2005-646 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050646 Date Issued: Monday, February 13, 2006
This is to certify that work requested to be done as shown by Permit Number P20050646
has been completed.
Tax Map Number. 523400-302-007-0001-044-000-0000
Location: 154 QUAKER Rd
Owner. MICHAEL & SUSAN KAJDASZ
Applicant: COMMUNITY WORKSHOP
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, VVlot
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: P20050646 Application Number: A20050646
Tax Map No: 523400-302-007-0001-044-000-0000
Permission is hereby granted to: C OMMI TNITY WORKSHOP
For property located at: 154 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. Tyne of Construction Value
Owner Address: MICHAEL& SUSAN KAJDASZ
PO BOX 268 Commercial Alteration $25,000.00
Total Value $25,000.00
CLEVERDALE, NY 12820
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-646 COMMUNITY WORKSHOP
3150 SQ FT COMMERCIAL INTERIOR ALTERATION
$378.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 01, 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 Town of Qu sb T s ptember 01, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
oo ,07.
Permit No. l�
Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codesQaueensburv.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.
tiu �C;s IS Applicant/Builder m-t Owner: C�1�,c� ,I rl G
Address: Address:
Home Phone: L Home Phone: (g-� P
Email Address: J ? na . r Q,+ Email Address: �Q
Cell Phone: Cell Phone: m�
FAX Phone: (P (Q- FAX Phone: ter,n r
Person responsible for supervision of work with respect to building and codes compliance:
F:
Name:
Address: D1 Phone (rA�14UA
Location of proposed construction: Lot No. Legal Address: \XA I\� ,
Tax Map Number: , Subdivision Name:
Estimated Cost of Construction: $ 5
Proposed construction is for: _Residential Use _Commercial Use A11 9
Name of
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction 10 Floor 2nd 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 Gara a 11 2, 3
Type of Heating System: Electric, Oil Gas, ood, orced 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 wifh 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 c n ru i n.
_ / — �!
Date: � 2 0 S 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
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. S C,(4
Town of Queensbury
742 Bay Road 3A
Queensbury,NY 12804 Scheduled Inspection Date: ' y Time: /
Phone: (518) 761-8206 Business Name:_v
Fax: (518) 745-4437 Location: 16 �i*
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
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation
Interior Finishes
Storer e
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 Evgcoation Plan�d
Approved (If no other approvals apply,the B&C Office will issue the Certificat of Occupancy)
o Denied
o Call for Recheck -
Inspected y:
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
Commercial Final Inspection Report �✓ 11A,
Office No.: (518) 761-8256 Date Inspection eq est cei e
Queensbury Building& Code Enforcement Arrive: a Depart; Ka?
742. Bay Road, Queensbury,NY 12804 Inspector's tia
NAME: �LVAZE'-
RMLOCATION: DAT
COMMENTS:
Y N NA
Chimne /"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 Oka
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/a 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 Qperation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handica ed 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 1
Site Plan/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
Water Fountain or Cooler g" �
Building Access All Sides by 20' /Driveable Surface 20'wide
-Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
LaBuilding&Codes Fornis\Building&Codesllnspection FormsWommercial Final Inspection Report.doc
C/1 .,
Inspection for Permit to Occupy
Fire Marshals Office Request Rec'd—aAvv,/ Permit No`
Town of Queensbury
742 Bay Road r
Queensbury,NY 12804 Scheduled Inspection Date:_ lG' Time.
Phone: (518) 761-8206 Business Name: ,,Z- S 1` ` 4fI
Fox: (518) 745-4437 Location: �. V (2c�,
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLESi
Main Aisle Width D
Secondary Aisle Width ^
EXIT SIGNAGE
Sign-normal
Sign-battery
TRUSS ID SIGNAGE J
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Su pression-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 Certificate of Occupancy)
Denied
o Call for Recheck
Inspecte y:
] V
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection eq est cei e
Queensbury Building&Code Enforcement Arrive: Depart: _ ;P
742 Bay Road, Queensbury,NY 12804 Inspector's tia
NAME: M t�yi,'7 ` '�✓Cy..(j!qjo l (1�i, `R 0 _ L
RM
LOCATION: _ DO AT ':
O
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 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 E uiv.
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 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/a 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 sides] 1�
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/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 Drivewa
Water Fountain or Cooler 1
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Tem . or Permanent C/O �w
Okay To Issue C/C �i i � N
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc ��I
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL JN
Permit No........................................Cert. N2 9 3 9 4 5 Cut-in Card No............................ . :
Owner............... .`.:..�. .�......................... ....
