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2002-580 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CE OFOCCUPANCY HT IFICATE Permit Number: P20020580' Date Issued: Thursday,August 15,2002 This is to certify that work requested to be done,as shown by Permit Number P20020580 has been completed. Tax Map Number: 523400-297-008-0001-025-000.0000 Location: 551 Queensbury Ave' Owner: ADIRONDACK IP,L.L.C. Applicant: DOMED CATHETER This structure may be occupied as a: By Order of Town Board Commercial Alteration TOWN OF QUEENSBURY 97 Director of Building&Code Lforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020580 Application Number: A20020580 Tax Map No: 200000-000-000-0000-035-000-0000 Permission is hereby granted to: (�(� CL 1 L►�L, /�� For property located at: 604 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: MEDI-DYNE Commercial Alteration 6,500.00 QYLTEENSBURY Ave Total Value 6,500.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-580 Joined Catheter, Inc. Construction of onunercial Interior Alterations as per plot plan and specifications. $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 18,2003 (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, of Q ensb r my 18,2002 SIGNED BY �d 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)761-8256 A permit must be obtained before beginning construction. Permit File No. # -ScP� No inspection will be.made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid $ . application must be completed and must appear on the Reviewed By: application form. Applicant: � bM!;fp Owner: yct° Address:. A /6 �::�vi�:r a c� r_ Address: CRRPhone# ( / Qc,��_..�, T�� ,/!0� . � � Phone#( ) - , Email Address: Email Address: Property Location: Lot Number: / House Numb S�0 6?u Subdivision Name: Tax Map Number: ❑ New Building: residence /commercial Estimated Market Value of Construction: $ ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? X. Alteration: - residence/ commercial No change to exterior size: residence/com'1 ❑ Other work(describe ) Check OMcupancyInformation 1"Floor 2"d Floor Other floor Total Below sq.ft. sq,ft. sq.ft. Square Feet ❑ Single family dwelling a Two family dwelling _ ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile j1s( Manufacturing , 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage % ❑ 1 car attached garage ❑. 2 car attached garage ❑ 3 car attached garage " ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposeWY fight of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil gas wood / orced hot air baseboard t othet: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number , Builder i hl" '3�o ,0M.4: Plumber Mason Electrician 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 1/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Buil g and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new struc 'on. 1 ' Signature: owner,owner's agent,architect,contractor. FINAL - COMMERCIAL INSPECTION REPORT Request received: , 9/3/02- 1 . Office Use Town of Queensbury (518) 761-8256 ARRIVE am/pm: DEPART anilynn 742 Bay Road Ready at time: Queensbury, NY 12804 Inspector's Initials 4F6 C, 1s NAME J-6 PERMIT# 2-- —0 ,S Meet: k r At time-, i LOCATION TYPE OF STRUCTURECaa jw.r,LC c.9 Atkin&w INSPECT ON(date): D /3 Notes: N/A YES NO ChimneyP'B"Vent/Direct Vent location Plumbing Vent Roof Complete COMMENTS Exterior finish grade complete Interior/exterior guardrails 42 in.platform./decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7 1/4in. Main door 44 in. All others 36 in. Lover handles Exits at grade or platform Canopy to cover req. exit doors Gas valve shut-off exposed&regulator(18 in.)above grade Floorbathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTUN`1R 250,000 BTU to 1,000,000 BTU's(1 hour)___ >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 ft. or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),%hour door Storage/receiving/shipping room(2 hour), 1 V7,doors I 1/2hour doors and closers 1/4hour corridor doors and closers Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater_ Fire door/shutters 1 Y2 hour,3 hour C6 Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware C4f-14 61 Elevators Elevator signage, Handicapped bathroom grab bars/sinks/toilets .Handicapped batb/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes t-, no Okay to issue C/C—Certificate of Compliance yes no >VE, FINAL - COMMERCIAL INSPECTION REPORT Request received: V y&2 Office Use Town of Queensbury (518) 761-8256 ARRIVE 7 q° am/pm: DEPART amlpin 742.Bay Road Ready at time: Queensbury, .NY 12804 .Inspector's Initials Meet: Nlry NAME 4 PERMIT# - r At time: LOCATION �-_ 1 v C 11Y"tiS TYPE OF STRUCT INSPECT ON(date): N/A'YES NO `SD ,W', .'A Chimney/"B"Vent/Direct Vent location ;L t . { Plumbing Vent {J Roof Complete COMMENTS Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7 3/4 in. Main door 44 in. All others 36 in. Lever handles rf Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed&regulator(18 in.)above grade Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour} Gas furnace shut off within 30 ft.or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),3/4 hour door f Storage/receiving/shipping room(2 hour), 1 Iz doors 1 '/z hour doors and closers 3/4 hour corridor doors and closers Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater Fire door/shutters 1 i/z hour,3 hour Ceiling fire stopping 3,000/5,000 sq.ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage �Handicapped bathroom grab bars/sinks/toilets /% �`b 1 u�n�i f- U jt Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. �e�a�� oor l✓ �r Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site P1anfVariance required Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes no Okay to issue C/C—Certificate of Compliance yes no FINAL -- COMMERCIAL INSPECTION REPORT Request received: 7 t`Z----- Office Use Town of Queensbury (518) 761-8256 ARRIVE3�� am/pm: "DEPART am/pm 742 Bay Road Ready at time: 3.a Queensbury, NY 1280r4 Inspector's InitialsQk NAME C3 me d PERMIT# a?O0 'S� Meet: At time: LOCATION b� Ue—, TYPE OF STRUCTURE INSPECT ON(date): 7 r A07. Notes: NIA YES NO Chimney/"B"Vent/Direct Vent location Plumbing Vent Roof Complete COMMENTS Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7%in. Grey Main door 44 in. All others 36 in. Lever handles Exits at grade or platform r� , �j Canopy to cover req.exit doors jl� ;r �/rx�r lry '~ /tl J1 Gas valve shut-off exposed&regulator(18 in.)above de r Floor bathroom watertight �"/ °Other floors okay, �`°�"re s`�'' Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour} Gas fiunace shut off within 30 ft.or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),%hour door Storage/receiving/shipping room(2 hour), 1 1z doors 1 'Yz hour doors and closers 3f hour corridor doors and closers - Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater Fire door/shutters 1 '/z hour,3 hour Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets .Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes no Okay to issue CIC—Certificate of Compliance yes no 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 t SCHEDULE Received: V—/2-- �_ Permit# Q6a"-� d_. INSPECTION ON:M�r�R� _._. Dame: row .�? � AM P ANYTIME Location: — U P,�- APPROVED N to YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY A�-e2p.��`� /I EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM y� FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM l I E HOOD INSTALLATION INTERIOR FINISHES STORAGE r G�i CID 5V I l COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING �;� ,,J �{,�� DIA UNITS t { � � .RECLEARANCE TO ELECTRICAL � AT/C QUIRED SIGNAGE fa. EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL /y( � l I-/ d�✓ CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD r STOVE ROUGH IN jtV { f F 1 e `t t�(911� FINAL �t' a VENTED CAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE K'FOR CO NOT OK FINAL �= FIREPLACE FACTORY BUILT ROUGH IN INSPECTEDZY FINAL COMDEVICHRISJIWORDILETTERS200WIREMARSHALINSPECTIONREPORT111E012L20 1W_OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY i 1 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, Main Office 176 Doe Rua Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVALI lhI 1r�1}1RtNO 7 9 116 Cut-in Card NoiPermit �'a+f filrfi/f1llpfflfuHi}if}i}iillrff4gi�YfY1 fy1,}r�1 rl�C#o 7M ((/�{j��ner i if11f4/ /f4f4f11fr1i114ff41}1f11•frrffflfffffffilfNfffrtifil}f44ff+iifi}rrflt}!}lifff fill}}}f t}Itffiff ffi/}N!t!}ifi}iffrrfflffiflfNtltNffif}1}}� V ffHffHi1 f4 ii Locationtflfffw4t4Rfllf fufifffir Yf f1 r1 f144fr4l4f41ffff! }off• frrfi144 ffr4f }l4/.ffifi fflfilfflff4lfffii►tffufffif 1ffi4r4r11ifif flfiiffft114t! (d .1d Installation Consisting offif !! ffff llffilf4fl INlflfiilllfi111f1 11fir11f1f fffffrff RfNffil44l1llfffff4ttftf!!4}ffNrflffflffittRRf llf}f1}}Rr 4ff1rr11f 11 1fffNiifffi YfffiifilRffff4ffflfRRfl}ff 111f1iffllfffliff1f1111f141flf1rifff11r1ir4fff444 i444t4ff11iNffflffNfiff Riff}}}1f 141ffflflffiNlilf RRRf}..ffifi ifi}}}f iiR lRf1/i fliffiif l4f iffNff4tf4ifi111111i}r111i4if1ff lffh4f4ff4Hf111f1iffffit!lf1f F11fffif4ffRif4rf4}f}4Nfr4}4lf14iffiff11f11ffHffiNif4f41Y1111ff1f ifi1ll4{}}11fif 1lf 111 iiiblfiffffiiifli/rfilfi4 Ir� F nstalled Byloolooloolot'ooff ff ffifiifff i!f}ff llff tfii�}iffffffifffHirflfilflif}iililif if i}/ff/flffff�� i Not ifiiff rlilf}}M1ii HfiffifltN4flffffflrfri�riiff 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 making i ections at any time, and if itl rules are violated, the Company shall have the right to v e this c t' cate 70-� Z000e Date,,104111411 Off—sf I otoo ff}!}1141118 @111 mli}ffffiii INSPECTOR I11if11fff11}4f}1114f1} ififfiif/f4}}11I64 1iftfffffffffi044161 r t fell 1069#40#0404 1 00M Member NAPI JIA M@