2011-445 .4411Ihi TOWN OF QUEENSBURY
too742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110445 Date Issued: Friday, October 14, 2011
This is to certify that work requested to be done as shown by Permit Number P20110445
has been completed.
Location: 375 BAY Rd
Tax Map Number: 523400-296-019-0001-032-000-0000
Owner: PROVIDENT BAY ROAD, LLC
Applicant: IRS
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 r ; ��
property owner of the responsibility for compliance with Site Plan, ,.%` � 1‘4 G
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
eaki
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FirM
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110445 Application Number: A20110445
Tax Map No: 523400-296-019-0001-032-000-0000
Permission is hereby granted to: IRS
For property located at: 375 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: PROVIDENT BAY ROAD, LLC
353 BROADWAY, 2ND FLR Commercial Alteration $30,000.00
SARATOGA SPRINGS,NY 12866-C Total Value $30,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-445
IRS - 2459 sq ft commercial alteration
$491.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 08,2012
(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 Town ueensb , T yrsjlay, September 08,2011
SIGNED BY L✓?�` y for the Town of Queensbury.
Director of Building& ode E‘.orcement
gg4g0 I96,72,-
- ‘427‘ /7- 32_OFFICE USE ONLY
TAX MAP NO4 PERMIT NO. _ ' F-77 Fq
;1-' .--777-71 '
FEES: PER e2- ' RECREATION ENGINEERING '{
........... .ot. j
(If ap�l able) w i':..3 ; , ,o l Ii,A,
' '} ' YPRINCIPAL STRUCf � eu co
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:? t.��.-fir 'j \Z. p OWNER: PF.430CDL,--1--ti t2-ocAA
ADDRESS: 353 PSR-vm-DvAner 'St1't ELccAz_ lisuADDRESS: S,-w�
PHONE NOS. ?Sa - t go l (,Vt _ 5-2-C1 PHONE NOS. Svt-vo
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: �4 c. t-- PHONE: b( --S-2--(9
LOCATION OF PROPERTY: 31 S 0 4er'in el Ri/:'i/-e_.4,‘_,..,_
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES [X NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: I
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT 0
APPLY TO YOUR z H C�) ~-
PROJECT < 00 p - w
0 w _J U- LL � w ¢ a = =
~ 0 - Z
Z < < :-L. � NCO 0 � I- �~L a = 0s
SINGLE FAMILY
MO-FAMILY
MULTI-FAMILY I
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE -L l k5.5 O C 2M S1 `o,_ot%
RETAIL-
MERCANTILE
I
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: t - -9---1-4.►<AZNA:=►WJE Si?1z-ss
ESTIMATED CONSTRUCTION COST: `p° FUEL TYPE: 611\-S
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? iso
ARE THERE EASEMENTS ON PROPERTY? t
I acknowledge no construction activities shall be commenced prior
permit. I certify that the application, plans, and supporting materials are a true and aance oa valid
complete statement/description of the work proposed, that all work will
accordance with the NY State Building Codes, local building laws and ordinances,
conformance with local zoning regulations. I acknowledgebe performed in
facilities proposed, I or my agents will obtain a certificate that prior to occupying the
and in
that I/we are required to provide an as-built survey by alicoen ed land sn s I also understand
constructed facilities prior to issuance of a certificate of occupancy. urveyor of all newly
I have read and agree t the above.
Signed A l/
30 ct
Director of Buildin & Codes: 761-8256 (for questions regardin Bu'
g Ilding Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding requireder
application requirements or to schedule an appointment) p mets, the permit process,
Permission is hereby granted to the above I,,,
Applicant to erect or alter the buildingThis application / proposed action described
aid hherein is found to be in accordance with the
described herein in accordance with
Application: zoning Laws of the Town of Queensbury.
21/11(;/'
ce
B T G & COD r APPROVAL
•
ZONING APPROVAL
DAT
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Us e p�l� codesgueensbur .;ea
OperatingPermitVISIT OUR WEBSITE FOR MORE INFnRM
Issued: YAC
Inspection for Permit to Occupy
Fire Marshal's Office Request Recd Permit No. f,1 OS—
Town
of Queensbury
742 Bay Road /�) 7
Queensbury,NY 12804 Scheduled Inspection Date: v /! Time: J
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal ✓/
Sign-battery t/
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung
Inspection of extinguisher
•
FIRE ALARM SYSTEM i y Marsft i Sp+icti�1 Cee
Fan Shutdown �0 rr.��1 issued �1 w
Fire Sprinkler System (FDC) Bwi g&Codes auel
Fire Suppression-kitchen
Fire Suppression-Gas Islan COT 2011 I
Generator
Hood Installation
Elevator - -.
