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2005-700 TOWN OF QUEENSBURY fm742 BayQueensbury,Road,Quee sbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050700 Date Issued: Thursday, February 16, 2006 This is to certify that work requested to be done as shown by Permit Number P20050700 has been completed. Tax Map Number: 523400-302-008-0001-007-000-0000 Location: 5 COLLINS Dr Owner: EILEEN COLLINS Applicant: CR BARD 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 )0t- 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 I 00 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050700 Application Number: A20050700 Tax Map No: 523400-302-008-0001-007-000-0000 Permission is hereby granted to: CR BARD For property located at: 5 COLLINS Dr 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: EILEEN COLLINS PO BOX 64 Commercial Alteration $50,000.00 Total Value $50,000.00 GLENS FALLS, NY 12801 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-700 1190 SQ FT COMMERCIAL INTERIOR ALTERATION $142.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 02, 2006 (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 own Que ; ��i a September 02, 2005 SIGNED BY f' for the Town of Queensbury. Director of Building&Code Enforcement Permit No. ...-__All - — 00 Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid % 0 742 Bay Road,Queensbury, NY 12804 Recreation Fee Dave Hatin, Director codes@aueensbury.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. C Applicant/Builder C % P FA 2 T) Owner: � vyt€ Address: %1 p P4) `` Address: c» F-S J i\i_ y- i ZFb,-f Home Phone: , '7 4 3'a S�"3! )X 2- -V, Home Phone: Email Address: for-ii • (,ree4 0 C iJ O.C.O 1 Email Address: Cell Phone: "1 ) - Yo et Y Cell Phone: FAX Phone: 7c 3- aci70 FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: L Name: t<cYt‘.'rh-' -44.-c, Address: Phone '7 5 3-Zs3/ YLZbl Location of proposed construction: Lot No. Legal Address: 70 Co lI 1 1..s Di,"� Tax Map Number: c3v�[., g — I — 7 Subdivision Name: Estimated Cost of Construction: $ � o� Proposed construction is for: Residential Use )(Commercial Use Name of Business: C - Pi 13 .1> If proposed construction is an addition, what will use of new addition be? New Addition Alteration Proposed Construction 1•'Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq. Ft. sq.ff. Sq. Ft. Square feet Height Ft.&in. - _ _ Single-Family Dwelling Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile XManufacturing // t Other: Attached Garage 1, 2, 3 Type of Heating System: Electric, Oil Gas Wood, Forced Hot Air, Baseboard, Other: Is a fireplace and/or woodstove being installed, please refer to a separate application. Yes )C 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 Dire 'ding and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location f all new c strut an. Date: ei 2 7 0c— 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.FORMS\Principal Structure Permit Application.doc V:12/14/04 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: /h,',/ am/pm Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 0 NAME: C /C PERMIT#: O "� LOCATION: C�a ,h., � DATE: a- /d ar 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 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 sq. 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 Okay Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 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 sq. ft. 3/4 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 Active Listening System and Signage Assembly Space 41:1. Final Electrical ,1 Site Plan/Variance required i I 0 Final Survey,New Structure/Flood Plain certification,if req. K4 (pet' As-built Septic System Layout Required or On File �l}p' Building Number or Tenant Address on Building or Driveway 11 P'l VVVV Water Fountain or Cooler it in Ace All Sides by20' /Driveable Surface 20' wide / 1 Building Access / Okay To Issue Temp. or Permanent C/O ✓✓✓ Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspecco bequest received: Queensbury Building & Code Enforcement Arrive: 5,9J am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Ol1- NAME: &I C PERMIT #: 05- 700 LOCATION: 30 ` csvl\ ; .N; �r INSPECT ON: / / - / () -(75 TYPE OF STRUCTURE: 9-1/41'n Y , N N/A ough Plumbing / Nail Plates Jt Plumbing Vent/ Vents in Place `' 1 1/2 inch minimum Drain Size tJQh Washing Machine Drain 2 inch minimum pig fro,, F�e�t� Cleanout every 100 feet / change of direction Pressure Test `1 ' Drain / Vent 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/ 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&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 request received: Queensbury Building& Code Enforcement Arrive: I AO am/pm . Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: C PERMIT #: ?� LOCATION: 3/5 Coil p INSPECT ON: ii/o os TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent I Vents in Place Rough Plumbing/Nail Plates 1 '/2 inch min..Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test ✓ Drain and Vents 5 PSI or 10 feet above highest / "/ Coy 0'y/ i J connection for 15 minutes le4 Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family 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: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. O S 7 .r t ) ._ Town of Queensbury 742 Bay Road 'i/ /6 c f - (� F' Queensbury,NY 12804 Scheduled Inspection Date: ! Tim : i ( ; f Phone: (518) 761-8206 Business Name: �% Fax: (518) 745-4437 Location: J C ram,I, 1 :(i S E Type of Inspection N/A Yes No EXITS: Exit Access 1 COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width X Secondary Aisle Width j( EXIT SIGNAGE , Sign-normal ?< Sign-battery A TRUSS ID SIGNAGE x' EMERGENCY LIGHTING X FIRE EXTINGUISHER: Hung X. Inspection of extinguisher X Hydro extinguisher x FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System X Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation X Interior Finishes 7C, Storage )( Compressed Gas Clearance to Sprinklers X Clearance to Electrical Electric Wiring Enclosed Combustible Waste X Vehicle Impact Protection )!/ Fire Lane F.D.Signage-Utility Rooms No Smoking Signs 'X Maximum Occupancy Sign Emergency Evacuation Plan )( Approved (If no other approvals apply,the B&C Office will issuefthe Cerf ic1 of Occupancy) ❑ Denied / ❑ Call for Recheck `/ Inspected By: ' L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC., �. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 'ermit No. Cert. No 89974 Cut in Card No. )caner CR, fe 2D � ,ocation ... nstallation Consisting of..4/..;JO/re f / t�4�� 3 ( 1 1'. (r L/ r -3..67-eEn Lfr_5' /ig. Cook 7. nstalled By (2• / -z/7" Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the itroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' sp ctions at any time, and if its ules are violated,the Company shall have the right to ev e this cate. )ate /© (.7'4 INSPECTOR Member N.F.P.A.,I.A.E.I. Framing / Firestopping Inspection Re o Office No. (518) 761-8256 Date Inspection quest ceiv : Jr Queensbury Building&Code Enforcement Arrive: am/ art: W ilk 742 Bay Road, Queensbury,NY 12804 Inspector's Ini ial . / NAME: c3P\`—c:\ PERMIT#. aoc� - I 0 LOCATION: C `k S _ INSPECT ON: _ —O5 TYPE OF STRUCTURE: . N N/A COMMENTS aming Attic Access 22"x 30" minimum Jack Studs/Headers \P(Y\I\ 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 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 v� 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 '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X attt Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade