2012-578 0111111K TOWN OF QUEENSBURY
742 Bay Road,Queensburv NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120578 Date Issued: Wednesday, December 19, 2012
This is to certify that work requested to be done as shown by Permit Number P20120578
has been completed.
Location: BAY Rd
Tax Map Number: 523400-278-000-0001-046-000-0000
Owner: STRANAHAN INDUSTRIES LLC
Applicant: CANINE DESIGN & SPA
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 ;c4it
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
742 Ray Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120578 Application Number: A20120578
Tax Map No: 523400-278-000-0001-046-000-0000
Permission is hereby granted to: CANINE DESIGN& SPA
For property located at: BAY 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: STRANAHAN INDUSTRIES LLC Certificate of Occupancy(COM)
1347 BAY Rd Total Value
LAKE GEORGE,NY 12845-0000
Contractor or Builders Name/Address Electrical Inspection agency
Plans&Specifications
2012-578
CO Only-CANINE DESIGN &SPA
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 19,2013
(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 of Queensbury; Wednesday,December 19,2012
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 Date
David Hatin, Director of Building & Codes
Craig Brown, Zoning Administrator- Michael J. Palmer, Fire Marshal ``�mp
J
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# IY - I ' �0 BLDG. PERMIT FILE# i > U
If applicable
Name of Business: Q (1Yr b E.513n 4. Sipa.,
of Business: 1 103 3i.10 ' 4 U 1 l: 149 A,[ - Eieor3e,N QUESTIONS? CALL 761-8256 OR
EMAIL codesRqueensbury.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: Oji n(� Ir D m bI INFORMATION
www.queensbury.net
Business Phone Number: 513- 9)lol -9in
Type of Business: N.1l Q '�b rn n RQkL ` 1,1611/6
J
Owner of Property: A ah X n Iteldu Tie Ph e Number(s): 310 ;318 "1g20
Owners Address: 1341 T A Road Lq ,@Gior5 Q, iI 12m 5
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
•
:Ij
Signature: has
Date: 12= aOf person s miffing this form U
Notes / Comments:
2--.5Dt •
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 0- I - (2
BUSINESS NAME: aahi be..513 n ( ,
BUSINESS ADDRESS: i9IP3 3 • 1(4LiE \"I (1 _CL CQ (large, I I 2S11-5
BUSINESS PHONE: 9D 192 3P1 1
`� Cell Phe 51S3to1 - q7°z
CONTACT 1: Cid IY�I �I HOME PHONE 51043-4338
ADDRESS: KO €115WD Lane . I6e.or3eN9 12345
N-cfl
S
CONTACT 2: , Ibfl"IU,n ctha,Y} HOME PHONE Ng-193=282v
ADDRESS: cur Lr o r N 12A5
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
Town of Queensbury Flre Marshal o Periodic Inspection Date: \ ime:
742 Bay Road,Queensbury NY 12804 o Re-Inspection 0
518 761 8206/518 761 8205 -00 Inspection Permit#: / "9r 7>
Fire Marshals Representative
MJ Palmer Business Name: 6Q4in - t /4I" y- ✓,0
Location: $•' - fa?..fes- i 1
X GK Stillman Contact: �silv'z i ,.1L ley
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 and latches FC1008& FC1029.2 ...-----.
Sign:Normal FC 1011 &FC1029 ,
Sign:backup FC 1011.5.3& FC1029.7.5 ,.----
AISLES:AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 .----j
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
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 !•�
F.D.Signage- FC 510 ,c-------
No Smoking Signs FC 310.3 ..-
Storage
Storage FC 315.2 ,
Compressed Gas FC 3003 .7
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803 -804
Smoke Detectors FC 907
CO detectors FC 610 -� , i,� i
Clearance to Sprinkler/Ceiling FC 315.2.1 /
18" / 24" •
EVAC SIGNS IN Rooms FC404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 „-----
Exterior
Exterior Storage FC 315.3 .-� REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC DATE: ',A,i; ( NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation .\\\:\,,,
Elevator Semi Annual
FIRE ALARM Annual / DATE: OK NC
HVAC Shutdown I
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
T
6P 1 ,),--31Yg
(Al ,t.
4 - -
.r ,. Z .2 ' c-f,)-- ,
.-t-2: 4,.., -. 2Ni.--
-A,i .4E_ E-7T)
,--1v
DEC 13 2012
N,. — i \Af 1 \A , t
chi- > -pSa I-D 4
ivv
\ )5,1,
`Msi - ;1-
,/ 1CD I, ° I A:\ a,
._0-
4 /
e=i- a.
> b 141 Vti011 .4 1:!-kln —
3.' v-v-
tz,E' ilftt h`bdstQ
1 ...... 1974.-zti 1