2000-703 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
CERTIFICATE CIF OCCUPANCY
Permit Number: P20000703 Date Issued: Tuesday, March 13, 2001
This is to certify that work requested to be done as shown by Permit Number P20000703
has been completed. a� t � ��
Tax Map Number, 6
523 0.063-000-0001-441-003-0000
Location. 63 QUAKER Rd
Owner. OREST & MARIA BOYCHUK
Applicant: CELL ONE
This structure may be occupied as a:
By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
( )j APPOW
Director of Building & Code Enforcement
TOWN OF QUEENSE3URY
742 Bay road, Queensbury, NY 12804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000703 Application Number• A20000703
Tax Map No : 523400-063-000-0001 -001 -003-0000
Permission is hereby granted to: CELL ONE
i
Owner of property located at: 63 QUAKER Rd
in the Town of Queensbury, to construct or place a Commercial Alteration
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.
Owner Address: OREST & M.ARIA BOYCHUK
35 ORCHARD Dr
QUEENSBURY, NY 12804
Contractor or Buit,d is Name / Address Electrical Inspection Agency
MIDSTATE COMMUNICATIONS & ELEC
NY
Type of Construction: Commercial Alteration Value : S 10,000600
Plans & Specifications
2000-703
CELLULAR "MICROCELL" BASE STATION WITH 3 ROOF MOUNTED ANTENNAS &
MICROCELL CABINET ON NEW LOADING DOCK
$25400 PERMIT FEE PAIR - THIS PERMIT EXPIRES: Sunday, September 15, 2002
(1 f a longer period is required, an application for an extension must be made to the code Enforcement Officer
of the Town of QueeTsbury before the expiration date.)
Dated at the Town of Queensbury; Friday, September 1.5, 2000
SIGNED BY for the 'rown of Queensbury.
Director of Building & rcement
FILE No . 227 08r28 ' 00 PM 02 :23 I D : TOWN OF f]UEENSBURY FAX : SI S 745 4437 PAGE 2
Town of Queensbury - Detm. u,f Ge»i111104,jrry flrrrlalb►+care. ,742 &,w ft AeNl, f�rrr rrRrl� r v. NY 12&J4 1701-81561
0UILDING & CODE & NF (> RCGeWEN7• .F-
AVAWD ,3,3L � C-> _._.lillr� Requirements prior to issuance '�]�
n •�•+it r,>,aet be .-b._:•,e , t)erore +� this rlxiie: T FILE No. a+G�4U_
6oghtniAg aoenatruction, No inrpeetima will be nude until spplirant ham tweived ] 2.e rlfr S ,Braezrtd 1lclio►s r• 41FM Ir t ID a
auit artrrci marewwlrr. Ru ,�,�„ / u�ee�tliciutfa• .p.oer Hirt Utia +tpfslictrtiun 'r177t�1V !r'!rE I S
MUST' be coempiweted and,am aiignature � PaActionWhD BY.of the alplicant moot appaer an the Spit I Subclivieli)et 1 t1tltarllaation form. m ssdy, Re�crantttitt l'iae F'wyrtteglt . .._.. — ..._.—
Appiiaan t: LF3R?u �% FY"! �4?F ------- Owner,
Adtiresa: WA, 414r-
�� Addreesa:
Phone # (5_Il , 5, Z' ` ty 2! i SI g
Proporty Locution: _ � 3 ooer ker- RO4 "Mcs r• rI:
Subdivision Name: Tax Mal) Nurubwr
• Nociiiin lUtwir licit
NATURE OF PROPOSED WORK: ESTZil111TED iMARKBCT VALI,t bF� >fi$
- - New Building . CONSTRUCTION : $ l &AJ` -
residence / commercial
Addition to Building :
reasidence ,/ commercial 1OCCU>P"IcY YF rost"ATZONr
Alteration to Building : Primary 8uil. din it
residence ofcommercial Single tramlq y-Dwall .i.ng
Residence / Commercial Two Famll. y r)wcl .ling
no change to exterior slue . Ftmily Dwelling
t7t1= mc0
X Other Work ( describe below ) 0a0VfWV6V Meraesntilea
CEt�-v ten. E-4t4." 94CE STi%M, 0iU wit e)LWrC0 Manufacturing
Other
h A p►tc eS .►~ rvt tt Ro cf 44 C noJx1@-i o xi t L a+SOrI�'G p,tC. wc. t!7C
096 AREA OF PROPORRD BWRUCTURM t
left r1cor . . . . . . . w sq . ft , If ADDITION , what will use
2nd .F1'ogr . . ..!� . . ,sqw ft of navx addition be ? :
Other V1tso ts . . . . . v Sq . ft .
