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2001-744
c 411111ft TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes .(518) 761-8256 CERTIFICATE OF OCCUPANCY. Permit Number: P20010744 Date Issued: Tuesday, March 12, 2002 This is to certify that work requested to be done as shown by Permit Number P20010744 has been completed. Tax Map Number: 523400-296-009-0001-007-003-0000 Location: 20 STA lE ROUTE 9 Owner: MARK MOSKOWITZ Applicant:, ORAL HEALTH CARE ASSOCIATES This structure may be occupied as a: By Order of Town Board Commercial Alteration TOWN OF QUEENSBURY Commercial Addition (. .auP 4 '1 Director of Building& ode En orcement TOWN OF QUEENSBURY ` 1 � 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010744 Application Number: A20010744 Tax Map No: 523400-296-009-0001-007-003-0000 Permission is hereby granted to: ORAL HEALTH CARE ASSOCIATES For property located at: 20 STATE ROUTE 9 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: MARK MOSKOWITZ 608 BEDFORD Sq Commercial Alteration ALBANY,NY 12203 Commercial Addition 418,000.00 Total Value 418,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MIKE LAMOTT 82 NICOLE Dr QUEENSBURY,NY 12804 Plans &Specifications 2001-744 ORAL HEALTH CARE 280 SQ FT COMMERCIAL ADDITION AND 312 SQ FT ALTERATION AS PER PLOT PLAN SPECIFICATIONS Address: 1092 State Route 9 $150.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 11, 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 Tfbwn Que bu ; ursday, October 11,2001 SIGNED BY Cr'.14r for the Town of Queensbury. Director of Building&Co'e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518) 761-8256 F /� A permit must be obtained before beginning construction. Permit File No 6-09 ... Li No inspection will be made until applicant has received a Fee Paid $ U-✓ 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: � 'N ,fej7 r , Owner: ay, �,5 " . 415/i tt>/1�. Address: 02 �`���„e�,. i Vg., 490 h ,/i Address: /0-gr7RECEIVED Phone# ( ) 74/h ��/,>/ J Phone# ( ) 7.7 . g0-6/ OCT 0 Z 2007 Property Location: Lot Number: _/ House Nutnb�t TOWN O F QUEENSBURY Subdivision Name: Tax Map Number: . BDING AND CODE 0 New Building: residence /commercial Estimated Market Value of Construction: $ ///5" 000 tt ddition: residence/ccnnunercial' If an Addition, what will use of new addition be? LO Alteration: residence/ commercial v ElNo change to exterior size: residence/colil'1 pj t' ❑ Other work(describe Cheek Occupancylnformation 1" Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq. ft. Square Feet ❑ Single family dwelling o Two family dwelling o Townhouse o Multifamily dwelling Office /c2fr7 o ercantile ❑ Manufacturing o 1 car detached garage ` V� l��'% ❑ 2 car detached garage /6)6(71-31 /\f o 3 car detached garage u 1 car attached garage ,�/' c..�lp�. ❑ 2 car attached garage cC` ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? /VO Type of I-Ieating System: electric/ oil /OD/wood / orced hot_a0 baseboard/other: Number of Fireplaces to be installed (7 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 PI; rr 7�/�-61-ku Plumber /f/.iTA e•ai d ✓ (�y� -�r97 Mason rA, m. 05 6.9a-//i6(4 Electrician G ye6 S 7q01 Da/6 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 1/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 As Built Sump by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: M'a" ;'rt,x� G' �/; owner,owner's agent,architect,contractor 1 ems/ • • • i'', PIE'.GY CODE COMPLIANCE APPLICATION •• �� -', OWr( OF QUEENSBURY, WARREN COUNTY '° . 9000 HEATING DEGREE DAYS Comp 11'ance MethoUs : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family • Dwellings ( 3 stories or less) PART 4* --• Design by Component Performance • • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT ' S NAME: PROPERTY LOCATION: • /f=YY'e eesr; , /0902 1TS rehab lYak HeeA7A »e, PIl FI .' a METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor_ Area - square feet • 2 . Type of He 1; - Electric Oil V"- Gas Other 3 . Is building mechanically cooled? v' es No • 4 . Percentage of area of windows and doors Over 17% 1/Under 17% 5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 30 b . - Exterior walls R I(7 c . Gla•zed areas R d . Exterior doers • R /®, A./ e . Floors over unheated spaces R f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R /q h . Bn s ement/cellar walls (below grade) R /'( i . H, ating/cooling-ducts-piping in unheated space R G 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code V Yes No • TEMI'E";ATURE CONTROL i•MAXIMUM SETTING 140° WILL NOT BE EXCEEDED App? coa-�t ' s if,Triure Dam Phone Number ,id//! fi it t® ! 