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2000-577 TOWN OF OUEENSBURY 742 Bay Road, Queensbm, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number. P20000577 Date Issued: Wednesday, March 14, 2001 This is to certify that work requested to be done as shown by Permit Number P20000577 has been completed. ( Tax Ma Number: �� 1 � P 523400- 55-000-0002-0 054=0000 Location: 559 QUEENSBURY Ave Owner: ADIRONDACK IP, L.L.C. Applicant: MEDI-DYNE, INC. This structure may be occupied as x 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) 76I-8256 BUILDING PERMIT Permit Number: P20000577 Application. Nutnber: A20000577 'Tax Nlap No: 523400-055-000-0002-019-054-0000 Pertnission is hereby granted to: MEDI-DYNE, INC. Owner of property located at: COUNTY LINE Rd in the Town of Queensbury, to construct or place a Commercial Alteration 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. Owner Address: ADIRONDACK IP, L.L.C. 23A 'WALKER Way ALBANY, NY 12205 Contractor or Builder's Name / Address Electrical Inspection Agency Type of Construction: Commercial Alteration Value : $ I7,000*00 Plans & Specifications $40.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, August 07, 2002. (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 Quee u n y, August 07, 2000 SIGNED BY for the 'Town of Queensbury. R Director of Building Code Enforcement Buttain,gr Permit Application11(w) _:"3< Town of Queelzs1 ury _ Dept. <.f cr wisuuiry Uevelulxue►u, 742 Ba*iv Rmul, Queemburv, NY 12804 1761-82561 BUILDING do CODE ENFORCEMENT NP9 Requirements prior to issuanceFApern-Aii btained before IN of this hermit: I'Lowmir FILE N OcT C. nirrg consttvction. No inspectiurts PERMITFEE PAll) $ be made until applicant has received ZorWig Ord Acdon � a VAWD BUILDtINIG PERMIT. All Area f Uee RECREA77ON FEE PAJD $ applicants' spaium on dds application MUST be completed &ad the signature Q Pk m,ning Board Ac-liort REVIEWED 0Y.* rli Y of the applicant :rust appear an the 5PR / suhdivi�ion I Other RJOIAl!ng sti.prr "r tgpptication farm. nw Recreation Fee Payment Applicant: -- ',IX�+C car, Owner: / � j y G O V�#1L S - Address: - ti-�" t " �Z 5 �= •, Address Phone # Phone # Property Location: Ouai-Z)4srsuy,�y AVLW Subdivision Name: Tax Map Number - - Section S11<,ck IAA MATURE OF PROPOSED WORK : ESTIMATED MARKET A' UE OF THE New Building : CONSTRUCTION : $ .� . residence commercial Addition to Building : residence / commercial OCCUPANCY INFORmA710N : Alteration to Build ' g : Primary Building - reeidence / c4ftunerv.Zal. Single Family Dwelling Residence / Commer Two Family pl � L. no change to exterior size F'ami IF. far ]r � ri _. E, l • ' Office Other Work ( describe below ) Mercantile AUG 0 3 2000 1F1P-' 23�Tfz� G'►3.fI-- _ Manufacturing Other GROSS AREA OF PROPOSED STRUCTURES .'r: If ADDITION , what will use lst Floor . . . �. . . . . sq . ft . of new addition be ? : 2nd .Froor . . M._ y• • . . sq . ft . Other Flouts . . . . . sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : �— SQ , FT . Attached Garage 1 , 2 car Private - Storage Building SIZE OF NEW STRUCT U R E : Commercial Storage Building FEET ]{ FEET Other Foundation Type : will any second- hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space ortlly ) height ( grade to ridge ) : feet TYPE OF HEATING SYSTEMS Number of fi. replacels and/or woodstove ( circle all which applies ) to be installed :_ Electric / Oil / Gas / wood Forced Hot. Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is Name Addressa Phone Builder : Plumber : Mason . Electrician : DECLA"770N.• Please sign below gfter' you have carefully read the stalentent. 