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2011-259 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building & Codes (518) 761-8256 CERTIFICATE OF OC CUP CY Permit Number: P20110250. Date Issued: Friday; June 24; 2011 This is to certify that work requested to be done as shown by Permit Number P20110259. has been completed. Location: 71 GLENWOOD Ave Tax Map Number: 523400-296-019-0001-044-00 1-0000 Owner: GLENS FALLS INDEPENDENT LIVING CENTER Applicant: . GLENS FALLS INDEPENDENT LIVING CENTER INC 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 owner of the responsibility for compliance with Site Plan,. property P rY P 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110259 Application Number: A20110259 Tax Map No: 523400-296-019-0001-044-001-0000 Permission is hereby granted to: GLENS FALLS INDEPENDENT LIVING CENTER I For property located at 71 GLENWOOD Ave 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. Twe of Construction Value Owner Address: GLENS FALLS INDEPENDENT LIV 67-71 GLENWOOD Ave Commercial Alteration $14,000.00 QUEENSBURY,NY 12804 Total Value $14,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-259 partitions &cosmetic interior work $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 10,2012 (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 To of Queens ury; Friday, iday,June 10, 2011 SIGNED BY for the Town of Queensbury. r Director of Buildinb 0 nforcement J4v�OFFICE USE ONLY i 0 AX AP N�� 0 , PERMIT NO. JUN _ , FEES: PERMIT_f7,�-7RE6REATION ENGINEERING NO ING& NSBU CODES R ' (if applicable) BUILDNG / , ---aea___-0 _« ��_a 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: SQnA' > >ppo tx\,wal OWNER: SOi.4i)ero AdronciclC p6efi+ f�,�� ( t.iv no) i Celt ADDRESS: I��� ��J� 1,kcyAnl Ctlk 1213� ADDRESS: 11 Gleig u_yC)OCI Ave- Osl>y PHONE N \�I`� ��36" J ��+�1 f PHONE NOS. ICI Z ­-�S5 3l CONTACT PERSON FOR.BUILDIING&CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: (D'l 0-O'1L13(X)d Ave. O .1 E .m E Ll, YUU 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 p w APPLY TO YOUR z F- O Cn d PROJECT O coo W H OF- J V- 0(7U- W Q M m0 W J LL U w ❑ � a z d � F- OF: W Wz Z Q Q U) N fA O U- F- U- d 2 06 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS_ TOWNHOUSE BUSINESS OFFICE S�A bQ RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: SI lono r4- L1 n I_ , In ESTIMATED CONSTRUCTION COST: I J lab FUEL TYPE: HEAT TYPE: �` � HOW MANY FIREPLACE(S):_VAND/OR WOODSTOVES(S):_ _ ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? A IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION 0E I C S P RC C- ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? *Please complete a separate Appl!._—_—_-,- "� c: -::�".r, ::cncas&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 agree to the above. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoi iii Iu A6L I[it iibii crier: i n i-is2 i (iOr due5iior�s regarding required permits, the permit process, appIirn+inn roast iirr n- 14-. . .+. Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 ----------------------------- 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: 0 BUILD NG&COD PROVAL ; ZONING APPROVAL DAT ; DATE 01 QUESTIONS? CALL 761-8256 OR EMAIL codesp_g ueensbu ry.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.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 Commercial Final Inspection Re rt 'e Office No.: (518) 761-8256 Date Ins ction roe Queensbury Building &Code Enforcement Arrive: a m Depart: a 742 Bay Road, Queensbury, NY 12804 Inspector's Initials- NAME: PE IT LOCATION: DA COMMENTS: Y N NA Chimney/'B'Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 67 in 1W or Equivalent Interior I Exterior Guardrails 42 in. Platform/Decks Interior l Exterior Ballisters 4 in.Spacing Plafform/Decks Stair Handrail 34 in.—38 in./Stop Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.It All Doors 36 in.wlLever Handles/Panic Hardware if required Exits At Grade Or Platform 36 w x 44'QyCanopy or Equiv. Gas Valve Shut-off A Regulator 18° Above Grade . Floor Bathroom Watertight/Other Floors Okay Relief Valve Heat Trap 1 Water Temp.110 rees Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System 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 Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%> 1000 sq.fL %Hour Corridor Doors&Closers Firewalls I 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 Rr x 30" h , Crawl Spam Access I W x 24" Smoke Vents Or Fan, if required Elevator 2p2raflon and Si /Shaft Sealed HandicaRRLd Bathroom Grab Bars I Sinks I Toilets Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters 34 in. Checkout 36" Handicapped Ramp/Handrails Continuousl12 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. k As-built Septic System La out Required or On File \ Building Number or Tenant Address on Building or Driveway 4' l' —1 Water Fountain or Cooler v"' 'BuildingAccess All Sides b /Driveable Su o 20'wide 04y To Issue Temp.-ofPermanent CIO Okay To Issue C/ LABuilding&Codes FormsWuilding&Codesllnspeciion Forrris%Commercial Final Inspection Report.doc Revised January 7,2008 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 10998 Permit No.... ..�...... ..........Cert. No Cut-in Card No..................................... Owner..................: ... Di /.