74 -(i..1/2/ INS?EC=OR' S REMARKS . • GENERAL BUILDING CONSTRUCTION CHECKLIST Subchapter E Applications Owner: 034w J'_- Reviewed by:b i . f Cc Location: ��`� Date /Z� Type of Work: 11/ / /I Within Fire Limits: Date of Substantial Completion: Note: Topics listed in italics_are_ available only to buildings which are 10 years or older. Is this a Minor Building 7 See Table I-1233 Yes or No No Topic ° Code Required or Actual Section Allowed 1 Occupancy proposed 701.4 Fire Hazard Class 702 0 l 2 Construction Type 704.1 c'D 3 Height & Fire Area 705.4 Basic Area Tables 705 Basic Height Accessibility 705.5b r l Sprinkler Increase 705.5c �a lOg allowance 1233.2c 3 Story wood frame 1233.2d 4 Space{Requirements Ceiling Height 762.3 762.4 Existing Ceiling 1233.3b v 7 5 Light & Ventilation . 763 Artificial Light 763.1 Natural Light 763.2 Ventilation 763.3 frail. //e Existing 1233.3c 6 Special Stairs 764.1 A/i./ • • C-1 . 4' No Topic Code Required or Actual Section Allowed 7a Exits Number 765.8 . One Exit Permitted Tb X-765 /' 1 iDv -Units of Exit Width c74/41/4 Distance of Travel Tb VI-765 Dead End Corridor 765.1j 6-44 Enclosure Tb 111-704 �� Existing Enclosure 1233.4c Corridor Width Tb I-765 '54fl' Y/" Door Width Tb V-765 Existing Doors 1233.4b Smoke Stops 765.2a Opening Protectives Tb III-771 Panic Hardware ° 765.5a4 Door Alarms 1060.9a 7b Stairways 765.4 Access to Roof 765.4a of—/f 4 7 A _0 Dimensions Tb IV-765 Existing Dimensions 1233.4a4 // / Combustible stairs 765.4b2 / 4"`n�' 765.4c3 Existing Comb. Stair 1233.4a2 Minor Bldg 1233.4a6&7 Handrails 765.4a11 8. Safety Glazing 766.1 //A, 9. Garages and.Parking 767 Structures 10 Malls and Passageways Passageways 768.1 Malls 768.2 'I///// 11 Atriums 769 Existing 1233.8 12 Exterior Fire Spread Part 770 • Distance Separation Tb I-770 Existing 1233.5b Tb IV-1233 Construction Limits 770.2c&d Type 4b & 5 1233.5c Party Walls 770.6 Parapet 1233.5a Finishes 770.8 • C-2 No Topic Code Required or Actual Section Allowed 13 Interior Fire Spread Part 771 / //-_ we+ / '1. ,' c. A Fire Separation Tb II-771 �( JE Mixed Occupancy 771.4a6 Allowable Mix 1233.6b - Openings 771.41 Existing Openings 1233.6a Fire Stopping 771.5c 41 414 14 Interior. Finish 772.2 Existing 1233.7 15 Plastic Materials Part 773 Part 1120 Existing 1237.3 16 Fire Protection Equip // Fire Alarm System 774.2h/ Zoned System 1060.2a5 Battery Backup 1060.2d1 Pull Box travel Tb 1-1060 Fire Dept Connection 774.1b ` / Detection system 774.3 ✓� �J Sprinkler System 774.4 7Ai1f Standpipe System 774.5 Yard Hydrants • 774.6 Watchman System 774.7 Auto Vent Alarm 774.8 Coodinated Fire Safety 774.9 17 SPECIAL HAZARDS Areas of Pub. Assemb. Fire & Smoke Det. 791 Sprinkler System 792 Gas Pumps I 774.10 1231.3e Emergency Ventilation 1004.2f Fan Shutdown 1004.2e • We Exhaust Hood System 1064.2b / 18 Design Loads Snow 803.3 Floor Tb I11-803 Wind Tb V-803 ifira( Tb VI-803 J Existing Adequate 1237.2 • C-3 Yf O • No Topic Code Required or Actual Section Allowed 19 Plumbing Fixtures 900.2 Materials 904.6 •_Freezing 850.7 CQr Existing Adequate 1237.1 20 Heat Producing Equip. Prohibited Locations 1000.2d /b`� �/ Enclosure 771.4j xc ? Air Supply 1000.2g ��r` Vents and Chimneys Prohibited Uses 1005.2 Outlet Location Tb I-1005 Existing Adequate , 1237.1 21 Electrical Metal Veneers 1030.1g Emergency Power 1032.2 Emergency Lights Tb I-1032 a� Exit Lights 1033 Existing Adequate 1237.1 22 Accessibility A117.1-92 Exterior Facilities 1101.1 O`(, Interior Routes 1101.3 Interior Elements 1101.4 Areas of Refuge 1101.5c Assembly Space 1101.6 Specific Occupancies 1102 Existing Buildings Part 1236 23 Energy Requirements Energy Code �/q Certification 7810.10 /�' C-4 • COMMERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 • Dept. of Community Development Town of Queensbury Arrive ,� ,},t 0 742 Bay Road Inspector's Initial'WAIL Queensbury,NY 12804 NAME bR R t.r !-NEALTI-1 c RF PERMIT# - LOCATION Z.p R tIty -c_ 9 DATE .:i-I Z-OZ TYPE OF STRUCTURE Cc M M . 