2012-223 TOWN OF QUEENSBURY
431 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120223 Date Issued: Thursday, September 27, 2012
This is to certify that work requested to be done as shown by Permit Number P20120223
has been completed.
Location: 2 COUNTRY CLUB Rd
Tax Map Number: 523400-296-019-0001-003-000-0000
Owner: QUAKER COUNTRY CLUB ASSOCIATES LLC
Applicant: DELCATH SYSTEMS
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 property ` /j
owner of the responsibility for compliance with Site Plan, Variance, or
P tY P
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
Temporary Certificate of Occupancy
90 Day
1
Building Permit No. : 2012-223
Property Location : 2 COUNTRY CLUB ROAD
Property Owner: Quaker Country Club Associates, LLC
Approved for the following uses: Delcath Commerical Alterations
Conditions of approval :
1. Complete laboratory area
$100 fee received on: July 11, 2012
90 Day Temporary CO expires on: October 11, 2012
*A final inspection for this project must be scheduled before the expiration
of this Temporary Certificate of Occupancy— if your project is not complete
within this 90 day period you will be subject to additional fees*
Signature of Applicant: ,AAAAA.),
44 , /
g pp
Director of Building & Codes: '
A/64
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FR
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120223 Application Number: A20120223
Tax Map No: 523400-296-019-0001-003-000-0000
Permission is hereby granted to: DELCATH SYSTEMS
For property located at: 2 COUNTRY CLUB 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: QUAKER COUNTRY CLUB ASSOC
784 TROY SCHENECTADY Rd Commercial Alteration $84,000.00
LATHAM, NY 12110-0000 Total Value $84,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
RUCINSKI HALL ARCHITECTS
627 MAPLE AVENUE
SARARTOGA SPRINGS,NY 12866-0000
Plans&Specifications
2012-223
9,350 sf Comm Alteration
3 Country Club Rd/Delcath Systems
$1,870.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 08,2013
(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 o Quee ury; ues i .y ;4 18,8, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
l
e I _'_ -1--L 1,._cl-e rvk..,._. .s
.. r r_��1s"'''010
OFFICE USE ONLY
TAX MAP NO !Lad I 3 PERMIT NO.�_ - D i:- [� '�/ Lr'
] ,�-
FEES: PE _.,,
1ITL1v_/� _ RECREATION ENGINEERING __ ,,
, w i i,
(If applicable I I. . IiiPL.9 a 2012
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: I AICt4INM-C'a ---/ OWNER: Si=wi�
/J CO
ADDRESS: N iLCar t RIF: ADDRESS:
PHONE NOS. —__—_— _ PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: P1 P1), PHONE:_SE ..c. O - I61b6
LOCATION OF PROPERTY: CI:70CI,U& t__ atA_ ZLIL /
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES LST NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: _
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p ccd Ci 0 1-
APPLY TO YOUR z H cC
wU-
O wu)
PROJECT p JO - CC 0 _ _
w
IP_ u_ U_ Q O U
w o 5 O z CJ I- � Oi : Wwz
z < < r CO c'i cn O u- I- L.L. d = os
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE f ql oct) 91 .00
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-NAM
^^E OF BUSINESS: ____L5_� t—,Q L__—
ESTIMATED CONSTRUCTION COST `"�4WO FUEL TYPE:__Oar
HEAT TYPE: WI--- `HOW MANY FIREPLACE(S):_NJP AND/OR WOODSTOVES(S):_\1_[L,_—
ZONING CATEGORY: _CIL ARE THERE WETLANDS ON THIS SITE? 1
IS THIS A HISTORIC SITE? __ __
PROPOSED USE OF BUILDING OR ADDITION: _C1 C 1-C 14
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? __ , L-
ARE THERE EASEMENTS ON PROPERTY? ‘4/r�____
*Please complete a separate Application for"Fuel Burning Appliances&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 reait
d a;,ee t• th- above.
aid - - ,ra(4/\ 7`'iSigned i� �� ii--_ �� __1 = � _ i
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)
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:
,41101
BUILD! G & - + APPROVAL ZONING APPROVAL
DAT DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesqueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.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
Inspection Form
Town of Queensbury Fire Marshal C) Periodic Inspection Date: ]���11 Time: / 6
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 ' /CO Inspection Permit#: F )" a=?
