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2013-130 `a TOWN OF QUEENSBURY TO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130130 Date Issued: Wednesday, July 17, 2013 This is to certify that work requested to be done as shown by Permit Number P20130130 has been completed. Location: 729 GLEN St Tax Map Number: 523400-302-006-0001-015-000-0000 Owner: 727 GLEN STREET Applicant: RUE 46 This structure may be occupied as a: Certificate of Occupancy (COM) By Order of Town Board TOWN OF QUEENSBURY j;,„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 `� 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130130 Application Number: A20130130 Tax Map No: 523400-302-006-0001-015-000-0000 Permission is hereby granted to: RUE 46 For property located at: 729 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: 727 GLEN STREET 727 GLEN St Certificate of Occupancy(COM) QUEENSBURY NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2013-130 " rue 46 " CO Only $50.00 PERMIT FEE PMD-THIS PERMIT EXPIRES: Wednesday,April 09,2014 (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 Tow of Q ensb A T d ,April 09, 2013 SIGNED BY V for the Town of Queensbury. Director of Building&Code Enforcement p " a Community Development Office = ' Town of Queensbury • 742 Bay Road• Queensbury, New York •12804 Date David Hatin, Director of Bidding& Codes Stamp Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal 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# r l- I � �,� BLDG. PERMIT FILE# / 3- /"J' // If applicable Name of Business: /•c l e V6 Address GL f Of Business: 41V/ ,/ QUESTIONS? CALL 761-6266 OR 7z cin E.J Sr. �✓EE.✓S BwtJJ y EMAIL codes(dqueensburvne� VISIT OUR WEBSITE FOR MORE Person in Charge or Manager. Sus q„/ 4, (JR r vet,— INFORMATION www.aueensbury.net Business Phone Number: 6/ 8 ) 6 8 3 — G 3 S V Type of Business: .9 K.eR y Owner of Property: /61/0-/(E ,C 0 6£,ZAreaW Phone Number(s): (5/4)X/ 3333 Home Can Owners Address: 7e '7 ti,2 6 LE,„. si( , Qv£e,✓s a ,2 y �5° eaa5, e a 5, Provide an accurate layout of your store showing all walls, exits,it stockrooms, rest moms, counters and fixture layout on a separate sheet of paper. Signature: 6 /oDate: \lilt) I 7) Of person submitting this form Notes/ Comments: EMERGENCY CONTACT UPDATE • 6P13 -13 (° TO: WARREN COUNTY SHERIFF'S DEPT FAX: 743-2502 PLEASE PRINT �y DATE: 5 -17 I BUSINESS NAME: r U e_ `t BUSINESS ADDRESS: '7a7 Upper 6i tr S; ` &ftn s Apt BUSINESS PHONE: U/&S 3 5 6 4- CONTACT 1:3kinfe MMLLr. pAy • HOME PHONE 307-6,5119 ADDRESS:16 Tent 'SOMI Si gen S R [ I S/ GU/ l Z?`0 CONTACT 2: SUSail Cs! Wn&s- -lam HOME PHONE &en-10354 ADDRESS: /6 JCfFersfsrI .S 1 �sfiPns 4a(ls, Ny I RE-0 I 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. -<vies 10-fa Inspection Form ? Town of Queensbury Fire Marshal 0 Periodic Inspection Date:7 /6�Tlme: I/v 742 Bay Road,Queensbury NY 12804 o nspection / 3 -i 30518 761 8206/518 761 8205 CO Inspection Permit Fire Marshals Representative _MJ Palmer Business Name: A u.s- Z/0 Location: 7 al> @IenS+ X GK Stillman Contact: S u g rlclh. Q e le g2- l03SY Type of Inspection N/A Yes No EXITS: Exit Access FC 1014 a 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 404.6 TRUSS SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Extenor 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 315.215.2 Compressed Gas FC 3003 , Vehicle Impact Protection 80FC 312.1 ,.—��, Interior Finishes FC 803-804 � 1� 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 ExteriorStorage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant 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 Operating Permit, if required will be issued after Completion of Inspection ke Inspection Form ��111 "'�' Town of Queensbury Fire Marshal 0 Periodic Inspection Date:711'7/ Time: / e9 742 Bay Road,Queensbury NY 12804 O Re-Inspection 13 -130 518 761 8206/518 761 8205 `565 CO Inspection Permit#: Fire Marshals Representative )(MJ Palmer Business Name: I'\ - Lto Location: 721 G4o%a Sc GK Stillman Contact: R vL 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 _ :7��4t ((tomb . PAit Sign Normal FC 1011 &FC1029 SCC l^ Sign. backup FC 1011.5.3&FC1029.7.5 n(Y.tl p./ lJ OOH AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Wdth FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 — C osc C_� y4Lt_ Inspection of extinguisher FC 906 (✓I zc�nr[a • EVAC Plan FC 404.2 �`� TRUSS ID SIGNAGE FC 505.3 e Wit NG T"tG (S EMERGENCY LIGHTING: I 1 , ^ Interior FC 1006.3&FC1029.8 �(5C�ss's Sw.1SQLC?Sw ytt6+4M11-n Extenor FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 p F.D.Signage- FC 510 No Smoking Signs FC 310.3 Q�511' c-17 c r t L bn-r 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 Emergency Disconnect FC 2203.2 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 IOTG s, & O(L'gc `4i iatn S Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual IO t IM4t*AN o Knox Box:installed/checked FC506 ?Li t t t'" Operating Permit, if required will be issued after ��t\Nice Completion of Inspection