2012-072 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: P20120072 Date Issued: Friday, May 18, 2012
This is to certify that work requested to be done as shown by.Permit Number P20120072
has been completed.
Location: 410 QUAKER Rd
Tax Map Number: 523400-303-005-0001-024-000-0000
Owner: VSH REALTY INC.
Applicant: EMCO CONSTRUCTION
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF,QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property r:
owner of the responsibility for compliance with Site Plan,Variance, or v
other issues and conditions as.a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120072 Application Number: A20120072
Tax Map No: 523400-303-005-0001-024-000-0000
Permission is hereby granted to: EMCO CONSTRUCTION
For property located at: 410 QUAKER 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: VSH REALTY INC. Commercial Alteration $200,000.00
100 CROSSING Blvd#9003 Total value $200,000.60
FRAMINGHAM, MA 01702-5401
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2012-072 Cumberland Farms
2,952 sq. ft. commercial interior alterations
$590.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30,2013
(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 Town Quee sbury Mo y April 30,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
22
l __________________________________________----------------- .�_l�;_.Q_ 1?010
0' OFFICE USE ONLY , ,
, ,
TAX MAP NO. PERMIT NO. � 'U272012o
FEES: PERMIT RECREATION ENGINEERING TnIA1N,O�QUEENS 0
0 If a hca e 0'
( PP BUI & �DJ1E
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Emco Construction OWNER: Cumberland Farms
ADDRESS:2050 Western Ave Suite 210 Guilderland NY 12084 ADDRESS: 100 Crossing Blvd Frammingham MA
PHONE NOS. 518-456-1853 PHONE NOS. (508)270-4410
CONTACT PERSON FOR BUILDING &CODES COMPLIAN E: Kevin Huntin on PHONE: 518-456-1853
LOCATION OF PROPERTY: 410 Quaker Road'.
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES ❑ NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR le-1 �O d w �'
PROJECT p 0 _j O = _
CL
0 (90
w ❑ C Z C1 E- H O F_: w�
z Q Q Cl) c'4cn OU Ha_ a =
SINGLE FAMILY
N
O
TWO-FAMILY N
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MULTI-FAMILY N
0
(NO.of UNITS m N
. N
TOWNHOUSE Q
0
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BUSINESS OFFICE N o
LL W
RETAIL- 0 0
MERCANTILE X 2952 s 4ft
cv
0 E
FACTORY OR E
C�
INDUSTRIAL U 0
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
6`
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: Cumberland Farms
ESTIMATED CONSTRUCTION COST: 200,000 FUEL TYPE: NG
HEAT TYPE: Hot Air RTU *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? No
PROPOSED USE OF BUILDING OR ADDITION: Convenience Store with Gasoline Sales
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? No
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I 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 a certificate of occupancy.
I have read and ee o e.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-821-8 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury, * Community Development Office*742 Bay Road, Queensbury NY 12804
4
it
Revised 4/14/2010
, + r
Permission is hereby granted to the above % This application / proposed action described
Applicant to erect or alter the building ; herein is found to be in accordance with the
described herein in accordance with said ; zoning Laws of the Town of Queensbury.
Application.,
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BU 8� COD APPROVAL ; ; ZONING APPROVAL
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; DATr E 0
DATE
--------------------------
QUESTIONS? CALL 761-8256 OR EMAIL
codes@Queensbury.net
Office Use OnIV VISIT OUR WEBSITE FOR MORE INFORMATION
www6gueensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
FIRE MARSHAL'S OFFICE
Tozvn of Queensbury
.742 -Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW .
Cumberland Farms # 1504
2.012-072
2/29/2012
The following_comments are based on plan review of submittals
1) Egress hardware to comply with Chapter 10 NYSFC
2) Need layout of emergency lighting at exterior egress components.
Provide labeled breaker in electric panel for future testing of all
emergency lighting
3) .Fire extinguisher locations to be discussed
4) .Provide.NFPA 72 compliant letter for all fire alarm system
modifications, along with system inspection including central station
monitoring.