( not unfinished call r or basement ) wecBssaRr sV2LQztsos :
t3tste_� E �stNE► b `t : �. �oavr►t6 ,<
Detached Garage 1r 2 car
TOTAL FLOOR AREA ! SQ FT . Attached Garage 1 , 2 car
Private . stora a Buildin
SIZE OF NEW STRUCTURE : 7 . �✓ 5 , v t=Qpr Commercial. Storage Building
3 ' C Other
fit+ FEET x - I•ft:sT
() its ti-t6S
Founclatlan Type : Will any second- hand or ungraded
Number of Stories : Lumber he used ? If so , for what ?
( habitftble apace dryly
Haight ( grade to rjr.dge ) : feet- TYPS or NBATXNG SISTEN r
Number o rireplacetp acid/ or woo stove ( ca. rcle all which appline )
to be inset ailed :, 0Electric / Oil 1 Gas / wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards } ,+to building
�codes is : Nis►eIt.,+_. t _.1tiL�1eGF•=�e ►ur '�",a__ :a !Y CO '-) 7.4- 1AS-D
Maine Addreass ono
Builder : c trYeu a i � c t:a� [ r ) - 3ot;i
Plumber : ,V/d
Mason. : rs F 4' -, . Idrr
E,lectriciatn : F r
DECL ARA77ON.• Pkase sips below after you have ~**My read dw stmeynent.
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 lee done on
the described premises and that all provisions of the Building 0xic, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whellter specified or noted, and
that such work is authorized by the owner, Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancy"or Certificate or Compliance being issued, tin AS BUILT PL(Yr PEAK by
a licaanaetl staveyor;;5lcxtq y trx"sjcWe, showing actual location or project oet prerttises.
Signature:
(ow , ow r s agent, architect, contractor)
COMMERCIAL FINAL INSPECTION REPORT
Building & Code Enforcement Date motion request received-
Office No. (518) 761-8256
Dept. of Community Development ��
Town of Queensbury Arrive part
742 Bay Road tor's Initial
Queensbury, NY 12804
NAME y � �_ J � > ,PERMIT
LOCATION DATE
TYPE of STR � ry
N/A YES No Corers
C hunneyl"B" VoWDirect Vert locabon
Phrnnbing Vert
Roof Complete
Exurtor fmish grade con>lticte
hteaior/e terior guardrails 42 in. platform/decks
leterivrlexterioar ballast.e�rs 4 in. spacin latfrma/decks
Stair handrail 34 in, - 38 in_
Step risers 7 3i/4 in.
'Main door 44 in.
A11 others 36 in.
Lever handles
Emits at grade or platform
Canopy to cover req_ exit. doors
Cress valve shut-off exposed & regulator C 8 in.) a ve gra
m Fir bathroom watertight
Either floors okay
Hot water relief valve
Boiler rn a/fuace nc.3osure
<250.000 BTU N/R
250.000 BTU to 1,000,000 is (1 our)
71.000,000 BTU's (2 hour) —
Gas furnace shut off within 30 fL or within lme of site
Oil furnace shut off at entrance to furnace tea
Stockroom enclosure (1 hour), r/4 hour d
Suwagrireceivinglshipping room (2 hourl 'h doors
1 °, hour doors and closers
a / hour corridor doors. and closers
FRewalls/fire separation, 2 hour, 3 hour lete
Fire dangaess, 2 hour fire walllseparation or eater
Fire doorlshtttters 1 '/: hour, 3 hour
Ceiling fire stopping 3,000/5,000 sq. ft.� —
Fan shutdown, smoke vents or fan
Esit door/panic bars assembly hardware
Elevators
Elevator sigpage
Handicapped bathroom grab bars/sinks/toilets
handicappedbathiparking lot signage
Handicapped service counters 34 in., checkotd 36 in.
