2015-346 TOWN OF QUEENSBURY
4a 742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150346 Date Issued: Wednesday, September 23, 2015
This is to certify that work requested to be done as shown by Permit Number P20150346
has been completed.
Location: 959 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-018-000-0000
Owner: RAYMOND HIPPELE
Applicant: JDL COFFEE LLC D/B/A CHOICE COFFEE
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property /� J' v
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
st4zo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150346 Application Number: A20150346
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: JDL COFFEE LLC D/B/A CHOICE COFFEE
For property located at: 959 STATE ROUTE 9
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: RAYMOND HIPPELE
Certificate of Occupancy(COM)
50 ACORN Dr
DIAMOND POINT,NY 12824-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-346
C/O Only, Choice Coffee
Store M at Mount Royal Plaza
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 06,2016
(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 T n o eens ;A i y.d August 06,2015
�VJ
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: -1 13-t-Ib
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: ff.SO, (70
Permit Fee: 101 3 - tP
*Note: This application is for occupancy only,with get-
no work requiring a building permit.
�Name of Business .2 C L., P4,4 CAOIGe CO
Address 95" /�)' 1%e_ ((- LAVE
V E
Type of Business �e/ / C, /f � 'I,I r `�
Manager Mpy✓lo yL -(..i 1 e) Au s 0 4 2015
OR
Person in charge �oiy</l? TOWN OF QUEENSBURY
Business Phone No. 5/cP) SW 0306 BUILDING&CODES
PropertyOwner V&IOftetW � r /�y MUnd e/
Address 96-9 7 ' S ,re. M/ ave 4,' ./Vy fz,POy
Phone /� • 98 oZb
✓Provide an accurate layout of your store showing all walls,exits, stockrooms, rest rooms, counters, and fixture layout on a
separate sheet of paper.
Print Name: � ''`/ ge-r
Signature: '
Date:
Notes I Comments:
54,re m
IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire
extinguishers, fire sprinkler systems, and fire alarm systems require annual inspections by an outside contractor and the corresponding
documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require
semi-annual inspections. Any violations noted during an inspection, require immediate corrective action.
CONTACT NUMBERS:
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238
Fire Marshal-761-8206 Planning-761-8220
T_..._ _c n..____�.._.r:__ ___�_ •,_...n.._:____ n___:a rAn "7r4 nnnr
Inspection Form _ so
Town of Queensbury Fire Marshal O Periodic Inspection Date: I I Time:S
742 Bay Road,Queensbury NY 12804 o Re-Inspection �5
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fi Marshals Representative /�
MJ Palmer Business Name: C hock-- �`C.-Ft-t-
Location: qS.q Q ,
GK Stillman Contact: 5(
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
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES: . f t/.'( —FW-j2---
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906C „^O/
r 14 110
EVAC Plan FC 404.2 `I
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
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 APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 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
Kitchen Suppression Semi Annual
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 Inspection1. 1
Town of Queensbury Building&Code Enforcement
Office No. (518)761-8256
Commercial Final Inspection Report
Inspection request received: I 23 S
Name: � �C!'.. Clt! Inspected on: 9 I2.bi-gA
Location: S1ZLke. Q. k,c) Arrive: /2W a.m.lp.m.
Permit No.: 2015' (e Inspector's Initials: cdt
•
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 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/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 1/2 doors >10%>1000 sq.ft.
3/e 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 CIO
Okay To Issue C/C
Commercial Final Inspection_11 27 12
Sep 161503:41p NEI 518-370-1927 p.1
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NORTHEASTCALELECT' L NSPECTIONS, LLC i"lectrical " ;`
65 Albermarle Rd Inspections '�LLC
Scotia N.Y. 12302
PHONE: (518)852-0826, ELECTRICAL PERMITS FAX: (518)370-1927
® ELECTRICAL INSPECTION CERTIFICATION j
This is to certify that the electrical wiring and equipment which is introduced by the
named applicant is in accordance with the National Electrical Code and local utility
company. It also complies with the application on file at the date listed.
Date of Final Inspection: q/S/SJob# I\ctce- o �e---
Applicant: (,ttcic� 6e
Address: -
-5--- t L I'( 1 I-1,,c i+ /a,,( l i 'e_zCi
Ou15 b«1 / N
Owner:
Permit#: p;OJ v 3`� ,
Date Issued: 4,,r5-1-- 6/ 2_,15---
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Equipment Installed: het-f —Pvi->pc -' ().,i
/( ,,,tc L7l c-('
-(I eyd et(fez--
Dave
fez—Dave Near
Electrical Inspector
1
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: 1/y// ( Time: 8 j381)
742 Bay Road,Queensbury NY 12804 o Re-Inspection b
518 761 8206/518 761 8205 CO Inspection Permit#:
Fire Marshals Representative
MJ Palmer Business Name: a/02-
Location: 4 .7 /c�-
47)
GK Stillman Contact:
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 rgurkcf ,&1 �)/�^ /
Sign: Normal FC 1011 &FC1029 rV
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
Inspection of extinguisher FC 906 /4eJr /A'S/ Co✓445
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.31A,1•14 h
Clearance to Electrical FC 605.3 �4c�4/
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3 ,:../ Parc / drnsp
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 G'/e« £fir Ar,I
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907 L /r f„.,
CO detectors FC 610J 1 /h
^"
Clearance to Sprinkler/Ceiling FC 315.2.1 �-�f/Q`te^
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
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: 9 i5/c 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 Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
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