i Marshals Representative
MJ Palmer Business Name: D LLCc- 1,
Location: C()-;NA-PA Ciu13 n j
• GK Stillman Contact: 1_CU t -)
Type of Inspection N/A Yes 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: r Main Aisle Width FC 1024/1025&FC1029.11 � fie,
Secondary Aisle Width FC 1025&FC1029.11 Conch
FIRE EXTINGUISHER: Hung FC 906 T1Inspection 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 -Th
Clearance to Electrical FC 605.3 `? rTh + I
Electric Wiring Enclosed/Labeled FC 605.3.1 e "}�'� r i✓r'SL t'o->( b l
Combustibles in Equipment Rooms FC315.2.3 71
F.D.Signage- FC 510 iL( Ni V 'pe�ri'r(/
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 ( a Q)Jr1
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 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual /"-- DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC Fire Marshal mayInspQcli ii e
Kitchen Suppression Semi Annual CO �y be is :. eh Wilk
Fuel Island Suppression Semi Annual BUi1111►19&(4ds6 a 04
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
.EP .. aailpdp
Operating Permit, if required will be issued after ; __.__ '�i�►
Completion of Inspection Fire Marshal
Commercial Final Inspection Re•..rt //;-)N(1
Office No.: (518) 761-8256 Date Inspection •este ed: C 2 c'/ z_
Queensbury Building &Code Enforcement Arrive: a pm r Depart: i •"
742 Bay Road, Queensbury, NY 12804 Inspector's Initials 44
NAME: D �' C4 (-I PERMIT ! i
LOCATION: '? r °-)/2_6_. DATE: C/ '' �—
a
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 1 Decks
Stair Handrail 34 in.–38 in. /Step Risers 7"1 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 I Other Floors Okay
Relief Valve, Heat Trap 1 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/StorageiReceiving/Shipping Room (2 hr.), 1 %doors
> 10% > 1000 sq. ft.
3/ Hour Corridor Doors&Closers
F4irewalls/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/Sinks/Toilets
Handicapped Bath/ Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp I 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' z j t 1-711
Water Fountain or Cooler
Building Access All Sides by-20'/Driveable Surface 20'wide _
Okay To Issue Temp. qr'Permanent CIO
Okay To Issue C/C
L:\Building&Codes Forms\Building&CodesUnspection Forrns\Commercial Final Inspection Report.doc Revised January 7,2008
(,( r,-deo( Lc i//
Commercial Final Inspection Report )
Office No.: (518) 761-8256 Date Inspection •- •u � =• 3.:
Queensbury Building & Code Enforcement Arrive: L` _ •• I, Depart: slow.:
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f_.i
i
NAME: U E-4 (' c 1) PERMI #:, 1 a
LOCATION: '. • • u Q DATE:
COMMENTS:
N NA �
Y
Chimney/'B°Vent/Direct Vent Location
../Plumbing Vent Through Roof 6°/Roof Complete
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior I Exterior Guardrails 42 in. Platform/Decks
Interior 1 Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"I Treads 11" F )41-\ \)11Vestibules 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 r`
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 c -k
Fresh Air Supply for Occupancy/Ventilation Combustion _ v
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site _ ls�u
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 '/4 doors
> 10% > 1000 sq. ft.
'A Hour Corridor Doors&Closers ZJ
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 by 20'/ Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue CIC
L:\Building&Codes Fomis\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
j sd a �1-
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:q/1411:11:/ e: /Dc'bv
742 Bay Road,Queensbury NY 12804e e-Inspection /�
518 761 8206/518 761 8205 CO Inspection Permit#: -a
Fir drshals Representative FC
MJ Palmer Business Name: few
Location: Ce ct cy air
GK Stillman Contact: r0-- 0 i,-\ s r cq n d € r 5-c) 8 --3 g ',�[o
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1 029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 5 FC1029
FC9 i2e1P14� A l r .Ol f/7!� �j T 12:53
Sign:backup FC 1011.5.3&FC7029.7.5 1 J "�
AISLES: v1b 2:. - alk'
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 4,.1 sem
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 Pi`I9e• I / �L
4
EVAC Plan FC 404.6 '` f� F745.
