2013-122 0111166,0 TOWN OF QUEENSBURY
I
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130122 Date Issued: Tuesday, July 23, 2013
This is to certify that work requested to be done as shown by Permit Number P20130122
has been completed.
Location: 123 QUAKER Rd
Tax Map Number: 523400-296-019-0001-002-000-0000
Owner: MRK COMMUNITY COLLEGE HOUSING, LLC
Applicant: AM. DENTAL PARTNERS
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
owner of the responsibility for compliance with Site Plan, Variance, or (DJ,(4/
other issues and conditions as a result of approvals by the Planning Board Director of Building&Cod Enfor ment
or Zoning Board of Appeals.
064 TOWN OF QUEENSBURY
• 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
f
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130122 Application Number: A20130122
Tax Map No: 523400-296-019-0001-002-000-0000
Permission is hereby granted to: AM. DENTAL PARTNERS
For property located at: 123 QUAKER 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: MRK COMMUNITY COLLEGE HOT
6 CHELSEA P1 Commercial Alteration $290,000.00
CLIFTON PARK,NY 12065-0000 Total Value $290,000.00
Contractor or Builder's Name/Address I':lectrical Inspection Agency
INTERTECH DESIGN SERVICES
TRISH NEARHOOF 513-864-6806
TNEARHOOFaINTERTECHDESIGN.NE"
9675 MONTGOMERY Rd
CINCINNATI OH 45242-0000
Plans&Specifications
2013-122 AMERICAN DENTAL PARTNERS
Comm. Alteration of 3,352 sq ft
$670.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 19,2014
(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 To of Qu sb • 4 Fr s 4y/4 - 19, 2013
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
rte_:_-_-s.'f-7010
OFFICE USE ONLY
TAX MAP aq le ' I`i//��-I - A PERMIT NO. j 3 - 1a,A. n
AluR 0 3 2013
FEES: PER IT lead. YR2ECREATION 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: INTEIZTECH DES(Cz,l/ <ER✓ICGf OWNER: 1ME/2I(AN v 6A✓T ,4L P4RTHEkr
ADDRESS: C(6.75. ,v1otfgv0Ner7f,1! CiiCum Aot, r!^f7YSd9). ADDRESS: 4-101 EDC7 I.rATE k PLACE Svir� y3V
WA-KePfeil)(AAA p( ne
PHONE NOS. (5f 3) 7cf f , SS b'a PHONE NOS. (i 17) b(b - 74 66
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: T215-H ivEA-RHOCF PHONE: 513) WI. Geo6(TNeARif 03F
L l 4 f€rcj Ae(
LOCATION OF PROPERTY: I a 3 Q V K E A R . / Q V 6 ESI/513v 1 �7 ( /1/Y 1 ). 0o q .14 et)
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? OYES n. NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: P t '-1(2-7 5/N6'i / P 85-007 `V(`l 0
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p wo F-
co
APPLY TO YOUR z j cr O u) C3
PROJECT P. w Opp _JI- O21
w
IT _, u. � LL Q UU
Z_
Z Q Q r � NU) GILL 011. CLSot5
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE XC 3,3 5 )-
RETAIL-
MERCANTILE 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—NAME OF BUSINESS: A M E EZ(CSN' j)EA/TA-t_ phk rNE( /
ESTIMATED CONSTRUCTION COST:4 a ci 0, 00 0 FUEL TYPE:
HEAT TYPE: /1/4fAZ4 G 4 *HOW MANY FIREPLACE(S): 0 AND/OR WOODSTOVES(S):
ZONING CATEGORY: N.C. Y ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? /r0
PROPOSED USE OF BUILDING OR ADDITION: 0 eivr i ST `S O I(-6
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? N/A — I AIfie IZ(') R WO RP( (2./v/ y
*Please complete a separate Application for"Fuel Buming 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 reathanciagrae to the above.
Signed -
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,
BUILDIN & O.. >-17.ROYAL ZONING APPROVAL
7 3
DAT' DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a)queensbury.net
Office Use Onj 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
y
Town of Queensbury Fire Marshal o Periodic Inspection Date: / /3 Time.�oe)•
742 Bay Road,Queensbury NY 12804 �e-Inspection /3-102---
Fire
2 /2 .
518 761 8206/518 761 8205 CO Inspection/5..."
