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2011-580 .41111" TOWN OFQ UEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110580 Date Issued: Wednesday, December 28, 2011 This is to certify that work requested to be done as shown by Permit Number P20110580 has been completed. Location: 25 WILLOWBROOK Rd Tax Map Number: 523400-296-012-0001-037-001-0000 Owner: SCHERMERHORN COMM. HOLDINGS, LP Applicant: GLENS FALLS HOSPITAL RADIOLOGY SCHOOL This structure may be occupied as a: Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY 4 Issuance of this Certificate of Occupancy DOES NOT relieve thero err) � 41.fr,,,, A, owner of the responsibility for compliance with Site Plan,Variance, or 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 galki gos 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110580 Application Number: A20110580 Tax Map No: 523400-296-012-0001-037-001-0000 Permission is hereby granted to: SCHERMERHORN COMM. HOLDINGS, LP For property located at 25 WILLOWBROOK 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: SCHERMERHORN COMM. HOLDIN 536 BAY Rd Suite 2 Commercial Alteration $35,000.00 QUEENSBURY,NY 12804-0000 Total value $35,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-580 4171 sq ft commercial alteration $764.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 23,2012 (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' , Queensb pd i esday,November 23,2011 /SIGNED BY i lei for the Town of Queensbury. Director of Building : ode forcement 1 1 OFFICE USE ONLY i TAX MAP NO._22:6••/Z -11_57EIRAIT NO. NOV 1 0 2011� / .cg0 FEES: PERMIT RECREATION_ ENGINEERING TOWN OF QUEENS:URY (If applicable) BUILDING & CODES 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. r.� APPLICANT/BUILDER: ..14a �! �� f� T. OWNER: m --_—__---_ ADDRESS:-C�;� .�( -- N'( ---I 2 Q4 . ADDRESS: ----- PHONE NOS.__212_7D2 —_--___—_ PHONE NOS. giciwsxi"014_, Aged CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: An/ QLI, HONE:S11D0 LOCATION OF PROPERTY:J UGS AlkilG• - licib i /2,44 evy. HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SU2IVISION APPROVAL? YES L7 NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p o APPLY TO YOUR Z i= re 0 co co u) " w PROJECT p SI: ce 0 = = W � � � � W Q a OU W D ,LL CJ z C1 I- F- O F- X LL1 Z < < U) (V (/) OLL I- LL a = otS SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE f _ RETAIL- F _ MERCANTILE ;>? I L 7 2 y ; i 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:_BUSINESS: attiS_ U tome JI O, ESTIMATED CONSTRUCTION COST:-il' 10 D_ FUEL TYPE: IAT, &AS - HEAT TYPE:181- Il it- *HOW MANY FIREPLACE(S):_ p__AND/OR WOODSTOVES(S): ZONING CATEGORY: OP ARE THERE WETLANDS ON THIS SITE? _ 0-/A IS THIS A HISTORIC SITE? -- PROPOSED USE OF BUILDING OR ADDITION: _ "1312 ____ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?_- {v_17 ARE THERE EASEMENTS ON PROPERTY? RiP *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 a agree th>e : ov, Signed A /1&— ,ebv1 /j/ 1/4W7 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: 21/-c_ __/("14' ILS ` C &CODES AP' OVAL ZONING APPROVAL L3 D A TE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesOqueensburv.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 -01/N1-\ 0 . Commercial Final Inspection Report Office No.: (518) 7614256 Date Ins• =dim = ce,)ed: O Queensbury Building &Code Enforcement Arrive: = 4eDepart: am/ 742 Bay Road, Queensbury, NY 12804 Inspector's In' NAME: 11 / A241 0-i.,11"°V PER I LOCATION: 25' w, LI aLw,ar ay t2 t? , DA `. l2/24/p/ fel C. (!'1 L C g. 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/Exterior Guardrails 42 in. Platform/Decks Interior!Exterior Bafisters 4 in. Spacing Platform I Decks Stair Handrail 34 in.