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2013-052 ,� 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: P20130052 Date Issued: Monday, March 18, 2013 This is to certify that work requested to be done as shown by Permit Number P20130052 has been completed. Location: 5 MAIN St Suite 6 Tax Map Number: 523400-309-011-0002-018-001-0000 Owner: FIVE MAIN ST QUEENSBURY LLC Applicant: HUDSON HEADWATERS This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF Q1JEENSBURY .P Issuance of this Certificate of Occupancy DOES NOT relieve the property c, owner of the responsibility for compliance with Site Plan, Variance, or 7� 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130052 Application Number: A20130052 Tax Map No: 523400-309-011-0002-018-001-0000 Permission is hereby granted to: HUDSON HEADWATERS For property located at: 5 MAIN St Suite 6 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: FIVE MAIN ST QUEENSBURY LLC Commercial Alteration $25,000.00 C/O DR. EHAB KODSI 5 MAIN St Suite 6 Total Value $25,000.00 QUEENSBURY NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency T.M.G. LLC JIM MCCORMICK 743-9300 PO BOX 2843 GLENS FALLS NY 12801-0000 Plans&Specifications 2013-052 Hudson Headwaters Office Space in CVS Plaza Commercial Alteration of 2,000 sq ft $400.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,February 20,2014 (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 Que7 bu /we' s",y,February 20,2013 �Vf SIGNED BY - \ for the Town of Queensbury. Director of Building&Code Enforcement © OFFICE USE ONLY - '5 TAX MAP NO. 30 1 , I ( 7 f)-11,_L PERMIT NO. 3 '•® 5-02 --_ EB i '" 2013 _L FEES: PERMIT ' /e° RECREATION ENGINEERING (If applicable) 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: T.M. G L•L• C. OWNER: I'�UASri ��j]\ICa01,4pc a2I ADDRESS: P• 0 . 2 a4 2 G •C.N`< ADDRESS: CI C f P-Y Rt*D QateAsE Jra.`-( PHONE NOS. S( P • X43' 9 3 en' PHONE NOS. 51e• '761 - U 31:1° CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:1;1 Mc of-fl LK PHONE: 14.3-13 O 0 LOCATION OF PROPERTY: HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?"(YES 0 NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z a C+ g w PROJECT cn 0 < OO F p cn r W 3 o 1:9. U- • w U. IL w ¢ CL U- x O U Z ¢ ¢ r CO i� U) OU_ F-CL co SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE X 2,ow 43 RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: JJ(JOS•OIJ �J f�kMi.mATegs ESTIMATED CONSTRUCTION COST: Z S,0 8l• En FUEL TYPE:NANRAU GAS 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 d and agree to the above. Sign -QY! ! lit ` 0 ' ✓ 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 zoning Laws of the Town of Queensbury. Application: • - p f BUILD G : CODES AP-ROVAL ZONING APPROVAL a2- is d D' E DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(@queensburv.net Office Use Only.. VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: q Commercial Final Inspection Report Un / !/ Office No.: (518) 761-8256 Date Ins ection reque - e ed: Queensbury Building & Code Enforcement Arrive: IC am/. Depart: - a 742 Bay Road, Queensbury, NY 12804 Inspector's Initials / _ NAME: If If & GZCI t.d is PERMIT, / 3 - b 5,ALOCATION: S Mat I n S-t DATE: / 3-1 $-/ 3 COMMENTS: Y N NA n Chimney/ "B"Vent/ Direct Vent Location / '�-1?b ica(o / r Plumbing Vent Through Roof 6"/ Roof Complete ✓ ;,n M +c C n rtr IC K Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/ Exterior Guardrails 42 inch Platform/ Decks Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks Stair Handrail 34 inch- 38 inch / Step Risers 7"/Treads 11" / Vestibules For Exit doors > 3000 sq. ft. ✓/ All Doors 36 inch w/Lever Handles/ Panic Hardware, if required Exits At Grade Or Platform 36"(w) x 44"(0/ Canopy or Equiv. Gas Valve Shut-off Exposed &Regulator(18")Above Grade_ Floor Bathroom Watertight/Other Floors Okay V, Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum I Boiler/ Furnace Enclosure 1 hour 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 V Handicapped Bathroom Grab Bars/ Sinks/Toilets/Mirrors f Handicapped Bath/ Parking Lot Signage Public Toilet Room Handicapped Accessible -fjQ W-0YF th ✓ — U I3t Itt_,-t_ve.beet Handicapped Service Counters, 34 inch, Checkout 36 inch Handicapped Ramp/ Handrails Continuous/12 inch 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'/ Drivable Surface 20'wide Special Inspections/ Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O V/ Okay To Issue C/C Commercial Final Inspection Report revised 11-27-2012 Commercial Final Inspection Report. Office No.: (518) 761-8256 Date Inspection - •�+ - .:,� .: Queensbury Building &Code Enforcement Arrive: 12.