE OF STRUCTURE
FOOTINGS __BACKFILL_ FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH _
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ECTRICAL
• SI LAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
- O j 97 2- 6
FINAL — COMMERCIAL INSPECTION REPORT 4/,4,, : 302,
Request received:
Office Use
Town of Queensbuty (518) 761-8256 ARRIVE AK curt/0curt/0 DEPART22O am/ m
742 Bay Road Ready at time:
Queensbuiy, NY 12804 Inspector's Initials e p pt l
,l1
Meet:
NAME J'bV v Opho C/Q _hh AC/i /ca /Oc? PERMIT# 200/— S At time:
LOCATION 40144 f/Wi'- 1i/1 1 /
TYPE OF STRUCTURE ( /1P owe!, INSPECT ON(date): / Notes:
N/A YES NO
• Chimney/"B"Vent/Direct Vent location
•
Plumbing Vent
Roof Complete COMMENTS
▪ Exterior finish grade complete
Interior/exterior guardrails 42 in.platform/decks � &d /2-200/ GC . e,
Interior/exterior balusters 4 in. spacing platform/decks ��`�
\\\
Stair handrail 34 in. -38 in.
Step risers 7%in. Cj/f as o/� ri1(/e j//� m d-c-4
Main door 44 in. y/
All others 36 in.
Lever handles
Exits at grade or platform
Canopy to cover req. exit doors
Gas valve shut-off exposed®ulator(18 in.) above grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft. or within line of site
Oil furnace shut off at entrance to furnace area
Stockroom enclosure(1 hour),%hour door
Storage/receiving/shipping room(2 hour), 1 %2 doors
1 '/2 hour doors and closers
%hour corridor doors and closers \�
Firewalls/fire separation,2 hour,3-hour complete
Fire dampers,2-hour fire wall/separation or greater
Fire door/shutters 1 '/2 hour,3 hour •
• Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
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 Plan/Variance required
Final Survey,new structures
As-built septic system layout required
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no
Okay to issue PERMANENT C/O—Certificate of Occupancy yes no
Okay to issue C/C—Certificate of Compliance yes no
FINAL — COMMERCIAL INSPECTION REPORT
Request received: :217/ -Z
lJ Office Use
Town of Queensbury (518) 761-8256 ARRIVE 3: am/40 T
DEPART am m
742 Bay Road Ready at time:
Queensbuiy, NY 12804 Inspector's Initials e 6F
�? ® ]� Meet:
NAME WO ifOmQ A 21 7JI 0i ie PERMIT# 2001-- 5Jr6 At time:
LOCATION va6" o 7cc _T=g 2/742
l� lD�
TYPE OF STRUCTURE Ce/ TAW.- .S a/ o fe INSPECT ON(date): / / Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location /�f
r Plumbing Vent Site / I�� �� _�D
Roof Complete COMMENTS
Exterior finish grade complete
Interior/exterior guardrails 42 in.platfoun/decks 4A-141
Interior/exterior balusters 4 in. spacing platform/decksre,/
Stair handrail 34 in. -38 n.
Step risers 7%in. j ,� ���
Main door 44 in. 7/L4,w_ J LCr���'v vL)
All others ��
handles L 36 in.Lever ® t� 4-3 ` / p .
Lever
Exits at grade or platform r161/&
Canopy to cover req. exit Dors " �
Gas valve shut-off exposed r regu for(18 in.)above grade9-44O L 1t4 d CI
Floor bathroom watertight
Other floors okay Ce J` ' C LG�Ze,a2!/
6
Hot water relief valve /
Boiler/furnace enclosure Ceil'Y ,
<250,000 BTU. 1C �G �- Q -1`o .-ivy
250,000 BTU to 1,000,000 BTU's(1 hour) 4/1 L t�Y
>1,000,000 BTU's(2 hour) ' u—e_ 4, " "' i
.Y4 ry,...ei
Gas furnace shut off within 30 ft. o within line of site
/1°41
Oil furnace shut off at entrance to ace area
Stockroom enclosure(1 hour),3/4 h ur door a
Storage/receiving/shipping room(2 hour), 1 %2 doors / a%
1 %2 hour doors and closers Cd t, -#3 t A �l4_ / ,
%hour corridor doors and closers y �l-� t SCE
Firewalls/fire separation,2 hour,3- our complete JUs�" To it if I ei/ma. `f(/-(9 (//e ,f`
Fire dampers,2-hour fire wall/separ tion or greater ) �/ ) T 1
Fire door/shutters 1 'Y2 hour,3 hour ,yCC //
gt tad -6Wed^ S-(al,/761 (b/144 a 't!aq
Ceiling fire stopping 3,000/5,000 sq. ft. y,/
Fan shutdown,smoke vents or fan %jCJ/ Clbl l r �rj�r°,2eI 710 n/ AExit door/panic bars assembly hardware J 4
Elevators QlLCI e,0 c7-yt�ca-a#
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage — 2'4_ Ab7 / - .e� ce
Handicapped service counters 34 in.,checkout 36 in. e
Handicapped ramp/handrails continuous/ 12 in.beyond / 3 x /D aPL 1 Qi..61
Active listening system and signage assembly space
^
fFinal Electrical /�'� 4/Liz2-444 .rL(2
V Site PlanNariance required
Final Survey,new structures � --P �`d /M0_61 ,
As built septic system layout required X lee 4 0,GU`0'
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes - no Ct--' 26,44._e
Okay to issue PERMANENT C/O—Certificate of Occupancy yes no A (Q