—38 in./Step Risers 7"/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'(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 �f Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 4 doors > 10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls I Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors CeiNng Fife 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/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 2 ' Driv 20'wide Okay To Issue Temp.or P Okay To Issue C/C L:\Building&Codes Forms%Building&Codes Inspection Fonns1Commercial Final Inspection Report.doc Revised January 7,2008 Inspection Form Town of Queensbury Fire Marshal O Periodic inspection Date:0 41 I' Time:q 742 Bay Road,Queensbury NY 12804 o Re-Inspection 51 761 8206/518 761 8205 ®CO Inspection Permit#: 1 " S D F e Marshals Representative ff ,j MJ Palmer Business Name: D Location: DS w .ll c 6 nou Y_ Y GK Stillman Contact: D C, ntfICL4- Type of Inspection N/A Ye;, 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 /' (� Sign:backup FC 1011.5.3&FC1029.7.5 / .1L7S up OL. I I ick,lir AISLES: Main Aisle Width FC 1024/1025&FC1029.11 ‘;. Secondary Aisle Width FC 1025&FC1029.11 �` /i FIRE EXTINGUISHER: Hung FC 906 7 'J‘lyN,c t (-ICI f S Inspection of extinguisher FC 906 4nictel Stores. EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 / `Z e.vho..i i U QV Ws EMERGENCY LIGHTING: v`- Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 -i----N---(• (111, Clearance to Electrical FC 605.3 / Ir Electric Wiring Enclosed/Labeled FC 605.3.1 V • "& h L Aft ,tE1}v 1/1C.P.: Combustibles in Equipment Rooms FC315.2.3 " 4_ ., w- F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 ,W .. Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 7 10 S--15-\ CO detectors FC 610 / Clearance to Sprinkler/Ceiling FC 315.2.1 / ZOO e kcrni 18" / 24" f Vic,I j j Oa r , EVAC SIGNS IN Rooms FC 404.6(R1 &R2) !' Fuel Pump Warning Signs FC2205.6 / Fuel Station Emer Procedures FC2204.3.5 / -' E_PC\C. A- ��R Exterior Storage FC 315.3 r Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATEL: 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 W_ Fire, '�-1U^;fial `.lsol*ctr.' :;om r, , Sprinkler FDC co ay I,e iss:Na tc, Y Wiil Kitchen Suppression Semi Annual wig&Codt-t+a oval i Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annualx Knox Box:installed/checked FC506 ! 1✓ lam r ;y s 3 u.r X Operating Permit, if required will be issued after _ -_ -- Fire Completion of Inspection L v, ,n-.r f Que izy X //(01,--et Commercial Final Inspection�- Office No.: (518) 761-8256 Date Inspection • ed: Queensbury Building&Code Enforcement Arrive: S t;C a ��,!' Depart: 2 t i pm 742 Bay Road, Queensbury, NY 12804 Inspector's In' '=• �4i1• NAME: PER u " #: /7—570 LOCATION: ,SIA/MY •o . . DATE: `Z - /7-// CQVvw(.wr< I t / r 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 1 Exterior Guardrails 42 in. Platform I Decks Interior 1 Exterior Banisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft All Doors 36 in.wlLever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x44'(I)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight/Other Floors Okay ✓` Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum Boiler/Furnace Endosure 1 hr.or Fire Extinguishing System Fresh Air Supply for Occupancy I 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 ''h doors >10%>1000 sq.ft. - ' Hour Corridor Doors&Closers Firewalls/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/Toilets C27�� v� Handicapped Bath 1 Parking Lot Signage / �� Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 in.,Checkout 36" "C- 61�, Handicapped Ramp/Handrails Continuous/12 In.Beyond(Both sides — f\T\-\ v M 1j Active Listening System and Signage Assembly Space Final Electrical I Flex Gas Piping Bonded Site Plan/Variance required � - Final Survey, New Structure/Flood Plain certification,If req. �cak. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4" VA—q\-\.1) Water Fountain or Cooler Building Access All Sides by 20'I Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue C/C L:U3uilding&Codes Forms Building&CodeeUnspection FormssCommercial Final Inspection Reportdoc Revised January 7,2008 2_ -- --1 ti"1(c _ Inspection For Town of Queensbury Fire Marshal Periodic Inspection Date: 12'))1/1/ Time: 3:©) 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 o CO Inspection Permit#: //--� Fire rshals Representative �-- 1 / . 7 MJ Imer Business Name• =�C`A i <'� k v [�__ , Location: ,ci./ c-..,jo/�Cr,K GK Stillman Contact: Type of Inspection N/A Yes ...No EXITS: Exit Access FC 1014&FC1029 .i 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 X ;-- -17----T' "'S `11 h`* AISLES: _ Main Aisle Width FC 1024/1025&FC1029.11 , .