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fi r e M a r s h a I 's Off i c e ■ P h o n e: 518-761-8206 F a x: 518-745-4437
firemarshal@queensbuty.net www.queensbury.net
�n � 1 -3
Rough Plumbing I Insulation n pec ion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: _ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
CT
NAME: PERMIT :
LOCATION: 00 8 INSPECT ON:
TYPE OF STRUCTURE: C.r�
�,�
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/ Commercial Check
Tyvek or Similar.Exterior Sealant
Proper Vent, Attic Vent
Door/Window►Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Foundation Inspection Report
P P
Office No.(518)761-8256 Date In eInr ' ed: I.A.
Queensbury Building&Code Enforcement Arrive: Depa :
742 Bay Rd.,Queensbury,NY 12804 Inspector's
NAME: MIT#: 0
LOCATION: INSPECT ON: 5-3— I a
TYPE OF STRUCTURE:
COMM a 4
Y N N/A
Footings
Piers
Monolithic Slab
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing •
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing '^
6 mil poly for wet—areas under slab
p' �a k"fi11 App�rov"
�� �fi gl' il`er'Slab
PV ast/Copper
oundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fonms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / FirestoPP g in Inspection Report
Pe Po
Office No. (518)761-8256 Date Inspection rjilvedQueensbury building&Code Enforcement Arrive: art:742 Bay Road, Queensbury, NY 12804 inspector's Initial
NAME: - ' —6
LOCATION: /D INSPECT ON: S-.
TYPE OF STRUCTURE:
Y X WA COMMENTS:
raining
Attic Access 22" x 3T minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D We each side
Draft stopping 1,000 sq. ft floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from.wall
Fire separation 1, 2, 3 hour
Fire wall.2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation In cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-0LDUSrilding&C.odesUnspedion FomrslFrorning FirodoWng Inspedion Report.doc Revised January 7,2W8
Rough Plumbing / Insulation Inspection Re ort
Office No. (518) 761-8258 Date Inspection re?e a iv�da 5 3
Queensbury Building &Code Enforcement Arrive: - 'or> a, / = art: Z� _ a p'm
742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: '
NAME: P MIT#: i'�d7�
LOCATION: v INSPECT ON: a-
TYPE OF STRUCTURE:
Y NIA
Rou h Plumbin Plates
P um ing Vent/Vents in Place
1 %inch minimum Drain Size ✓
Washing Machine Drain 2 inch minimum /
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent ;
Air/Head /
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
insulation/Residential Chedc/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insuiat3®n Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re r ived:
Queensbury Building &Code Enforcement Arrive:7_= I 97 a part: Z
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: PERMIT #: 1 Z- - 0-1 Z
LOCATION: _, _ n INSPECT ON:
TYPE OF STRUCTURE: -'
06
Y N N/A
PluEnbIng.:Nail;Plates n
Plumbing Vent/Vents in Place
1 Y2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure jest
3'n ent
Air ead
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test 1
aterSupply Piping
s M.+dad
0 P.S.I for 15 minutes..-._._-._-_
nsy{a66n/Etesidenfial=Check`/Commercial Check
Tyvek or Similar Exterior Sealant L
Proper Vent, Attic Ventj
Door/Window Sealed No Insulation
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspec do
Queensbury Building&Code Enforcement Arrive: = part: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: ERMITU7a—
LOCATION: la v- Z /L'17 INSPECT ON: J Z
TYPE OF STRUCTURE:
Y N WA COMMENTS:
raming Jam.
Attic Access 22"x 300 minimum z�y
Jack Studs/Headers 60 _\ L;7_
Bracing/Bridging �� � A Zv5� �Joist hangers i
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top.Plate
1 % w .16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 518 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OLD\Building&CodesHnspection FormsWraming Firestopping Inspection Report.doc Revised January 7,2008
` "`flay. 29. 2012'^ 2:06PN��9- 4DIA, Watervl i et, NYW ��'} '�No, 3471�P�J/4 ,
MIDDLE 1DrPA ZTM'F_NT INSPECTION AGENCY, I C.
i`rlle� that the electrical wiring to.the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions. I
Owner: Cumberland Farms Date: 05/14/2012
I
Occupant: Same Location 410 Quaker R
Occupancy: ueens ury, Warren Co. NY
1 st Floor
Applicant F �
Lupe Electric :•;:; :.•• . .
4112 N.Y.S. Route 2
Troy, NY 12180
Joseph A.Holmes:'
No. 1400241�4;4b'81
Equipment:
3-Switches;43- Receptacles; 32`�Fikture9 2-'Vt ht!Faris''-6-EnieigeliCy Lights;"3` Lxit Llgbfs; 1 -00 Amp
Recepticle; 3-40 Amp Receptacles;4--30 Amp Twist Lock Recepticles; 2-Hand Dryers
I
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void, this cettl(Icata applies only to the use,occupancy and
above and the installation inspected as Of the above noted date based on a visual ownership as indicated herein. Upon a change In the us ,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety, efli- of the property indicated above,this certificate shall be mmadiately null and void.
ciency or fitness of the eQuipment for any particular purpose. This certificate shall In the event that this certificate becomes Invalid based Pon the-,$bova conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinepectia by Middle Department
system to which this certificate applies be altered in any way.Including but not limit- Inspection Agency,Inc. An application for inspection m6st be submitted to Middle
ad to,the introduction of additional electrical equipment and/or the teplacement of Department Inspection Agency,Inc. to Initiate the inApeelion and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
1 � •
i
+ "'May. 29. 2012% 2:06PN ,'?'MDIA, Watervl iet, NV" ` o No, 3471 P. 2/4,
' MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
V�mr?,l that the electrical wiring to the electrical equipment listed below has been examineJ and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date l '�
noted below and is issued subject to the following conditions. f
Owner: Cumberland Farms Date:
05/14/2012
Occupant: Location:
Same 410 Quaker Rd
Occupancy: Fuel Pumps Queensbury, Warren Co_ Y
Applicant: William H Black
PO Box 17
New Lebanon, NY 1212
Joseph A.Holmes
Equipment: : ,•. ;,;: ::.:. :.;::: R:"...
Re-worked Fuel Pump Fef3ds(Fxisting) 'k i
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies onl II'to the use,occupancy and t
above and the installation Inspected as of the above noted date based on a visual ownership es indicated herein. Upon a change In the u9e,0'=p8hcy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effl- or the property indicated above,this certiricale shalt b Immediately null and void•
ciency or fitness of the equipment for any particular purpose. This certificate shelf In the event that this certificate becomes Invalid based upon the above conditions, )
be valld for a period or one year from the above noted date. Should the elecldcal this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered In any way,including but not llmit- Inspection Agency,Inc. An application for inspection must be Submitted to Middle )
ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection and revalidalion )
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service,
)
i
i
i
/Yl Ih f) d Qt. s 1-3
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins coon requ
Queensbury Building&Code Enforcement Arrive: a am m Depart: arr��ly�
742 Bay Road, Queensbury, NY 12804 Inspecto s Initials:
NAME: U )b n PER IT
LOCATION: DA
COMMENTS: W)
Y N NA
Chimney/`B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in I or E uivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"1 Treads lift
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 in.wlLever Handles/Panic Hardware,if required
Exits At Grade Or Platfomn 36 w x W(lyCanopy or Equiv.
