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2012-072 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: P20120072 Date Issued: Friday, May 18, 2012 This is to certify that work requested to be done as shown by.Permit Number P20120072 has been completed. Location: 410 QUAKER Rd Tax Map Number: 523400-303-005-0001-024-000-0000 Owner: VSH REALTY INC. Applicant: EMCO CONSTRUCTION This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF,QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property r: owner of the responsibility for compliance with Site Plan,Variance, or v other issues and conditions as.a result of approvals by the Planning Board Director of Building&Code Enforcement 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: P20120072 Application Number: A20120072 Tax Map No: 523400-303-005-0001-024-000-0000 Permission is hereby granted to: EMCO CONSTRUCTION For property located at: 410 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. Type of Construction Value Owner Address: VSH REALTY INC. Commercial Alteration $200,000.00 100 CROSSING Blvd#9003 Total value $200,000.60 FRAMINGHAM, MA 01702-5401 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2012-072 Cumberland Farms 2,952 sq. ft. commercial interior alterations $590.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30,2013 (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 Quee sbury Mo y April 30,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 22 l __________________________________________----------------- .�_l�;_.Q_ 1?010 0' OFFICE USE ONLY , , , , TAX MAP NO. PERMIT NO. � 'U272012o FEES: PERMIT RECREATION ENGINEERING TnIA1N,O�QUEENS 0 0 If a hca e 0' ( PP BUI & �DJ1E PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: Emco Construction OWNER: Cumberland Farms ADDRESS:2050 Western Ave Suite 210 Guilderland NY 12084 ADDRESS: 100 Crossing Blvd Frammingham MA PHONE NOS. 518-456-1853 PHONE NOS. (508)270-4410 CONTACT PERSON FOR BUILDING &CODES COMPLIAN E: Kevin Huntin on PHONE: 518-456-1853 LOCATION OF PROPERTY: 410 Quaker Road'. HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ❑YES ❑ NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR le-1 �O d w �' PROJECT p 0 _j O = _ CL 0 (90 w ❑ C Z C1 E- H O F_: w� z Q Q Cl) c'4cn OU Ha_ a = SINGLE FAMILY N O TWO-FAMILY N C) O Cn � MULTI-FAMILY N 0 (NO.of UNITS m N . N TOWNHOUSE Q 0 E M 'a) BUSINESS OFFICE N o LL W RETAIL- 0 0 MERCANTILE X 2952 s 4ft cv 0 E FACTORY OR E C� INDUSTRIAL U 0 ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 6` Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: Cumberland Farms ESTIMATED CONSTRUCTION COST: 200,000 FUEL TYPE: NG HEAT TYPE: Hot Air RTU *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? No PROPOSED USE OF BUILDING OR ADDITION: Convenience Store with Gasoline Sales ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No ARE THERE EASEMENTS ON PROPERTY? No *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and ee o e. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-821-8 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Town of Queensbury, * Community Development Office*742 Bay Road, Queensbury NY 12804 4 it Revised 4/14/2010 , + r Permission is hereby granted to the above % This application / proposed action described Applicant to erect or alter the building ; herein is found to be in accordance with the described herein in accordance with said ; zoning Laws of the Town of Queensbury. Application., , , , , , , , , , , , , , , r , / , , + r 1 , + , , , + , I , BU 8� COD APPROVAL ; ; ZONING APPROVAL e , , , , , , 0 7q,-b'-1)f 0 , ; DATr E 0 DATE -------------------------- QUESTIONS? CALL 761-8256 OR EMAIL codes@Queensbury.net Office Use OnIV VISIT OUR WEBSITE FOR MORE INFORMATION www6gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 FIRE MARSHAL'S OFFICE Tozvn of Queensbury .742 -Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW . Cumberland Farms # 1504 2.012-072 2/29/2012 The following_comments are based on plan review of submittals 1) Egress hardware to comply with Chapter 10 NYSFC 2) Need layout of emergency lighting at exterior egress components. Provide labeled breaker in electric panel for future testing of all emergency lighting 3) .Fire extinguisher locations to be discussed 4) .Provide.NFPA 72 compliant letter for all fire alarm system modifications, along with system inspection including central station monitoring. Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fi r e M a r s h a I 's Off i c e ■ P h o n e: 518-761-8206 F a x: 518-745-4437 firemarshal@queensbuty.net www.queensbury.net �n � 1 -3 Rough Plumbing I Insulation n pec ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: _ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: CT NAME: PERMIT : LOCATION: 00 8 INSPECT ON: TYPE OF STRUCTURE: C.r� �,� Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %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/ Commercial Check Tyvek or Similar.Exterior Sealant Proper Vent, Attic Vent Door/Window►Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Foundation Inspection Report P P Office No.(518)761-8256 Date In eInr ' ed: I.A. Queensbury Building&Code Enforcement Arrive: Depa : 742 Bay Rd.,Queensbury,NY 12804 Inspector's NAME: MIT#: 0 LOCATION: INSPECT ON: 5-3— I a TYPE OF STRUCTURE: COMM a 4 Y N N/A Footings Piers Monolithic Slab 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. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing • Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing '^ 6 mil poly for wet—areas under slab p' �a k"fi11 App�rov" �� �fi gl' il`er'Slab PV ast/Copper oundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fonms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Framing / FirestoPP g in Inspection Report Pe Po Office No. (518)761-8256 Date Inspection rjilvedQueensbury building&Code Enforcement Arrive: art:742 Bay Road, Queensbury, NY 12804 inspector's Initial NAME: - ' —6 LOCATION: /D INSPECT ON: S-. TYPE OF STRUCTURE: Y X WA COMMENTS: raining Attic Access 22" x 3T minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D We 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 Firestopping Penetration sealed 16 inch insulation In cavity min. Garage Fire Separation House side%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. OM 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-0LDUSrilding&C.odesUnspedion FomrslFrorning FirodoWng Inspedion Report.doc Revised January 7,2W8 Rough Plumbing / Insulation Inspection Re ort Office No. (518) 761-8258 Date Inspection re?e a iv�da 5 3 Queensbury Building &Code Enforcement Arrive: - 'or> a, / = art: Z� _ a p'm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: ' NAME: P MIT#: i'�d7� LOCATION: v INSPECT ON: a- TYPE OF STRUCTURE: Y NIA Rou h Plumbin Plates P um ing Vent/Vents in Place 1 %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 Chedc/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent,Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insuiat3®n Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection re r ived: Queensbury Building &Code Enforcement Arrive:7_= I 97 a part: Z 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT #: 1 Z- - 0-1 Z LOCATION: _, _ n INSPECT ON: TYPE OF STRUCTURE: -' 06 Y N N/A PluEnbIng.:Nail;Plates n Plumbing Vent/Vents in Place 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure jest 3'n ent Air ead .S.I. or 10 ft. above highest connection for 15 minutes Pressure Test 1 aterSupply Piping s M.+dad 0 P.S.I for 15 minutes..-._._-._-_ nsy{a66n/Etesidenfial=Check`/Commercial Check Tyvek or Similar Exterior Sealant L Proper Vent, Attic Ventj Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspec do Queensbury Building&Code Enforcement Arrive: = part: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: ERMITU7a— LOCATION: la v- Z /L'17 INSPECT ON: J Z TYPE OF STRUCTURE: Y N WA COMMENTS: raming Jam. Attic Access 22"x 300 minimum z�y Jack Studs/Headers 60 _\ L;7_ Bracing/Bridging �� � A Zv5� �Joist hangers i Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top.Plate 1 % 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 Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLD\Building&CodesHnspection FormsWraming Firestopping Inspection Report.doc Revised January 7,2008 ` "`flay. 29. 