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 tine described premises and that all provisions of the Building Code, [lie 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. Vurther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Ccrtilica of Compliance being issued, an AS BUILT PLOT FLAN by a licensed surveyor; wn to sc le showing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL 114 PECTION REPORT REQUEST RECEIVED ----- NAME v� _ % ,�-� LOCATION LJ� - PERMIT # ? SCHEDULE INSPECTION ON 1 AM PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING f FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ - -- CLEARANCE TO S INKLERS CLEARANCE TO H TING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY CJ FACTORY BLT. ❑ ROUGH-lN El FINAL REMARKS: ❑ OK TO THIS DATE '545Lkt C-A' On 00 C) G INSPECTOR H WSLIP.PUB GENERAL INSPECTION REPORT ( 518 ) 7E1 - 8255 Town of Queensberry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Ronal r— Queensbury, NY 12804 ArYivdqjt� anu+pm Depart y Inspector's In' ----� NAM yy�E: i t ), . 1a -d �r C'�+ PERMIT # LOCATION: DATE TYPE OF STRUCTURE. RECHECK N YES NO C©N04 NTS Footings/Piers Monolithic Pour Form 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 �r Foundation/W'aellpour Reinforcement in Place Foundatiorill3anipproofing Bacldill Approval Plumbing Linder Slab Plumbing VentlVents in Place Rough Plumbin t� ►� C ��ti �-+. C� Heating Rough-in Insulation Foundation Walls interior R- Foundation Walls Exterior R.- Floors R- Walls R- +Ceiling R- Duct work or piping in unheated spaces R- - '(� j [ �'`"� ]r;•—�"" Proper Vent, Attic Vent Frami Jack Stu iVIleaders Bracing/Bridging.- joist Hangers ' Jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1, 2, 3, hoar Penetration Sealed Fire Wall 2, 37 4 hour Firestcrpping GENERAL INSPECTION REPORT ( 518 ) 761 - 5256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Itoad Queensbury, NY 12804 Arrive atn/pm Depart anvrm Inspector's Initials NAME: saor-s PERMIT 4 77 WCATION: c� LIATE : 3 TYPE OF STRUCTURE: RECHECK NIA YES NO 'C'ONWENT'S Footingv?iers L _ I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from f eezing for 48 hours following the placement of the concrete- materials for this purpose on site Foundationf Wallpour Reinforcement in Place � Foundat]flnll7.axnplsraofing Backfill Plumbing Linder Slab Plumbing 'Vent/Vents in Place Rough Plumbing, // Heating. Rough-In �, tfhi�n rry �°� � '�6 rr ��sr Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Walls R- ! Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studsllieaders Bracing/Bridging, Joist Hangers Jack Post&;W ain Beam Air Infiitration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopprin • y " COMMERCIAL FINAL INSPECTION REPORT Building & Code Enforcement Date inspection request received: �S Office No. (518) 7614256 Dept_ of Community Development Town of Queensbury Arrive arrt/pm Depart, 742 Bay Road lrtspector's Initials Queensbury, NY 12M M NAME } l PERMIT # LOCA71710N 1{ c M ,• DATE TYPE OF STRUCTURE_ N/A YES NO COMMENTS C]umincy/"B" Vent/Diroa Vent location Plumbing vent Roof Complete Eatenor finish Bade complete interior/exterior guardrails 42 in_ platform/decks hrterior/exterior hallmters 4 in. spacing,piatformJdecks Starr handrail 34 in. - 38 in. Step risers 7 1Ja in. Alain door 44 in. All others 36 in. Lever handles Exits at grade orplatform Canopy to cover req, earn doors Gas valve shut-off exposed &c regulator (18 in.) above grad Floor bathroom watertight Other floors okay Hat water relief valve Boiler'/fumsoe enclosure <250.000 BTU NIR 250.000 BTU to 1,000,000 BTU-s (l hour) >1 .000.000 BTU's (2 hour) Gas furnace shut off withim 30 & or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure (1 houurX 1/4 hour door Storage/r cciving+'shippingroom (2 hourly 1 '/z doors 1 t-i hour doors and closers . hour corridor doors and closers F rrewalls/fire separation, 2 hour, 3 hour complete Fire dampers, 2 hour fare wall/serparation or greater Fire door/shutters I 'h hour, 3 hour Ceiling fire stopping 3,000/5,000 sq. fl. Fan shutdown, smoke vents or fan Exit door/panic bars assembly hardware £ievators E I evator si gnage Handicapped bathroom grab bars/sinks/toiiets Handicapped battu'parking lot sighage Handicapped service counters 34 in., checkout 36 in- _ Handicapped ramp/handrails continuous/ 12 in. beyond :+wive listening system and signage assembly space_ Fatal Electrical Site Plan/Variance required , - ------ _.- Final Survey, new structures .As-buih septic system layout required Okay to issue temp. C/O (Cef f. of(.)ocupancy) - Okav to issue permanent C/O (Certif. of Occupancy) Okav to issue C/C (Certif. of Compliance)