Gas Valve Shut-off &Regulator 18" Above Grade
Floor Bathroom WaWftht/Other Floors Oka \
Relief Valve Heat Trap I Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System r 1 �
Fresh Air Sup&for Occu /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site /
Oil Fumace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%>1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls 1 Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dam rs/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30" h ,Crawl Spam Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Si /Shaft Sealed
HandicapREd Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters 34 in. Checkout 36" o R- 60
Handicapped Ramp/Handralls Continuous/12 in. Beyond[Both
sides]
Active Listening System and Signage Assembly Space
{��j��F G� c�16
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certffication ff
As-built S La System out Required or On File
BuildingNumber or Tenant Address on Buildingor Driveway4" A`7
Water Fountain or Cooler
'Building Access All Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:1Building&Cates FormslBuilding&CodesMnspeclion Forrns\Commential Final Inspection Report.doc Revised January 7,2008
Inspection Fora a
Town of Queensbury Fire Marshal Periodic Inspection Date- �� Time: Z f
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 45::'CO Inspection Permit#:
X
Marshals Representative
MJ Palmer Business Name:
Location: r- Rd
K Stillman Contact: Vf
`
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029 ' r
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspect ion of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.SI na e- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6 CRI &R2
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE. OK NC
Date
Generator Annual DATE. OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE. OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC �I Mar pubb ff fj.
Kitchen Suppression Semi Annual FWi1�1 ($BUBdi I
Fuel Island Suppression Semi Annual
Hood Cleanin 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection Me Mars al
T Q u
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection req ive :
Queensbury Building&Code Enforcement Arrive: ti a Depart: a
742 Bay Road, Queensbury, NY 12804 Inspector's Initlals:
NAME: 0,U rn1Qo�,�A PER T ®�—l>�01
LOCATION: � ID l 1(a ,e r R.d DATE:
COMMENTS:
Y N NA 1 I
Chirnne /'B'Vent/-Direct-Vent-Location - -.
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior[Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"i Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 in.w/Lever Handles/Panic Hardware if required
Exits At Grade Or Platform 36 w x 44'QyCanopy or Equiv.:
Gas Valve Shut-off Exposed&Regulator 18° Above Grade
Floor Bathroom Wa ht/Other Floors Oka
Relief Valve Heat Trap l Water Temp.110 Degnma Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Sueply forOccu /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.),-1-1/2 doors -
> 10%> 1000 sq.ft. -- - -
%Hour Corridor Doors A Closers
Firewails/Fire Separation,2 Hour, 3 Hour Complete/Fire
Damp2rs/Fire Doors
Coiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 3W x 20°x 31Y h ,Crawl Space Access 18"x 240
Smoke Vents Or Fan, if required
Elevator operation and Si /Shah Sealed
HandlcapgLd Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot SIgnage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters 34 in. Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond(Both
sides
Active Listening System and Signage Assembly Space
Final Elechical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification N req. -- t�
As-built Sepfic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' e�
Water Fountain or Cooler `
'Building Access by 20'/Driveable Surface 20'wide
Oka To issue(remp.A Permanent CIO
Okay To Issue
LABuilding&Codes Forms%Building&CodesUnspecdon FonnslCommercial Final Inspection ReporLdoc Revised January 7,2008
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection e e
Queensbury Building&Code Enforcement Arrive: D= a Depart: L = am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's India s.
NAME: C JM Cl C D `j PER
LOCATION: LA U =�-Yek F DA Qr�'— 1`7 — 1 Z
COMMENTS:
Y N NA
Chimney/"B'Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./SUp Risers T"/Treads lift
Vestibules For Exit doors>3000 sq.fL
All Doors 36 in.wiLever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 w x 44'(lyCanopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18' Above Grade
Floor Bathroom Wa ' ht/Other Floors Oka
Relief Valve Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Fumace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Sup&for Occu /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Fumace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Stomge/Receiving/Shipping Room(2 hr.), 1 '/doors
> 10%> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fine
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20'x 30" h ,Crawl Spam Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator tion and Si /Shaft Sealed
Handica Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parldng Lot SIgnage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters 34 in. Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides
Active Listening System and SignMe Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance r uired
Final Surve , New Structure/Flood Plain certification IN reqw1
As-built Septic System Layout Required or On File CID
Building Number or Tenant Address on Building or Drivewa 4' IJ �
Water Fountain or Cooler
'Building Access AN S' 20'/Driveable Su a 20'wide
May To Issue Te .or Penmanent C/O
Okay To Issue C/C
LABuilding&Codes Formsftilding&Codeskinspecdon FomnslComnvurial Final Inspection ReporLdoc Revised January 7.2008
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: ' Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection r, h
518 761 8206/518 761 8205 CO Inspection Permit
Fire Marshals Representative
MJ Palmer Business Name: ( c ron6ntoc VvA p
Location: q i Q (Du eq H o r '-R cl
GK Stillman Contact ; I
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029 .- n
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC906 � 4�`¢
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 +l
EMERGENCY LIGHTING: r ���� � rg�� � �
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 "
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles In Equipment Rooms FC315.2.3 N i',r,.Pc fry. �{{/ 1 1 S f t4 t c, t I
F.D.Si na e- FC 510 ntg�� iG¢tea �j�cu/tc�f
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 d
Interior Finishes FC 803-804 _
Smoke Detectors FC 907 Vk (MC
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 �
18" / 24" �v t+11$�cv t 14 I'i •
EVAC SIGNS IN Rooms FC 404.6 Rl &R2
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.55fi'ct rL
Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
J
' DATE. OK NC
SYSTEMS: FC 901.6 Insp OK NC
Date
Generator Annual DATE. OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleanin 3-6-Annual
Knox Box:Installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
www.famtec.com
-- LAMTEC
CORPORATION
WM P-VR
POLYPROPYLENE/SCRIM / KRAFT
Meets ASTM C1136,Type IV
FACING COMPOSITION DESCRIPTION VALUES (ENGLISH) VALUES (METRIC)
White Film Polypropylene 0.0015 inch 38.1 micron
Adhesive Flame Resistant
Reinforcing Tri-directional 5/inch (MD) 20/100 mm (MD)
Fiberglass/Polyester 4/inch (XD) 16/100 mm (XD)
Kraft Natural 11 Ibs/3000 ft2 18 g/m2
PHYSICAL PROPERTIES TEST METHOD VALUES (ENGLISH) VALUES (METRIC) '
Basis Weight Scale 17 Ibs/1000 ft2 83 g/m2
Permeance(WVTR) ASTM E96 0.09 perm 5.17 ng/N's
Procedure A .(grains/hr'ft2'in Hg)
Bursting Strength ASTM D774 60 psi 4.2 kg/cm'
Puncture Resistance ASTM C1136 125 beach units 3.7 Joules
Tensile Strength ASTM C1136 40 Ibs/inch width (MD) 7.0 kN/m (MD)
30 Ibs/inch width (XD) 5:3 kN/m (XD)
Caliper/Thickness. Micrometer 0.008 inch 203 micron
Accelerated Aging 30 Days @ No Corrosion No Corrosion
95% RH, 120°F (49°C) No Delamination No Delamination.
Low Temperature Resistance ASTM D1790 Remains Flexible Remains Flexible
-40°F(-40-C) No Delamination No Delamination
High.Temperature Resistance 4 hours @ Remains Flexible Remains Flexible
240°F (116°C) No Delamination No Delamination,
Water Immersion 24 hours @ 73°F (23°C) No D61amination No Delamination '
Mold Resistance ASTM C665/C1338 No Growth No Growth
Dimensional Stability ASTM D1204 0.25% 0.25%
Light Reflectance ASTM C523 85% 85%
FIRE TESTING FA9
ASTM E84/UL 723 CAN LILC-S102M BS 476
Film Side Kraft Side Film Side. Kraft Side Class APPROVED
Flame Spread 10 15 15 1.5
Smoke Developed 10 5 30 45 Surface
Physical Properties based upon statistical averages, Weight/Thickness+/-10%
"LAMTEC"AND"WMP"ARE REGISTERED TRADEMARKS.OF LAMTEC CORPORATION
5010 River Road Mount Bethel, Pennsylvania 18343-5610 U.S.A.
Phone: (570) 897-8200 Fax: (570) 897-6081 Web: www.lamtec.com
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