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2004-050 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CE.R..'THFICATE OF OCCUPANCY _ Permit Number:. P20040050 Date Issued: Wednesday, April 07, 2.004 . _ This.is_to-certify thatwork requested-to be done as shownby-Permit Number P20040050 has been completed. Tax Map Number: 523400-296-019-0001-032-000-0000 Location: 375 BAY Rd - Owner: PROVIDENT DEVELOPMENT GROUP, LLC Applicant: ADIRONDACK DIAGNOSTIC IMAGING This structure may be occupied as a: By Order of Town Board Commercial Alteration TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040050 Application Number: A20040050 Tax Map No: 523400-296-019-0001-032-000-0000 . Permission is hereby granted to: ADTRnNDAC;K DTAGNOSTTC;TMAGTNC, For property located at: 375 BAY 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. Type of Construction Value Owner Address: PROVIDENT DEVELOPMENT GR Commercial Alteration $200,000.00 1656 STATE ROUTE 9 Total Value CLIFTON PARK, NY 12065-0000 $200,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency BAST HATFIELD NY 12804-0000 Plans&Specifications BP 2004-050 Adirondack Diagnostic Imaging 3,900.sq. ft. commercial interior alterations $50 fee per Dave Hatin, Director of Bldg. and Codes $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, February 23, 2005 (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 To TeVv � f , February 23, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)161-8256 z __ A permit must be obtained before beginning construction. Permit File No. b `D0 S No inspection will be made until applicant has received a Fee Paid $ it valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed application form. 9 2 Applicant: T �1 Owner: t� Fi EENS Address: �A R r�A U Address: d ri Ull NG AND a C Phone#( ) Phone#t S )37- A404 -_ --- = Property-Location: -=L--ot-Number: -- /-House Nurnber--7 i -10 Subdivision Name: Tax_MapNumber: -4+!oz) i91 -otQ-0001 �e32- //tt ac►a--Wor) 0 New Building: residence /commercial 'Estimated Market Value of Construction: $ ',tom 000_. o/ Addition: residence/ commercial If an Addition,what will use of new addition be? � y tcratior�' residence/ ci �� -- . o= laSo�e�orior�`size: rest once/.� omL° 0 Other work(describe Check OccupancyInformation WAR"Uor 2° Floor Other floor Total Below sq.ft. sq.ft. Squa a Feet o Single family dwelling 0 Two family dwelling 0 Townhouse :•`" ';�`► �i 0 Multifamily dwelling I #of units P, 0 Mercantile - - -- 0 1 car detached garage IYA 0 2 car detached garage r 0 3 car detached Swage 0 1 car attached garage 0 2 car attached garage 0 3 car attached garage 0 Storage building- commercial o Storage building- residential 0 Other What is the proposed height of the structure_feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / s wood Zorce:d:ho�t / baseboard/other: Number of FIrenlaces to be.installed Number of Woodstoyes to be installed List below the person(s)responsible for.supervision of work as regards to building codes: _ - Name Address- Phone Number Builder Q - �v�'s. 4 7�i2-�Z?.J c ^Ak Plumber �i-1131 Mason <. pro Electrician ,??6-2f�7 b Declaration please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this 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 Code,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 Vwe 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 es,an As Bullt Survey by a licensed surveyor;drawn to scale,showing actual location of all nagconstmotion. "� Signature: owner,owner's agent,architect,contractor Commercial Final Inspection Report �N Office No.: (518)761-8256 Date Inspection r uejjreei Queensbury Building&Code Enforcement Arrive:Cr= D Depart: a m742 Bay Road, Queensbury,NY 12804 Inspector's Initi 1 — " t NAME: [��1 Rl`t�nP��1 l 1 �.l1JIPERMIT —� LOCATION: 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/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 Dandles/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 Stoclaoom/Storage/Receiving/Shipping Room(2 hr.), 1 %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 i ped Bathroom Grab Bars/Sinks/Toilets andica ed Bat Parking Lot Si na e Pub is f e o o Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in. Beyond Active Listening System and Signa e 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 'C0l BuildingAccess All Sides b 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AA1L:\PamW\Building&Codes\Commercial Final Inspection Report.doc Town of Queensbury Fire Marshal's Office 742 Bey Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request l SCHEDULE fLI Received: Permit# % —�� � INSPECTION ON: 7 Name. P, A6,1 4y4 N` !g AM PiVI ' NYTIMIE Location: APPROVED N EA YES INOI COMMENTS EXITS AISLE WIDTHS EXIT SIGNS—NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS -}--v FIRE ALARM SYSTEM 1 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION \S C INTERIOR FINISHES 1 1 STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEFTING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGHIN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE l� MASONRY ROUGHIN CKTHIS