2011-616 TOWN OF QUEENSBURY
Fora742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110616 Date Issued: Tuesday, February 11, 2014
This is to certify that work requested to be done as shown by Permit Number P20110616
has been completed.
Location: 9 CAREY Rd
Tax Map Number: 523400-308-016-0002-002-003-0000
Owner: HUDSON HEADWATERS HEALTH NETWORK
Tax MaD Number: 523400-308-016-0002-002-003-0000
pplica t: HUDSON HEADWATERS HEALTH
Owner: HUDSON HEADWATERS HEALTH
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
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
9.1414,
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
illor41
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110616 Application Number: a20110616
Tax Map No: 523400-308-016-0002-002-003-0000
Permission is hereby granted to: HUDSON HEADWATERS HEALTH
For property located at: 9 CAREY 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: HUDSON HEADWATERS HEALTH Commercial Alteration $1,500.00
P.O. BOX 357 Total Value $1,500.00
GLENS FALLS,NY 12801-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2011-616
30 sq ft commercial alteration
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 27,2012
(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 Town of Queensbury; Tuesday,December 27,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
,gat tcm. rin es rAtC suuleet to appueapie sales tax unless a valid tax-exempt certificate is on file prior to the first order.
1708ZI AN tingsuaano `paoa Ae8 Zt'L aoup Juawdolanap ki1unwwoo kingsuaant)jo uMOJ
1 ?Jail()
(s`z'6)3o`daVo
Q3HOV11V
7b12:11Sf1QNI
aO A8010Vd
31IINHOa3W
-1IY132J
0-10'Z �a� '" :; X 301330 SS3NISf18
3Sf1OHNMOI
(—SIINII 40-ON)
All VNd-I1lf1 W
A1R'Wd-OMI
AllWVd 31ONIS
90 -0
�-► O --l _-n 0 0 o O > 0 m
Orn zt fzi
2
oO O o D 0 133f02id
cn m fj o' O --i z 2ifOA 01 A1ddd
-t 0 0 1VHl 11V 133H3
:M0138 C138If1038 SV SIN30132Jf1S`d3' 31VOIQNI 3SV31d
LQC2Z/6 d9M'Adc4Nt :-IVA02JddV d0 31V0 QNd"ON NOI-LVOIlddV 31VOIQNI 'OS dl
ON 0 S3A 2LflVAO2idd'd NOISIAIQ8f1S JO 3ONVIWA`•M3IA32J NV-Id 31IS V N338 32:13H1 SVH
fo i[Z I I ' s , 9n (3-04•� nyd j ! :A183d08d dO NOILVOO1
424£(c,' StiL :3NOHd !^fza,?-7`,tI W1 30NVIldW00 S3000'8 owning 2JOd NOSZI3d IOVINO0
Q q 2_to - )0)/4 - r!] 'SON 3NOHd S b•( / / •q is 'SON 3NOHd
cv<1 A-MO L :SS38aad t X21 c.h Zi X4 57S, 0 d. :SS3aoQd
S71,/11\tL,/9}I 4993n11 :83NMO t1•na-�ca x7tur�a�7{,( 9H� _ n .H a I :2i3Qllfl9/1NVOI1dd`d
(l t1 j' 'NOII3fl JISNOO HOdIIW2:13d VQI1VA V dO 3ONVf1SSI TJOd38
M31Aa101103rens SI NOLLVOIlddV 'NO110f1a1SNO0 ONINNI038 32iOd38 03NIV180 381S11W 110183d V
1IWel3d
- = - a - •• dV ON1NOZ 2l04 N011b'3llddV :3uniondjS 7ddIONleld
Aar18sN o,t•1►
E
(algeolldde J11 1
1;G 7-; 33 EN1a33NION3 NOI1V3210a` P 11012:13d :S3ad
` ."9 — 'ONIIINH3d '4!r • ONdV'NXVI
rt1{{//��� 3 a ; A1NO 3Sn tad ^', ,�r��:
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: 6Sn izaS
ESTIMATED CONSTRUCTION COST: 11500.Oo FUEL TYPE: G a 5
HEAT TYPE: ttrr cot?... *HOW MANY FIREPLACE(S): C AND/OR WOODSTOVES(S): a
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 1,)z7
IS THIS A HISTORIC SITE? Li V
PROPOSED USE OF BUILDING OR ADDITION: O C-7:0 C E
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? .1.3A
ARE THERE EASEMENTS ON PROPERTY? N f
*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 rea nd agree to the abAve.