'Ps 1_T F_(Z 1 A(7 D N/A YES NO COMMENTS ChimneyP'B"Vent/Direct Vent • 'on Plumbing Vent Roof Complete Exterior finish grade complete Interior/exterior guardrails 42 in.:'latf decks Interior/exterior ballasters 4 in.sp.cing latform/ded s Stair handrail 34 in.-38 in. Step risers 7 3/4 in. Main door 44 in. All others 36 in. Lever handles Exits at grade or platform • • Canopy to cover req.exit doors / • Gas valve shut-off exposed®ul c (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'• (1 hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 ft.or w' in line of site Oil furnace shut off at entrance to fum.ce area Stockroom enclosure(1 hour),3/.hour•'oor Storage/receiving/shipping room(2 ho•r), 1 '/2 doors 1 hour doors and closers .hour corridor doors and closers Firewalls/fire separation,2 hour,3 ho r 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 temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) MAR-8-2002 10:21A FROM: • TO:7454437 P:1/1 FIRE.CONTRC L SYSTEMS INC. 104 REYNOLDS RD.,FORT EDWARD,NY 12828,P(518)747-2567 FAX 747-2518 www.firecontrolsystemsinc.corn emai I: info@frecontrolsystem.siinc.corn .CPQ_014 3/8/2002 1VIr. Mike LaMont Terre Majestic 82 Nicole Dr. Queensbury, NY 12804 Re: Oral Health Care • Lake George Rd. Queensbury, NY 12804 Dear Mike: The alterations of the fire sprinkler system that we made at the above location have been completed, To the best of my knowledge the alterations conform to NFPA 13. The system is on and operational. If you require any other information please give me a call at the above#. Sincerei c.12ass,a Richard E. Boucher Sec-Treasurer CC:Steve Smith Town Of Queensbury • FINAL — COMMERCIAL INSPECTION REPORT LiT " I Request received: Office Use Town of Queensbury (518) 761-8256 ARRIVES,5C)an pn P fr /pn 742 Bay Road Ready at time: Queensbury, NY 12804 Inspector's Initi NAME C7'S LZ PERMIT# I— 7 Meet: At time: LOCATION TYPE OF STRUCTURE ac)iii cv INSPECT ON (date)3- 2 ?ZL Notes: N/A YES NO Chimney/"B"Vent/Direct Vent location f • Plumbing Vent Roof Complete %/f COMMENTS Exterior finish grade complete L/ Interior/exterior guardrails 4' in.p .tform/decks Interior/exterior balusters 4 in spaci\ag platform/decks Stair handrail 34 in.-38 in. Step risers 7%in. Main door 44 in. All others 36 in. 1 Lever handles Exits at grade or platform Canopy to cover req. exit doors Gas valve shut-off exposed®ul: er(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' (1 hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 ft. or wi a 'n line of site Oil furnace shut off at entrance to furn• e area • Stockroom enclosure(1 hour),'/4 hour oor Storage/receiving/shipping room(2 ho,r), 1 '/z doors 1 %z hour doors and closers %hour corridor doors and closers 4 Ri c- r_ Lw�a,1P� Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater Fire door/shutters 1 %z 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 L izttcc—v.\ 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 y .. _ Town of Queensbury qM Fire Marshal's Office 742 Bay Road .k Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 r Fire Marshal's Inspection Report Request SCHEDULE , r �1 Received: Permit# ()( 7 7 INSPECTION ON: 3-7'�6 Name: ( \'tG\ Ca k Q s q AM Pft ANYTIME Location: C `RO() e_-DI APPROVED N/A YES NO COMMENTS AA i EXITS �)(e, K W�� TOT 5 u6-015 AISLE WIDTHS EXIT SIGNS-NORMAL --1T1V f�L 5 kW J O W 4 0 1[� - BATTER 6 EMERGENCY LIGHTI )C - f\l). CW y Ce5 -tIJA1 o►3 Feli1S61/ FIRE EXTINGUISHER'. FIRE ALARM SYSTEI4 �9 FIRE SPRINKLER SY" >c e ( A 1,� OK ,)O l� FIRE SUPPRESSION ' / I HOOD INSTALLATION INTERIOR FINISHES STORAGE ,, 4 1COMPRESSED GAS 5f iL1 / 4. iAkz ? ED el i 1°1143e- CLEARANCE TO SPRIN RS UNITS TO,- . ' I o P7 c mklev mIv"1-hct -tv CLEARANCE TO ELECTRI• AL REQUIRED SIGNAGE EMERGENCY PLAN J n A � MAXIMUM OCCUPANCY SIc. j,n JI )(n)(! CHIMNEY r/ C VUU� MASONRY ROUG', IN 3 OZ VelJ(me. \( n b r `mil CHIMNEY Fl L n D'A' ? kodAae r0 �A FACTORY BUILT ROUG IN �!(>Uv\ ` / 'n U 6"` FI AL ��1lvf�kee{ v \ lr�-40C- WOOD CF10- pSTOVE RO H IN r11„,�0 e1° FINAL VENTED GAS \/e)r 1 APPLIANCE ROUGH IN FINAL -J(f ^FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK FINAL .36. FIREPLACE '4r2,------ FACTORY BUILT ROUGH IN C I PECTED Y FINAL COM DEVICHRIS J/WORD/LETTERS2001/F IREMARS HALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY FIRE MARSHAL _ TOWN OF QUEENSBURY ` :'t QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED , PERMIT!'