Interior Finishes ?Ire T e�MarShai UrV ;
Storage w_y
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Signage-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
)Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
❑ Denied / call for Recheck
Inspected By: I
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
Commercial rinal In ion Re '
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 Ins is Initials: 1
NAME: /RS PERMIT#: 2/5/y-
LOCATION: 37-5- DATE: « l/
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 Banisters 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'(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 'I.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
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/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 • ••• Surface 20'wide .t./
Okay To Issue Tem•. • • •t
Okay To Issue C/C —�
L:U3uilding&Codes Forms1Building&Codes Inspection FonnslCommercial Final Inspection Report.doc Revised January 7,2008
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
itriTi7z
Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20110445
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
09/08/2011 Miscellaneous Commercial Alteration JENNIFER HENDERSON Staff
Misc 2011-445
permit issued
09/19/2011 Framing Commercial Alteration JOHN O'BRIEN
Denied 2011-445
ok to relocate door in interview room blow up floor plan to be submitted showing modification
09/22/2011 Framing Commercial Alteration JOHN O'BRIEN
Approved 2011-445
non bearing partitions
09/22/2011 Insulation Commercial Alteration JOHN O'BRIEN
Approved 2011-445
10/03/2011 Insulation Commercial Alteration DAVID HATIN Staff
Denied 2011-445
not ready
10/04/2011 Framing Commercial Alteration JOHN O'BRIEN
Partial 2011-445
2 x 4 ceiling lights secured
'yea t)-
Commercial Final Inspection Report
LA -rsr-ri
Office No.: (518) 761-8256 Date Inspection request received: i /-7 J , ,,
Queensbury Building& Code Enforcement Arrive: /:jam/11)0x'NOV Depart: / am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
^ f,
NAME: c .L0 _ PERMIT#:
LOCATION: '>7 7 �t; DATE: i ct iI c .1
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"/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/Water Temp. 110 Degrees Maximum t/
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 1/2 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 I 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 _ / >14s P// /"A A �`i' '-
Water Fountain or Cooler m44,- u.-- �'c1
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O 040
Okay To Issue C/C
Lf Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
i e .
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4/vgal
v. Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20110445
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
09/08/2011 Miscellaneous Commercial Alteration JENNIFER HENDERSON Staff
Misc 2011-445
permit issued
09/19/2011 Framing Commercial Alteration JOHN O'BRIEN
Denied 2011-445
ok to relocate door in interview room blow up floor plan to be submitted showing modification
09/22/2011 Framing Commercial Alteration JOHN O'BRIEN
Approved 2011-445
non bearing partitions
09/22/2011 Insulation Commercial Alteration JOHN O'BRIEN
Approved 2011-445
10/03/2011 Insulation Commercial Alteration DAVID HATIN Staff
Denied 2011-445
not ready
r
Rou h PlumbingI Insulation msppletion wort
Office No. (518)761-8256 Date ins -t - - •:
Queensbury Building &Code Enforcement Arrive: a i pm k - :art arr tp?n
742 Bay Road, Queensbury, NY 12804 Inspector's Initi- s•
NAME: PER IT#:
LOCATION: '37 INSPECT ON: //-*),
TYPE OF STRUCTURE:
Y N N/A f / kC
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain I Vent
Air/Head
5 P.S.I. or 10 ft. above highest con ."• • •r 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Ch= /Commercial Check
Tyvek or Similar Exterio = =lent
Proper Vent, Attic Ve
Door I Window -r= :. • (No Insulation
Duct/Hot IN, t=r Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Er2-4A-k � V\t\?-- N \&_ ttS\WVZ .660
Z
Rough Plumbing Insulation Report,revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Ins = ction 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:
NAME: / RSPERMIT#: /-4/4/LOCATION: 7?-75- INSPECT ON: ME
TYPE OF STRUCTURE:
Y N NIA Ci' /ic
Rough Plumbing I 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 Vat reJ
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I 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
L-Att' —/ I a
Rough Plumbing I Insulation Inspection Report
P
Office No. (518) 761-8256 Date Inspection
Queensbury Building &Code Enforcement Arrive: 4` Depart \ m/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initial-
I
NAME: irn vs,l _ PERMIT#:
LOCATION: 37S 7 INSPECT ON: 9/4 (/),,,,
TYPE OF STRUCTURE: Gent 6. 54-eir---4 V�-
Roup h Plumb' ! /Nail Plates 5 ;2'2-.) 5
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/cha = 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
15 minutes
Insulati' ,esidential Check I Commercial Check
yvek 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
Framing / Firestopping inspection Report a9_//ein,„
Office No. (518)761-8256 Date Inspection received:
Queensbury Building&Code Enforcement Arrive: _ ,
pm Depart: \ �am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's M` • /
NAME: a f—'ww4 ' , PERMIT#: C;i i- t-t-4-vs
LOCATION: 3 7 t P d — INSPECT ON: 9 S
TYPE OF STRUCTURE:
s
Y N COMMENTS:
!Framing _
Attic Access 22"x 30" minimum 1 ��` `" 59,7- G .S
Jack Studs/Headers
Bracing/Bridging
Joist hangers
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 A(w) 16 gauge (8) 16D naus 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
Hoge side'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilinglwaall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1BuildIng&Codes Forms-OU))Building&CodeslInspsction Fortne‘Fruning Firestopping Inspection Reportdoc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection kw.- _.
Queensbury Building&Code Enforcement Arrive: it-�
742 Bay Road, Queensbury, NY 12804 Inspector's In' - : I
NAME: Q"> t�1 '� 4mrr#:
LOCATION: k0 INSPECT ON: Af- E.
TYPE OF STRUCTURE:
Y COMMENTS:
Framing _
Attic Access 22'x 30'minimum _ \
Jack Studs/Headers OY 1 O C�_S-�- -Cx
Bracing/Bridging 1) \ ?Oek
Joist hangers
Jack Posts/Main Beams \-3 J) v� FAN V k).
Exterior sheeting nailed properly
12"0.C. ‘1--V
‘ �
Headroom 6 ft. 8 in. t. - c \F\ �d�
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Hobs/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 wail
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fre Separation
House side'A 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. (W)
5.7 sf above/below grade
5.0 sf grade
L:1Bulldinp&Codes Farms-OLDIBulidinq&Codes 1nepection FonmVrarning FNwtopping Inspection Reportdoc Revised January 7,2008