2011-541 TOWN OF QUEENSBURY
w742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110541 Date Issued: Thursday, January 19, 2012
This is to certify that work requested to be done as shown by Permit Number P20110541
has been completed.
Location: 410 BAY Rd
Tax Map Number: 523400-296-016-0001-016-011-0000
Owner: PETER SHABAT
Applicant: ADIRONDACK COMMUNITY COLLEGE
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 Z if ;i
er-
property owner of the responsibility for compliance with Site Plan, I°'� "� v r"/
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
coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110541 Application Number: A20110541
Tax Map No: 523400-296-016-0001-016-011-0000
Permission is hereby granted to: ADIRONDACK COMMUNITY COLLEGE
For property located at: 410 BAY 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: PETER SHABAT
P.O. BOX 967 Certificate of Occupancy(COM)
GLENS FALLS,NY 12801-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-541
Adirondack Community College
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 31, 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 Townuee s ury� �'' ; i i .. , October 31, 2011
SIGNED BY c^l-�'"
/� av
for the Town of Queensbury.
Director of Building&Code Enforcement
Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 Data
David Hatin, Director of Building & Codes ',
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal � .( iEfif
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
.� /7— S11/
TAX MAP # . � � I / /(p / BLDG. PERMIT FILE#
If applicable
Name of Business: AL+ V LLc (i( exp M&.u'+.! 77 (t' 11
Address ��`
of Business: —7/j 8 A/ R A. (III�w� L 0/` /�%+f• QUESTIONS? CALL 761-8256 OR
C_ EMAIL codes(a�queensbury.net
� b ��r) VISIT OUR WEBSITE FOR MORE
c .
Person in Charge or Manager: , In« , ('A '—'es , INFORMATION
www.queensbury.net
Business Phone Number: 'J - 3 - ZJ-Y L
Type of Business: E. l) LA.Ck11 i c — A C
Owner of Property: �� ,Z St‘ I Phone Number(s):
Home Cell
Owners Address:
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: [ ��.-�1,i7 / `'� Date: /fJlI
Of person submitting this form
Notes / Comments:
EMERGENCY UPDATE
Please print clearly
DATE: /0/47///
BUSINESS NAME: Adi QUL Ac K �On1 n�u A,tt/ O l I P
BUSINESS ADDRESS: (o `/O 8/47 R�: Qt fevs
BUSINESS PHONE: 51 -77 3 - 3_;)--Y C-,
PHONE 1:
CONTACT 1: 4 A-'iLz y R t�'-�i PHONE 2: 'I ss-7y 3 .2 vO
TOWN/VILLAGE RESPONDING FROM:
PHONE 1: 7Y 3-- -J cc y y 3
CONTACT 2: L ii c r&y /he 61.5( PHONE 2:
TOWN/VILLAGE RESPONDING FROM: r Y- �- 1-/4d scp /4.7/5 IVY
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 QUEENSBLIRY FIRE MARSHAL'S OFFICE
Phone: 5.1.8-761-8206 Fax: 518-745-4437
fire-marshal@gueensb-r.ry.net www.queensbury.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary Stillman
Inspection Form
Town of Queensbury Fire Marshal CD Periodic InspectionDate: r Ji Time: �D
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 ®CO Inspection Permit#: I) -64
Fire Marshals Representative
X MJ Palmer Business Name: S U 'P D►r10Nh4-ACf
Location: 1 V 1, 1 PGS,
'(GK Stillman Contact: PitA-h
Type of Inspection N/A Yew No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029 Vz
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 ^ � �
AISLES: °'t�}sV`• G11�tt�I(/�, O
Main Aisle Width FC 1024/1025&FC1029.11 V,
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 l
Inspection of extinguisher FC 906 Arc j �) - Ls�ntSSror�
EVAC Plan FC 404.6 .' t;9 01^1-1S-
TRUSS
STRUSS 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 FC315.2.3 110
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2 ,�
Compressed Gas FC 3003 / -.idlill'r -
Vehicle Impact Protection FC 312.1 r /
_ 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
Fuel Station Emer Procedures FC2204.3.5 /
Exterior Storage FC 315.3
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATE]
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 i11›- x DATE: OK NC
HVAC Shutdown
Sprinkler System Annual _ ._. �---- --.-- -�-• --
Sprinkler FDC v Fire Marshal Inspact p
Kitchen Suppression Semi Annual ilIa X CO rna'gi&iC. G' ; N
Fuel Island Suppression Semi Annual f�tt
Hood Cleaning 3-62 Annual l�ik ) r` 3 +
Knox Box:installed/checked FC506 1 j X f.X94 y
1
1
Operating Permit, if required will be issued after
_ _
Completion of Inspection .
A F �
T�r.of Mahal
�.
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received: 1/17
Queensbury Building&Code Enforcement Arrive: /31 am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 4(6- PERMIT#: //
LOCATION: V/G) Ey, DATE:
COMMENTS:
Y N NA
Chimne /"B"Vent/Direct Vent Location
Plumbint 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. / Step Risers 7"/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"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap I 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 'h doors
> 10%> 1000 sq. ft.
3/4 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
Handicapped 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
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 it !r A// 4,/I "61
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
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ITEMS TO BE ADDRESSED
--R COVE WALL
• MOVE STUDENT STATION —3FT
• BUILD CUSTOM COUNTER 1
• BUILD CUSTOM TEACHING BAR
• REMOVE WALK-IN COOLER
- PURCHASE EQUIPMENT OR MOVE FROM COLLEGE