2012-273 TOWN OF QUEENSBURY
FON742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120273 Date Issued: Monday, June 11, 2012
This is to certify that work requested to be done as shown by Permit Number P20120273
has been completed.
Location: 473 DIX Ave
Tax Map Number: 523400-303-016-0001-031-000-0000
Owner: WILLIAM & CHRISTIE A BENNETT
Applicant: BILL & ANT'S ONE STOP AUTO SHOP
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 f�
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
ifIlk
e 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
IF., 47
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120273 Application Number: A20120273
Tax Map No: 523400-303-016-0001-031-000-0000
Permission is hereby granted to: BILL&ANT'S ONE STOP AUTO SHOP
For property located at: 473 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: WILLIAM &CHRISTIE A BENNETT
473 DIX Ave Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-273
CO Only for Bill &Ant's One Stop Auto Shop
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 05, 2013
(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 Quee bury Tue y ha. .._t 05, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
, � '_ Community Development Office
' Town of Queensbury - 742 Bay Road •• Queensbury, New York ••92804 % ' °' ; -
David Hatin, Director of Building& Codes i ,
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal Stamp
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# 303. 1 (0 - 1 - 3i BLDG. PERMIT FILE# / t) -`;',3
%� If applicable
�✓
Name of Business: 1 l( g 79fr)t S CD/1 e S* 41,(A S/ c
Address
of Business: D/ QUESTIONS? CALL 761-8256 OR
EMAIL codes aOqueensbury.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: Q Cl- U;‘ A- .. L,,]\`1 ►c,M \8C1 INFORMATION
www.queensbury.net
Business Phone Number: (5 1p3 301 - I 99cr 3o-7 -137 L/
Type of Business: ' t0G--1.7 .. .A8`..p/ o61/cj
-ivOwner of Property: ett a ciL Phone Number(s): '�lgt - aa-1-7
Home Ceti
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.
Signature:i/. —/–� d-A...-- --
Date:44/42._
Of person submitting this form
Notes / Comments:
F. 001P •473
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT FAX: 743-2502
1 -' (al
PLEASE PRINT 711111
i 2012
DATE:
do; L �-'_.tip.%,1
BUSINESS NAME: I j I \ Nr- - Ore. s-\-o? A-1/4_)\-= SVoc
BUSINESS ADDRESS: S ► ' tt 12,; . . .9130-1
BUSINESS PHONE: (Sig,) 2o-1 -1 q 7 1
CONTACT 1: H-{1-I-I`1Uny -f- HOME PHONE!116j 30-1
ADDRESS: 36 (hasvn s+ 4p L I WI s Y"
CONTACT 2: GA"J) icy-, ItiJc) HOME PHONES sj 307 -g37�
ADDRESS: 38 ala s'ac1 S-h- App A lens P I IS IUy
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.
a .iff'..
N"S-Real Property System Subject Property Inventory SummaryRPS030N04/L001
County of Warren For Current Year File 2012 • Date: 6/4/2012
Town of Queensbury Parcel ID: 303.16-1-31 k Sheet 1 of 2
SWIS Code-523400 Active .
Parcel Information - -- Parcel Land Size —File Maintenance Info-- —
Curr Owner: Bennett,William Acct#: I Front: 0.00 Acres: 1.29 I Created: 11/20/1984 ,
Location: 473 Dix Ave School Cd: 523402 Queensbury Un.fr.: Depth: 0.00 Sq Ft: 0 Modified: 03/21/2011 01:37 PM
Queensbury, NY 12804 Roll Sect: 1 Taxable RS/S: By: Mark
Grid Coordinates-
Prop Class: 450 Retail srvce East: 731568 North: 1634848 Folder: Site
Site Characteristics -
Site No: 1 Nbhd Cd: 409 Comm East G.F Used As: DO8 Small retail DC Entry Type: 1 Inter inspec Economic Obs: 0
Site Type: C Commercial Sewer Type: 2 Private Overall Eff Yr: 1940 Zoning Cd: CM Comm Moderate Data Mailer: No
Prop Class: 484 1 use sm bld Water Supply: 3 Comm/public Overall Desire: 3 Normal Valuation Dist: 0 Last Phy Insp:
Route No: Utilities: 3 Electric Overall Cond: 3 Normal Overall Grade: C Average Reappraisal: 11/11/2004
Commercial Building Information
No. Wall A Air% Bsmt Type
Bldg Bldg Ident Boeckh Act Yr Bit Quality Cond Perim GFA #Sty StyHt Wall B Sprn% No. Bsmt Perim Func Phys Depr RCN/
No. Sec Bldgs Mdl No. Eff Yr Blt Wall C Alarm% Elev Bsmt Sq Ft Obs Depr Adj RCNLD
1 1 1 0313 1940 2.0 Average 3 Normal 154 1410 1.0 12 0 0 0 0 0 0 95423
100 0 0 42941
0 0 0
Commercial Use Information
Used As Val Rentbl Unit Code Total Total Rent 1 Bed 1 Bed Ann 1 Bed 2 Bed 2 Bed Ann 2 Bed 3 Bed 3 Bed Ann 3 Bed
