2012-094 TOWN OF QUEENSBURY
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742 BayRoad,Queensbury,NY 12804 2 (518) 1- 2
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120094 Date Issued: Wednesday, May 09, 2012
This is to certify that work requested to be done as shown by Permit Number P20120094
has been completed.
Location: 959 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-018-000-0000
Owner: RAYMOND HIPPELE
Applicant: LGB COMPUTERS
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 )45:t
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.
0116k TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120094 Application Number: A20120094
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: LGB COMPUTERS
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 Total Value
DIAMOND POINT,NY 12824-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
CO only LGB Computers
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 21, 2013
(If a longer period is required,an ap.lication for an xtf sion must be made to the code Enforcement Officer
of the Town of Quee before t exp. do d te./
Dated at the T n of -.•... .0 TT.'eowsday, March 21,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
QvCommunity Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •9280
1 t e u JJ
David Hatin, Director of Building& Codes ,-, ,
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal TO • pIT' R x NSBIJ RY
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP # L9(r, ,/3 f-i E BLDG. PERMIT FILE# I _ , . -j
1 applica e
Name of Business: Le 1 co„QVturS
Address
of Business: GI 5-01 _TT ti1e k0-"f`C I S4-e 3 QUESTIONS? CALL 761-8256 OR
EMAIL codesC5�queensbury.net
p VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: (Airy 5is n O INFORMATION
r www.queensbury.net
C
Business Phone Number: c I g 2 3 2 1 / I '
Type of Business: C01-.1--1 kir I -e r r s s c,i-r s
Owner of Property: r.,70.0, (1 0 pc/t Phone Number(s):
/ Home Cell
Owners Address:
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
-3/Signature: Date: 1 C/I 2
Of pe on submitting this form
Notes / Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: I 201
BUSINESS NAME: 1-- Cophr S
BUSINESS ADDRESS: 151 S+04 e & 1f l sfe
BUSINESS PHONE: S Ig l> 3 ' I I /
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CONTACT 1: 6,;fy �IS +S/1 z HOME PHONE , S2 - 0063
ADDRESS: Fswo.,1
ag JIOt/
CONTACT 2: Rrti a (S L HOME PHONE 5-/g -6g ) - I gr)
(� f�ADDRESS: ��I ��«/I��;T,;,1 Cenc;l,-,. 91-, JC CQO ! P)L/
This form is used to assist Emergency Service personnel who may be called to your
business after hours. Please be sure that the persons listed on this form will be willing
and available to respond during off-hours to assist Police and/or Fire personnel in
gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL
MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE
PERSONNEL.
Inspection Form
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Town of Queensbury Fire Marshal O Periodic Inspection Date: 1�I J1 Time: 1L"
742 Bay Road,Queensbury NY 12804 o Re-Inspection' Permit#: l C C� /
518 761 8206/518 761 8205CO Inspection
Fir Marshals Representative
MJ Palmer Business Name: L.�,r) C&.n.ck:-Ic,�
Location: pp gr c,-
_ GK Stillman Contact: L 0,ol
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: rh'f ` _i____(----.) I Cii719kg
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 1
7)/(__ 4 if\- t (,)
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 a
Exterior FC 1006.3 f
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
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
21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual �/'
Sprinkler FDC iFire Mai :° 11 IflSneca�r�Comlets
Kitchen Suppression Semi Annual _ + OK to issue Co tifi',ate of Ovc: aTtr
Fuel Island Suppression Semi Annual !
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
t tAlI o ?2
Operating Permit, if required will be issued afterINAit
__ _ _
Completion of Inspection ( FireP�afsh;I
..,..»..,..
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: jj
e:31
742 Bay Road,Queensbury NY 12804 o R Inspection
518 761 8206/518 761 8205 _ CO Inspection Permit#: /9`Q /p
Y.
Fire Marshals Representative
MJ Palmer Business Name: J G-0 m •
Location: 95-9 .S A 9 ,t5Cie 3
1/GK Stillman Contact: 44",'7 (-
)s/S 170p •
Type of Inspection N/A Ysl 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 . i �c. ,
Sign:backup FC 1011.5.3& FC1029.7.5 ���`�`^' ���'i,��r
AISLES: - (,t ice--Lip
Main Aisle Width FC 1024/1025&FC1029.11 ..---'-
Secondary
./Secondary Aisle Width FC 1025&FC1029.11 /
FIRE EXTINGUISHER: Hun. FC 906 ,'
Inspection of extinguisher FC 906 -/
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 ./
EMERGENCY LIGHTING: X
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 „/
Clearance to Electrical FC 605.3 -------
Electric
/Electric Wiring Enclosed/Labeled FC 605.3.1 .----
Combustibles
Combustibles in Equipment Rooms FC315.2.3 �. •---'
F.D.Signage- FC 510
No Smoking Signs FC 310.3 „./'-r �C
Storage FC 315.2 -----"-
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 _/
Interior Finishes FC 803-804
Smoke Detectors FC 907 _' Ci21<s'1.crj)
CO detectors FC 610 ../ F Lyic'c:� 3 1�si-C1al - --onClearance to Sprinkler/Ceiling FC 315.2.1 I
18" / 24" c1.1V*�/6L Ve� P , --
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) .-----
Fuel
/Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 l�
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
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 DATE: OK NC
HVAC Shutdown
Sprinkler System Annual ,}C
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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