-bee" 2314py Wiptir At) Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.6 ✓ r,� � ' ih TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 "` �� /92,4,41A, 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 7`7MbLj /¢1L�/ F.D.Signage- FC 510 .d " ,)//t. No Smoking Signs FC 310.3 �l1 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(R1 &R2) Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATEL 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 < 11/f( 9 DATE: OK NC HVAC Shutdown Sprinkler System Annual /7`% Sprinkler FDC / L ��,� Kitchen Suppression Semi Annual s ////7 may'/, C/74/ Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Framing / Firestopping Inspection Re. •rt Office No. (518)761-8256 Date inspection = • 0,._,_.-11(_ .. i6,,411111! Queensbury Building&Code Enforcement Arrive: �. �,''�, `,i : 3'oni 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:#11KW/r NAME: s,Pt • RMIT#: 1 k LOCATION: 1 t�' •i v KA-) NSPECT ON: i`- G—1\ TYPE OF STRUCTURE: COMMENTS: naming T) 13 --c _INA as Attic Access 22"x 30" minimum t hangers 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 6(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'r4 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. (W) 5.7 sf above/below grade 5.0 sf grade L:1Buildin0&Codes Farm-OLD1Building&Codes1Inspection FonnslFraming Flnadopping Inspacdon R•Doctdoc Revised January 7,2006 Rough Plumbing Insulation Inspecon Report Office No. (518) 761-8256 Date Inspection eq ce' - •: Queensbury Building &Code Enforcement Arrive: 2-47 6- -.- p - = • - : II h a • 742 Bay Road, Queensbury, Inspector's NY 12804 Ins ector's lnitia''.-- '--- � -.-Th ,i„,.,,- ti,, , _ PERMIT #: ! � LOCATION: 2 , 6 L 1.: '�-,. f - j, INSPECT ON: i, -' ;- TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates / Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction k/ Pressure Test ✓ 'n/Vent / ',/'��`, 'acid ✓/ 5 P. .I. or 10 ft. above highest connection for 15 minutes Y �'�1Pssure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check I 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 I No duct tape _ COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Re rt V4A Office No. (518)761-8258Date I : . : Queensbury Building&Code Enforcement Arrive: . 7 [Ica Inspector's n' 742 Bay Road, Queensbury, NY 12804 1 i , ="''�J4/: rn mg. NAME: >~_E F-R i j R \ P ' IT#: LOCATION: Z w X�� Q) I CT ON: ► —Z3 TYPE OF STRUCTURE: Y �! C• . „ - , . Attic Access 22" x 30"minimum Jack Studs/Headers Iry \ , Bracing/Bridging Joist hangers =� 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 'A(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft. or lesson center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire waif 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1 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. (W) 5.7 sf above/below grade 5.0 sf grade L:1Bufiding&Codes Forms.OLDSuNding&Codes11nspection FonnsCraming Firestopping Inspection RsDort.doc Revised January 7,2008 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL No 19054 Permit No..........:.............................Cert. _ Cut-in Card No..................................... Owner........ ............ �°�`��...:.............................. ......... Location.. i,t �:c,.Z�r ai/ rC). .. 4` :.............................. C. ............. .... C ! j :...I.C�..`:2':•�`..!6 .T7e,6�'S'......... ............ Installation Consisting of .. .....- ••••••• ......:... L�,�................................................................... ................................................................................................................. Installed B . � � Lia No.......................................... By................................................... 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^maki ii socctions at any time, and if its rules are violated,the Company shall have the right to r� Y°thi Cezt4icate Date.... .f..+�. 14 l l (. . ................. ............ INSPECTOR............................... Member N.F.P.A.,I.A.E.I.