2011-113 A ) TOWN OF QUEENSBURY
*ow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATEOFOCCUPANCY
Permit Number: P20110113 Date Issued: Friday, May 13, 2011
This is to certify that work requested to be done as shown by Permit Number P20110113
has been completed.
Location: 340 AVIATION Rd
Tax Map Number: 523400-301-008-0001-017-000-0000
Owner: DONALD &LUCYNA SOKOL
Applicant: RAY OF LIGHT FITNESS
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the Ce41/79 4
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
eat%OW
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110113 Application Number: A20110113
Tax Map No: 523400-301-008-0001-017-000-0000
Permission is hereby granted to: RAY OF LIGHT FITNESS
For property located at 340 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: DONALD&LUCYNA SOKOL
ET AL Certificate of Occupancy(COM)
340 AVIATION Rd Total Value
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-113 Ray of Light Fitness
Suite 4 in Sokol's Plaza-CO ONLY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 26,2012
(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 ToC.....
f ens J• -,2-, •, • Aril 26,2011
r;
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
Community Development Office LF 1 3 - ///
. r� Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Date
Si
• David 1-Palin, Director of Building&Codes
Craig Brawn,Zoning Administrator•Michael J. Palmer, Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
/777— •
TAX MAP# BLDG. PERMIT FILE#
If applicable
Name of Business: `f f U t+ rc r iv-
AdBress
of Business: ' / QUESTIONS? CALL 761-8256 OR
?j�J I�r�utJ k%) �l ( �r (! � `f' �` Y
EMAIL codesOqueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: J( /if l re.aL_ t'Sc sq-S INFORMATION
www.aueensburv.net
Business Phone Number: k)/d' 35-Ito C 7/ -.? 777
Type of Business: 1 t1 JCt -
Owner of Property: `)lam c Vl (�S Phone Number(s): 7 '7? 3(2( '1(6
Home Cell
Owners
Address: 'IO J ( yl
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date: /--l7 (7
Of perso submitting this form
Notes / Comments: ( vct7/f-r7aJS 6; tc-c
L.etar6.••=7)-425(7 )c c, (iV7iL ,_ Get/ ;� /�L(J
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: «cc� /.3
BUSINESS NAME: G1F L 61+; FcrIVe S
BUSINESS ADDRESS: 31-te-‘=. /--t/t cAJ i c\ Ye ,( 0,6
IrL
BUSINESS PHONE: g(a- - ( 3T6
,�- HOME r
CONTACT 1: `-s /J+ (SL-4-s PHONE ',?5
ADDRESS: �� �✓L-�i � / li�/ t �
�
1// <� HOME
CONTACT 2: /114-77777/ PHONE 24t4y-662-(
ADDRESS: /S �,Lc,✓Li f
a eV
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P It o ,i e: 518-761-8206 • F a x: 578-745-4437
fireniarshal@iqueensbury.net • www.queensburil.net
.7-li 7/7-(7i) /
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: 5/1/Ti e:
742 Bay Road,Queensbury NY 12804 __Re-Inspection . ro
'
518 761 8206/518 761 8205 =CO Inspection �� Permit#: , /!lam!'
Fire Marshals Representative
tv/11 Palmer Business Name: -.5C- - r
Location: 5 �'� 3''
-) Pr,4744A_W-- '
(./GK Stillman Contact: r ;0_40
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 1.7 NOTES
Exit Enclosure FC 1020&FC1029 �'
Exit Discharge FC 1024&FC1029 Y
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 V
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 V'
Inspection of extinguisher FC 906 ii
EVAC Plan FC 404.6 ✓/.
TRUSS ID SIGNAGE FC 505.3 l7-
EMERGENCY
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 ✓
Exterior FC 1006.3
Clearance to Electrical FC 605.3 1/
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510 /
No Smoking Signs FC 310.3
Storage FC 315.2 I/
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 V f
Interior Finishes FC 803-804 Y
Smoke Detectors FC 907 17
CO detectors FC 610 V
Clearance to Sprinkler/C 1 C 315.2.1 / - A
18" /
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
0/2
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
///
Exterior Storage FC 315.3 v REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 nsp OK .0 DATE: OK NC
•te
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual ...._._sem_,,:-ga,.- -
Sprinkler FDC N Mar Y S ,oCtl
imi6
Kitchen Suppression Semi Annual 9 rf
iiii‘ isse4 'ore
Fuel island Suppression Semi Annual
Hood Cleaning 3-6-Annu•
Knox Box:installed/checked FC5•• 2011
Operating Permit, if requir- • will be issued after i
Com letion of Ins ection (Air
i~ '
Commercial Final Inspection port
Office No.: (518) 761-8256 Date Insppotion request received:
Queensbury Building & Code Enforcement Arrive: 74 ' am/p, k Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: !