DA FOR CO NOT OK _ FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY _ FINAL COMDEV/CHRISJNVORDIL.ETTERS2001/FIREMARSHALINSPECTIONRFPOR��LLOW-OCCUPANT COPY WHITE—BUILDING DEPARTMENT COPY Town of Queensbury , Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request 1 SCHEDULE Received: Permit# � LI ��5�� INSPECTION ON: �' 7ANYT]IME �f(— Name: O;� �"��, "'� �" '�" I .i PM Location: ' APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS—NORMAL x - BATTERY EMERGENCY LIGHTING T FIRE EXTINGUISHERS n �� FIRE ALARM SYSTEM Y 1 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING / UNITS X CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL , FIREPLACE MASONRY ROUGH IN OK THIS m T OK FOR CO OOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJNVORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022®�-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY Permit Number Lighting and Power Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code COMcheck--EZ Software Version 2.4 Release 2c Data filename:C:\Program Files\Check\COMcheek-EZ\QUINN MEDICAL BAYROADLIGHTING.IMAGING2cck.cck Section 1: Project Information T FEa 1 9 2004 Project Name: BAY ROAD FIRST FLOOR FLOOR Il D lG�'F'C'N IMAGING FIT-UP AfVb CpSP Y Designer/Contractor: BAST HATFIELD 1399 VISCHERS FERRY ROAD CLIFON PARK,NEW YORK 12065-6390 Document Author: BRUNO BATKO Section 2: General Information Building Use Description by: Whole Building Type Building Type Floor Area Medical and Clinical Care 3914 Project Description(check one): —New Construction _Addition —Alteration —Unconditioned Shell(File Affidavit) Section 3: Requirements Checklist Bldg. Dept. Use [ ] Interior Lighting 1. Total actual watts must be less than or equal to total allowed watts Allowed Watts Actual Watts Complies(Y/N) 6262 6078 YES Exterior Lighting [ ] 2. Type(s)of exterior lighting sources: _Fluorescent _Metal Halide _High-Pr.Sodium Exceptions: Specialized signal,directional,and marker lighting;lighting highlighting exterior features of historic buildings;advertising signage;safety or security lighting;low-voltage landscape lighting. Controls,Switching,and Wiring [ ] 3. Master switch at entry to hotel/motel guest room. [ ] 4. Individual dwelling units separately metered. [ ] 5. Minimum of two switches,dimmer,or occupancy sensor in each space. Exceptions: Only one luminaire in space; Security lighting,24 hour lighting; The area is a corridor,storage,restroom,retail sales area or lobby. [ ] 6. Automatic lighting shutoff control in spaces greater than 250 sq.ft in buildings larger than 5,000 sq.ft. [ ] 7. Photocell/astronomical time switch on exterior lights. Exceptions: Areas requiring lighting during daylight hours [ ] 8. Tandem wired one-lamp and three-lamp ballasted luminaires. Exceptions: Electronic high-frequency ballasted luminaires not on same switch [ ] 9. Transformers meet minimum efficiencies listed in Table 805.6.1 or 805.6.2. Section 4: Compliance Statement The proposed lighting design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the New York State Energy Conservation Construction Code requirements in COMcheck EZ Version 2.4 Release 2c and to comply with the mandatory requirements in the Requirements Checklist. When a Registered Design Professional has stam ed and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,s ch Mans or specific ions are in compliance with this Code. GcAcy— lql6v Principal Lighting Designer-Name afore Date OF ale �sI J. �O top 05 A VPN, �QfiE�a�G Lighting Application Worksheet New York State Energy Conservation Construction Code COMcheck-EZ Software Version 2.4 Release 2c Section 1: Allowed Lighting Power Calculation. A B C D Total Floor Allowed Allowed Area Watts Watts Building Tvne (ft2) (watts/ft2) (B x C) Medical and Clinical Care 3914 1.6 6262 Total Allowed Watts= 6262 Section 2: Actual Lighting Power Calculation A B C D E F Fixture Fixture Description/ Lamps/ #of Fixture 1D Lamp Description/Wattage Per Lamp/Ballast Fixture Fixtures Watt. D x E 1 24"T8U 32W/Electronic 2 52 64 3328 2 24"T8 17W/Electronic 2 4 64 256 3 48"T8 32W/Electronic 2 4 64 256 4 Incandescent 60W 3 3 180 540 5 Other/Electronic 1 23 26 598 6 Other 3 1 300 300 7 Incandescent 100W 1 8 100 800 Total Actual Watts= 6078 Section 3: Compliance Calculation If the Total Allowed Watts minus the Total Actual Watts is greater than or equal to zero,the building complies. \ Total Allowed Watts= 6262 Total Actual Watts= 6078 Project Compliance= 184 Lighting PASSES: Design 3%better than code HATFIELD (Jn� GENERAL CONTRACTORS CONSTRUCTION MANAGERS February 18, 2004 1 9 i:T q� SURY David Hatin - Director of Building and Code Enforcement Town of Queensbury 742 Bay Road Queensbury, NY 12804 RE: Permit No. P20030444 Bay Road, Queensbury BHI Project No. 0325 TRANSMITTED: Three (3) Original and stamped drawings for the Adirondack Diagnostic Imaging Fit-Up Two (2) Signed Energy Compliance Certifications Sincerely, BAST HATFIELD, INC. Stephen W. Adler Project Manager SWA/hs Enc. c: File 1399 Vischers Ferry Road ■ Hal6noon,New York 12065-6325 0 Telephone(518)373-2000■ FAX 373-2303