2005-746 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20050746 Application Number: A20050746
Tax Map No: 523400-309-007-0001-055-000-0000
Permission is hereby granted to: GLENS FALLS OBSTETRICS&GENECOLOGY C'
For property located at: 28 WESTERN AVE. SOUTH
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: PGR WESTERN REALTY,LLC New Commercial Building $628,000.00
ONE BROAD STREET PIZ Total Value $628,000.00
GLENS FALLS,NY 12801-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2005-746 GLENS FALLS OBSTETRICS &GYNECOLOGY CTR.
5600$Q FT NEW BUILD
$840.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,October 11,2006
(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 Queensbury; Tuesday,October 11,2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. CO 422? _ 7 r'
Town of Queensbury
742 Bay Road "j', e .�-- -
Queensbury,NY 12804 Scheduled Inspection Date: ` {..=i 2. Time:
Phone: (518) 761-8206 Business Name: --
Fax: (518) 745-4437 Location: �`; .. . ';}� . .. f ��. - _
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 } t.
FIRE EXTINGUISHER:
Hung k
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM - "`
Fan Shutdown
lr
Fire Sprinkler System K'
Fire Suppression-kitchen
Fire Suppression-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.Signage-Utility Rooms \
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
t4. Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
a Denied
f
o Call for Recheck
Inspected By: \;
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury ......
742 Bay Road 77 i . ;.
Queensbury,NY 12804 Scheduled Inspection Date: lime:
Phone: (518) 761-8206 Business Name:
Fax: (518) 745-4437 Location: c el _
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 9 ,,
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System ':1/2".:
Fire Suppression-kitchen \.
Fire Suppression-Gas Island
Hood Installation `<
Interior Finishes i
Storage \
Compressed Gas \
Clearance to Sprinklers \ "'
Clearance to Electrical
Electric Wiring Enclosed z X- ... ,. ,
Combustible Waste i
Vehicle Impact Protection j,,
Fire Lane \
F.D.Signage-Utility Rooms X ,,,..--
No Smoking Signs w
Maximum Occupancy Sign ,'
Emergency Evacuation Plan ," A
a Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
t Denied r'
u Call for Recheck
Inspected By: i
L
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc t :
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