Commer I Final Inspection Report
Oft,e No.: (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: ' t1 am/pm Depart: am/pm
742 Bay Road, Queensbury,yNY 12804. Inspector's Initials: 7)//- /�
NAME: ,j l`� ' `! l (C � • PERMIT#: p iU .
LOCATION: - '5 ( f%<< <<i DATE: - -• /
COMMENTS:
Y N NA
Chimney I"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish I Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform l Decks
Interior/Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"!Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. wlLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44" (!)/Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade j
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/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 %doors
> 10% > 1000 sq. ft.
'/ Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18" x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handica•'-, LI room Grab Bars/Sinks/Toilets
yari.d•icapped B. /Parking Lot Signage ='
PUb1ic-T 'oom Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp 1 Handrails Continuous/12 in. Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
Building Access All Sides by 20'I Driveable Surface 20'wide 1 11 1
Okay To Issue Temp. or Permanent CIO / /� /
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codesllnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
Inspection Form
Town of Queensbury Fire Marshal Periodic Inspection Date:-51L//,
742 Bay Road,Queensbury NY 12804 F.Reinspection
518 761 8206/518 761 8205 7
Q CO Inspection Permit#: �! //i
Fire Marshals Representativej ---,
MJ Palmer Business Name: ky(.i-- J,g f -- -�7;-ne-s-
Location: c 7)4-z"---)_..4_21 -7 1 / y',
"GK Stillman Contact: 4,/7rf-- 2 _.::1-714,-i S
Type of Inspection N/A Yes No
EXITS: NOTES
Exit Access FC 1014 ,,,,:
Exit Enclosure FC 1020 V '
Exit Discharge FC 1024 r fp
k, _ f 1).°t- -*IC--
- C- 114/1 j f 11 ill
Sign Normal FC 1011 i.,.; N• 7
Sign backup FC 1011.5.3 V• T �'r L 1 �ry ii. J c pY�'r:rC..r
AISLES:
Main Aisle Width FC 1024/1025
Secondary Aisle Width FC 1025 _
FIRE EXTINGUISHER:
,I.-----;Ie Am rzfee'L ���Ji
Hung FC 906 V
Insp of extinguisher FC 906 'v-/
EVAC SIGNS IN R ooms FC 404.6 4.../-`
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006 �V, . lrn�<.f #r7i'7 1In (1, .1 f19'+4
Exterior FC 1006
Clearance to Electrical FC 605.3 _
Compressed Gas FC 3003
Knox Box FC 506
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315 (,! --
Electric Wiring Enclosed/Labeled FC 605.3.1 Jk,f --- (--Lo SG I) l= v 3 ric-- to i'1 DC�C,J ��'1 1
Vehicle Impact Protection FC 312.1 y
Interior Finishes FC 803-804 e,
- .',GiL,„,1 Ti)es --tlyar, 1 y*
Smoke Detectors FC 907 _tf)./ih 5/,Y.. i' t--- Cf ' ' /G 1
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1
18"/24"
Exterior Storage FC 315.3
Operating Permit
Vacant Buildings FC 311
REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 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 AnnualS ;'
Kitchenitnr Fu p f/ \� )� /J� jf2 6�
Suppression Semi Annual o 1 f1r
Fuel Island Suppression Semi Annual •` f
Hood Cleaning 3-6 i \,
- ' ? in
O1i\
Commercial Final Inspection Repo •
Office No: (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: /OA) am/pm Depart: am/pm
742 Bay Roa Queensbury, NY 12804 Inspector's Initials: dr
NAME: f ( / )\ PERMIT#: �/ /
LOCATION: DATE: ;P-
j /1
COMMENTS:
YN NA
Chimney/°B'Vent/Direct Vent Location
Plumbing Vent Through Roof 6"I Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Banisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in.-38 in. I 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" (I)/Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap/Water Temp. 110 Degrees Maximum ,
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System .