! i9'0 NAME D► 4�i �keA L r* CAR6 LOCATION 5 fake 12* SCHEDULE INSPECTION ON 'off-` g'(� ca-I A M •NYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING N A1.'5 FIRE EXTINGUISHERS FIRE ALARM SYSTEM t11/A i • IA/CVO! FIRE SPRINKLER SYSTEM A i ` '-i' X FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES- STORAGE:- Ltd, o etc*. . CLEARANCE TO SPRINKLER. CLEARANCE TO HEATING UN TS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE -- \IN►. FA93 ,k� 80OWf Apses p o RtAdy Ve+, �l vl c -- Embry�.tic/ LL9h1-> �o� o fC�c. 1 -- �� 6,161 - v0m q,clAk1�( Inr” i Co-� � c t o f mo i so INSPSLIP.PUB INSPEC 0,0 bvt5V'I Llb Q\ at y '" F I _ Town of Queensbury ;- arshal's Office 2 Bay Road Quee sbury, NY 12804 Phone (51 761-8205 Fax(518) 745-4437 1 Fire Marsha s Inspection Report Request SCHEDULE Received: a& Permit# f` ` INSPECTION ON:I i 0 7 Name: C>Cid til Ca- 3 ( 1 AM 114 ANYTIME Location: LA '-E, 4i2OL‘k 9 / APPROV D N/A Y NO COMMENTS EXITS I 1 AISLE WIDTHS J / -p�0 IGki. 14-6c -PrZJ EXIT SIGNSMAL _NOBA.. ERY Trey- COnfrrAd-or Citc..'TI 9 EMERGENCY LIG ING vi 1Dft dt FIRE EXTINGUISHE J I r;d1&/S Mk/ FIRE ALARM SYSTEM i I FIRE SPRINKLER SYSTE FIRE SUPPRESSION SYSTEM�y II •Z Neeot _]_ _(j j v G 4 uo p1I HOOD INSTALLATION �(J INTERIOR FINISHES �� STORAGE 1/ '� J�GB1 +6 5G ,�� n i COMPRESSED GAS �CLEARANCE TO SPRINKLERS t'\ Tip CLEARANCE TO HEATING UNITS _ ta. +O 4C i CLEARANCE TO ELECTRICAL . tJ I ) JJ TiT(1 X�Qrvq GLG k- REQUIRED SIGNAGE I 0 ( EMERGENCY PLAN - 10414.Qr Inf MAXIMUM OCCUPANCY SIGN I �`"�/p� CHIMNEY MASONRY ROUGH IN q Ve' ��`bIV <ri FINAL 1 %•. V-• 0 irle.,f..l 5 CHIMNEY I FACTORY BUILT ROUGH IN j FINAL l WOOD I STOVE ROUGH IN FINAL 1 VENTED GAS APPLIANCE ROUGH IN • FINAL FIREPLACE MASONRY ROUGH IN 0 di >• T': K FOR CO NOT OK FINAL FIREPLACE i FACTORY BUILT ROUGH IN / IN ECNED BY FINAL COMDEV/C HRISJ/WORD/LETTERS2001/FIRE MARS HALINS PECTIONRE PORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ILA/ Queensbury,NY 12804 Arrive 1'/ am/pm Depart Inspector's Initials NAME: itaat _Ve—PERMIT# LOCATION: �� DATE : TYPE OF STRUCTURE: -� � RECHECK N/A YES NO COMMENTS Footings/Piers I—T— Monolithic Pour Form Reinforcement in Place The contractor is re sible for providing protection omfreezing for 48 hours followin the placement of the concrete. Materials for this purpose n si e Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- \ Floors R- Walls R- Ceiling R- Duct work or piping in � unhe�atteed spaces R- '` &-/e-IICt nAttic eI-av� & 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 COMMERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: '7 Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive ° pm rt 742 :;ay Road or's Initial Queensbury,NY 12804 NAME OP-1 A 1R ll-TC--i C_AP--E— PERMIT .--4-1-Y— LOCATION R `)-1\—E__ 9 DATE 4 —Z1-02— TYPE OF STRUCTURE G( 13\t`-'1. A)I RL R N/A YES NO C o MMENTS Chimneyr'B"Vent/Direct Vent location f 1 0.4 0 �,`TR\ JEPtv_�C �T �t�l . PlumbiRoof Complete V 1 i 1'�\ jtW l(Z__ pv Roof Complete / E-e— F�� , S11- Exterior finish grade complete V Interior/exterior guardrails 42 in.platform/decks < ���� � � Interior/exterior ballasters 4 in.spacing platform/4 Q.J;7 Stairhandrai134 in.-38 in. bbM\--- k•-•\A'' 'Ci« �1` Grp risers 7 3/4 in. Y- CjA-- Main door 44 in. � -C ` All others 36 in. Lever handles 4Z-U--P% ClZ )OQ Exits at grade or platform • Canopy to cover req.exit doors Gas valve shut-off exposed®ulator(18 in.)above grade Floor bathroom watertight 1 -E-0 /JQ�_C, D' .C?7- M�- Other floors okay • Hot water relief valve .i Boiler/furnace enclosure <250,000 BTU N/R �, G`���� C� �J 250,000 BTU to 1,000,000 BTU's(1 hour) \i ce '-C� W ��\ >1,000,000 BTU's(2 hour) OF F1`0'0 2, Gas furnace shut off within 30 ft_or within li9 of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),3/4 hour d Storage/receiving/shipping room(2 ho ), 1 'h doors 1 '4 hour doors and closers 3 4 hour corridor doors and closers 4' �`� ` Firewalls/fire separation,2 hour hour complete �, 1 Fire dampers,2 hour fire wall/ aration or greater Fire door/shutters 1 '/z hour, hour Ceiling fire stopping 3,000 ,000 sq.ft. -3/ Vy 14 ' K) J $�c�V Fan shutdown,smoke v or fan 1 ` "' Exit door/panic bars a bly hardware ;� i Elevators 6- 6 k V Elevator signage f 1 Handicapped batter m grab b • oiletsi . Handicarr ba arkin 1 si a e r c Handicapp smOce counters m., kout 36 in. Handicapped ramli-lltandrails continuous/12 in.beyond Active listening system and signage assembly space f Final Electrical ,i 7/'s'1.2," P(o R Site Plan/Variance required y Final Survey,new structures As built septic system layout required i Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) , COMMERCIAL MERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development /Th Town of Queensbury Arrive an pa 742 Bay Road Inspector's Initi Queensbury,NY 12804 NAME 0 PAL_ \kc_ei-j C A 1 PERMIT#—L_Inp C--744 LOCATION (2----)c TF 1 DATE 7_— 2 2.,'-0 TYPE OF STRUCTURE N/A YES NO COMMENTS ChimneyP'B"Vent/Direct Vent location ‘ _ Plumbing Vent ✓/ _ _ Roof Complete j Exterior finish grade complete ✓ _ ( Interior/exterior guardrails 42 in.platform/decks Interior/exterior ballasters 4 in.spacing p at?Nm/dedcs / `� �� Stair handrail 34 in.-38 in. �// — , Tom\ p �� � Step risers 7 3/a in. ✓ D,p i lam` Main door 44 in. v� All others 36 in. i i G p ���\ h Lever handles — �L� C��--C Exits at grade or platform - Canopy to cover req.exit doors \ ���� f�C7t\ Gas valve shut-off exposed®ulator(1 . .)above gra' Floor bathroom watertight / Other floors okay ✓ — tE,SD, ETA Cv_ —\\'� Hot water relief valve �� � Boiler/furnace enclosure <250,000 BTU N/R v..... -2.)/ 250,000 BTU to 1,000,000 BTU's(1 hou ?1,000,000 BTU's(2 hour) 1 ^, Gas furnace shut off within 3011.or within line t f site 5 \ I Iv \t ( r Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),o 3/.hour door �- 1 ��C \-- Storage/receiving/shipping O L � 0") C \ _ roam(2 hour), 1 '/:d.)rs 1� l`' N 1 '4 hour doors and closers S \ t A • 4 hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour complete Fire dampers,2 hour fire wall/separation or greater, ��� R ��•� ( ( i ' q ; Fire door/shutters 1 Yz hour,3 hour Yc • �Cb ` 6-----\G G Ceiling fire stopping 3,000/5,000 sq.fl. IA Fan shutdown,smoke vents or fan .F--k F�C5-2_ Exit door/panic bars assembly hardware Elevators Elevator signage P' Q\L-PWCQ / Handicapped bathroom grab ba �rs/sinks/toilets i Ge_c\b i2)P\c-�i ‘J -1--- \0-5\et t_LC� Handicapp a rking lot signage LR(1\Y "-- --Co\1__ Handicapp ice counters 34 in.,theckout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and sigrage assembly space Final Electrical J Site Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue temp.C/O(Certif of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road r Queensbury,NY 12804 Arrive raam/pm Depart / Inspector's Initials _ NAME: (9/ L —4-1--l c PERMIT# / 2j LOCATION: _ , `--€ DATE : Z S TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers (� I Monolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from f eezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour_ Reinforcement in Place 1 / Foundation/Dampproofing V Backfill Approval �I Plumbing Under Slab Plumbing Vent/Vents in Place 1 Rough Plumbing 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- / Toper Vent, Attic Vent ✓Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier J Fire Separation 1,2, 3,hour ✓/ Sic¢Pi,-i' —�4 /2 b 4441 01 cS'y/rS Penetration Sealed Fire Wall 2,3,4 hour Firestopping 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 3c`leam/pm Depart am/pm Inspector's Initial94.— NAME: () oQ \ ek\ 1�Q PERMIT# I LOCATION:s--c)C .,. DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is r-:..nsible for providing protectio .m freezing for 48 hours followi g t'i e placement of the concrete. Materials for this pu • e o site Foundation/Wallpour Reinforcement in Place _ Foundation/Dampproofi Backfill Approval �� Plumbing Under Sla. P� veZ-� Plumbing Ven - is in 'lace Rough Plumbing _ Cb (�.ivt,� Via 0 y' Heating Rough-In / �e / Insulation Foundation �'GC fv Foundation Walls Inten.r R- Foundation Walls Ex-te ,sr R- Floors '- Walls - Ceiling 't- 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 1020Oco— GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: l a-1 0-0 1 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive _ a m Depar firm spector's Inita NAME: /'�l �` /F 11� i2U PERMIT# b l 1)i'4 LOCATION: R. ! DATE : I 10-0/ TYPE OF STRUCTURE: �.h J , ��. �- RECHECK qr/l„,W ( Cqs N/A YES NO COMMENTS Footings/Piers l I Monolithic Pour Form Reinforcement in Place / The contractor is responsible fpr providing protection from fr ing for 48 hours following the pigment of the concrete. Materials for this pu•.se on site Foundation/Wallpour ,l Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heati ough-Inl nsulatiou AST\ X.L. undation 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 Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firesto rn J Z c V-0(� pp g -Iickdt ; 2,- ‘ itge_c____--\----\,b, 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 ; w am/n apart 4-A � Am ...d q spector's Initial .