Okay to issue C/C—Certificate of Compliance yes no X G�� ,
FINAL - COMMERCIAL INSPECTION REPORT
Request received:
Office Use
Town of Queensbury (518) 761-8256 ARRIVE n: DEPART _ ;►ar/ in
742 Bay Road Ayr Ready at time:
Queensbuiy, IVY 12804 Inspector's Ini ald41
Meet:
NAME T V)\Y��S g PERMIT#�� I At time:
LOCATION 1 • 12
TYPE OF STRUCTUR INSPECT•date):g--7"l/l
),
Notes:
N/A YES NO
Chimney/"B"Vent/Direct Vent location
Plumbing Vent I
Roof Complete I COMMENTSCps / 4 c// en/I)
Exterior finish grade complete ` ,
Interior/exterior guardrails 42 in.platform decks '-j t 3— 1/ 2i^Eq6 7
Interior/exterior balusters 4 in. spacing platform/decks
Stair handrail 34 in.-38 in. •,i
Step risers 7' in. t•
Main door 44 in. A
All others 36 in. 1 /1 n ‘t5 J ` �'
\:\-
Lever handles \ / i -'� —
Exits at grade or platform \ \ It
Canopy to cover req. exit doors' / I
Gas valve shut-off exposed&relator(18 in.)`above grade
Floor bathroom watertight \ 11‘1J\
•
Other floors okay i �j b
Hot water relief valve ! � {��"'
Boiler/furnace enclosure 1 VJ
<250,000 BTU AT/R ? / \ " )V---
250,000 BTU to 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour) j
\/Gas furnace shut off within 30 ft. or within line of Site '
Oil furnace shut off at entrance to furnace area I `II C.
Stockroom enclosure(1 hour),' hour door i r QA, --�
Storage/receiving/shipping room(2 hour), 1 1/2doors , , ��
1 '/2 hour doors and closers ? �`J (6 ��� �,�j 1 }
%hour corridor doors and closers ! 1( —
• Firewalls/fire separation,2 hour,3-hour complete p f-` 0)C\Fire dampers,2-hour fire wall/separation or greaterFire door/shutters 1 ''A hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft.
Fan shutdown, smoke vents or fan r� �; �
Exit door/panic bars assembly hardware f‘k k''
Elevators J 6°44' •
C�
Elevator signage or� 0 to"`
Handicapped bathroom grab bars/sinks/toilets ° u` „r0
Handicapped bath/parking lot signage t � �P (,l '
Handicapped service counters 34 in.,checkout 36 in.
1C� ���� �' i `,
Handicapped ramp/handrails continuous/ 12 in.beyond ,,,y Vµ, f ,
Active listening system and signage assembly space is 0�t L�
Final Electrical ry� C vir"-- i,v
Site Plan/Variance required V
Final Survey,new structures 3 v
As-built septic system layout required `�(7- C
Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no
Okay to issue PERMANENT C/O—Certificate of Occupancy yes no •
Okay to issue C/C—Certificate of Compliance yes no
I
Fry)
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 1,2,% Depart
spector's Initi
NAME: sT/`n)'Q O ' 0 Q 4 \ PERMIT# I5.54
LOCATION: \ �j on o� �— �D� DATE: q ) 9-?-()
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
Footing 'ers
Monoli c Pour Form
orcement in Place
The contractor is responsible for
providing protection from =-z g
for 48 hours following the . ace ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pia.-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exteri r 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
Air Infiltration Barrier
Fire Separation 1,2,3,hour •
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
11 '12/2002 10:34 FAX 13154328513 SPECTRASITE NY toUUZ
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M .F.P�t.INLAND,
a 1.A.gi. c(eCtr�ticat Certificate
�LANTIC -INLAND, INC.-NEW YORK
•rricei and Fire Inspection-Enforcing&coneulfing Service
997 McLean Road,Contend,NY 13045 DATE_ 11105/2002
CERTIFICATE NO.: C•-- 2E12859
OWNER: Independence Wireless One AS APPROVED FOR;
1 Abby Lane Cell Site:
tDDRESS:Queensbury, NY
Reinspection of Existing 40OAlep Single
Phaee ServiceXXXX
This certificate applies only to the electrical viring and equipment listed above on the noted data.n
ELECTRICIAN Ce .leetrie El eat.Corp. Warranty is expressed or implied on this vlsutl Inspection.This certificate Oral]be valid for a period
one year from the above noted dale.Should th'electrical system be altered in any way including,but n
5848 Fowler Rd. • limited to the Introduction of additional atmtrical equipment this certificate shall become void.
iDDRESS: addition,this certificate applies only to the.iccupaucy use and ownership as indicated herein.Ai
Men ph i s, NY 13112 change In the use,occupancy or ownerships of Me property Indicated above the certificate stir
immediately become void.It for any reason th s certificate becomes Invalid due to the above mentions
condltions,a re-Inspection by New York Arland:Inland.Inc.Is necessary to validate the installation.
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