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 r
Exterior FC 1006.3 / �n exLos* f1t c S
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 _
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 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual �� y
FIRE ALARM Annual el/_\ DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC ('�J
Kitchen Suppression Semi Annual POOef2&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
Lk) eci (\es cicti 13c /0.11
Inspection Form
Town of Queensbury Fire Marshal CD Periodic Inspection Date: I J h 11a Time: /D'
742 Bay Road,Queensbury NY 12804 o Re-Inspection / y �
518 7,9 8206/518 761 8205 'CO Inspection Permit#:
Fire arshals Representative
MJ Palmer Business Name: D2J Oa-i',
Location: Ovli(1-41-Lk ( j 1. t1,, Rid
1,�GK Stillman Contact: A r-azA N1 '7
0il -yy b %a,j
Type of Inspection N/A Yes No (4/.6 )1.y /.1� 0r't 11{ /‘...../7..,
U
EXITS: Exit Access FC 1014& FC1029 ---- --
Exit
� (JF' NOTES J
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 .--------
Sign:
Sign:Normal FC 1011 & FC1029 /
Sign:backup FC 1011.5.3&FC1029.7.5 _f
AISLES:
Main Aisle Width FC 1024/1025& FC1029.11 c.-----
Secondary
Secondary Aisle Width FC 1025&FC1029.11 ..../.-
FIRE
/FIRE EXTINGUISHER: Hung FC 906 -..----"'
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 -.-------
EMERGENCY
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 ./r/
Storage FC 315.2
Compressed Gas FC 3003 ___----
Vehicle
/
Vehicle Impact Protection FC 312.1 '--..,
Interior Finishes FC 803 -804 ------- .,. I
Smoke Detectors FC 907 PAINMPir
CO detectors FC 610 -' /l/
Clearance to Sprinkler/Ceiling FC 315 .2.1 / F, �f ,r.
18" / 24" ` _ %f
EVAC SIGNS IN Rooms FC 404.6(R1 & R2) / 1 1/11r i
Fuel Pump Warning Signs FC2205.6 4
i
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3
Vacant Buildings FC 311 /'� . REINSPECTION DUE APPROXIMATELY
21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 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 ..Tav 4�- C!��jj,(er tcz
Fuel Island Suppression Semi Annual //�� (2,,,,,,,1 11�'
Hood Cleaning 3-6 -Annual 1 C,.,(�C� �-Gt)P/
Knox Box:Installed/checked FC506 L� .•��ss�� ►► Y
Operating Permit, if required will be issued after
Completion of Inspection
t() .Lci►1e3c1Ly IA
Commercial Final Inspection R ��Report
Office No.: (518) 761-8256 Date Ins,action. • ,. - - ed: 7-/D..
Queensbury Building &Code Enforcement Arrive: =1 a t,, - Depart: " '-. a L.:
742 Bay Road, Queensbury, NY 12804 Inspector's Initl. s: _
NAME: F ' 1 0.(14 1'1 PERMIT •: !' ,)-
LOCATION: " ) `L- ko DATE- 7- if - a.-
COMMENTS:
Y N NA
Chimney/"B°Vent/Direct Vent Location Lc)/F-m
Plumbing Vent Through Roof 6"I Roof Complete
Exterior Finish I Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks 1 r J 1M,\cflL(S�' `)
Interior I Exterior Banisters 4 in. Spacing Platform I Decksy b ��
Stair Handrail 34 in. -38 in. I Step Risers 7"I Treads 11" 11
Vestibules For Exit doors> 3000 sq. ft. J
All Doors 36 in.w/Lever Handles/Panic Hardware, if required �/
Exits At Grade Or Platform 36 (w)x 44° (I)/Canopy or Equiv. .�t,,-.i? C._.. )Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay , c_c�r� 7\-c_.
\ lG�
Relief Valve, Heat Trap I Water Temp.110 Degrees Maximum
Boiler I Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion �� ���;c u'
Low Water Shut Off For Boilers 3
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 '/2 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 n
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage �`�
Public Toilet Room Handicapped Accessible Q
Handicapped Service Counters, 34 in., Checkout 36" c� GGL��\� `
Handicapped Ramp I Handrails Continuous/12 in. Beyond [Both c Y
sides] 0a' r �
Active Listening System and Signage Assembly Space /
IC �\ C \
Final Electrical I Flex Gas Piping Bonded
Site Plan/Variance required & .D '
Final Survey, New Structure/Flood Plain certification,if req. `6 ��
As-built Septic System Layout Requires!or On File ,t,OL-k
Building Number or Tenant Address on Building or Driveway 4' \-) ‘. —T--14kV CO
Water Fountain or Cooler
Building Access All Sides b `I Driveable Surface 20'wide\, 00-0-0 V F
Okay To lssuQ''1•em ermanent CIO
Okay To Issue C/C — `___,
L:\Building&Codes Farrns\Building&Codesllnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection req - / lve?.