► NAME: CD is C (I 4 ,,,E, PERMIT# // LE . LOCATION: 04- I DATE : ;of -'off (> ) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour o Reinforcement in la e The contractor i re`stponsible for providing protec on‘from freezing for 48 hours folio ving the placement of the concrete. Materials for this pu s on site Foundation/Wallpou Reinforcement in Pla e Foundation/Damppro fin;. Bas.W. 1 Approve umbing Under S a r�r .; Plumbing Vent/Vents i'n Place Rough Plumbing Heating Rough-In Insulation Foundation Walls I .erior R- Foundation Walls E• erior R- Floors R- Walls R- Ceiling R- Duct work or piping i nheated spaces R- Pro r Vent, Attic Vent F aming r•DQt -�-t- -( Pf)(11 Jack Studs/Headers l 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 FIRE MARSHAL � `. TOWN OF QUEENSBURY ` ` j.. QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 12/3 PERMIT# ,2OOI-Si/ NAME ORAL fle4t-.T1-J CR LOCATION RI- SCHEDULE INSPECTION ON 2- 0 PM ANYTIME APPROVED "-Ni YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS - 1 FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM X FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNIT REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: XOK TO THIS DATE rezio 1AQA8 1004-1; I^A) 361 I l;tt ) L(1 t;?FLcQ` pf,:e r CoffQc (eke ii-4 Firr,\k I INSPSLIP.PUBfe3a,-6, INSP CT R GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received:8 ,O/ / Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrivelk..1m Depart Inspector's Initia NAME: 6h e 60,4‘ PERMIT# • —7 LOCATION: DATE : ( I TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res..' 'Me for providing protection fr i m reezing for 48 hours following he lacement of the concrete. Materials for this purpose•in to Foundation/Wallpour Reinforcement in P .ce Foundation/Damppr..• Backfill Approval Plumbing Under Slab Plumbing VentNents in Pl. e Rough Plumbing H ati Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio 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 FIRE MARSHAL `t f4.. TOWN OF QUEENSBURY r QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED I j $1 PERMIT# i 7 /4111 NAME Or 1 t L C.cI- k GI-re--, LOCATION L -r__ rzti I SCHEDULE INSPECTION ON I t Vic. (') (CJ A PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i / FIRE EXTINGUISHERS FIRE ALARM SYSTEM, FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO S`RINKLERS CLEARANCE TO H: TING, UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT I REMARKS: ❑ OK TO THIS DATE 011- +0 ex- do , 5: i �pnnl< I� -5y5-1-c-n-) 0-\,tr .66kx-,01,/ arc or5 ' ' 1 r i A A---\°‘ \ 6 INSPSLIP.PUB INS-CTOR LLo —q = r GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road '^,I Queensbury,NY 12804 Arrive-, •c a m Depart [`} r;a: .m-- pector's \-' ! —PLf4 NAME: ORAL_ !-tF.p 1A C.FARE PERMIT# ti LOCATION: RCN 9 DATE : —2�—c k TYPE OF STRUCTURE: Ann CT-1F11.�� 4 RO E�'l 1 001> RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form ` Reinforcement in Place\ \ The contractor is re nsible for providing protection m freeaing for 48 hours following e placement of the concrete. Materials for this purpose o site 1 Foundation/Wallpour \ / Reinforcement in Place \ Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in-Place , Rough Plumbing Heating Rough-In Insulation 1 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 1 Ceiling R- Duct work or piping in ' unheated spaces R- / f oper Vent, Attic Vent ? ' Framing Jack Studs/Headers 1 Bracing/Bridging 1 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ,.^,�r Queensbury,NY 12804 Arrive`"4` a mDepa spector's Initi ICI }� NAME: O�(�1 PERMIT# L LOCATION: � (I (� Q DATE : )c(X) TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo sible for providing protection fro freezi g for 48 hours following t e pla ment of the concrete. Materials for this fiur so site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing • Heati Rough-In ation � ,/ Foundation Walls Interior R)- \ V,/ C E ANc— Foundation Walls Exterior Floors R- v,, Walls R- Ceiling R- ?,b w - rNN t \�y� .3 Duct work or piping in unheated spaces R- f . 