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2011-028 .01 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: P20110028 Date Issued: Monday, June 20, 2011 This is to certify that work requested to be done as shown by Permit Number P20110028 has been completed. Location: 365 AVIATION Rd Tax Map Number: 523400-301-008-0001-035-000-0000 Owner: 365 AVIATION, LLC Applicant: DR. JESSICA SHIN 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 (Th fi 4 property owner of the responsibility for compliance with Site Plan, -' - 7\ 7 ,441 Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. 1 Aek* TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110028 Application Number: A20110028 Tax Map No: 523400-301-008-0001-035-000-0000 Permission is hereby granted to: DE SANTIS ENTERPRISES. INC. For property located at: 365 AVIATION 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 alue Owner Address: DE SANTIS ENTERPRISES, INC. Commercial Alteration $194,000.00 365 AVIATION Rd QUEENSBURY,NY 12804 Total Value $194,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency HILLTOP CONSTRUCTION 51 CROWLEY Rd HUDSON FALLS.NY 12839-0000 Plans&Specifications 2011-028 commercial alteration $480.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,February 08,2012 (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 ueensb ; Tupscpy, February 08,2011 SIGNED BY / v1 iP �.,= "'�"' for the Town of Queensbury. Director of Building& ode forcement 1 .30 / /r 3 —eFFICE USE ONLY TAX MAP JNO. PERMIT NO. //- FEES: PERMIT r1-bu RECREATION ENGINEERING (If applicable) 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 RCONSTRUCTION. APPLICANT/BUILDER: )41111-op Co OWNER: 12• T2 55 i Ca. S1 I r1 ADDRESS: 5 I C ROLL) k r R.06_ el ADDRESS: I5i Q 2 «Y_ 2I 0 -Gf' tti d o r FoL115) N y 1,1Z-3q e s v LA-r-yI my 4,2 101 PHONE NOS. (.5-)5) -7 R --O 3 3 PHONE NOS. 1701 k CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: I G in R I b re c 114- PHONE: 9-9 -k7o L/ LOCATION OF PROPERTY: rj AU;C(. Ik O 01 Po S ktfey I 1.1 y /.2g,04/ HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES p'NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT0 o F- APPLY TO YOUR z f= cr p C7 w e PROJECT pOJT: O = = W i " 1-01-. = Q o00 w o a Z rH owz z < < cn Ncn oLL I- u- E2os SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE X L QQ O n- V � q peXlst�ri RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 • Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: 'J `)) t C (L. �+> ' h ) S ESTIMATED CONSTRUCTION COST: I cf`( COC FUEL TYPE: G �S HEAT TYPE: k *HOW MANY FIREPLACE(S): nc r le AND /OR WOODSTOVES(S): �C h ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? n C IS THIS A HISTORIC SITE? n C (' PROPOSED USE OF BUILDING OR ADDITION: nE n±-"(5fi (/ 1' t G0-- ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? no ARE THERE EASEMENTS ON PROPERTY? n *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 agree to the above. • Signed jrVLA Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (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 Revised 4/14/2010 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: / /a BUI e'er& CODE$ A PPROVAL ZONING APPROVAL i II DATE DATE • QUESTIONS? CALL 761-8256 OR EMAIL codes(aqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.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 a7.,CO%I'v1J /* C3M''".";43 Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date: C,4i/'i Time:? W Fi‘l 742 Bay Road,Queensbury NY 12804 c Re-Inspection 518 761 8206/518 761 8205 2 CO Inspection Permit*: /A61 Fire Marshals Representative MJ Palmer Business Name: VA \k6/1 , A.-filei Location: 7.7,0iafti1 ,ail GK Stillman Contact: *Ai Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 J NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011&FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 .r` Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 .-----' Inspection 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.Signage- FC 510 No Smoking Signs FC 310.3 / Storage FC 315.2 Compressed Gas FC 3003 -...---' Vehicle Impact Protection FC 312.1 -...--0' Interior Finishes FC 803-804 rox Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 f 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2) —•'''' Fuel Pump Warning Signs FC2205.6 / Fuel Station Emer Procedures FC2204.3.5 /' Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 21 DAYS SYSTEMS: FC 901.6 tnsp 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 rit Kitchen Suppression Semi Annual 1a"ii9' Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506fall' AV (�� /j1' v Operating Permit, if required will be issued after l'di t.W Completion of Inspection cc) /- Commercial Fin Inspection Report Office No.: (518) 761-8256 Date Inspection req •d: Queensbury Building &Code Enforcement Arrive: a Depart: '7-=Z-c) arr 742 Bay Road, Queensbury, NY 12804 Inspector's Initials,.. NAME: _ i / , PERMI/ / .tel LOCATION: �- Or-4)1r DATE: COMMENTS: Y/ N NA Chimney/"B"Vent/Direct Vent Location 1/ Plumbing Vent Through Roof 6"1 Roof Complete Exterior Finish/Grade Complete 6" in 10'or Equivalent J/ Interior/Exterior Guardrails 42 in. Platform/Decks Interior I Exterior Ballisters 4 in. Spacing Platform/ Decks LI/ Stair Handrail 34 in.—38 in. /Step Risers 7"I Treads 11" V/ Vestibules For Exit doors> 3000 sq. ft. ✓/ All Doors 36 in.wlLever Handles/Panic Hardware, if required Exits At Grade Or Platform 36(w)x 44" (I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade / Floor Bathroom Watertight/Other Floors Okay 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 Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors > 10% > 1000 sq. ft. '/,Hour Corridor Doors&Closers Firewalls I Fire Separation, 2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors _ Ceiling Fire Stopping, 3,000 sq. 