Permit#: ✓-
Fire Marshals Representative /s� , / G � %Z.....->
MJ Palmer Business Name:
Location: ,: - adA
XGK Stillman Contact: ,L e�I h+'iscA---\
Type of Inspection N/A Yes o
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:
Main Aisle Width FC 1024/1025&FC1029.11 f
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 �r
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FCC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 ...----.-
Electric
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 i�
Compressed Gas FC 3003f �', ,
Vehicle Impact Protection FC 312.1 / ,I���
Interior Finishes FC 803-804 ./...'. O
Smoke Detectors FC 907 NIM AI MI
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 �f REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 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
—74:5°)(4----
DATE: OK NC
HVAC Shutdown 1
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
Commercial Final inspection Report
Office No.: (518) 761-8256 Date Inspection r-qu,st e. ed:
Queensbury Building & Code Enforcement Arrive: a_.4.• Depart: A. •
- a •p•
742 Bay Road, Queensbury, NY 12804 Inspector's Ini . s: ."--
NAME:
NAME: RH E QA C A►:> n -c--:0--\-- ___ PERMIT # -- _ _
LOCATION: 1 23 LZ 0(�V.ERs ,7 DATE: _ —
COMMENTS:
Y N NA
Chimney/ "B"Vent/ Direct Vent Location MI�_
Plumbing Vent Through Roof 6"/ Roof Complete W
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 4
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 Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy/ Ventilation Combustion11
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
II
■■
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 —M_
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 MIN
Handicapped Bathroom Grab Bars/ Sinks/Toilets/ Mirrors WA
Handicapped Bath/ Parking Lot Signage irall�_
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Eoth
sides]
Active Listening System'and Signage Assembly Space 4
Final Electrical / Flex Gas Piping Bonded MI�_
Site Plan/Variance required
Final Survey, New Structure/ Flood Plain certification, if req. • PM� \\
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4" 11111
-1) ------ C'
Water Fountain or Cooler `1-7 L7 'Th
uilding Access All Sides by 20'/ Drivable Surface 20'wide ■
Special Inspections/ Engineer or Architect Approval 4
Okay To Issue Temporary or Permanent C/O
111
Okay To Issue C/C
Commercial Final Inspection Report_revised 11-27-2012
Temporary Certificate of Occupancy
90 Day
Building Permit No. : 2013-122
Property Location : 123 Quaker Rd.
Property Owner: MRK COMMUNITY COLLEGE HOUSING, LLC
Tenant: American Dental Partners
Approved for the following uses: Professional Offices
Conditions of approval :
1. Complete fixing insulation in attic;
2. Fire Marshal's items;
3. Need to patch asphalt at bottom of ramp and side of ramp.
$100 fee received on: July 16, 2013
90 Day Temporary CO expires on: October 16, 2013
*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:
Director of Building & Codes:
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
Aft-ez_ Peril.-4(_
Inspection Form
Town of Queensbury Fire Marshal C)Perio ic'Inspection Date: 7/13.
,Time: /3°
117
742 Bay Road, ueensbury Y 12804 o R nspection /-3-122-,..518 761 8206 518 761 8205 O Inspection Permit#:
Fire Marshals epresentative //
_ MJ Palmer Business Name: /i "I Ahl--
Location: Pz3 �/ e- c5 /e3/
GK Stillman Contact: ___, i,��J G,n /1L
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:
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 404.2 . -'
TRUSS ID SIGNAGE FC 505.3 .
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 62
V ) ILIA'-_ 4,64/1s ifA I ksf
Exterior FC 1006.3 L,,,4_�p 4 k_
Clearance to Electrical FC 605.3 �1r
Electric Wiring Enclosed/Labeled FC 605.3.1 •r__(2.- p200.3
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
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
Emergency Disconnect FC 2203.2 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 7/a DATE: OK NC
HVAC Shutdown
Sprinkler System AnnualSr�Kitcheler FDCupp /Kitchen Suppression Semi Annual 45i & i'4k'
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual 1) 5-1-e ID 1 IA 4/A
)
Knox Box:installed/checked FC506 2 11)1 S2e
) �Or G alvy
Operating Permit, if required will be issued after f e
Completion of Inspection �� 9V---1
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date ins ection r- •
Queensbury Building & Code Enforcement Arrive: '`600:4)4) . * - •art: "-LC) •m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: khF RI C : - ` _ PEr M; #:
LOCATION: \L oft ,, ' DPtc) IN PECT ON: —7 — 1-1 —1-2)
TYPE OF STRUCTURE:
Y N NIA 1
Rough Plumbing I Nail Plates
Plumbin• Vent I Vents in Place
1 '/z inch minimum Drain Size
Washingyachine Drain 2 inch minimum
Cleanout every 100 feet I 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 I Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial CheckE.1rJ55T'f‘l���
Tyvek or Similar Exterior Sealant \►J�L1L�1�\ oti \
Proper Vent, Attic Vent ,�- � �� ��
Door I Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation RE�DQ_n C
If required unheated spaces \ cZf E5 • �L�
Combustion Air Supply for Furnace E C3 1 b ftlANQ
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
-C 5 z 31 3-7:7,7,7__- 1 tA g s J-3
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins ction requ- ,-/-d:
Queensbury Building & Code Enforcement Arrive: 2 a • Depart: Z'- Ip
742 Bay Road, Queensbury, NY 12804 Inspector's Initial i.1
NAME: I !tairtyrkkyeiLL7
a1 � PERMIT/ 3— a -
LOCATION: DATE: — -
-
COMMENTS:
Y N NA -� V GO
Chimney I"B°Vent/Direct Vent Location r iA\ �(
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent /C.0 tJ )c\--\Ch ,
Interior 1 Exterior Guardrails 42 in. Platform/Decks ✓/
Interior 1 Exterior Ballisters 4 in. Spacing Platform/Decks ✓ _ •tAIV,L_G,CE �` \�'�
Stair Handrail 34 in.—38 in. /Step Risers 7"I Treads 11��
Vestibules For Exit doors> 3000 sq.ft. \1� � \c) 3 \ !�
All Doors 36 in.wlLever Handles I Panic Hardware, if required '
Exits At Grade Or Platform 36(w)x 44°(I)/Canopy or Equiv. K,'A \C_— p
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 N�,r� ,��PtL`
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion \-c4Aj
Low Water Shut Off For Boilers Within Furnace Shut Offthin 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom!Storage/Receiving/Shipping Room (2 hr.), 1 '/s doors
> 10% > 1000 sq. ft. _
s/.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 f
Handicapped Bathroom Grab Bars/Sinks/Toilets J
Handicapped Bath I Parking Lot Signage /
Public Toilet Room Handicapped Accessible �/
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both /----4-/ 1JEC�sides] Tn .
Active Listening System and Signage Assembly Space ,/ �� p
Final Electrical I Flex Gas Piping Bonded .\--"V-\DF P— pal \�
Site Plan/Variance required / b - ,��
tiV
Final Survey, New Structure/Flood Plain certification,if req. !
As-built Septic System Layout Required or On File i
Building Number or Tenant Address on Building or Driveway 4' 6 L; V \O
Water Fountain or Cooler
Building Access All Sides by 20'/Driveable Surface 20'wide ✓
Okay To Issue Temp. or Permanent CIO 1
Okay To Issue C/C kJe -c\--) -\--c) 's4c--\
L:1Building&Codes Forms\Building&Codenspection FormssCommercial Final Inspection Report.doc R'1iseri Tanuary 7,22
sU
eo
Inspection Form
Town of Queensbury Fire Marshal O P riodic Inspection Date: 7 I lo Time: it-'1:1/74.1
742 Bay Road,Queensbury NY 12804 o e-Inspection ��
518 761 8206/518 761 8205 CO Inspection Permit#: a.
Fire Marshals Rempresentative /' o4 / �/G671"`!'`
MJ Palmer Business Name: F 'Akel--
Location: /Z., Qrxr !Z
GK Stillman Contact:
Type of Inspection N/A Yes eNo
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 .. .:;?0,..„
Sign:backup FC 1011.5.3&FC1029.7.5 ,
AISLES:
Main Aisle Width FC 1024/10252 &FC1029 1 �. 1 j 'r �.! �L/I;� 7
Secondary Aisle Width FC 1025&FC1029.11 ✓
FIRE EXTINGUISHER: Hung FC 906 Lit.-� g
�v� irmeg
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
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.Siqnage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 y/
Interior Finishes FC 803-804 17 &ite1�
� �f-,"14,
'%G�`"'
Smoke Detectors FC 907 /
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 t
18" / 24"
EVAC SIGNS IN Rooms FC 404.6 (R1 &R2) I l
Fuel Pump Warning Signs FC2205.6 ". jr- .I .,...1.00, i J alt
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 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 7/.3 )! DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Sit kl°1./ X.
Kitchenv Suppression Semi Annual ` e ¢�
Fuel Island Suppression Semisconnec
Ion,Hood Cleaning 3-6 -AnnualKnox Box:installed/checked FC506
Operating Permit, if required will be issued after Z arf; L
Completion of Inspection 3 b) l EAG
i' :i.` cl 5 Z� 77'713 ZIZZ— 1 IA 6 g J-3
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection requ= •-i -d:
Queensbury Building & Code Enforcement Arrive: .°•3(f a • Depart: �.'.- —,/-6,..)z
742 Bay Road, Queensbury, NY 12804 Inspector's Initial /i1 .-
NAME: t IA ise % - . Afwv,\,t�? PERMIT _13– .1 a
LOCATION: e)‘ `to K a!~ rva DATE: —1— / (0—./ 3
COMMENTS:
Y , N NA --� A C,D
Chimney I"B"Vent I Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish /Grade Complete 6" in 10'or Equivalent /L t.S \ \ \p,\ '-- ,
Interior I Exterior Guardrails 42 in. Platform/Decks ✓
Interior!Exterior Banisters 4 in. Spacing Platform I Decks ✓ — �,kV
Stair Handrail 34 in.–38 in. /Step Risers 7"I Treads 11" / 1\ _ �, , \
Vestibules For Exit doors> 3000 sq. ft. '�
Ail Doors 36 in.w/Lever Handles I Panic Hardware, if required `���� \� \
Exits At Grade Or Platform 36(w)x 44" (I)/Canopy or Equiv. N\---Nr \C_-- o
Gas Valve Shut-off Exposed& Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trawl Water Temp. 110 Degrees Maximum -- ViV_-r- i,4\. t`i�`�H �` I-
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System -,,E-Fresh Air Supply for Occupancy/Ventilation Combustion _ \� .J"\:
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site i .
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/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 Seated
Handica ed 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 ,//�
SEEN t. 4
sides]
Active Listening System and Signage Assembly Space V tN, W-
Final Electrical/Flex Gas Piping Bonded ✓ a� ' \Q E_
Site Plan I Variance required J G �
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' / 6,,_‘11-7;--f--_-. \Q
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 A
0.
L:\Building&Codes Forms\Building&Codesllnson Fors\Commercial Final Inspection Report_doc e i d January 7,208
� m
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date:/1 S () Time: i:C" '' /
742 ay Road,Queensbury NY 12804 o Re-Inspection Ir� � )��
518 61 8206/518 761 8205 ge'CO Inspection Permit#:
F Marshals Representative 1
MJ Palmer Business Name: A h'` D\a I G nt(• 16
Location: I A.) C-.ICLr\ Q c:zv4D
XGK Stillman Contact:
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: L
Main Aisle Width FC 1024/1025&FC1029.11 �-9 _.�'
Secondary Aisle Width FC 1025&FC1029.11 ��
FIRE EXTINGUISHER: Hung FC 906 -1--A7h A,,AeIZ 5
Inspection of extinguisher FC 906 /15d LZ 7
EVAC Plan FC 404.2 <
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 ,r,:,e • h[ - -'���'� RI61,
Exterior FC 1006.3 /� � , - GP /)CS
Clearance to Electrical FC 605.3 ���
Electric Wiring Enclosed/Labeled FC 605.3.1 / .7,0.; . ip.`-,; f y c'/
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510 ,^
No Smoking Signs FC 310.3 / �'�z`/ G �� �' r
Storage FC 315.2
Compressed Gas FC 3003 .,/'r /l7 ' - l ,]2
Vehicle Impact Protection FC 312.1 �J.i Alf
/ ��
f
Interior Finishes FC 803-804 f
Smoke Detectors FC 907 -°'k4 /1-/7 e j
CO detectors FC 610 494.7 v%
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
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
Emergency Disconnect FC 2203.2 / 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 7/j )( DATE: OK NC
HVAC Shutdown
Sprinkler System AnnualS )V,,�,.,/ �}�/
itler FDC
g's :
%5LKitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual .
Hood Cleaning 3-6-Annual 1 ) *-2 2
Knox Box:installed/checked FC506
2, 6d1-C,_
Operating Permit, if required will be issued after ) ‘,/.6/0.P /1,111
3
Completion of Inspection
-s-ok Q ,
Commercial Final Inspection Report I/
Office No.: (518) 761-8256 Date Ins.:ction r�-.. - r= Fved :
Queensbury Building &Code Enforcement Arrive: ' - . *.It r Depart: Ilya • •m
742 Bay Road, Queensbury, NY 12804 Inspector's Initi /
n 1 T N-2.-- Z/
NAME: p e,�(,�Cj ���jv iJ ( )'' ,` PERMI ' •: i -- i Z
LOCATION: l (i i (Y J V '�I'1 DATE: IIK411714
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location ������
Plumbing Vent Through Roof 6"/Roof Complete / N3Ew.-T Cy 7 )'1,Q."
Exterior Finish/Grade Complete 6" in 10'or Equivalent Ttm• CZ \C__ ?, E
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform/Decks LOQ t� O *Z
Stair Handrail 34 in.-38 in./Step Risers 7"1 Treads 11" / —
Vestibules For Exit doors>3000 sq. ft. -TO U,0 F o,t.1/4, Vtt3\
All Doors 36 in.w/Lever Handles/Panic Hardware, if required i,
Exits At Grade Or Platform 36(w)x 44'(1)/Canopy or Equiv. j
Gas Valve Shut-off Exposed&Regulator(18")Above Grade f
Floor Bathroom Watertight/Other Floors Okay / -- f t c-
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum i _
si -
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System �L'
Fresh Air Supply for Occupancy/Ventilation Combustion t-k..c7-3--- (i i i Lp ty`
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site 1 O 5?--CR--CRC e t L L1-r c5
Oil Furnace Shut Off at Entrance to Furnace Area 1j D->CQ-.. V
eINFV
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10% > 1000 sq.ft. b• Q- Vc_k.a L `)')9 .\)
'/,Hour Corridor Doors&Closers ���Q p
Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I Fire �`�� `-4\
Dampers/Fire Doors Mite- -D to
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" —L NIS-(Z V\Oc�D k\-R _
Vents Or Fan, if required
Elevator Operation and Signage I Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets /� �� �
Handicapped Bath I Parking Lot Signage ✓ E p �
Public Toilet Room Handicapped Accessible l� �k���F '�?
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond[Both
sides] * ------>' &(-7 - '% 2C-__--- *`'h51.5T
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded / ' �'����``� V
Site Plan/Variance required / kS 6 Vs) �t
Final Survey, New Structure/Flood Plain certification,if req.
��///
As-built Septic System Layout Required or On File / ,Z✓ gi\tR41
Building Number or Tenant Address on Building or Driveway 4' I "iiviscp
Water Fountain or Cooler Lj J k"ce
Building Access All Sides by 20'I Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO I�S.7=-� KL--‘141\_
Okay To Issue CIC
�� ��
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Framing I FirestoppingInspection Report
Office No. (518) 761-8256 Date Inspection re! est` a d:
Queensbury Building & Code Enforcement Arrive: "` a 44
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. I_-
NAME: PT i`tl beNk-CSX P
LOCATION: /3_3 4 1.t_ajK er flo4 IN • TON: 7 13
E OF STRUCTURE:
Y N N/A COMMENTS:
Attic Access 22" x 20" minimum Dk) Ce,1 I,A
Jack Studs/Headers
Truss Specification Provided
Bracing /Bridging
Joist hangers ( e (- c
Jack Posts/ Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in. .�
Stairwells 36 in. or more 1 \ ov
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes /Bearing Walls
Metal Strapping for Notches Top Plate NO,OL ,e,A)
N
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
(42/t
Anchor Bolts 6 ft. or less on center
'ails water shield 24 inches from wall
Fire separation 1, 2, 3 hour ,
Fire wall 2, 3, 4 hour
Firestopping —vc c
Penetration sealed C�`�`-�
16 inch insulation in cavity min.
