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2010-562 TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20100562 Date Issued: Tuesday, May 28, 2013 This is to certify that work requested to be done as shown by Permit Number P20100562 has been completed. Tax Map Number: 523400-303-015-0001-037-000-0000 Location: 227 DIX Ave Owner: TIME WARNER CABLE NORTHEAST LLC Applicant: TIME WARNER NY CABLE, LLC This structure may be occupiecIjSEaAR WIRELESS LLC Commercial Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (Deji property owner of the responsibility for compliance with Site Plan, r' \ 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 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 I ON Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100562 Application Number. A20100562 Tax Map No: 523400-303-015-0001-037-000-0000 Permission is hereby granted to: TIME WARNER NY CABLE, LLC CLEAR WIRELESS LLC For properly located at: 227 DIX Ave 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: TIME WARNER NY CABLE, LLC ATTN: PROPERTY TAX DEPT. Commercial Alteration $9,250.00 PO BOX 7467 Total Value $9,250.00 CHARLOTTE,NC 28241-7467 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-562 cell tower- Clear Wireless $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, December 03,2011 (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 of Qu nsbur Fr' : / > FICE USE ONLY E ' i - ., . ._ ; , 111 1 r TAX MAP NO. PERMIT NO. /0r` L. 6 . \1 ( �?�1fl II1 i ' FEES: PERMIT RECREATION ENGINEERING 1 (If applicable) 1 -;:.#: , .- ...r 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 PERIT FOR CONSTRUCTION. Ct.me0/ tcc APPLICANT/BUILDER: CfGvew„¢c, OWNER: '/c //HE &JA4.rua�' co LE '1 /� T 98633 7' ADDRESS: 44° CAR., ., -?o,,jr klemtA" kJA ADDRESS: KG, WIQLGLss eV 3 c,4,44.pA Ay PHONE NOS. 570-23G- 4, 53b' PHONE NOS. S/2- 33y- 32,1"n41•71e za7'46 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Aire Geo PHONE: S70-234-40 5 3 8 LOCATION OF PROPERTY: c o2 7 L 1X. ,4{/,GV(/L G4x,,t,s, “ by /2.10/ HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? LMJ YES ❑ NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: /112 2 1 2.0 1 0 5 ee 47i He PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z o APPLY TO YOUR z a Ct a PROJECT O_ Q O 00 w w OJT � � w a = = D w '' = IQ- OL' Z z a < - d NU) O � 1 E- U d = ots SINGLE FAMILY TWO-FAMILY II I te MULTI-FAMILY I a, (NO.of UNITS ) ' TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) / OTHER V / s 1 / 4p 499 ! sl 9O Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: &et& !v/,0,4c L€S 5 L.L G s ESTIMATED CONSTRUCTION COST: 97. D. °! FUEL TYPE: 'Var. gP/pc./ca 81-4 HEAT TYPE: A//Al *HOW MANY FIREPLACE(S): A/A- AND/OR WOODSTOVES(S): 'v/� ZONING CATEGORY: CL-/ ARE THERE WETLANDS ON THIS SITE? iti/A IS THIS A HISTORIC SITE? NO PROPOSED USE OF BUILDING OR ADDITION: 5,4ve AlD C N,4 AI( ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? VC, ARE THERE EASEMENTS ON PROPERTY? A/0 `Please complete a separate Application for"Fuel Burning Appliances&Chimneys' available in ou-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 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATEIifil;Y DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a.queensburv.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 lcx uatemme 05fZ312013 11:35 518 273 1202 P.002 i � `1'�May, 23. 2013 11 :34A�' cMDIA, Watervliet, NY�+'�JAJ._i ±1iJ�J�J :�4\J,'!�,J,J;J JNo, 014 P_w�.•,, , ���iJ�j `= !�V��.,\, ,� ,v,�, v,,� �,�\, �:�� 2i5 r.y a (r, r3� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. "` 1fexey( that the electrical wiring to the electrical equipment listed below has been examined and is approved as 6. being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date iwnr Anoted below and is issued subject to the following conditions. 0Z, <<'? Owner: ;'4.:: Time Warner Cable Date: 05/14/2013 if- n:i `C Occupant; l, , Z: Same Location227 Dix Ave `.: • 4 Queensbury,Warren Co. NY l , �` Occupancy:Non-Residential W. Applicant: `,k Patriot Towers -, 870 Scottsville Chili Rd. cA,% Scottsville, N.Y- 14546.:!,.' . - . .' L J t4=A • • 1 � � 14U. : 0316451'5,1 :7Ei .' k, i • ;i,..' � - • Equipment: <i <<��' 1 100 Amp Feeder To Cabinet .i cc¢ .. a• l2) ?r�s: i/ej?i t�.'; ?,. This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use.occupancy and .: : re above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use.occupancy or ownership .. gp Inspection. No Warranty is expressed or Implied as to the mechanical safety.effl• of the property indicated above,this certificate shall be immediately nut and void. ,'[:d'.i %jj clency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, ' ' %'s be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ,c.f.,-.i C system to which this certificate applies be altered in any way,inching but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle t(' <.;� ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation K•'4,; j any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. V. •/c.-0•,:i.,, i^,' z....'i •r;::=.•%� v. v-..� .% --meg •`�•Caw J. �.. .� w: �i: -�,::D��.��i/,•.�r;:. ;;,%;�r::;::. :%�%i.•'"r%` .'1• r%�i/.`�ii:ri:,5 6. •.:J..,,, S' ,i.%:�- er; .r, ir ' � �� ., Isli,.