Signed MO/ f. in(f
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:
/71 f.
B•'ILD & CODES APrROVAL ZONING APPROVAL
fv4 {+
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a.q ueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.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
-Town of Queensbury Building&Code Enforcement
ti.g
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received: ``
Name: - 'ueta '- -t-A,PQ_ettkEtiLAAInspected on: 2---1C)— \\A
Location: Cf Arrive:
Permit No.: 7/' (d Inspector's Initials:
•
COMMENTS
Y N NA
Chimney/"B"Vent I Direct Vent Location -,c p a`a apt
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 inch Platform/Decks
Interior/Exterior Balusters 4 inch Spacing Platform/Decks
Stair Handrail 34 inch—38 inch/Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 inch w/Lever Handles I 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 I Water Temperature 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hour 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 '/2 doors > 10%> 1000 sq.ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour,3 Hour Complete I 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 I Mirrors
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch
Handicapped Ramp/Handrails Continuous/12 inch 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'/Drivable Surface 20'wide
Special Inspections/ -° eer or Architect Apps'
Okay To Issue Te •orary or Permanent 0/0
Okay To Issue CIC
Commercial Final Inspection_!! 27 12
is i C C EIIWIE Th
49'-b" I -
TOWN OF QUEENSBURY
our BUILDING DEPARTMENT TOWN OF QUEENSBURY
:/.6�ti;.:l our limited examination,compliance BUILDING & CODES
t ---1--
it ou omments shall not be construed as
f compliary. .,;th the using Codes of i
•
,'.w York St'.. i $ I/1°
3 in" 11'-0" ,3 1/2" 11'-6 1/2" . 3 1/2" I 24'-'1"
OFi-7GE OFFICE OPEN OFFICE II.'
I III , •st 110 ¢' re
11:1- 5
- - 12'-3 in' j e}_(p
=L1E-0
i . ... i
NOTE 1 O it—NOTE 1 D� hp
Cu •
R oF'EN OFFICE 11 • �,. Isc, 1\‘ -\1q �0 0�
7 109{ in '{ ' '"
in
4 1 3 1/2" 11'-0 1/4' , L.o G KN.',to.)
LITom'A R' 1 CORRIDOR in OFFICE 3_O 1 o f
N OF
6rn. im 104
FIRE MARSHAL, $ FF NOTE, , 2,)(1-A v400a --
. Q ICE 1�
REVIEWED BY +rte^ =
i n 5 f8. pia---twAi.1.
DATE `P-a3- # , , .A
COMMENTS -
J 3- 'r �j iie� 20' 0" 3 1n" b'-i 1/4" y !P-3 3/4" • ,..._.:Y.\-11
•
NOTE 3—, _.- ._.._.__. ., r
OFEN OFFICE L►�(NI C't X-c 3
7)
in
•
\�� .� .
m STORAGE 3'-11" f
OFFICE r 105
ia
'Is
11'-01/4" 3 1/2' . 20-0" 31/2" . 20-4" •J
r--NOTE 3
I '' ''''''= M-- =' • ----7 •
e . (3§1* ,
NOTE 4— ,• �� ��
TOWN OF QU �,ar
to & BUILDING 8tC D' '-49 %;:/i
NsTOR CORRIDOR 04
• • D. - 1 102 1 ( .0I Reviewed BY 40-1/AliAd -.rie
! -.1R E D Date:
LEVE •-- ..,.......,,.,hi„,.....!.-es- -1, S'_'i 1n” 3'-11/4" 1/2"
ON AL �'A `AGE !BOORS 31/2"
WH ' THER INTERIOR •• R 0 /
tot :1-41`.! RIOR DO roczt;.-- I r_L... ,-..-.1 za_3- i r -
r.
----..- .. .
Th