2013-552 411
.. 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: P20130552 Date Issued: Wednesday, January 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20130552
has been completed.
Location: 123 QUAKER Rd
Tax Map Number: 523400-296-019-0001-002-000-0000
Owner: MRK COMMUNITY COLLEGE HOUSING, LLC
Applicant: MRK COMMUNITY COLLEGE HOUSING, LLC
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 ( 4149 Pot
owner of the responsibility for compliance with Site Plan, Variance, or �l��!✓✓
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
` s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130552 Application Number: A20130552
Tax Map No: 523400-296-019-0001-002-000-0000
Permission is hereby granted to: MRK COMMUNITY COLLEGE HOUSING. LLC
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 1101
6 CHELSEA P1 Commercial Alteration $2,500.00
CLIFTON PARK,NY 12065-0000 Total value $2,500.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-552
Comm. Alteration - Men's Roon in Common Area
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, December 04,2014
(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 ueensbtpy, e n sday, December 04,2013
SIGNED BY a /`{ for the Town of Queensbury.
Director of Building& ode En orcement
Abhi:
�+ Office Use Only
Town of Queensbury Building & Coded
rReceived:
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: Witt( 9 -/-
Permit No.: /3- 5s4
A permit must be obtained before beginning construction
Permit Fee: $
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling 'Rec Fee: $ 0
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date rerr4e13, oto 13 Applicant V, CcwvnhIA/
Tax Map ID Address
Zoning
Phone/E-mail
,
Property Owner Mr42K �I tmurt /ilt • liebtor/Age
nt
Address ` )\ Address
Phone/E-mail f / Phone/E-mail
Contact Person for Building&Code Compliance: Pike_ kU/n KCL)i c 2- Day Phone: 3373-'It( O
Building Street Address: 4715 6\444- kat---- m r k143 t 143 nnc L C o nn
Subdivision Name: Lot#: Historic Site: Yes No
crs
Estimated cost of construction: $
Type of Construction:
Check all that apply Please indicate measurements as required below:
c
oG
d 1st Floor 2nd Floor Other Total Height
? a a
Single Family
Two-Family
Multi-Family(#of
units
Townhouse 11:10)inn'Alarm ate-0- )ti ttii 5
Business Office X \ r
Retail-Mercantile (VIoi);in 4 OfC door
Factory-Industrial
lJl
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business r//J " �/ Pi0't'� L t C
Proposed use of building or addition y l�/L "J f
Source of heat(circle one) Gas Oil PropaneopSolar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes �/No
Are there structures not shown on plot plan? /Vo
Are their easements on the property? 4/(?
Site Information
a. Dimensions or acreage of lot
b. Is this a comer lot? /
c. Will the grade be changed as a result of construction: _Yes l/N°
d. Public water or Private well
V 6/
e. Sewer or Private Septic System
(N ✓}
Value of all work to be performed(labor and materials) $ 2 j o a
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 read and agree to the above. , l-
Print Name: . it z41 /6747 4W IC 7�
Signature: // Date: / �0 3
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Building&Code Enforcement
Office No. (518) 761-8256
Commercial Final Inspection Report
Inspection request received:
Name: MRK PCZbPER i► E3 Inspected on: — ,a,
Location: Z_3 (10P ER RC) Arrive: 9=isIlene p.m.
Permit No.: t 3 52Z Inspector's Initials: Mi
COMMENTS
Y N NA
Chimney/'B"Vent I Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish I Grade Complete 6"in 10'or Equivalent
Interior I Exterior Guardrails 42 inch Platform I 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"(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 Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour,3 Hour Complete!Fire Dampers I 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' _\-'P\
Smoke Vents Or Fan,if required 13 D COWNj
Elevator Operation and Signage/Shaft Sealed / `,1\L LC) Dt1
Handicapped Bathroom Grab Bars!Sinks/Toilets/Mirrors
�e�
Handicapped Bath/Parking Lot Signage r r ✓A V\jr�
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch D� ��
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides) 00 C'�
Active Listening System and Signage Assembly Space (1 G 1,)
Final Electrical!Flex Gas Piping Bonded 1`
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" 9
J i
Water Fountain or Cooler 1�
Building Access All Sides by 20'!Drivable Surface 20'wide L i
Special Inspections/Engineer or Architect Approval
Okay To Issue Temporary or Permanent CIO
Okay To Issue C/C
Commercial Final Inspection 11 27 12
fcteS t- 10 (Q )
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8258 Date Inspectio - 1.
Queensbury Building &Code Enforcement Arrive: • : jr •art: ` =5 [ . r�
742 Bay Road, Queensbury, NY 12804 Inspector's In t „ ._
��
NAME: ( C R "M�l PER I�: /3- -
LOCATION:
/a3 t� r- INSPECT ON: /- "7-14/
TYPE OF STRUCTURE:
Y/N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 34 inch minimum Drain Size ✓
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test �/✓
�
.. n Vent
,'P. . or 10 ft. above highest connection for 15 minutes
re Test ✓
Water y • ing /✓
Air/
50 . . for 15 minutes
Insulation/Residential Check/Commercial Check
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