2013-142 .�` TOWN OF QUEENSBURY
742 BayRad 12804-59027
Road, NY (518) 761-8201
maw
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130142 Date Issued: Friday, May 17, 2013
This is to certify that work requested to be done as shown by Permit Number P20130142
has been completed.
Location: 730 GLEN St
Tax Map Number: 523400-302-006-0001-054-000-0000
Owner: L.P. DECOGLEN LP
Applicant: HANK'S FLOORING
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.
TOWN OF QUEENSBURY
'� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20130142 Application Number: A20130142
Tax Map No: 523400-302-006-0001-054-000-0000
Permission is hereby granted to: HANK'S FLOORING
For property located at 730 GLEN St
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: L.P. DECOGLEN LP
C/O HOFFMAN ENTERPRISES Certificate of Occupancy(COM)
25 CORPORATE Cir Total Value
ALBANY,NY 12203-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-142 HANK'S FLOORING
CO Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 15,2014
(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 Que sbu M i i aI April 15, 2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
-'--�- Community Development Office
:,..:47,-,:,,2, .,:i Town of Queensbury • 742 Bay Road • Queensbury, New York -128 1.e
O
David Hatin, Director of Building& Codes
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal tamp
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 # 302 : 6 - 1 - S-i BLDG. PERMIT FILE# ? 3—/ - / c),
' If applicable
Name of Business: fi W r� `S f L 0(7i? INT(-
Address
of Business: 72 0 i PPS 6--L �-- J S T QUESTIONS? CALL 761-8256 OR
EMAIL codes(a?queensbury.net
�} )ttk M//21_£i2 VISIT OUR N ORMATION FOR MORE
Person in Charge or Manager: Ir rlrrTT
www.queensbury.net
Business Phone Number: S I 7 7 3 -4-2 3 2-
Type of Business: fr LOi7F-/N C= cur f L l f� r c ( o g_6-, S )--f 0 RI �A1
Owner of Property: PEC�6-G LP Phone Number(s): S2 -0779S 7i "7 f �'
Home ceu
Owners Address: 2C Co R P/g A-1-F (*(PCL&, irt i1eftt J I- , v 122_03
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: ! 16L__ Date:Cif,! 1 ' M1
son submitting this fgrrn
Notes / Comments:
P 3-TKi
EMERGENCY CONTACT UPDATE APR I U 2013
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: /10 /2 1 .�
BUSINESS NAME: ! �1 � S P LCte le6r-
BUSINESS ADDRESS: 730 Vere-12 G Lev c- 7
BUSINESS PHONE: S i g `77j ~eF Z 3 2_
CONTACT 1: HANKS M '`LGi HOME PHONE ?C I - 2a+6
ADDRESS:
PA-vL_
CONTACT 2: 4, 1/ CPM ZO P TJ HOME PHONE Z6 S - I eg.-?
ADDRESS: 2 S GO 2 '6 t2# YE C4W C L� I' rftWY JY 1 T2-
This
2This 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.
Inspe ion Form
Town of Queensbury Fire Marshal eriodic Inspection Date: /'///""Time: /'`5
742 BayRoad,QueensburyNY 12804 Re-Ins Re-Inspection
///
pect o
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fire Marshals Representative -
MJ almer Business Name: kS ,rzin-
Location: IVO !,%_, __ _
GK Stillman Contact: `W4__-
Type of Inspection N/A Yes o
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
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3 f
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 f„
No Smoking Signs FC 310.3
Storage FC 315.215.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 ..--.--"'
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610 /1/2"..-
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 -f
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 AnnualGer-
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 CD Periodic Inspection Date: 9/24 Time: 7-s / "7
742 Bay Road,Queensbury NY 12804 �fteTspection / � �
518 761 8206/518 761 8205 `�CO Inspection Permit#:
Fire Marshals Representative
MJ Palmer Business Name: 4 --5 ft 7_e
Location: L /1/____61e.4 .. L/l7/I-1
XGK Stillman Contact: /750,r_ zir�
Type of Inspection N/AYeNo
EXITS: Exit Access FC 1014&FC1029 s/ NOTES
Exit Enclosure FC 1020&FC1029 f
Exit Discharge FC 1024&FC1029 _
Locks and latches FC1008& FC1029.2 /
Sign: Normal FC 1011 &FC1029 i
Sign: backup FC 1011.5.3&FC1029.7.5 /
AISLES:
.,-
Main
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
EVAC Plan FC
TRUSS ID SIGNAGE FCC 505.3
EMERGENCY LIGHTING: .e
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
No Smoking Signs FC 310.3 ...-----''
Storage FC 315.2 �
/.
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 f
Interior Finishes FC 803-804
Smoke Detectors FC 907
•
CO detectors FC 610 ...-----' Will /'
Clearance to Sprinkler/Ceiling FC 315.2.1 ! �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 1// DATE: OK NC
HVAC Shutdown
Sprinkler System Annual 1
Sprinkler FOC
Kitchen Suppression Semi Annual D
Fuel Island Suppression Semi Annual
1'l
Hood Cleaning 3-6-Annual L/]`' l fi//f 41,4s—
Knox
Box:installed/checked FC506
/4c42' Wk.-. 40 e)`4-4/0/ ) A
Operating Permit, if required will be issued after b , Lp/'_f..e.—
Completion of Inspection _
Inspection Form
Town of Queensbury Fire Marshal Periodic Inspection Date: � �I I Time:
742 Bay Road,Queensbury NY 12804 a Re-Inspection , I i M
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fire Marshals Representative
_ MJ Palmer Business Name:
Location:
_ GK Stillman Contact: 44i r)2/k-241-42...2�
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 _ ------- 01)/G� J7/i • ,'' h! p/c jP,
fSignSign: Normal FC 1011 &FC1029 -<-
Sign:
:backup FC 1011.5.3&FC1029.7.5 / )...11rr 1 /i� t„L_,-\ .
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 /'.'
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 — 1'-1(. L ,cam
Inspection of extinguisher FC 906 .— \ 1_ k ,� d,. s-c.,e
EVAC Plan FC 404.2 ------ C bl_OI Q )
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 i
No Smoking Signs FC 310.3 --__,
- - Storage FC 315.2 ..
Compressed Gas FC 3003
• Vehicle Impact Protection FC 312.1 2 1/ �(,(,�
Interior Finishes FC 803-804 .r><"• — 1 ��ICS /1 Ce4Z117I /1'--r'
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) - --, /Q I - Arg /r'
Fuel Pump Warning Signs FC2205.6 ,L L ALL-
Fuel Station Emer Procedures FC2204.3.5 F 7,L 1 -2. i;- --
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
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual ///---���
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 4 it a mo_
" i
Operating Permit, if required will be issued after
Completion of Inspection
I
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