%: >.. n ,r; , • Commercial Final Inspection Report Office No.: (518)761-8256 Date Inspection reques. - ed: Queensbury Building &Code Enforcement Arrive: Lig)._a , �,, -part: 3 =oD a 742 Bay Road, Queensbury, NY 12804 Inspecto s Initials:_. NAME: Cl IFPiRlk tR ErItA€ .4\t ER 1 b -- �SCsCe__ LOCATION: ZZ-1 0 \X. `S:1\)E DA ' ,5-- -2.1-%-- OD COMMENTS: Y N NA Chimney/'B"Vent/Direct Vent Location — Plumbing Vent Through Roof 6"/Roof Complete M– \LI- ' V_EcEAN Exterior Finish/Grade Complete 6"in 10'or Equivalent `-fi–2.-i–1-17 Interior!Exterior Guardrails 42 in. Platform I Decks Interior I Exterior Bafisters 4 in. Spacing Platform I 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'(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 Dejjrees 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 %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 Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 in.,Checkout 36" Handicapped Ramp I Handrails Continuous/12 in. Beyond[Both ides) 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'I Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue C/C L:U3uilding&Codes Forms Building&CodesUnspection FormslCommercial Final Inspection Report.doc Revised January 7,2008 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspecton-• - -► : Queensbury Building &Code Enforcement Arrive: .=_-_ �, Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials' NAME: Ci-)/ PERM /0-560 a LOCATION: a A of Arvco. DATE: 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 c_(, Interior/ Exterior Guardrails 42 inch Platform/ Decks Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks \ -,5 -lQ- Z236- Stair 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/ Panic Hardware, if required OVO `-'31 M Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. Gas Valve Shut-off Exposed &Regulator(18")Above Grade p %). t Floor Bathroom Watertight/Other Floors Okay Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum &P T H Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System CSU - ts‘C 1 p 1 Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Z-. V--E N1IA% 9 t 1 €3 ‘'‘ Gas Furnace Shut Off Within 30 ft. or Within Line Of Site OT ➢Wo Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors t M 0-.\ED t > 10% > 1000 sq. ft. 3/4 Hour Corridor Doors &Closers Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ Fire Dampers / Fire Doors 3 3 S Pt-1\ Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame Attic Access 30"x 20"x 30"(h), Crawl Space Access 18"x 24" 6 N4-a- l CDFM 1 Smoke Vents Or Fan, if required Elevator Operation and Signage/ Shaft Sealed C_� tRBELL F Handicapped Bathroom Grab Bars/Sinks/Toilets I Mirrors Handicapped Bath/ Parking Lot Signage Public Toilet Room Handicapped Accessible 6E '' CC)% \ ett_N Handicapped Service Counters, 34 inch,Checkout 36 inch Rpve_E5,l�6 4 C t'k Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both 1144'‘ Z sides] Active Listening System and Signage Assembly Space Final Electrical/ Flex Gas Piping Bonded Site Plan/Variance required Ft�P►t_ )\ Final Survey, New Structure/ Flood Plain certification, if req. b \ v3`�- p� \t 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/ Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection Report revised 11-27-2012 6-7 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Ins•ectio -q e r- ted: Queensbury Building & Code Enforcement Arrive: ' , / Depart: ' a r. • 742 Bay Road, Queensbury, NY 12804 Inspector's Initi. s: - - NAME: - L .yrs ?t ; PERMIT .. / 6 - 67 a. LOCATION: ) DATE: -- -- 1, , ('_k, e t_)-e/-- (, CAA COMMENTS: Y N NA 7/3 /0) -2-8 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 inch Platform/ Decks \ 1-k\1E! Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks ,.-ko ,,fit, 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/ 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 OkayQ \)3 Relief Valve, Heat Trap I Water Temperature 110 Degrees Maximum C� O A C�,v Boiler/ Furnace Enclosure 1 hour or Fire Extinguishing System ` Fresh Air Supply for Occupan /Ventilation Combustion 5U -�.�t-tc�:: - 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 �-�'� C' �� Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 1/2 doors \'*C L 'J > 10% > 1000 sq. ft. 3/4 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/ 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/ Engineer or Architect Approval Okay To Issue Temporary or Permanent C/O Okay To Issue C/C Commercial Final Inspection Report revised 11-27-2012 1411‘. Commercial FinalInspection Repo Office No.: (518) 761-8256 Date Inspection oft r-ived: Queensbury Building&Code Enforcement Arrive: 3�6O Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initia 4 / NAME: A e-- . re PER /0 -L LOCATION: I - /'fie DATE L.004pK1° f 62MENTS: 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 Banisters 4 in. Spacing Platform I Decks v?© Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 sq.ft. b CLE.a6‘c All Doors 36 in.wiLever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44'(1)/Canopy or Equiv. \�� �E--`— 1T \ Gas Valve Shut-off Exposed&Regulator(181 Above Grade o �c, �ElS Floor Bathroom Watertight!Other Floors Okay l Relief Valve,Heat Trap I Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System k 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 doorsT) > 10s> 1000 sq.ft. f ' 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 I Toilets Handicapped Bath I Parking Lot Signage J 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 An Sides by 20'I Driveable Surface 20'wide Okay To Issue Temp.or Permanent WO Okay To Issue C/C L:\Building&Codes Forms Building&CodesUnspec tion FonnACommercial Final Inspection Report.doc Revised January 7.2008