2012'^ 2:06PN��9- 4DIA, Watervl i et, NYW ��'} '�No, 3471�P�J/4 , MIDDLE 1DrPA ZTM'F_NT INSPECTION AGENCY, I C. i`rlle� that the electrical wiring to.the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. I Owner: Cumberland Farms Date: 05/14/2012 I Occupant: Same Location 410 Quaker R Occupancy: ueens ury, Warren Co. NY 1 st Floor Applicant F � Lupe Electric :•;:; :.•• . . 4112 N.Y.S. Route 2 Troy, NY 12180 Joseph A.Holmes:' No. 1400241�4;4b'81 Equipment: 3-Switches;43- Receptacles; 32`�Fikture9 2-'Vt ht!Faris''-6-EnieigeliCy Lights;"3` Lxit Llgbfs; 1 -00 Amp Recepticle; 3-40 Amp Receptacles;4--30 Amp Twist Lock Recepticles; 2-Hand Dryers I This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void, this cettl(Icata applies only to the use,occupancy and above and the installation inspected as Of the above noted date based on a visual ownership as indicated herein. Upon a change In the us ,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety, efli- of the property indicated above,this certificate shall be mmadiately null and void. ciency or fitness of the eQuipment for any particular purpose. This certificate shall In the event that this certificate becomes Invalid based Pon the-,$bova conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinepectia by Middle Department system to which this certificate applies be altered in any way.Including but not limit- Inspection Agency,Inc. An application for inspection m6st be submitted to Middle ad to,the introduction of additional electrical equipment and/or the teplacement of Department Inspection Agency,Inc. to Initiate the inApeelion and revalidation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. 1 � • i + "'May. 29. 2012% 2:06PN ,'?'MDIA, Watervl iet, NV" ` o No, 3471 P. 2/4, ' MIDDLE DEPARTMENT INSPECTION AGENCY, INC. V�mr?,l that the electrical wiring to the electrical equipment listed below has been examineJ and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date l '� noted below and is issued subject to the following conditions. f Owner: Cumberland Farms Date: 05/14/2012 Occupant: Location: Same 410 Quaker Rd Occupancy: Fuel Pumps Queensbury, Warren Co_ Y Applicant: William H Black PO Box 17 New Lebanon, NY 1212 Joseph A.Holmes Equipment: : ,•. ;,;: ::.:. :.;::: R:"... Re-worked Fuel Pump Fef3ds(Fxisting) 'k i This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies onl II'to the use,occupancy and t above and the installation Inspected as of the above noted date based on a visual ownership es indicated herein. Upon a change In the u9e,0'=p8hcy or ownership inspection. No warranty is expressed or implied as to the mechanical safety,effl- or the property indicated above,this certiricale shalt b Immediately null and void• ciency or fitness of the equipment for any particular purpose. This certificate shelf In the event that this certificate becomes Invalid based upon the above conditions, ) be valld for a period or one year from the above noted date. Should the elecldcal this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered In any way,including but not llmit- Inspection Agency,Inc. An application for inspection must be Submitted to Middle ) ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection and revalidalion ) any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service, ) i i i /Yl Ih f) d Qt. s 1-3 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Ins coon requ Queensbury Building&Code Enforcement Arrive: a am m Depart: arr��ly� 742 Bay Road, Queensbury, NY 12804 Inspecto s Initials: NAME: U )b n PER IT LOCATION: DA COMMENTS: W) Y N NA Chimney/`B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish/Grade Complete 6"in I or E uivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Banisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"1 Treads lift Vestibules For Exit doors>3000 sq.ft. All Doors 36 in.wlLever Handles/Panic Hardware,if required Exits At Grade Or Platfomn 36 w x W(lyCanopy or Equiv. Gas Valve Shut-off &Regulator 18" Above Grade Floor Bathroom WaWftht/Other Floors Oka \ Relief Valve Heat Trap I Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System r 1 � Fresh Air Sup&for Occu /Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site / Oil Fumace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors > 10%>1000 sq.ft. %Hour Corridor Doors&Closers Firewalls 1 Fire Separation, 2 Hour, 3 Hour Complete/Fire Dam rs/Fire Doors Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30" h ,Crawl Spam Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si /Shaft Sealed HandicapREd Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters 34 in. Checkout 36" o R- 60 Handicapped Ramp/Handralls Continuous/12 in. Beyond[Both sides] Active Listening System and Signage Assembly Space {��j��F G� c�16 Final Electrical/Flex Gas Piping Bonded Site Plan/Variance required Final Survey, New Structure/Flood Plain certffication ff As-built S La System out Required or On File BuildingNumber or Tenant Address on Buildingor Driveway4" A`7 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:1Building&Cates FormslBuilding&CodesMnspeclion Forrns\Commential Final Inspection Report.doc Revised January 7,2008 Inspection Fora a Town of Queensbury Fire Marshal Periodic Inspection Date- �� Time: Z f 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 45::'CO Inspection Permit#: X Marshals Representative MJ Palmer Business Name: Location: r- Rd K Stillman Contact: Vf ` Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 ' r Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspect ion of extinguisher FC 906 EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.SI na e- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6 CRI &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE. OK NC Date Generator Annual DATE. OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE. OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC �I Mar pubb ff fj. Kitchen Suppression Semi Annual FWi1�1 ($BUBdi I Fuel Island Suppression Semi Annual Hood Cleanin 3-6 -Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Me Mars al T Q u Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection req ive : Queensbury Building&Code Enforcement Arrive: ti a Depart: a 742 Bay Road, Queensbury, NY 12804 Inspector's Initlals: NAME: 0,U rn1Qo�,�A PER T ®�—l>�01 LOCATION: � ID l 1(a ,e r R.d DATE: COMMENTS: Y N NA 1 I Chirnne /'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"i 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'QyCanopy or Equiv.: Gas Valve Shut-off Exposed&Regulator 18° Above Grade Floor Bathroom Wa ht/Other Floors Oka Relief Valve Heat Trap l Water Temp.110 Degnma Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System Fresh Air Sueply forOccu /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.),-1-1/2 doors - > 10%> 1000 sq.ft. -- - - %Hour Corridor Doors A Closers Firewails/Fire Separation,2 Hour, 3 Hour Complete/Fire Damp2rs/Fire Doors Coiling Fire Stopping, 3,000 sq.ft.Wood Frame Attic Access 3W x 20°x 31Y h ,Crawl Space Access 18"x 240 Smoke Vents Or Fan, if required Elevator operation and Si /Shah Sealed HandlcapgLd Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot SIgnage 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 Elechical/Flex Gas Piping Bonded Site Plan/Variance required Final Survey, New Structure/Flood Plain certification N req. -- t� As-built Sepfic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4' e� Water Fountain or Cooler ` 'Building Access by 20'/Driveable Surface 20'wide Oka To issue(remp.A Permanent CIO Okay To Issue LABuilding&Codes Forms%Building&CodesUnspecdon FonnslCommercial Final Inspection ReporLdoc Revised January 7,2008 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection e e Queensbury Building&Code Enforcement Arrive: D= a Depart: L = am/ m 742 Bay Road, Queensbury, NY 12804 Inspector's India s. NAME: C JM Cl C D `j PER LOCATION: LA U =�-Yek F DA Qr�'— 1`7 — 1 Z 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 I Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./SUp Risers T"/Treads lift Vestibules For Exit doors>3000 sq.fL All Doors 36 in.wiLever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 w x 44'(lyCanopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18' Above Grade Floor Bathroom Wa ' ht/Other Floors Oka Relief Valve Heat Trap/Water Temp.110 Degrees Maximum Boiler/Fumace Enclosure 1 hr.or Fire Extinguishing System Fresh Air Sup&for Occu /Ventilation Combustion Low Water