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 7L -Io(1-)7 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 o-3bam Depart Inspector's Initials NAME: OP,a%-, 1-\EALTN (`.pipes PERMIT# LOCATION: Z. ,xri—(ATtr. F,zOTG 9 DATE : TYPE OF STRUCTURE: ' d RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freez ng for 48 hours following the pla -ment of the concrete. Materials for this purpose on sit: Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place , Rough Plumbing 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 V Framing 1 Ct �-`� Niz 16T FLC)O R Cam? Rfl )CT►©W� Jack Studs/Headers Bracing/Bridging •‘,C'TEgt Oct t4U— n trE' ' ID kD tJ Joist Hangers e— UPz- 1O � 1C� Jack Posts/Main Beam �. Air Infiltration Barrier U V-\ Obl.) C Fire Separation 1,2, 3,hour Penetration Sealed \ P\Q c)\_\ \ C) Fire Wall 2,3,4 hour E- - 1,3 Pi L-1— b \th Firestopping CAS Fa_ PwHg,t 16C �\�- u ,, : o� `�t� � c a t , �t33a t\,�C © �c - 3 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 1 742 Bay Road v�`J Queensbury,NY 12804 Arrive am/pm Depart a / Inspector's Initials fGG NAME: CD \4r PERMIT#fi -C/l,/ -71-1 LOCATION: 1 DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers--- • I Monolithic Pour orm Reinforcement in Place The contractor responsibl for providing protec 'on from fr zing for 48 hours folio 'ng the pla ment of the concrete. Materials for this pu 0.se on site Foundation/Wallpour Reinforcement in Place F dation/Dampp ackfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior - 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 . . 3 .),k) 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 ..l'� Depart ' :a 1 �, _ 's Initi.'s /_ , �- )0,)-fp, P �,f NAME: yC PERMIT# — Li LOCATIONFy (A + DATE : } TYPE OF STRUCTURE: )1 1 ( ' - / RECHECK 0 ‘1.-) (\W x t N/A YE� COMMENTS a•ootings/Piers_ •_ ��` � �� onolithic Pour Fo , '` tt�'`� Reinforcement in Pla ' The contractor is r-. •nsible for providing protection om freezing for 48 hours followin L the placement of the concrete. Materials for this pu ••s: on site Foundation/Wallpour Reinforcement in Plate Foundation/Damppr••fing Backfill Approval Plumbing Under ab Plumbing Vent ents in Pla.- Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior 'r- Foundation Walls Exterior 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 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 .2(Km/pm Depart am/pm Inspector's Initials NAME: C) To Q l� � Care_ PERMIT# 0 1 7 -4 LOCATION: DATE : 1 -d- C)( TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is respo sibl for providing protection fro fry ezing for 48 hours following th pl cement . of the concrete. Materials for this purpose on i e Foundation/Wallpour Reinforcement in Place ti Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in/Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- et 75 4"-+J 1 U�' /�� Foundation Walls Exterior R- Floors L/c -) / / Floors R- ��//s /'nv s` �z- 5%�( Walls R- L r/ Ceiling R- / ` , ��, ` E4 %r�'�? a 7 c Duct work or piping in <Gc 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 OP LIRPLP c_PEPLPEPL.n[n[ c_PLIEPP[1LIrJ@J�iJ�rJ�r�r_Pc_ D LIMPL1111'0 5F 5 .c,g-4. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 5 5 Upon the application of qc--\ uponpremises owned 5 5 P PP \ by 5 5 5 5 GROSS ELECTRIC *ORAL HEALTH CARE ASSOCIATIES 5 399A BIG BAY RD 1092 RT. 9 5 QUEENSBURY, NY 12804, QUEENSBURY, NY 12804 55' 5 Located at 1092 RT. 9 QUEENSBURY, NY 12804 5 5 Application Number: 1031113 Certificate Number: 1031113 CJ' Section: Block: Lot: Building Permit: BBC: A239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5electrical E devices and wiring, described below, located in/on the premises at: , Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was found to be in compliance therewith on the l lth Day of March,2002. Name QTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment �5 Exit Light 6 0 Visual 5 12, Emergency Light 6 0 Visual 5 a5C Appliances and Accessories 5 . Exhaust Fan — — _ — . - -- - --F,H.P. 5 5 Furnace 1 0 Gas �e Dish Washer 