-L40a .i f Depart 2- ow:m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initialsViikrak NAME: HUN o A 1-1c-APAJATEth PERMIT LOCATION: cc M iA t '6T_. DATE: — 2 — 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"/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)ICanopy 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 I 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!Fire Separation,2 Hour, 3 Hour Complete I Fire Dampers I Fire Doors Ceiling Foe 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 I Parking Lot Signage Public Toilet Room Handicapped Accessible V Handicapped Service Counters,34 in., Checkout 36" Handicapped Ramp I Handrails Continuous/12 in. Beyond[Both � � f sides] (� • Active Listening System and Signage Assembly Space J 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 AN Sides by 20'/Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue C/C L:U3uilding&Codes Forms Building&CodesUnspection FonnstCommeraai Final Inspection ReporLdoc Revised January 7.2008 lnsptti cCommercial Final orl R port Office No.: (518) 761-8256 Date Ins ectiowequ--��� ,�.-�. Queensbury Building &Code Enforcement Arrive: /4.5 i a r.i,.�,9i Depart: zi15 a ,�� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial-0' NAME: ud SC9-41 c4.c r PERMIT ' / J 3-oso2 lag LOCATION: S MQ 4-t- ¢S't S (O DATE: ✓ -/ —/3 COMMENTS: Y N NA Chimney/ "B"Vent/ Direct Vent Location 41177)—(0.Q(97 I177)—(0.Q(g.7 Plumbing Vent Through Roof 6"/ Roof Complete t✓�C\f PL Ortt\t ek Exterior Finish/Grade Complete 6"in 10'or Equivalent Interior/ Exterior Guardrails 42 inch Platform/ Decks Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks \ \ Jl- tte. Stair Handrail 34 inch- 38 inch/ Step Risers 7"/Treads 11" Vestibules For Exit doors > 3000 sq. ft. J/ All Doors 36 inch w/Lever Handles/ Panic Hardware, if required Exits At Grade Or Platform 36"(w)x 44"(0/ Canopy or Equiv. Gas Valve Shut-off Exposed &Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay V Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System \bab-Cc_\ c.a t Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers t L Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receivina/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 J 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/ Mirrors Handicapped Bath/ Parking Lot Signage Public Toilet Room Handicapped Accessible NI/ �•--� Vie_g Wt. Gr`y 17 Handicapped Service Counters, 34 inch, Checkout 36 inch Handicapped Ramp/ Handrails Continuous/12 inch 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 a 134-rt- Building Access All Sides by 20'/ Drivable Surface 20'wide Special Inspections/ Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection Report revised 11-27-2012 -1 ht.crs d 1 -3 Inspection Form nn Town of Queensbury Fire Marshal 0 Periodic Inspection Date:3/94.3Time: v 742 Bay Road,Queensbury NY 12804 m Re-Inspection i t 518 761 8206/518 761 8205 CO Inspection Permit S: 3 J F e Marshals Representative '1 1, MJ Palmer Business Name:4\'Lt )n-t�GJt -erS Location: 5 f•CrAfn S+ s{-& (D _ GK Stillman Contact: 3 t Yr. L/)0 C,,z4 7 Type of Inspection N/A - Yes No EXITS: Exit Access FC 1014& FC1029 ..1„ NOTES Exit Enclosure FC 1020 8.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 / AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 / ^ FIRE EXTINGUISHER: Hung FC 906 // - �? _ .. �,((/� Inspection of extinguisher FC 906 ` EVAC Plan FC 404.6 / `lL TRUSS SIGNAGE FC 505.3 � �� EMERGENCY LIGHTING: Infenor FC 1006.3&FC1029.8 / Exterior FC 1006.3 / Clearance to Eleclrfcal FC 605.3 / Electric Wiring Enclosed/Labeled FC 605.3.1 j Combustibles In Equipment Rooms FC315.2.3 F.D.Signage- FC 510 j No Smoking Signs FC 310.3 Storage FC 315.2 / l Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 l Interior Finishes FC 803-804 j Smoke Detectors FC 907 7„.- CO /CO detectors FC 610 / Z. 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 r Exterior Storage FC 315.3 Vacant Buildings FC 311 7/ REINSPECTION DUE APPROXIMATELY 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 �_..�.-s----"^---. ._..- ','._." Fire Marsi a! Ir;oeC.^n gmGlvlc Kitchen Suppression Semi Annual CO Via,;C3;Sa gd 7"S_f engt S1 Fuel Island Suppression Semi Annual t;pj;�jy&�@eAs.-� oval I Hood Cleaning 3-6-Annual 5 Knox Box:installed/checked FC506 I 9 11140,rtni l Operating Permit, if required will be issued after i Completion of Inspection I '-" Fire Marshal I T8wn of Queensbu _..i Framing / Firestopping Inspection Report t 1 iderii /b-/02 Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: i2:1 f am/pm Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 214- NAME: -1 i t AA5-rn 44-'rat efiA PERMIT#: LOCATION: 5 rY\a 1- INSPECT ON: TYPE OF STRUCTURE: C .., .,.„c. er t+ '1 / N WA COMMENTS: �Frgming�' Attic Access 22' x30' 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 8 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 1(w) 16 gauge (8) 18D 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''4 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:'iBuildhg&Codes Fo me-0LIThuiFdi g&Codesenepecfion Famsframing Fvestopphg Inspection Repon.doc Revised January 7,2008 Rough Plumbing / Insulation Inspection Repo Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: It i am/pm , Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' I- NAME: ( Q ,- 44- cpeki -.,k PERMIT#: / 3-05A LOCATION: S rct:c,3 S t INSPECT ON: 0 -aa--L3 TYPE OF STRUCTURE: (C' , ,,,,,N-k-A-}- Y / N N/A J Rough-Plumbing / 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 Tyvek 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: Ail /V, / le, 4c .:Je Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008