Handicapped ratnp/handrails continuous/ 12 in. beyond
.active listening system and signage assembly space_
Final Electrical_
Site Plan/Variance required--
Final Survey, new structures— N
.As-buih septic system layout required _
okay to issue temp- C/O (Oxtif of C}oatpancy)
Okay to issue permanent CIO (Certif: of OccWa 4cy)
Okay to issue CIC (Ccrtif. of Compliance)
NIIDDLF DE:PARTME NT INSPFCTIONN' AGENCY, INC.
1 Date Nov . 29P 2000
LerttfieS that the electrical wiring to the electrical equipment listed below has been examined and is
approved as being in accord with the National Electrical Cade, applicable governmental, utility and Agency rules
in effect•an the date Tfote[f abate �rrd is issued subject to the following conditions.
Owner-GCellulaz' one Occupancy: Ccimmercial . C
Location: 6Quaker Rd This cefbficsiv applies on ly to the otect ri" wu ing to the electrical eq Uiprtient Iistoo bebw and the
installation Inspected as Irlt above noted dale based on a vrsuat inspecuorl. No warranty is
Q u e e n s b u r y ! N * V . expr ossod pr irnpYed as to the lneeha n ical safely, ONIcrency Or tliness Of
M4 eO1.�pmorii IOf any�ti IV yy LY 2 panicularpurpuser.. This certlflcate&Kali Oevandtor apeviod al oneyear lremlheabove noted�date
Equipment. Should the froth" sv stem to which this can ii icate applies be allered in any way. including but
100 Am Service u 1 �7 yIIf Copper
i he i nmed to, brie bet r Oductton of additional Wool("90UP rent and/or the replaOl ment of any of �+
p . #2 C o p p e oamponenls Installed as of rho above noted daft, Chia cenificale shall be irrlrnaelalety nuif and
void_ This certrtrc ate applies only 10In"use, OCCIlpancS'and owners hp as indicated herein. Upon
A change to The use, Occupancy Ot Owners hp of.the Proi0ony indicalod above, this Osrlificale shag
bo i11111"Wiatoty null and vOd. in Irmo event that this cerlficafa tt$C es Invalid based Upon the
above cdndniOns this certificate rTay be revalldared upon ra inspecliOn by Middle Depanment Itf
Applicant: �Gco _ T . martin sonS te, ` soocCion Agency, Ind, An appficatien (Or inspecliOn must be submitted to Middle DefMxtrnem
y pBCtidfl AgerrCtr, tnc. To Inegate the in SPectron and revalidation Process. A tee will be charged S
2 Cooper Ave , for this &ervice.
Rensselaer . NY 12144 No. 14- 97305
I`1 Qlo, fi !+ arm .a hsLlrrl, a[ � arA, •. y .[ ,LtiliG 7. „ ft
Form No, 703 EL 7-94 `�. �'
GE1 VER4�_ IN 'PECTICIIY REPORT � I
( 518 ) "76Z -8256
Town or Queensbory
Dept. of Community Development Da#e inspection request received:
Building. & Code Enforcement
742 Say Road
Queensbury, NY 12804 A.rrive� Ifep _
nspector's Init' r-
NAME: , L PERMIT C�
LOCATION: DATE
TYPE OF STRUC 1JRE: fuL.c` rr3a . 0 �' '�- A f� c7F'cs-�
RECHECK f.� 1�F *,��.�''� �
rN IA YE NO COMMENTS
FootingslPi , e4z.at-._e,%-p }�E'
Ono ithic Pour Form
Reinforcement in P
The contractor is responsible for
providing protection from freezin
for 48 hours following tkre nt
of the concrete. li
Materials for this purpose on site
Foundation/Wallpour t --
Reinforcement in Place.:_,,.,,,,__
Foundation/Dainpprooftn&............_ f
Backfill Approval
Plumbing Linder Slam
Plumbing Vent/Vents in PlacIeL.
Rough Plumbing
Heating Rough-In
Insulation
Foundation. Walls Interior R-
Foundati.on Walls Extonor R-
Floors R.-
Walls R-
Ceilin.g R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging,
joist Hanigers
Jack Post&%4am Bearn
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3, 4 hour.
Firestoppi