2012-375 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120375 Date Issued: Tuesday, August 21, 2012
This is to certify that work requested to be done as shown by Permit Number P20120375
has been completed.
Location: 118 QUAKER Rd
Tax Map Number: 523400-302-007-0001-012-000-0000
Owner: QUEENSBURY QUAKER, L.L.C.
Applicant: CUDDLE BUGS BOUTIQUE
This structure may be occupied as a:
Certificate of Occupancy(RES) 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 j
other issues and conditions as a result of approvals by the Planning Board Dire o :Liming : Cf<<%,ement
or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
mob
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120375 Application Number: A20120375
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: CUDDLE BUGS BOUTIQUE
For property located at: 118 QUAKER Rd
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: QUEENSBURY QUAKER, L.L.C.
90 STATE St Suite 1411 Certificate of Occupancy(RES)
ALBANY,NY 12207-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-375
CO Only-Cuddle Bugs Boutique
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 09, 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 gf uee ►sbury• Th 'a, ,August 09, 2012
f\ j SIGNED BY ' i r for the Town of Queensbury.
Director of Building&Co•e Enforcement
Opt Community Development Office
VTown of Queensbury • 742 Bay Road • Queensbury, New York •12804 ;
A(!G rj
David Hatin, Director of Building & Codes 2012
; , .
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal ; :Jr ai r j i.C)
ESTABLISHMENT OFA NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP #30A , I- )-' I e BLDG. PERMIT FILE# I a- )3
If appl `�(yicable
Name of Business: ..•Q d�.I Q 6V
9 S t J h Q( " t1I
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Address
of Business: < k-)ate' ed 5\J\\--Q_(0 0
QUESTIONS? CALL 761-8256 OR
EMAIL codesna.queensbury.net
Person in Charge or Manager: La ( l U SWVISIT OUR WEBSITE FOR MORE
INFORMATION
Rte,,�U www.queensbury.net
�l�t:
Business Phone Nun1 1 W _C
Type of Business: cons ‘ 9'nrne%\A Shop
O -l'bo
Owner of Property: Q�a k�fL LC, Phone Number(s): y �a -LfCO3
\N „ `O ` J �' rQPI�1l3` • i Dt---n /�` Home \I Cell .a
Owners Address:c10 �{"a4€ 51'( R csU ► +c ( I Ic 1 i ruj ; 7
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 Date:Date: 7c!
Of person submitting this form
Notes / Comments:
a Y ►�� 3()S
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: ,0 I I c-
BUSINESS NAME: C Pv S \t u
BUSINESS ADDRESS: U? QQUte,r ct Yu t-e (100 Q l�e r ( �l
CO ( agoLi
S
BUSINESS PHONE: . ' 7 (,) - c10(0
CONTACT 1: Li M (..),-)N c)h QK HOME PHONE 513-8S9 -(0o%)
ADDRESS- l'¶\of ( len S ��i () Fi.i I
CONTACT 2: MIN \k ' (\Lei HOME PHONE S 1% 1 q 6 r &s18
ADDRESS \ J 151 c i 1 e(\S RQ I (S 10\1 Ca 8`c 1
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.
Inspec ion Form
Town of Queensbury Fire Marshal erlodic Inspection Date:029 r—Time: Al 141/
742 Bay Road,Queensbury NY 12804 Re-Inspection
518 761 8206/518 761 8205 o CO Inspection Permit#: /2-,
Fire Marshals Representative ` .>
MJ Palmer Business Name: tom`
Location: /e 611-1 — l�. /
XGK Stillman Contact: <;,4)•[if ba5-17 ,
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
/Secondary Aisle Width FC 1025&FC1029.11 f
FIRE EXTINGUISHER: Hung FC 906 .--- ---
Inspection
/Inspection of extinguisher FC 906
EVAC Plan FC 404.6 �l
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 Aa�9 WW
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
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
ExtVacant StoragBuildings
FC 31513 � 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 Seml Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual 14 )kil
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
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: /7/2-- Timei
742 Bay Road,Queensbury NY 12804 pe-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: /�7`
Fire Marshals Representative
- MJ Palmer Business Name: az,,,, ,
��
Location: "2-111(�
GK Stillman Contact: ), ,��/ii' /n!—
Type of Inspection N/A Yes No ®��
EXITS: Exit Access FC 1014&FC1029 �1
7
Exit Enclosure FC 1020&FC1029 NOTES
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 �f
�.
FIRE EXTINGUISHER: Hung FC 906 7 124W-4n j de4/ 45(e-5
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 .>< _Atli, /6//I ��� ilZ
4(
Exterior FCis 1006.3 . /p,/ .f, Zvc-4.
`Clearance to Electrical 0 605.3 R j �(�C VP-7 C 7)
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 ---":„,
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
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 iA\'11 i ,
Sprinkler FDC
Kitchen Suppression Semi Annual /
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual 10: , , 1/1; /AI a
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Rio 4, /3
,,,,, 3D
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: g/13 I I2-Time: /1
31)
742 Bay Road,Queensbury NY 12804e-Inspection / +r
518 761 8206/518 761 82051 CO Inspection Permit#: ! -- 3 /7V
Fire Marshals Representative
MJ Palmer Business Name: G^�/$.64
S
Location: /I j�L
V GK Stillman Contact: //v1&/`fy L)h,ch 'z_-
' Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 l NOTES
Exit Enclosure FC 1020& FC1029 ./
Exit Discharge FC 1024& FC1029 ../-
Locks
/Locks and latches FC1008& FC1029.2 / ` A iv y Z G&W-
--
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 ` ,bre -41?
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 /- r
Secondary Aisle Width FC 1025&FC1029.11 -- ---.4--1.-49/21.1 ` L. 4;4l L /�i
FIRE EXTINGUISHER:_ Hung FC 906 U
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8 ,,-><- - 'n
Exterior FC 1006.3 . i �e�T ►�-red^� �/r
Clearance to Electrical FC 605.3 / - �f�Tr
Electric Wiring Enclosed/Labeled FC 605.3.1 ./ (1)/) .S-j(Cc Z
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3 .— -t ��s
Storage FC 315.2 / " C 'S/� 4124 L
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
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 ------
Exterior
/
Vacant StoragBuildings
FC 315.311 ---
Vacant
� 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 g/ 4i I/
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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