Garage Fire Separation
House side 'h 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
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
Rough Plumbing / Insulation Inspection Rep -/
Office No. (518) 761-8256 Date Inspection request received: 01,)--7 I
Queensbury Building & Code Enforcement Arrive: /Or O1 am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
/ 3
NAME: r/ :' RMIT #:
LOCATION: 1 j l - i ' 1 SPECT ON: &A) (Vr)-e l 3
TYPE OF STRUCTURE:
erai Y N N/A
OU!h Plumbin• <ail Plates
- • • 9 ent/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 /Vent V
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 I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Foundation Inspection Report jD
Office No.(518)761-8256 Date Inspection •r• iv-•: ' , , I
Queensbury Building&Code Enforcement Arrive: 7, I :u i ,/ Depart: {1: OP
r
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initis. / -
NAME: 44(A V C&- P• ' IT#: Z013 —
LOCATION:
` 13 —LOCATION: /a 3 op ANSPECT ON: &f.,)IfrP/3
TYPE OF STRUCTURE: PI . A
Comments
Y N N/A lAc 4 C Gy
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab (� , \—`
Backfill Approval y
Plumbing Under Slab
PVC/Cast/Copper k‘Jbk3
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
iZictocqi //
Rough Plumbing I Insulation inspection Report
Office No. (518) 761-8256 Date Inspecti. : ue- - •:
Queensbury Building & Code Enforcement Arrive: 1 - �7f a ► �- -rt: I
742 Bay Road, Queensbury, NY 12804 Inspector's Initi- . :
NAME: iy\<\ c PER IT #: / 3 % �-
LOCATION: I a _3 4f,104.4 c- Rcul INSPECT ON: Cs?
TYPE OF STRUCTURE:
_ Y N/A
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 directionVDDO
Pressure T t-
Drain / e
Air/ H (7-
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:
Rough Plumbing Insulation Repoitrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r • re•-ived:
Queensbury Building & Code Enforcement Arrive: 7-0D a r . - *art: '=1 ,tea pmt
742 Bay Road, Queensbury, NY 12804 Inspector's Initial ,%Y
NAME: - = - PE'i '`IT #: i - z_
LOCATION: VAV-cF R Rc 4c-) INS' CT ON: (r,- -I
TYPE OF STRUCTURE:
Y NN/N/AA
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 'r4 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I 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
'r/Head
50 P.S.I for 15 minutes ti/DTA u_ \IAF
Insulation /Residential Check/Commercial Check \ cR\je. C u
14.7
Tyvek or Similar Exterior Sealant \ t. 'LOTi
Proper Vent, Attic Ventt FURS 115T0
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation t�
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS: 'f'1J1c), c <N 'Pr CDM T t�
k 1 - C_ \6C-3 \ t-\ E
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Ihwt,scica A-- /
Rough PlumbingI Insulation inspection Re ort
9 P �
Office No. (518) 761-8256 Date Inspection requ --iv:•:
Queensbury Building &Code Enforcement Arrive:7 =, am •,� :art: '3 an m?
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
i
NAME: f}, 3 „,_4 Q PERMIT #: JO 0 /cad
LOCATION: `_ (-La _ RQ/ INSPECT ON: Co - /3—J•3
TYPE OF STRUCTURE: 1 S F \L L I N\ � k
-27-1 -3 — -ksc6kCS------
Roush Plumbing I Nail Plates ! .
Y N N/A l
Plumbing Vent I Vents in Place ✓r
1 % inch minimum Drain Size �/
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
L\.s__
D--'n tJ®\
• 'ead /
•.S.1. or 10 ft. above highest connection for 15 minutes
Pressure Test �� W ` ?
r pply Piping
ead
P.S.1 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:
Rough Plumbing Insulation Report•revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report nu c /1
Office No. (518) 761-8256 Date Inspection i 1st -eel -•:
Queensbury Building &Code Enforcement Arrive: ltT)A 3 :part: VIM
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `�
OF
NAME: P &r. I _r . r✓ 0 'ERMIT##: /c? ' jeaLOCATION: ��. �� i.�c (,c ' � INSPECT ON: --.16 `1;3
TYPE OF STRUCTURE:
Y N NIA 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 '/2(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 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 %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above /below grade
_ 5.0 sf grade
L:\Building&Codes Forms-OLD\Building&Codes\nspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
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