2005-587 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE (311'r` OCCUPANCY
Permit Number. P20050587 Date Issued: Tuesday, December 20, 2005
This is to certify that work requested to be done as shown by Permit Number P20050587
has been completed.
Tax Map Number: 523400-297-008-000 1-0 10-000-0000
Location: 603 QUEENSBURY Ave
Owner. IDA OF WARREN & WASHINGTON COUNTIES
Applicant: ANGIO DYNAMICS DIV. OF E-Z-EM, INC.
This structure maybe 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 other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board 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: P20050587 Application Number: A20050587
Tax 1\4ap No: 523400-297-008-0001-010-000-0000
Permission is hereby granted to: ANGIO DYNAMICS DIV. OF E-Z-EM, INC.
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: IDA OF WARREN& WASHINGTO
5 WARREN St Commercial Alteration $190,000.00
GLENS FALLS, NY 12801-0000 Total Value $190,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-587 ANGIO DYNAMICS
2240 SQ FT COMMERCIAL INTERIOR ALTERATION
$268.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 01, 2006
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To n of ONens ; Jf r eptember 01, 2005
SIGNED BY �a( for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. DQ?D
Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804
Recreation Fee
Dave Hatin,Director codes@queensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder A /c/ -nia-m -c-S �7_ Owner:
Address: — r ,e _ Address: ���►,,
G
Home Phone: F-,2 s' Home Phone:
Email Address: S ri 6 d 6 Email Address:`
Cell Phone: Cell Phone:
FAX Phone: i _7 S -.3 FAX Phone: 11 P �nrl�
Person responsible for supervision of work with respect to building and codes compliance: ''
JU,
Name: %DE
Address: ZA-,jl Phone 7WW_/S' v/,
Location of proposed construction: Lot No. Legal Address: se C 4�<
Tax Map Number: Subdivision Name:
Estimated Cost of Construction: $ �i,CO, GxGc
Proposed construction is for: _Residential Use Y-Commercial Use
Name of Business:= ,c7„ m, c_ s jT .
If proposed construction is an addition, what will use of new addition be? =< �� /� ���.�`L G���
New Addition Alteration Proposed Construction V Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&in.
Single-family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil,�Ga�) Wood, Forced Hot Air, Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. —Yes No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: c Applicant/Builder Signature:
The application of __ dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FO RMS\Principal Structure Permit Application.doc V:12/14/04
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. S si
Town of Queensbury
742 Bay Road )
Queensbury,NY 12804 Scheduled Inspection Date: I.Y/ J Time: Z,
Phone: (518) 761-8206 Business Name: Awif u .` r.,�zmrc j
Fax: (518) 745-4437 Location: rj ��N5. ty
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Si n-battery X
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydra extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed
Combustible Waste
Vehicle Impact Protection
Fire Lane
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved If no other approvals apply,the B&C Office will issue the C tific e of O cu anc
pp ( PP PPY. P Y)
❑ Denied
❑ Call for Recheck `
Inspected By:
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
BP.i9307 •J��,
MAIN dfFICE - (717) 664-2347
Member N.F.P.A., I.A E.I., N.H.B A., B O C.A.
IMPECTED BY
COMMONWEALTH ELECTRICAL
INSPECTION SERVICE, INC.
ATE TYPE COMPLIANCE#
o
This constitutes provisional approval of
equipment inspected as of date. If
additional equipment should be introduced
or alterations made to existing system,
application for inspection should be
submitted promptly to this agency. Owner
must apply for a final inspection when the
dwelling is equipped for full occupancy.
Not an equipment guarantee.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 V,
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. 84768 Cut-in Card No........................:'.....�..
DyOwner........... N .�. ....`....... �.. . ...... ....t......................... .�...- .
Location... . .. ......G. ? 1�Jw-/ �
.i.'r..................../....,.......................... ...........................,...y.....�.....�...........
Installation Consistin of. .d�1. .T. ! � Z L��g ....... �C ,�..................... .................................._
.,2... ..� ..1 ... r.. .. 1... ,..ro... i r2 ..............................