Code Dist SqFt Descr Units Rent Type Sq Ft #Units Rent/Unit Sq Ft #Units Rent/Unit Sq Ft #Units Rent/Unit
D08 Small retail 0 1410
Land Breakdowns
Land Soil Wtrfrt Depth Infl Infl Infl Infl Land Unit Dim
Type Front Depth Acres Sq Ft Rating Type Factor Pct Cd 1 Cd 2 Cd 3 Value Price Code
01 Primary 0.00 0.00 0.50 0 0 0 60000 120000.000
04 Residual 0.00 0.00 0.78 0 0 0 3900 5000.000
Additional Improvements
Structure Measure SQFT Overall Act Eff Yr Pct Func Sry Unit BId Bld
Code Code Dim1 Dim2 MISC Qty Grd Cond Yr Built Gd Obs Life RCN RCNLD No. No. Sec
OH1 Overhead Door,Wood(Con SOFT/Mi; .00 .00 144.00 2.00 C Norm 1940 0 0 0 4988 1746 0 0
LP4 Driveway,Asphalt Dimension 5,700.00 4.00 .00 1.00 C Fair 1965 0 0 0 11913 3574 0 0
MSS-Real Property System Subject Property Inventory Summary RPS030N04/L001
County of Warren For Current Year File 2012 Date: 6/4/2012
Town of Queensbury Parcel ID:303.16-1-31 Sheet 2 of 2
SWIS Code-523400 Active
Parcel Information — Parcel Land Size File Maintenance Info
Curr Owner: Bennett,William Acct#: Front: 0.00 Acres: 1.29 Created: 11/20/1984 ,
Location: 473 Dix Ave School Cd: 523402 Queensbury Un.fr.: Depth: 0.00 Sq Ft: 0 Modified: 03/21/2011 01:37 PM
Queensbury, NY 12804 Roll Sect: 1 Taxable RS/S: By: Mark
Grid Coordinates
Prop Class: 450 Retail srvce East: 731568 North: 1634848 ' Folder: Site
Site Characteristics - -
Site No: 2 Nbhd Cd: 409 Comm East G.F Site Desire: 2 Typical DC Entry Type: 1 Inter inspec Economic Obs: 0
Site Type: R Residential Sewer Type: 2 Private Nbhd Type: 2 Suburban Zoning Cd: MS Main Street Data Mailer: No
Prop Class: 210 1 Family Res Water Supply: 3 Comm/public Nbhd Rating: 2 Average Last Phy lnsp:
Route No: Utilities: 4 Gas&elec Road Type: 3 Improved Reappraisal: 11/03/2004
Residential Building Information
Bldg Style: 08 Old style No.Bath: 1 Fuel Type: 2 Natural Ga Grade Adjust: 0 Area in Sq. Ft.
1st Story: 1,036 Fin Bsmnt: 0
No.Stories: 1.5 No.Half: 0 Central Air: Yes Pct Good: 0
2nd Story: 0 Unfin 1/2: 0
Ext Wall Mtrl: 01 Wood Bath Qual: Bsmt Type: 3 Partial Func Obs: 0 I
Act Yr Blt: 1910 No.Bdrms: 3 Bsmt Gar Cap: 0 Addl Story: 0 Unfin 3/4: 0
Eff Yr BIt: No.Rooms: 0 Overall Cond: 3 Normal 1/2 Story: 216 Unfin Rm: 0
Yr Remodel: No.Fireplcs: 0 Ext Cond: 3/4 Story: 0 Unfin Ovr Gar: 0
No.Kitchen: 1 Fireplc Type: Int Cond: Over Garage: 0 SFLA: 1,252
Kitchen Qual: Heat Type: 2 Hot air Constr Grade: C Average Fin Attic: 0 Fin Rec Rm: 0
Land Breakdowns
Land Soil Wtrtrt Depth Infl Infl Intl Intl Land Unit Dim
Type Front Depth Acres Sq Ft Rating Type Factor Pct Cd 1 Cd 2 Cd 3 Value Price Code
02 Secondary 0.00 0.00 0.01 0 0 50 8 12200 100.000
Additional Improvements
Structure Measure SQFT Overall Act Eff Yr Pct Func Sry Unit Bld BId
Code Code Dim1 Dim2 MISC Qty Grd Cond Yr Built Gd Obs Life RCN RCNLD No. No. Sec
FC1 Shed,Wood Or Machinery Dimension 56.00 20.00 .00 1.00 C Norm 1910 0 0 0 16576 8288 0 0
RG5 Garage, 1.5 Story Detachec Dimension 48.00 30.00 .00 1.00 C Norm 1940 0 0 0 41256 12377 0 0
Inspection Form �3
Town of Queensbury Fire Marshal O Periodic InspectionDate:` Igo Time: Jv
742 Bay Road, Queensbury NY 12804 o Re-Inspection l� C?")-79518 761 8206/518 761 8205 'CO``16Inspection Permit#:
Fre Marshals Representative
X MJ Palmer Business Name: 7P,iLc. kW i'P
Location:
GK Stillman Contact: 43r LC, /4)NIivy
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:
Main Aisle Width FC 1024/1025&FC1029.11t/�/\ 4
Secondary Aisle Width FC 1025&FC1029.11 1( �t \
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
1 �
EVAC Plan FC 404.6 AVON
TRUSS ID SIGNAGE FC 505.3 _Mr (
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 RoomsFC315.2.3___
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
21 DAYS
SYSTEMS: FC 901.6 insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Seml Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual __--
Sprinkler FDC Fire Marshal Inspec�un Canpleie
Kitchen Suppression Semi Annual QM(10165118 1 1CF1 ' Ca'
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 jUld .
40
Operating Permit, if required will be issued after k''
Mwsttat
Completion of Inspection Fie T, ,a of • •:n.s.0
5(3 1.200 j.-73
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SWIS : 523400
Print Key : 303 . 16-1-31
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