� /� G[��Gel ct a dU, Gi 2�-> Location.......:..................................................... ................................................................................................ Installation Consisting of. ....G.........r'Li . . E ........................................................................... .............................................3.. tfr-.d�.A... ...................................................................... .................................................................................................................................................................................... InstalledBy.....-.- ..........................................................Lie.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin pections at any time, and if its rules are violated,the Company shall have the right t re ke this erti cafe. Date.....± .............. INSPECTOR. ....... ,..'........................... ................................................................ M—h—N F P A 1 A F i Inspection Form -30 Town of Queensbury Fire Marshal � Periodic Inspection Dater��� 1 Time 742 Bay Road,Queensbury NY 12804 c Re-Inspection _ 518 7618206/518 7618205 e1'CO Inspection Permit#: Fire Marshals Representative MJ Palmer Business.Name: -So, A o ti. Liu, OL- Location: 01 6 ILNVoc.� GK Stillman Contact: )a n n 1&Z,- Type of Inspection N/A Ye,9ej 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 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: Hunq FC 906 - Inspection 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 R1 &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 Re,M faTlr911 �8 adiff Kitchen Suppression Semi Annual 9 6r Fuel Island Suppression Semi Annual Hood Cleanin 3-6-Annual Knox Box:installed/checked FC506 .,U�;a 2011 Operating Permit if required will be issued after p 9 q i la Maishal Completion of Inspection Commercial Final Inspection Re Office No.: (518) 761-8256 Date Ins ct'on st ceiv d: Queensbury Building&Code Enforcement Arrive: ' a Depart: •° Ea 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s NAME: G-F LOCATION: ta-7 cauFs3 "J0 u2 ACE DA 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/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 Hardwares if required Exits At Grade Or Platform 36 w x 44'(IyCanopy or Equiv. Gas Valve Shut-off &Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System Fresh Air Sup&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 Firewaiis I Fire Separation,2 Hour, 3 Hour Complete I Fire Dampem/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 Handice 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 Electrical/Flex Gas Piping Bonded Site Plan/Variance required Final Survey, New Structure/Flood Plain certification If 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'/Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO P ` Okay To issue C/C LABuilding&Codes Forms%Building&CodesllnspecUon ForrnslCommercial Final Inspeclion ReporLdoo Revised January 7,21M Commercial Final Inspection epo Office No.: (518) 761-8256 Date Inspection t iv d: Queensbury Building &Code Enforcement Arrive: m Depart: EWa 742 Bay Road, Queensbury NY . 2804 Inspector's In'Ill NAME: `fie RMIT11o'k-C, #• l �C LOCATION: L'V� DATE: Ce` -"' COMMENTS: Y N NA Chimney/'B'Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in I or Equivalent Interior/Exterior Guardrails 42 in. Platforrrr/Decks Interior l Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Stop Rlsem 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft All Doors 36 in.w/Lever Handles/Panic Hardwares if required Exits At Grade Or Platform 36 w x 44"QyCanopy or Equiv. Gas Valve Shut-off Ex posed&Regulator 18' Above Grade Floor Bathroom Wateftht/Other Floors Oka Relief Valve Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System Fresh Air Sup&for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft or Vlrrthin Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 100A> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls I Fire Separation,2 Hour, 3 Hour Complete I Fire Dam rs/Fire Doors Ceiling Fire Stopping, 3,000 ici.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 Handica Bathroom Grab Bars I Sinks I Toilets Handicapped Bath/Pafldng Lot Signage c Public Toilet Room Handicapped Accessible � �ERo©cam gyp" Handicapped Service Counters,34 in. Checkout38" 'moo cam_ ti Lmbt Handicapped Ramp/Handrails Continuous/12 in. Beyond(Both sides Active Listening System and Sig a Assembly Space b pR. Final Electrical/Flex Gas Piping Bonded c � Site Plan/Variance required Final Survey, New Structure/Flood Plain cord icatlon if 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'/Driveable Surface 20'wide 0kay To Issue Temp. or Permanent C/O1=— Okay To Issue C/C 1 — A \ � A L:1Building&Codes Forms\13uilding&Codeskinspection FonnslCommercial Final Inspection ReporLdoc Re ed J=66 7,2W8 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Southern Adir. Ind. Living Center 11-259 6/9/2011 The following comments are based on review of submitted plan and site visit today . 1) Comply with requirements for locks and latches as discussed 2) Add combo pak at main entrance 3) Remove exit sign in proposed conference room 4) Add combo pak back offices leading to front offices 5) Add emergency light to illuminate egress stairs from floor 2 6) Compliance with NYSFC Chapter 14 and NYSEBC Chapter 14 will be required throughout the project. 7) Fire extinguisher locations to be discussed. Fire Marshal Michael J Palmer 742 Bay Road Queensbury NY 12804 518 761 8206 firemarshal@queensbury.net Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437 {tremarsllal@queensburit.net - www.queensbumnet