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 Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks I 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 Electrical/Flex Gas Piping Bonded Site Plan/Variance required 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 4' Water Fountain or Cooler Building Access All Sides by 20'/Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue CIC L:\Building&Codes Forms\Building&Codes'Jnspection Forms\Co nmercial Final Inspection Repoet.doc Revised January 7,2008 • * RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski ,t) Ethan Peter Hall �� 627 Maple Avenue JC`r Saratoga Springs NY 12866 Voice 518 580 1905 Fax 518 584 5012 Email ephall@nycap.rr.com Special Inspection Report To: Bruce Franks - Town of Queensbury—Zoning Department John O'Brien—Town of Queensbury— Building Department From: Ethan Hall Date: 16 June, 2011 Re: Hilltop Construction —Dr. Shin Office Renovations— 365 Aviation Road At the above referenced project location we have performed periodic site observations to review the work installed for the site alterations and building renovations and all revisions made have been reviewed by this office. To the best of my knowledge and belief these items have been installed in accordance with the design drawings and are acceptable to this office. If there are any questions please contact our office. N ' Regards, ,.*01)ARC f" '• ,a visT&J T , foei /A/ ;4 IN\ *.ati " * 5�. Ethan Hall 02704.1 f' Architect .,• ' Cc: Tom Albrecht—Hilltop Construction • Dr. Jessica Shin Y:1Hilltap Construction\.Shin Dental Office\Paperwork\Special inspection Report 16 June 2011.doc 1 06/1.5/2011 16:48 FAX 518 798 5620 THERMAL ASSOC (_01 Marty DeVit's 111,111111111111 74ixal Ad4eiaeeQ r; Heating and Cooling BPI 21 Thomson Ave Glens Falls, NY 12801 (518) 796-5500 Fax 798-5620 HOME fit, ,24•,,,rny a nd Sa;rdacram; TM PERFORMANCE I T H ACCREDITED ENERGY STAR CONTRACTOR Hilltop Construction 51 Crowley Road Hudson Falls, NY 12839 5118-798-0338 We, Thermal Associates, performed a blower door test on the Dr. Shin project at 365 Aviation Rd. Queensbury, NY, to determine the air changes per hour, for Hilltop Construction Co. The result of the test is: (2,800 CFM50 x 60 Minutes) / (3,675 sq. ft. x 8 ft.) = 5.714 ACH50 Adam DeVit BPI Certified Professional (em er/5c ) ti.6=) Rough PluIn Insulation nlGL�P ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depa am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:O&A NAME: , 51/A, PERMIT #: // 172 LOCATION: INSPECT ON: � 7-// TYPE OF STRUCTURE: 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" S:1 for 15 minutes Insulation /Residential Check/ Commercial Check f Tyvek-orSimilar 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 ' Y Duct work sealed properly/ No duct tape COMMENTS: C Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 o Rough PlumbingI Insulation Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: ,L _am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: G r • NAME: :D11 )l PERMIT #: ( (%25- J LOCATION: � /4 Ilea. �it , - INSPECT ON: 5= --// TYPE OF STRUCTURE: -IN 'ti�`-� � _ Y N NIA Rough Plumbing t Nail Plates Plumbing Vent I Vents in Place 1 '/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I 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 PS:I, Insulation!/for Residential15minutes Check/ Commercial Check / yvek-6r Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulations Duct I 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 (z:oo) / -3 /��3 Framing / Firestopping inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: 2 •�te_am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: /ti PERMIT#: M /- 2/ LOCATION: 7 4 , & INSPECT ON: TYPE OF STRUCTURE: J \ --) Y A N N/A COMMENTS: Framing ess 22° x 30" minimum Jack Studs/ Headers Bracing I Bridging Joist hangers Jack Posts I 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 1/2(w) 16 gauge (8) 180 nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire�.r . hour 111111111 irestopping tion-- . ed 16 inch insulation in cavity min. Garage Fire Separation House side 'r 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. (VV) 5.7 sf above/below grade 5.0 sf grade L:1Buiiding&Codes Forms-0LD\Building&Codesllnspedion FomIslFraming Firestopping Inspection Report.doc Revised January 7,2008 /0 -- /Z Rough Plumbing / Insulation Insption Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: arn/pm Depart: yf t,am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 644.9 NAME: 1.4 PERMIT#: /1- O22 LOcATIO N r 763--- ' 7, INSPECT ON: 2 2 -/( TYPE OF STRUCTURE: Y N NIA Rough Plumbing/ ii Plates • •• , • • = ents in Place 1 34 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I 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 P • • =r 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,remised February 15,2005, revised January 7,2008 helI'S ) r ) /._ Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: /:3.. am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ,�l PERMIT#: LOCATION: i(•; 5 /11/,04 cif . INSPECT ON: 5/r TYPE OF STRUCTURE: Comments, Y N N/A ((____ " �^ FootinDpp� (/ - 2 � /JiJ Vel /L-\ Piers_ -- 15',5 � 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 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM