2013-589 TOWN OF QUEENSBURY
742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130589 Date Issued: Wednesday, January 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20130589
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 REAL PROPERTY, 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 % ,�I
4‘
owner of the responsibility for compliance with Site Plan, Variance, or fir ' G �
other issues and conditions as a result of approvals bythe PlanningBoard
pp Director of Building&Code Enforcement
or Zoning Board of Appeals.
0./4 TOWN OF QUEENSBURY
A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130589 Application Number: A20130589
Tax Map No: 523400-296-019-0001-002-000-0000
Permission is hereby granted to: MRK REAL PROPERTY. 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 HOI Commercial Alteration $2,500.00
6 CHELSEA PI Total Value
CLIFTON PARK,NY 12065-0000 $2,500.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013- 589 Suite 103B McCarthy& Conlon LLC
Comm. Alterations Add a kitchenette
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, December 27,2014
(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 u sbu / Fri . �ecember 27,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: d.q(p.rQi-1-a
Permit No.: / 3- 5 (f9
A permit must be obtained before beginning construction Permit Fee: $ `7' z4)
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
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 / / 3 / Applicant /1 e171
Tax Map ID Address '
Zoning 'I
Phone/E-mail . ) I cif / D '1
Property Owner / A K l ��► • Lao, t Contractor/Agent S'
i"t-4
Address " • Address
Phone/E-mail Ad--11
))Phone/E-mail
Contact Person for Building &Code Compliance: �� �C X// 1C-P W f C 1- Day Phone: -1 z D
Building Street Address: 7.2-- 3
Subdivision Name: Lot#: -Historic Site: Yes +/ No
Estimated cost of construction: $ > 0 0
Type rt,sisla fit - k (C� 3 PJ
T eofCanrucion g (oh ,dp S
Check all that apply Please indicate measurements as required below:
c =
o 2
1st Floor 2nd Floor Other Total Height
F ¢
Single Family
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office V ✓
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes _No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: _Yes No
•
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $
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.
Print Name:
Signature: Date:
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
It commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for'Fuel Burning Appliances&Chimneys" Yes _No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: _Yes _No
•
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $
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.
Print Name: (� /(-//(h / (,,v • 2-
I •
11 2/l
Signature: 7� r' ..../ Date: d
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
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: //IA Time:
742 Bay Road,Queensbury NY 12804 o,te-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: (
Fire Marshals Representative
iGK //��J PalmerBusiness Name: A 1 /Location: l/22 /RAe
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 �1
Sign: Normal FC 1011 &FC1029 ( /
Sign: backup FC 1011.5.3&FC1029.7.5 v
AISLES: _/
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 `� -
FIRE EXTINGUISHER: Hung FC 906 •I,//
Inspection of extinguisher FC 906 ` V/`
EVAC Plan FC 404.2 j
TRUSS ID SIGNAGE FC 505.3 /
EMERGENCY LIGHTING: _
Interior FC 1006.3&FC1029.8 // rAili
Exterior FC 1006.3 �/
t
Clearance to Electrical FC 605.3 /1 Mt//-
Electric Wiring Enclosed/Labeled FC 605.3.1 l ,l
Combustibles in Equipment Rooms FC315.2.3 ��
F.D.Signaqe- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 .ems
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 /r I REINSPECTION DUE APPROXIMA TEL Y
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 1 j 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
Town of Queensbury Building&Code Enforcement l.LZ-b 9 a,M
Office No. (518)761-8256
Commercial Final Inspection Report
4.rl �A1
Inspection request receiv d:
Name: ► ' + • Inspected on: /
Location: / oZ 3 l ti est fl Arrive: i 4.11r.m.
Permit No.: /' 3— g q' Inspector's Initials: tdOW_
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 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 wlLever 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 V/
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.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete I 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"
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets/Mirrors 1 �
Handicapped Bath/Parking Lot Signage ✓�
Public Toilet Room Handicapped Accessible P i� .TKA—tel ,t. tab
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 I Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey,New Structure 1 Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4" irS)
Water Fountain or Cooler
Building Access All Sides by 20'/ I ',aIle Su .,e 20'wide , y�
Special Inspections!Engine-•or Architect Appro al
Okay To Issue Tempora or Perman- t
Okay To Issue C/C
Commercial Final Inspection 11 27 12
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LEVER HANDLES REQUIR,ri %
$N ALL PASSAGE DOOR' I
— I HETHER INTERIOR O'
EXTERIOR DOORS ® t / ,• ‘ , 1\ /3
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