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site r�
Oil Furnace Shut Off at Entrance to Furnace Area J ns� s Si,-,4: l)i ' -
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 '/z doors 2,,, ,f'ziz//. MI'
> 10% > 1000 sq. ft. / n
'/, Hour Corridor Doors& Closers Cc. ' expc�,S`i6'J"
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete /Fire
Dampers/Fire Doors - %'J, �fUr •o_ Ceiling Fire Stopping, 3,000 sq. ft.Wood FrameN �� �
Attic Access 30°x 20°x 30" (h), Crawl Space Access 18"x 24" 1,r.,
Smoke Vents Or Fan, if required // �/l �
Elevator Operation and Signage I Shaft Sealed - 7�/ / &'t. `'Si IA.,' �`�
Handicapped Bathroom Grab Bars/Sinks/Toilets _ �,„��
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible - /LC, 2 1
,, F /hJ j/� ei-
Handicapped Service Counters, 34 in., Checkout 36" L%-c-1
/ �/
Handicapped Ramp I Handrails Continuous/12 in. Beyond [Both 6.t.:// L%-c !moi/ei
sides]
Active Listening System and Signage Assembly Space c N i /77c`"``j'~� r
Final Electrical I Flex Gas Piping Bonded I.----
.-;Ce....:-1..i'
Site Plan/Variance required
Final Survey, New Structure/Flood Plain certification,if req. / ,�
As-built Septic System Layout Required or On File ��K/ cf����1G`tc ,r
Building Number or Tenant Address on Building or Driveway 4' `!� `°� �� �/
Water Fountain or Cooler — hs * cr
Building Access All Sides by 20'I Driveable Surface 20'wide / fP-^ /",``" do,Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C _ AIL°it /, f SJP1
r
L:\Building&Codes Forms\Building&Codes\inspection FomrslCommercial Final Inspection Repod.doc Revised January 7,2008
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: /0,L' am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 2)/i
NAME: 4 ' L-� �� PERMIT*. 0Z 0//- 1/3
LOCATION: 7 DATE: y LS,��
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/Exterior Guardrails 42 in.Platform 1 Decks
Interior 1 Exterior Bailisters 4 in.Spacing Platform I Decks — 7/e^ og//CPA, 7t / w-
StairHandrail34in.-38in./StepRlsersl"ITreadsll"
Vestibules For Exit doors>3000 ss ft. G, �<
All Doors 36 in.wlLever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36(w)x 44'(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18')Above Grade �o�
Floor Bathroom Watertight/Other Floors Okay L� % C4 '
Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum `�
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Nr Supply for Occupancy/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 4 doors
> 10%>1000 sq.ft
%Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30'x 20"x 30'(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Seated
' 1/4 J / a.4_ZAP'
Bathroom
Handicapped Grab Bars!Sinks/Toilets � /f
Handicapped Bath/Parking Lot Signage L/2.-"
Public Toilet Room Handicapped Accessible „
Handicapped Service Counters,34 in.,Checkout 36" z`�
Handicapped Ramp/Handrails Continuous/12 In.Beyond(Both
sides] -- .4nJ/// / Ji5^
Active Listening System and Signage Assembly Space
Final Electrical I Flex Gas Piping Bonded — c/`cru -1;10
Site Plan!Variance required
Final Survey, New Structure I Flood Plain certification,if req. /ch./ Cox— /1.4447,,/
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' R-4/
Water Fountain or Cooler
Building Access All Sides by 20'/Driveable Surface 20'wide `
Okay To Issue Temp.or Permanent CIO G�mid( ear L kifah-
Okay
To Issue CIC
L:\Building&Codes FormssBuitding&Codes lnspection FonmsCommercial Final Inspection Reportdoc Revised January 7.2008
I
‘-_________, -- -- • -
'"-----..--- .Z____Li
----------- 7--- r - 4,______ _
.__—.., --
—
2C-
,
._._ E,P..
i• .
•
I 1
i 1
c AT' i
1 I
i
C,
1
of F ice !!
1 ,
I ,
•
1
-------i„—j—vn, L
air.
sTeL3__7. .-sc oKest.LS PLATA
3 4 0-Ad_th•n 13..c4.<41 ekee,t.4sEt.).A1 ,1A:st._