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2005-347 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE (31.F77 OCCUPANCY Permit Number. P20050347 Date Issued: Wednesday, January 03, 2007 This is to certify that work requested to be done as shown by Permit Number P20050347 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 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 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 orce nt 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: P20050347 Application Number: A20050347 Tax Map No: 523400-297-008-0001-010-000-0000 Permission is hereby granted to: ANCrTO DYNAMICS DIV. OF F,-Z.-FM. 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 Commercial Alteration $65,000.00 5 WARREN St Total Value $65,000.00 GLENS FALLS, NY 12801-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-347 ANGIO DYNAMICS COMMERCIAL INTERIOR ALTERATION $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 24, 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 th of Qu sb ry; esday, May 24, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Permit No. V Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 5D 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. Applicant/Builder Owner: c_- Address: �� s v Address: s�, Hole Phone: sod-7< it/S- Home Phone: _ Email Address: Email Address: Cell Phone: - )VIC • sf'eS" Cell Phone: FAX Phone: D1u¢-2 �79 - 36 z,,i— FAX Phone: Person responsible for supervision of work with wi/th respect to building and codes compliance: Name: 4 Address: ��y <2- . f? � Phone �izs- Location of proposed construction: Lot No. Legal Address: Tax Map Number: h* k _�_� Subdivision Name: /zr�s/. � Estimated Cost of Construction: $ (s,o 6,r� , Proposed construction is for: Residential Use ✓Commercial Use RECIVC® Name of Business: MAY 2 a 2005 If proposed construction is an addition,what will use of new addition be? TOWN OF QUE� N �Y New Addition Alteration Proposed Construction td Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height Ft.&.in. Single-family Dwellin Two-Family Dwellin Townhouse Multifamily Dwelling Number of Units: Office f� Mercantile Manufacturin Other: S r,t Attached Gara all, 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 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 al! w construction. s r Date: Applicant/Builder Signature: i < 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 R rt Office No.: (518) 761-8256 Date Inspection re L Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initial NAME: c�, rvl „C .. _ PERMIT#• LOCATION: �j �,, _ �!t`DATE: COMMENTS: 0—M n\ a!+. 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 l 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&Re " Above Grade Floor Bathroom Watertight ther Floors Oka Relief Valve,Heat Trap/Water emp. 0 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 %z doors > 10%> 1000 s . ft. 3/4 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 Handicappcd Service Counters, 34 in.,Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance 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 G Foundation Inspection Report Office No.(518)761-8256 Date Ins ctio st rec ive . Queensbury Building&Code Enforcement Arrive: part: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi NAME: S RMIT#: LOCATION: p V e— INSPECT ON: TYPE OF STRUCTURE: �,.• � � ��, � �� Comments Y N N/A Footings Piers G� Monolithic Slab \ �UkA Reinforcement in Place The contractor is responsible for roviding protection from freezing f for 48 hours following the placement � � o rete. 2- terials for se on site. Foundation/Wallpol! ' Ll rcement in Place Footing Dowels or Keyway in place �, �-- Foundation Dampproofmg Foundation 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Farms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection r uest eiv d: � Queensbury Building&Code Enforcement Arrive: m/p Depart. 742 Bay Rd., Queensbury,NY 12804 Inspector's Init, Is- NAME: Q C RMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTUREf/,�,, Comments Y N N/A Footings Piers Monolithic Slab J Reinforcement in PlaceA The contractor is responsible for providing protection from freezing for 48 hours following the placement I of the concrete. s urpose 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior Rough Grade 6 inch drop within 10 ft. L:\SueHern ngway\Building.Codes.inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. 518 761-8256 Date InspectionpQueensbury Building&Code Enforcement Arrive: Depart: a742 Bay Rd., Queensbury NY 12804 Inspector's NAME: s3LOCATION: TYPE OF STR[1CTU ` Comments y N N/A Footings Piers Monolithic Slab Reinforcement in-Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place T Foundation Dampproofing _ Foundation/Waterproofing �Ty�peofDampproofing/Waterproofing ooting Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab BaZ Approval i umbing Under Slab PVC as Copper Foundation Insulation Interior/Exterior R- __ Rough Grade 6 inch drop within 10 ft. I�:\SueHentingway\Building.Codes.Inspection.FORMS\Foundation Inspection Rteport.da; January 28,2003 "3 Pry �1 o Foundation Inspection Report Office No. (518) 761-8256 Date Inspection req r e ed: Queensbury Building &Code Enforcement Arrive: a p Depart: a p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: _ �-� ERMIT#: _ LOCATION: Q%A, INSPECT ON: TYPE OF STRUCTURE: Comments T Y N N/A Footings r Piers Monolithic Slab Reinforcement in Place` The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. � 1 erials for this purpose on site. undation/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. L:\,SueRemingway\Building.codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re uest ed: Queensbury Building &Code Enforcement Arrive: m/p Depart: `pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi ls: A � NAME: P RMIT#: LOCATION: _ II`rSPECT ON: ,- TYPE OF STRUCTURE: Comments N N/A otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place _ T Foundation Dampproofing T 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 a a Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re ues ce' ed: Queensbury Building&Code Enforcement Arrive: a p Depart: a 'pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial.: NAME: 11 �'Q P IT#: LOCATION: PECT ON: n C TYPE OF STRUCTURE: Comments -- — Y N N/A Footings Piers Monolithic Slab T Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement I 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: 12inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper undation Insulation In xterior R- Z1i 4 Rough Grade 6 inch drop within 10 ft. LASueHerningway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 f Foundation Inspection Report Office No. (518)761-8256 Date Inspection re est ceive . Queensbury Building&Code Enforcement Arrive: a p Depart: ate'J 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: Cj P IT#: _ LOCATION: SPECT ON: I TYPE OF STRUCTU . Comments Y T N N/A Footings Piers nolithic Slab enforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing T 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. h\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 r [ l d� A&# Foundation Inspection Report Office No. (518)761-8256 Date Inspection re es t eiv d: Queensbury Building&Code Enforcement Arrive: p Depart: a 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia . NAME: Q _ PERMIT#: LOCATION: ` INSPECT ON: TYPE OF STRU URE: I -All Comments Y —N N/A otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I.:\SueHemingway\Building.Codes.Inspection.FORMSUroundation Inspection Report.doc January 28,2003 close to l � Foundation Inspection ReportZ1-/ Office No. (518) 761-8256 Date Inspection request received: 7 l j?S r Queensbury Building&Code Enforcement Arrive: am/ / Depart: _ am'pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: l. NAME: n�6 , © �� �� ,�M�.C} PERMIT#: �00 7, LOCATION: ("90T :v ,3joj SPECT ON: _ J TYPE OF STRUCTURE: l/1� S tJ�� Gy1 Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour enforcement 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation o Exterior R- _ Rough Grade 6 inch drop within LASueHemingway\Building.Codes.InspectionTORMS\Foundation Inspection Report.doc January 28,2003