13
......1 . ...
........
__. ...... ^M �..................................................................................................................
Installed By.......!✓.... C�/ ....................Li,.No...................................................
.............................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin 1 pections at any time, and if its
rules are violated,the Company shall have the right t
r ke this erti a
Date.�`.�.f....1/.. /................. INSPECTOR........ ........................................................ .........................
Commercial Final Inspection Report
Office No.: (518)761-8256 Date Inspection re est a eivofl
Queensbury Building&Code Enforcement Arrive: p Depart: a
742 Bay Road,Queensbury,NY 12804 Inspector's Ini 1 /
NAME: A r r;_� PERMI #, y C� VS:
LOCATION: 'rDATE:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete 1 .
Exterior Finish/Grade Complete 6"in 10' or Equivalent U 1
Interior/Exterior Guardrails 42 in. Platform/Decks _
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure I hr. 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 '/2 doors
> 10%> 1000 s .ft.
3/o Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sidesl
Active Listening System and Signage Assembly Space r`
Final Electrical `
Site Plan/Varianc_e re uired
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
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 Forms\Building& Codes\Inspection Forms\Commercial Final Inspection Report.doc
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: .2'5Z am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: _ PERMIT #: COS, �
LOCATION: INSPECT ON: D —r/—DS
TYPE OF STRUCTURE:
Y N N/A
u h Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 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 Suppl Piping
Air / H
5 .S.I for 15 minutes
sulation / Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
L:\Pam Whiting\Building&CodesUnspection Fornts\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing O Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque ece' d:
Queensbury Building & Code Enforcement Arrive: /pm part: aim
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: PER IT #: 05
LOCATION: INSPECT ON:
TYPE OF STRUCTU :
I' N N/A
Rough Plumbing / Nail Plates f
Plumbing Vent/ Vents in Place
1 1/2 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
5 P.S.I for 15 minutes
sulation Residential Check/ Commercial Check -
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ t r ed:/ in
Queensbury Building&Code Enforcement Arrive: am epart: a
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: 4Wv LS PERMIT#: �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: �� / 4 D s
Y ; N/A COMMENTS
Framin
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging i
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly j
12"O.C.
i
Headroom 6 ft. 8 in. j
Stairwells 36 in. or more j
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center j
Ice and water shield 24 inches from wall
Fire separation 1, 2,3 hour
ire wall 2, �
3 4 hour
Firestopping d
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation I p
House side '/z inch or 5/8 inch Type X v l/
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
fa - )-rh-
Rdugh Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
9/� a
Queensbury Building & Code Enforcement Arrive: am/pnS Depart:2-- am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 2 � -5/O
NAME: PERMIT #:
LOCATION: A- MPECT ON: 30 o S
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 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
P.S.I for 15 minutes ,,// 0
Insu atio Residential Check Commercial Check ~`'
roper ent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
D work sealed ro erl / No duct tape GZ)
COMMENTS: 0P 0 iz- UD Ace,
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ rece'
Queensbury Building & Code Enforcement Arrive: m/pm D art: _ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: CiM I" PERMIT #:
LOCATION: INSPECT ON: cl_
TYPE OF STRUCTURE: A l
Y N N/A
�ough Plumbin / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction 01
Pressure Test
Drain / V
Air ea
5 ove highest connection for 15 minutes
Pressur st
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection r quest r c ived-
Queensbury Building&Code Enforcement Arrive: m/pm epa .
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia i
b
NAME: PE IT#:
LOCATION: PECT ON:
TYPE OF STRUCTURE:
Comments
__ Y N N/A IU
F tings
Piers
Monolithic Slab
Reinforcement in Place i�°j Y/l
The contractor is responsible for
providing protection from freezing ,
for 48 hours following the placement 1
of the concrete. �
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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
i
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
I.:\SueHemingway\Building.Codes,InspectionTORM SToundation Inspection Report.doc January 28,2003
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