2011-548 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: P20110548 Date Issued: Thursday, January 12, 2012
This is to certify that work requested to be done as shown by Permit Number P20110548
has been completed.
Location: 870 STATE ROUTE 9
Tax Map Number: 523400-296-017-0001-051-000-0000
Owner: ALEXANDER POTENZA
Applicant: METRO MATTRESS CO.
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOf7N OF QVFIENSBURY
/
Issuance of this Certificate of Occupancy DOES NOT relieve the property . ' r
owner of the responsibility for compliance with Site Plan,Variance, or
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
F4,0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110548 Application Number: A20110548
Tax Map No: 523400-296-017-0001-051-000-0000
Permission is hereby granted to: METRO MATTRESS CO.
For property located at: 870 STATE ROUTE 9
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: ALEXANDER POTENZA
FRANK BORK Commercial Alteration $4,000.00
403 GLEN St Total Value $4,000.00
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-548
METRO MATTRESS CO. -removing interior wall
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 07,2012
(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 Torf144, ensby ;r s# N.vember 07, 2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Z%6. /....,7 �,_� J OFFICE USE ONLY
_,- .- _
TAX MAP NO. ( / �/
PERMIT NO. —SSE'
FEES: PERMIT _ 0
Y -ECREATION
/� ENGINEERING
....................�; _. .................................. (If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING PERMIT
CONSTRUCTION.
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTIIONAPPLICATION IS SUBJECT TO
14 1 APPLICANT/BUILDER( 4l '//c a � j
IF /11249 OWNER: ,.'ol/ ,,
ADDRESS/63 6 _ ; 4 S C
I ADDRESS: ,� ,c y,��
PHONE NOS. C - 426-b
PHONE NOS. /�
CONTACT PERSON FOR BUI DING &CODES COMPLIANCp4 ' L �;,I .
PHONE G ` `
LOCATION OF PROPERTY. ,A �, y� 2k `2, GA i 5 l /
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 12 YES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
PROJECTO YOUR cn
o O
rY
1= O O � u- co
APPLY W Oo1 _, ii w -' 0 = z
J � C'! o = I- 0C� Z
Z < < 1-- (/) zVCO CO O � I- u. Q. wz
a = te
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
Illiiii
BUSINESS OFFICE
RETAIL- _
MERCANTILE V /
FACTORY OR
INDUSTRIAL ✓eiv- ,'e__ C,A. cu Alf
ATTACHED Vat, = �" '-
GARAGE(1,2,3)
/'
OTHER
IF COMMERCIA fi�1DUSTRIAL- NAME OF BUSINESS: ti/e Cs
ESTIMATED CONSTRUCTION COST: `f 4-'u FI IPI TVP
B 3-LGL 11-05
1}
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? L
ARE THERE EASEMENTS ON PROPERTY?
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 rea and agree to the abpV
Signe /////-4 `� L`� = A
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
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
Application: zoning Laws of the Town of Queensbury.
/ \ 1
/
.„, /A,
;VAL ZONING APPROVAL
DATE
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Use Only codesCa pueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATION
ODeratinn Por„"u
Commercial Final Inspection Report /O.'&)
piece( J p . (to/so./
Office No.: (518) 761-8256 Date In, • :cf• =• re,' -•:
Queensbury Building &Code Enforcement Arrive: r 4-41101 Depart: '" .r-
742 Bay Road, Queensbury, NY 12804 Inspector's In'+Y ,s
_
NAME: e /4 ,i' PERMIT
LOCATION: /71,//.-1,1/ )'1 /1 DATE: SY
ICOMMENTS: .
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 I 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
M Doors 36 in.wlLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36(w)x44'(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18')Above Grade
Floor Bathroom Watertight/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 I Fire Separation,2 Hour, 3 Hour Complete I 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 I Sinks/Toilets /
Handicapped Bath/Parking Lot Signage ti/ \.‘, 7 46 AL- 1�
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in.,Checkout 36" f X.
Handicapped Ramp/Handrails Continuous/12 in.Beyond(Both
sides]
Active Listening S ,_.., . _ __ bly Spm
Final Electrical =x Gas Piping Bonded
Site Plan/Varia = requ
Final Survey, New Structure I 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 _---�� — �?�i jj 11 I
Building Access AA Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO \ Z
Okay To Issue C/C
L:\Building&Codes FormslBuilding&CodesUnspection FormssCommerriaI Final Inspection Report.doc Revised January 7,2008
viN•\ <�
2 hf //1
Commercial Anal Inspection • •rt
Office 0.: (518)761-8256 Date Ins• = •-1'• •_ ticeived:
Queensbury Building &Code Enforcement Arrive: 1 a � 11 =part: ZyiT a
742 Bay Road, Queensbury, NY 12804 Inspector's India AN
NAME: I ` f v ,..�_ PERMIT 4'ö
LOCATION: t—a�!,-. ' r7 - ? DATE: Ei—�akAli`'
1111 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/Decks
Interior I Exterior Balusters 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 l Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44'(I)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(181 Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap l Water Temp.110 Degrees Maximum
Boiler I 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.
