2012-310 TOWN OF QUEENSBURY
wow742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120310 Date Issued: Tuesday, July 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20120310
has been completed.
Location: 1161 STATE ROUTE 9
Tax Map Number: 523400-295-008-0001-002-000-0000
Owner: MITCHELL A COHEN
Applicant: SWEET SNACK SHACK
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
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.
t. • .;ti _ TOWN OF QUEENSBURY
i742 Bay Road,Quecn.bury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120310 Application Number: A20120310
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: SWEET SNACK SHACK
For property located at: 1161 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: MITCHELL A COHEN
Certificate of Occupancy(COM)
PO BOX 21
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-310
CO Only- Sweet Snack Shack
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 29,2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qucensbury before the expiration date.)
Dated at the Town of ee ury; rida,,,J ��e 29, 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 -12804 %
rd o
ri^'
David Hatin, Director of Building& Codes
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal % o
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit. J N 8 2012
TAX MAP # BLDG. PERMIT FILE#
If plicable JO
1 Snacc
v rlv�e�Name of Business: _ �(�&` 6,1(D � 51,kackJ
Address 1 \ �� ex
of Business: q aRprA5b0{LI QUESTIONS? CALL 761-8256 OR
EMAIL codesaqueensbury.net
\1�n\ p VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 1 "\ �� T c Q�= INFORMATION
(� '"� www.queensbury.net
Business Phone Number: 5\S - l-10- g333
Type of Business: (-1CQl Sf
Owner of Property: m Ichel I (ohm Phone Number(s):'l V1 ( ._U a O 5
Home Cell
Owners Address:T bp 4 t (k4_ ot-c pf u f S
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
)01,6
c.,
Signature.)01I , (./ A �11k,Q�/t' Date: ( /c )J /
Of person submitting this form
Notes / Comments:
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: 11'ITtme:J��
742 Bay Road,Queensbury NY 12804 o Re-Inspection i
518 761 8206/518 761 8205 ®CO Inspection Permit#: I d , 3 f f.
Fie Marshals Representative
MJ Palmer Business Name: Su lEz r 6ni,ct( S f c-ice
Location: 1 I ,S-01 i2
) GK Stillman Contact: m�/u,.►; c.'
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& FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 �
FIRE EXTINGUISHER: Hung FC 906 t/�/�
Cle
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
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 1
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 Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual -
Sprinkler FDC Fire Mantel!n Yon Complete
Kitchen Suppression Semi Annual OK to issue Cali cite of Oo may' y
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506 jU 21 2
Operating Permit, if required will be issued after
p 9 q Ite
Completion of Inspection } _...12012uankim. _
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: L't 4 .Time: /
742 Bay Road,Queensbury NY 12804Re-Inspection l"' 3�U
518 761 8206/518 761 8205 , CO Inspection Permit#:
Fire Marshals Representative �� �}
I.:MJ Palmer Business Name: 5ij T i va �-- --SI J
Location: %/`2, �'
`GK Stillman Contact: irne,l-a111C e,2-c`7''
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&FC1029.11 ,,,.- Add J
�
Secondary Aisle Width FC 1025&FC1029.11 ,," f '''` dZ_ Z6/1FIRE EXTINGUISHER: Hung FC 906 -.-�"`,• 7/S d l;C_5"5.4 rer(- L(
Inspection of extinguisher FC 906 /"- 7 -4-
t 3
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 -
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 � -1._
Exterior FC 1006.3 _---"
Clearance to Electrical FC 605.3 i'
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 -..-1"
CO detectors FC 610 .0,1"
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24" —."
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) „.,,,..e`
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 lnsp OK NC DATE: OK NC
Date
Generator Annual / DATE: OK NC
Hood Installation t %
Elevator Semi Annual 1
FIRE ALARM Annual \ 1 /
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 I
Operating Permit, if required will be issued after
Completion of Inspection
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