1 0 KW 5 5 Air Conditioner 1 0 30- Amps c5c LS X-ray Unit 5 0 KW 5 Future Appliance Feeder 5 0 Amps 5 Panels 5 2 200 40 5 1 30 25., Wiring and Devices 5 Fixture 5 0 Incandescent Receptacle 57 0 General Purpose 5 Switch 20 0 General Purpose seal 5 Fixture 54 0 Fluorescent Continued on Next Page 1 of 2 Sr_ 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 D. C. MP [MEP PEMPEEPLPEE_PcPcrJPcPEPEPLP LOPED LIrJ��Pr PE_PcPr a-MU D OP EMI-0BD EPEPLIPPEr_PrJ Pr.PrJMPLPL PEPS �rJ�rJ LEPLIVr.PrJUP LIMP LPLPEEPLI JrJ�r�J�r PrJMPLIME4r41O Li BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 S 5 Upon the application of upon premises owned by 5 5 e5 GROSS ELECTRIC *ORAL HEALTH CARE ASSOCIATIES 5 5 399A BIG BAY RD 1092 RT. 9 au QUEENSBURY, NY 12804, QUEENSBURY, NY 12804 u 'S Located at 1092 RT. 9 ,:, - BURY, NY 12804 ~"_-_. :,______�.___--__ _.__--____ . - _-_ __--- _-__-5- 5 5 Application Number: 1031113 Certificate Number: 1031113 5 g5 5 Section: Block: Lot: Building Permit: BDC: A4239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 5Basement First Floor,Outside, 5 5 gwas inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was g found to be in compliance therewith on the l lth Day of March,2002. 5 Name QTY Rate Rating Circuit Type 5 Receptacle 5 0 GFCI 5 Receptacle 1 0 Dryer 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 55 5 2 of 2 5 gThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 01EIM PLrJEP c_PLIMPLI PrJ�rJ�r�rJPPLIPPPEPrJP LEPErJPLL PrJ LEPr PEPLIEP LIESP Pc_IM DEPEPEE PrJ EJ0 { / . . coo/ -- 741 j-0 OCT 0 1 2001 TOWN OF QUEENSBURY BUILDING AND CODE . . .) / 6 , x / .,„.... x g .5 .., . : ;,_...„,.._. ,..,...:, - _., ,,,,,,, .„.• ..,_,. . . :: ,,, ';.,_•,..,: ,.... __ .. -...... ...... ,dati,07f . ,,.., ...„ .. . . ,,, .. 4 .. . . . , ,., i.1 „,,.. , .., ,...„,,,, _,,,. J 1 4 DEED REFERENCE: DOUGH 'v"' tJ LEGEND I HEREBY CERTIFY T0: 1) MARK MOSKOWITZ 1) THIS SURVEY WAS PREPARED WITHOUT THE 2) BANK NORTH N.A., IT'S SUCCESSORS AND/OR ASSIGNS BENEFIT OF AN ABSTRACT OF TITLE AND IS 3) CHICAGO TITLE INSURANCE COMPANY THEREFORE SUBJECT TO ANY EASEMENTS, o I.R.F. IRON ROD FOUND THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD COVENANTS OR RESTRICTIONS OF RECORD o I.P.F. IRON PIPE FOUND SURVEY COMPLETED ON MARCH 26, 2002. ANY STATEMENT OF FACTS SUCH DOCUMENT o I.R.S. IRON ROD SET THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE WOULD DISCLOSE. ` , UTILITY POLE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND CKDcDc) STONE WALL ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY -x--X—x- STOCKADE FENCE SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A o POINT EXPRESSLY STATED HEREON. VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE W.F.P. WOOD FENCE POST NEW YORK STATE EDUCATION LAW. -onw- OVERHEAD WIRES 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY n/f 0 NOW OR FORMERLY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS 0 LIGHT POST CATCH BASIN DAVID J. BOLSTER SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 0 ELECTRIC BOX DATE: MARCH 28, 2002 ' "y 00 \ ti c,'Cr1f,L Lgw�oS or' GZv I herebycertify that this ma was y p prepared from an actual field survey. This certification shall run only to the persons for whom the survey was prepared, and on his behalf to the Title Company, Governmental Agency and Lending Institution listed hereon. Certifications are not transferable to additional institutions or ti subsequent owners. a 3 tiS Mark Moskowitz b S o' Certified To ,2o J N Keybank of New York, its successors and/or assigns �� S'8� Ticor Title Insurance Company tN Certified By: Leon M. Steves, LLS NYS 35617 n ioX89 �Z�3 '� Dated: September 16, 1994 "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAY BEARING A LICENSED LAND SURVEYORS SEAL IS A. VIOLATION OF l� /oTX(e SECTION 7209, SUB —DIVISION 21 OF THE o NEW YORK STATE EDUCATION LAW." "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE 3527 s, LAND SURVEYORS SEAL SHALL BE a 33.5D CONSIDERED TO BE VALID TRUE COPIES. 'Ti{u �n ►�. S J - Mc boa o� r-1 A Mct \ q 4� MAP OF•, A SURVEY MADE FOR ...,... (n AR V, ci oS K 0U3 I lit. s?��,•, TOVN OF Q u EENSBvicy W AMEN - " SCALE i l Sr ' DAT6 . Av G . VaDuseri �C - steves wrt� LAND SURVEYORS,GLENS FALLS,NEV Y {F! 1i ,• KEviseq sEPr- '' • •' • N.Y. STATE LIC. NO. 3SA17 IN (,7.2-/.-L-