Shut Off For Boilers Gas Fumace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Stomge/Receiving/Shipping Room(2 hr.), 1 '/doors > 10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fine Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame Attic Access 30"x 20'x 30" h ,Crawl Spam Access 18"x 24" Smoke Vents Or Fan, if required Elevator tion and Si /Shaft Sealed Handica Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parldng Lot SIgnage 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 SignMe Assembly Space Final Electrical/Flex Gas Piping Bonded Site Plan/Variance r uired Final Surve , New Structure/Flood Plain certification IN reqw1 As-built Septic System Layout Required or On File CID Building Number or Tenant Address on Building or Drivewa 4' IJ � Water Fountain or Cooler 'Building Access AN S' 20'/Driveable Su a 20'wide May To Issue Te .or Penmanent C/O Okay To Issue C/C LABuilding&Codes Formsftilding&Codeskinspecdon FomnslComnvurial Final Inspection ReporLdoc Revised January 7.2008 Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date: ' Time: 742 Bay Road,Queensbury NY 12804 o Re-Inspection r, h 518 761 8206/518 761 8205 CO Inspection Permit Fire Marshals Representative MJ Palmer Business Name: ( c ron6ntoc VvA p Location: q i Q (Du eq H o r '-R cl GK Stillman Contact ; I Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 .- n Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC906 � 4�`¢ Inspection of extinguisher FC 906 EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 +l EMERGENCY LIGHTING: r ���� � rg�� � � Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 " Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles In Equipment Rooms FC315.2.3 N i',r,.Pc fry. �{{/ 1 1 S f t4 t c, t I F.D.Si na e- FC 510 ntg�� iG¢tea �j�cu/tc�f No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 d Interior Finishes FC 803-804 _ Smoke Detectors FC 907 Vk (MC CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 � 18" / 24" �v t+11$�cv t 14 I'i • EVAC SIGNS IN Rooms FC 404.6 Rl &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.55fi'ct rL Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 21 DAYS J ' DATE. OK NC SYSTEMS: FC 901.6 Insp OK NC Date Generator Annual DATE. OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleanin 3-6-Annual Knox Box:Installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection www.famtec.com -- LAMTEC CORPORATION WM P-VR POLYPROPYLENE/SCRIM / KRAFT Meets ASTM C1136,Type IV FACING COMPOSITION DESCRIPTION VALUES (ENGLISH) VALUES (METRIC) White Film Polypropylene 0.0015 inch 38.1 micron Adhesive Flame Resistant Reinforcing Tri-directional 5/inch (MD) 20/100 mm (MD) Fiberglass/Polyester 4/inch (XD) 16/100 mm (XD) Kraft Natural 11 Ibs/3000 ft2 18 g/m2 PHYSICAL PROPERTIES TEST METHOD VALUES (ENGLISH) VALUES (METRIC) ' Basis Weight Scale 17 Ibs/1000 ft2 83 g/m2 Permeance(WVTR) ASTM E96 0.09 perm 5.17 ng/N's Procedure A .(grains/hr'ft2'in Hg) Bursting Strength ASTM D774 60 psi 4.2 kg/cm' Puncture Resistance ASTM C1136 125 beach units 3.7 Joules Tensile Strength ASTM C1136 40 Ibs/inch width (MD) 7.0 kN/m (MD) 30 Ibs/inch width (XD) 5:3 kN/m (XD) Caliper/Thickness. Micrometer 0.008 inch 203 micron Accelerated Aging 30 Days @ No Corrosion No Corrosion 95% RH, 120°F (49°C) No Delamination No Delamination. Low Temperature Resistance ASTM D1790 Remains Flexible Remains Flexible -40°F(-40-C) No Delamination No Delamination High.Temperature Resistance 4 hours @ Remains Flexible Remains Flexible 240°F (116°C) No Delamination No Delamination, Water Immersion 24 hours @ 73°F (23°C) No D61amination No Delamination ' Mold Resistance ASTM C665/C1338 No Growth No Growth Dimensional Stability ASTM D1204 0.25% 0.25% Light Reflectance ASTM C523 85% 85% FIRE TESTING FA9 ASTM E84/UL 723 CAN LILC-S102M BS 476 Film Side Kraft Side Film Side. Kraft Side Class APPROVED Flame Spread 10 15 15 1.5 Smoke Developed 10 5 30 45 Surface Physical Properties based upon statistical averages, Weight/Thickness+/-10% "LAMTEC"AND"WMP"ARE REGISTERED TRADEMARKS.OF LAMTEC CORPORATION 5010 River Road Mount Bethel, Pennsylvania 18343-5610 U.S.A. Phone: (570) 897-8200 Fax: (570) 897-6081 Web: www.lamtec.com 8/10