Queensbury Building &Code Enforcement Arrive: V.A.ACG a ► £ Depart: 7' /pm/'
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4;.11
NAME: (=ke,Cs - ) PERMI #: / :a , __--
LOCATION:
LOCATION: i9 e-e -r - LL\ ' Lie,-r\-)61
DATE: S
COMMENTS:
Chimney I'B"Vent/Direct Vent Location Y N NA �C�� ,� \f 116,r ,
Plumbing Vent Through Roof 6"/Roof Complete /
Exterior Finish/Grade Complete 6" in 10'or Equivalent - t C \� v. IA%2 c.,.; A Lx_
Interior/Exterior Guardrails 42 in. Platform/Decks , � vLt t X L7
Interior!Exterior Ballisters 4 in. Spacing Platform/Decks r ;Qr t--NN,7 5� r)f
Stair Handrail 34 in.-38 in. /Step Risers 7"!Treads 11" f
Vestibules For Exit doors> 3000 sq. ft. -, % 'PL LCL L�
All Doors 36 in. w/Lever Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44" (I)/Canopy or Equiv. F ‘i F ��C1�ir{r�
Gas Valve Shut-off Exposed &Regulator(18")Above Grade LR �'-�
Floor Bathroom Watertight/Other Floors Okay ` —
`' C?--- --- ������� �
Relief Valve, Heat Trap/Water Temp. 110 Degrees Maximum k/ _ etL7
Boiler/ Furnace Enclosure 1 hr. or Fire Extinguishing System z ti`\ij
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers — I t 5,.- _ ir,
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area '
r
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors
> 10% > 1000 sq. ft. " " .--:-% :�:‘N€- 1 i\—
'/. Hour Corridor Doors&Closers \..JL.?` �LI-", s‘ � `
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire I `l � kti"q
Dampers/Fire Doors • �/ (.-
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame — Ti. ‘,\.) V,s2.7
Attic Access 30"x 2.0"x 30" h), Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required .-•;,\ b �- \-- ,,,,R6
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" i
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides]
/ 1
Active Listening System and Signage Assembly Space
Final Electrical I 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'/Driveable Surface 20'wide / /
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:\Building&Codes Forms\Building&CodesUnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
i
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection (?-Date: 7s;f Time: /
3v
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fire Marshals Representative
_ MJ Palmer Business Name:
Location: c.r , ted
GK Stillman Contact: - /45
Type of Inspection N/A Yes 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 7
Sign:backup FC 1011.5.3& FC1029.7.5 0 /1 ' / r(
AISLES: TTUlQL- 41- 644
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 `
FIRE EXTINGUISHER: Hung FC 906 - AOA Cf-2. 1-- � -24e t6G
Inspection of extinguisher FC 906 _ 5'' rn
EVAC Plan FC 404.6 !l
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: l �1SQ,�f�
Interior FC 1006.3& FC1029.8 _' ''QUA41C- J
Exterior FC 1006.3 j,/, -Ft f e
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 i42
Compressed Gas FC 3003 Ns=.Lk-r Cif S
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803 -804
Smoke Detectors FC 907
CO detectors FC 610
Cq
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 , ^f7G on�G 69r�S
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE 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
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
f-/C4-
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date inspection r-; - - !. ed:
Queensbury Building & Code Enforcement Arrive: 1: SW "' - •art: "irrarrY
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s. A
NAME: o (_ ‘c, ty-T ll /)Quc(.\5V, et,-N ( P'INT #: 1 - aa3
LOCATION: Q._ Cc; .-\ =f c c,'�k 1Z(..0...1> INSPECT ON: 6/6/1 ?—
TYPE
TYPE OF STRUCTURE:
11,
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent 1 Vents in Place
1 % inch minimum Drain Size
, Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test ✓/
-i' /Vent
411*--.
10 ft. above highest connection for 15 minutes
Pre ure Test
•p Piping /
.S.i for 15 minutes +�
nsuiation 1 Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
if r uired 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
Office No. (518) 761-8256 Date Inspection .4.
•:
Queensbury Building &Code Enforcement Arrive: V lC - >> •-rt: a pm
742 Bay Road, Queensbury, NY 12804 Inspector's initia
r
PERMIT#: i - Z-227
LOCATION: 7' INSPECT ON:
TYPE OF STRUCTURE:
Y , N N/A COMMENTS:
Framing
Attic Access 22" x 30' minimum
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) 160 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 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
House side 'A inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceilin Iwall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
L:1Building&Codes Forms-0LD\Building&Codes\Jnspe tion FomsalFraming Firestopping Inspection Report.doc Revised January 7,2008
0
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ALUMINUM FRAMED WINDOW ALUMINUM FRAMED WINDOW ALUMINUM FRAMED WINDOW ALUMINUM FRAMED WINDOW ALUMINUM FRAMED WINDOW
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T /4 - l'-
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IN-FERI_OR CABNITRY ELEVATION
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T /4 - l'-
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