' Hour Corridor Doors&Closers
Firewalts/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 301(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 SVnage +- RC- b xE t`- 'F dCX-
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in.,Checkout 36" °�\\k.C2Cr:*\
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides]
Active Listen' • Symon and Siably Space
Final Electrical Flex Gas Pipi s t nded
Site Plan/Varia .F- required / rJ E��
Final Survey, New Structure/Flood Plain certification,if req. \3 E..Vt2--_i .
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' _L
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:\Building&Codes ForrrsUBuilding&Codes Inspection Forms&Commercial Final Inspection Report.doc Revised January 7.2008
_. -,
2-ii 4,, -, ,/--
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: Time:21i c 7-37
742 Bay Road,Queensbury NY 12804 0 -Inspection 518 761 8206/518 761 8205 O Inspection ildro Permit#: //1:75-78.--
Fire�^arshals Representative \\\
i/MJ Palmer Business Name: ,es
Location: /' G,.,,► , p
jGK Stillman Contact: '2/ ,'4o/Jr
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029 ./r
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: Hung FC 906 2
�Y�"t lb 0 Al S te-S
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.Signage- FC 510 -/
No Smoking Signs FC 310.3 _/ f )
Storage FC 315.2 , Pi-Ac"k V 16 ,S-44‘'
Compressed Gas FC 3003 .�
Vehicle Impact Protection FC 312.1 ---'"-
interior
interior Finishes FC 803-804 ,/
Smoke Detectors FC 907 r/
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 / ��
18" / 24" 'IM
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) ------- ,��Lt=ffOr
Fuel Pump Warning Signs FC2205.6 ./ ..
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 .�
Vacant Buildings FC 311 ./ REINSPECTION DUE APPROXIMATELT
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
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: I LI IVIITIme:0 le)/9111
742 Bay Road,Queensbury NY 12804 Re Inspection j�, ���
518 761 8206/518 761 8205 CO Inspection Permit#: J/
Fire Marshals Representative
t/iMJ Palmer Business Name: i /144 5s
� Location: 671) 7
/ K Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 ,/ NOTES
Exit Enclosure FC 1020 S.FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 � /4/4 5- ,t6 e:14,7®1y
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 / i'Z /A414:2.-
AISLES:
A414:2AISLES: — 4.1-- f S-.---
Main Aisle Width FC 1024/1025&FC1029.11 •
Secondary Aisle Width FC 1025&FC1029.11 / �`
FIRE EXTINGUISHER: Hung FC 906 ./ \ 44,ANLJ (-' i 4
Inspection of extinguisher FC 906 /
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 ./ . +►,•�e Z
EMERGENCY LIGHTING: J
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 �f
Clearance to Electrical FC 605.3 /
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 ._..% /414 ../ 11/4Compressed Gas FC 3003 ,
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 ...-----
Smoke
Smoke Detectors FC 907
CO detectors FC 610
Clearance fo Sprinkler/Ceiling FC 315.2.1
18" / 24" de .,-- -Ii •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
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATEL:
21 DAYS
400
SYSTEMS: FC 901.6 lnsp OK NC DATE: 0
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 Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
ELECTRICAL INSPECTION SERVICE,INC•
COMMONWEALTH PA 17545
Main Office 176 Doe Run Road CTRICAL APPROVAL
ELE
MUNICIPAL
CERTIFICATE 19369
'�1 Cut-tn Card No.....................................
. ...................
Cert. ..............................
Permit No..................... _
........................................................................
�....... ............... ......................... . ......... ..
Owner ...... 1
ep
Loc ton.... ..
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of .. y.s� #�...........................
Installation Consisting G X j ` ..�'G .................
'
...............
...............
.................
....................................................................................
tou y issued�s
"�`y;�_; ...e................................... Liccertificate prev' sl i u
Installed By........................ on the
The conditions following governed the issuance of this certificate,an any
romptlY made for inspection.
cancelled: covers the electrical equipment and installation conditions as of date. P
application shall be p time, and if its
This.certificate only or alterations,app mspe tions at any
an shall have the privilege of mals P
introducton of additional equipmentthis er,' tcate
Inspectors of this Company
have the right to ev
the Company {,4� ..................
rules are violated, . ........... ...�.t
....... .""A , � .� INSPECTOR.... Member
Date--a.................
TOWN Of QUEENSt URY } f -- li OC 'fr'6i1'' !f-Pat,XM
BUILDING DEPARTMENT
Based on our limited examination,compliance ' '( )WN OF QUE „ : :O R i \ /
with our comments shall not be construed as I
indicatingthe !en6 and Specifications are in 1 . ,
F COPv
full oomliaE;c :°.t+r, th:W Building Codes of �� .�11�G & * '/�r /
New York Staff:. -k ;viewed By ilAi/ - &. F!!
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NOTICE 1
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L: VER HANDLES REQUIRED
0 N ALL •ASSAGE D• t R =,r-- ----_� r i ock ..............
W '' ER INTERIOR OR
E> tRIOR DOORS 14/Nteat/ ss
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