Location.1.....(0 0..................................................�e �' �':"' /
.. ....................................................... ...... .. ......
Installation Consisting of. L
.................................................................... ..........................................
ygP4eer
.................................................................................................................................................................................
.................................................................................................................................................................................
InstalledBy......A...A�f ............................................Lic.No.................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon th,
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin i �spections at any time, and if it
rules are violated,the Company shall have the right
;Te
Date.................................................. INSPECTOR..... .. .. t is ert scat
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection re st r ei , f
Queensbury Building&Code Enforcement Arrive: p Depart: pm
742 Bay Road,Queensbury, Y 12804 Inspector's Initi s-
f
NAME: PERM L4
LOCATION: _ DATE. C C/
COMMENTS:
Y N NA �yl
Chimney/"B"Vent/Direct Vent Location a- 3
Plumbin Vent Throu Roof 6"/Roof Com lete
Exterior Finish/Grade Complete 6"in 10' or Equivalent QV�A# S
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks (12
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 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 U&I
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %z doors
> 10%> 1000 s .ft.
3/4 Hour Corridor Doors&Closers t
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 µ
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 sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required L�
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Buildin 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 In pection Repo
Office No. (518) 761-8256 Date Inspection requ r---, ed:
Queensbury Building & Code Enforcement Arrive: •. m art:
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: PE T #:
LOCATION: '— IN7ECT ON: i
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
s f
Plumbing Vent J Vents in Place
1 1/2 inch minimum Drain Size `
Washing Machine Drain 2 inch minimum
Cleanout evety 100 feet / change of direction
ressure Tes
Drain / Vent
Air/ Head
5 T.,S. . above highest connection for 15 minutes
Pressure T�e..s,
r
'wat� Supply Piping n
Air/ Head
50 P.S.I for 15 minutes '
Insulation / Residential Check/ ommerciai C ck
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulati n
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
ti✓
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: OAF Tl.� Time: j- 3
Phone: (518) 761-8206 Business Name:
Fax: (518) 745-4437 Location: S
Type of Inspection N/A Yes No
EXITS:
Exit Access XCOMMENTS
Exit Enclosure
Exit Discharge
AISLES: ` \
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal J
Sign-battery
L„S
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun jC
inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM l T 1 w
Fan Shutdown ` R
Fire Sprinkler System v
Fire Suppression-kitchen j f�
Fire Suppression-Gas Island
Hood Installation X
Interior Finishes
Stora e
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 X
Maximum Occupancy Sign
Emergency Evacuation Plan
,A
I
Zoapproved (if no other approvals apply,the B&C Office will'issu�t*Certificate of Occupancy)
Denied i
o Call for Recheck
Inspected By:
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
/'--) - PIN,
Rough Plumbing / Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspection reequesr ' e.`
Queensbury Building & Code Enforcement Arrive: a / epart: Inlpm
742 Bay Road, Queensbury, NY 12804 Inspector's nitial .
NAME: �� S ►�n wh.. ��=; s/, � PERMIT #: G r �2
LOCATION: 154 " � rz 3 INSPECT ON: C� � ya
TYPE OF STRUCTURE: f a t A- --
Y N N/A
9.0u I gh Plumbi 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
50 P.S.I for 15 minutes
Insulation / Residential Check J 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.doc Revised February 15,2005
Framing / Firestopping Inspection p w_._ �_ '
Office No. (518) 761-8256 Date Inspection xequpsst= ceived:
Queensbury Building&Code Enforcement Arrive: a epart:
742 BayRoad ueensbu NY 12804 Inspector's Initials:1-
,Q rY� P
NAME: fit' ��4' C.�Ytn �.:., G1'j�S PERMIT#:
LOCATION: S / INSPECT ON: j La
TYPE OF STRUCTURE: `
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum `
Jack Studs/Headers _
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
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
FirestoppingJ s
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
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
TOWN OF Q UEENSB URY
742 Bay Road, Queensbury, NY. 12804-5902
PLAN REVIEW
To: Dave Hatin
From: MJ Palmer
Date: 9/l/2005
Re: Community Workshop 2005 646
Review notes as follows:
1) Add (3) Exit/El combo paks as indicated
2) Add(1) directional exit sign as indicated
3) Fire Ext locations to be discussed
4) Please provide detail of attic area and access to the area
5) Provide Fire Alarm details when available
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