2012-135 ��� TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120135 Date Issued: Friday, March 30, 2012
This is to certify that work requested to be done as shown by Permit Number P20120135
has been completed.
Location: 603 QUEENSBURY Ave
Tax Map Number: 523400-297-008-0001-010-000-0000
Owner: ANGIO-DYNAMICS, INC.
Applicant: IDA OF WARREN & WASHINGTON COUNTIES
This structure may be occupied as a:
Certificate of Occupancy (COM) 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 6';,,
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforc ment
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
" 12 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120135 Application Number: A20120135
Tax Map No: 523400-297-008-0001-010-000-0000
Permission is hereby granted to: IDA OF WARREN & WASHINGTON COUNTIES
For property located at: 603 QUEENSBURY Ave
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: ANGIO-DYNAMICS, INC.
14 PLAZA Dr Certificate of Occupancy(COM)
LATHAM NY 12077-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-135
CO only for temporary office trailer
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 30,2013
(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 u nsbu ;1 / Frifi y,,i arch 30,2012
SIGNED BY 6v7Y ' /p� �\ for the Town of Queensbury.
Director of Building&Code Enforcement.
;vic--1- ' CommunityDevelopment Office .�
z , pEli MC� �
is.T4,' .'`.' Town of Queensbury • 742 Bay Road • Queensbury, New York -1 'ow F�
David Hatin, Director of Building& Codes 1 ; . '
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal Stamp ..4
Togo-c i- CNS i-Y
)q-). 3--/-1 () ESTABLISHMENT OFA NEW BUSINESS Ytt.D+NG & CODES
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP# �"2J'/C17-cam cxsal BLDG. PERMIT FILE# j - / 3
;� c>i/CT-or:o -Gc;.: „ If applicable
Name of Business: ,49,4 jr ie> `C.,„•-.r4-•� a r.d c C
Address
of Business: (�Y' i �, �rt',is „- QUESTIONS? CALL 761-8256 OR
EMAIL codes(&weensbury.net
'”)
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: r4I C:✓`• INFORMATION
www.queensbury.net
Business Phone Number: Lc/A7 -7 P- /Z/S-- 12_2/, // -
Type of Business: ///-�g e.,.::./"Ve d/�.-.-a
Owner of Property: SLS-ss•'c- Phone Number(s): ,78-)le-,5Ye/
Home Cell
Owners Address:
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: 4:ggal Date: jAe:///2
Of personsfubmitting this form
Notes / Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT_ FAX: 743-2502
PLEASE PRINT
DATE: ;_/,;(//
BUSINESS NAME:
BUSINESS ADDRESS: e4? 0,,z^eit,s14-7 %44. ', ,,sL
BUSINESS PHONE: <.5/,Y-CF _Ay
CONTACT 1: ( � si. HOME PHONE r<S S29/
ADDRESS: ,--/`-(2 , r 'L-ii-ti:.- /IFI3
CONTACT 2: A 2' d o d HOME PHONE X3-30%
ADDRESS:
This form is used to assist Emergency Service personnel who may be called to your
business after hours. Please be sure that the persons listed on this form will be wilting
and available to respond during off-hours to assist Police and/or Fire personnel in
gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL
MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE
PERSONNEL.
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins ction request received:
Queensbury Building & Code Enforcement Arrive: 7. 1 =, am/pm Depart: — am/pm
742 Bay Ro- , Queensbury, NY 12804 Inspector's Initials: ��/)-
NAME: Cr PERMIT#: jiC -?T
LOCATIO : ' ' ;A / /IVC DATE:
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 I Exterior Guardrails 42 in. Platform/Decks ,.V(,vr
Interior 1 Exterior Ballisters 4 in. Spacing Platform I Decks
Stair Handrail 34 in.–38 in. I Step Risers 7"I Treads 11" :� ,./.� c.Act. fr,,
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. wlLever Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44"(!)/Canopy or Equiv. 4.1r sere^..
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay i cla:r c r el:J.4_
Relief Valve, Heat Trap!Water Temp. 110 Degrees Maximum S i ,j
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System /40,1„,( `a I
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 1/2 doors
_> 10% > 1000 sq. ft.
'/.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
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 I Flex Gas Piping Bonded
Site Plan I 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 C/O
Okay To Issue C/C
L:\Building&Codes Forrns\Building&Codes\Inspection Forms\Commercial Final Inspection Reportt.doc Revised January 7,2008
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: 3 1 39=j'i2 -Time: °`1 24'
742 Bay Road,Queensbury NY 12804 Inspection /
518 761 8206/518 761 8205 `—CO -4`CO Inspection Permit#: / 2`S
Fire Marshals Representative
MJ Palmer Business Name: L6=)O /��nlnvv) 4'
Location: 1,:a.:3 at) -r.i>7.(D z.7 1rz
)(GK Stillman Contact: ,,,-0 ,/--?1,14-iii
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 / N T S r�
Exit Enclosure FC 1020&FC1029 -/ l /
Exit Discharge FC 1024&FC1029 ./ I4.of G' /t e- yd,1. -.1-._
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
/Secondary Aisle Width FC 1025&FC1029.11 �/
FIRE EXTINGUISHER: Flung FC 906 i
Inspection 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 ,..------
Clearance
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 .....----
Combustibles
�Combustibles in Equipment Rooms FC315.2.3 ------
F.D.
F.D.Signage- FC 510 -----
No
/No Smoking Signs FC 310.3 .------
Storage
Storage FC 315.2 ,------- r 6(2,..,
Compressed Gas FC 3003 -!
Vehicle Impact Protection FC 312.1 `
Interior Finishes FC 803-804 '� (,) \L ! �
Smoke Detectors FC 907il
UUU
CO detectors FC 610 `
Clearance to Sprinkler/Ceiling FC 315.2.1 ----
18" / 24" f
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 .-----
Exterior
/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
COUNTY LINE ROAD
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AngloDynamics Inc.Office Trailer ,n,Date 3/26/12
TOWN OF Y
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