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2013-404 TOWN QUEENSBURY 9.4111111bOF 742 Bay Road,Qucensbury, 12804-5902 (518)761-8201 Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130404 Date Issued: Friday, October 04, 2013 This is to certify that work requested to be done as shown by Permit Number P20130404 has been completed. Location: 384 QUAKER Rd Tax Map Number: 523400-303-005-0001-083-000-0000 Owner: DEMETRIOS KOLIOS Applicant: J & W QUEENSBURY DINER 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 (--- atriP /, (//1 • 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 iF I 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130404 Application Number: A20130404 Tax Map No: 523400-303-005-0001-083-000-0000 Permission is hereby granted to: J & W OUEENSBURY DINER For property located at: 384 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: DEMETRIOS KOLIOS Certificate of Occupancy(COM) 28 SPA Dr Total Value SARATOGA SPRINGS,NY 12866 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2013-404 J & W Queensbury Diner Certificate of Occupancy ONLY-no structural work $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 04,2014 (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 T Quee u y ' •,nesday, September 04,2013 SIGNED BY L for the Town of Queensbury. Director of Building&Code Enforcement . I Community Development Office .Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 ,-A (�{� David Hatin, Director of Building&Codes Michael J. Palmer, Fire Marshal 4LJu 27 2013 • , Craig Brown, Zoning Administrator. NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION 020 [ 3 - 4/0 TAX MAP # 3o ,O5'f- BLDG. PERMIT FILE# Name of Business: g e3maiw /yi- 1, 0 viler Address of Business: fJ cQ 4 /� Q ,r►2 QUESTIONS? CALL 761-8256 OR fr 'p f'� (� � EMAIL codesequeensbury.net ` - { VISIT OUR WEBSITE FOR MORE Person in Chargé or Manager: �S �" '�� ' "`I L ��, y 3 INFORMATION www.queensburv.net Business Phone Number: 57 e _ 7 93 34 .26 Type of Business: (1p e k ,4y1 p/1.,!(L.7.4-, 3151 Owner of Property: �190'YY tataa IS Phone Number(s): 57e, 12q 6110 Home Cell Owners Address: 41 5/4 J)Pcu ?- 1 O/Lft liy% ) X /1266 Please provide an accurate layout of your store showing all walls, exp, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. Signature: C Date: 6 /u/ z of? Of person su milting this form Notes / Comments: EMERGENCY CONTACT UPDATE Please print clearly DATE: Q3121 /2:0/3 BUSINESS NAME: (76)44 Gt ?a4-f2P-Alc 4V2111 r BUSINESS ADDRESS: _ _ • M// '2 BUSINESS PHONE: .57 /- --7q 3 - 3i �b , PHONE 1: 31 -- '�2 <G1273 / CONTACT 1: A-644( � qautPHONE 2: e7lej TOWN/VILLAGE RESPONDING FROM: c� PHONE 1: _ CONTACT 2: d& U' 17arC4 PHONE 2: 3 i g - 361 2-c) 443 TOWN/VILLAGE RESPONDING FROM: 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. TOWN OF QUEENSBURY FIRE MARSHAL' S OFFICE Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • www.gueensbury.net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman Inspection Form tc---- Town of Queensbury Fire Marshal O Periodic Inspection Date:l*)/3 Time: I i U 742 Bay Road,Queensbury NY 12804 o Re-Inspection 13+LI. tet ' 518 761 8206/518 761 8205 `4116".00 Inspection Permit#: I Ks'' Firearshals Representative J Palmer Business Name: �\,0 xSi <1 [KE Location: ' 'I Qvc4r 9--9 GK Stillman Contact: �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 �- w 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 - L/'h t 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 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 Emergency Disconnect FC 2203.2 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 v-r.tr»Y - —t,.— - --,--_----------'-a Sprinkler FDC Fire Meirelle4 f e*of ortrufew Kitchen Suppression Semi Annual Oil to Issue o�tge of foissilpancy Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 'dtT 0 1013 Operating Permit, if required will be issued after -v ' Completion of Inspection I Fire MarshGl L__.. Ton of Queensbury - Inspection Form . (411 ) /z,,(411 ) /z,, o� } � Town of Queensbury Fire Marshal CD Periodic Inspection Date: Time: / 742 Bay Road,Queensbury NY 12804 o Re-Inspection I�� Oy 518 761 8206/518 761 8205 'CO Inspection Permit#: Fir S Marshals Representative MJ Palmer Business Name: � , c�. 60r1,f CD1 tom;r� Location: O.,ceet Z 'O • GK Stillman Contact: '- G � Type of Inspection N/A Yesi No EXITS: Exit Access FC 1014&FC1029 // NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 4 Locks and latches FC1008& FC1029.2 / Sign: Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 _pear___E ?NA/ 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 / EMERGENCY LIGHTING: ir�- �r Interior FC 1006.3&FC1029.8 / _ Exterior FC 1006.3 / P)/k_.) Clearance to Electrical FC 605.3 i '‘ "7.. Electric Wiring Enclosed/Labeled FC 605.3.1 / Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 /l No Smoking Signs FC 310.3 �!l Storage FC 315.2C ) cP Compressed Gas FC 3003 Ct.\ 0-i Ur\ Vehicle Impact Protection FC 312.1 . Interior Finishes FC 803-804 • Smoke Detectors FC 907 /j d b CO detectors FC 610 / ; t Clearance to Sprinkler/Ceiling FC 315 .2.1 / , 18" / 24" Fuel SIGNS INar Rooms s 404.6(R &R2) 9 M� /�� O/ Fuel Pump Warning Signs FC2205.6 C.� 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 Lib 3/ - Fuel Island Suppression Se i Annual 14 Hood Cleaning 3 8 JAnnual 11 3 Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection AUG201 1A -r tiAL}.% - ttY -40te -pr U1' 3 J UY,w /49 YY : tl fh' L 4 . ,,,,,,t- -- -.;. L-7,- -i. • 1•76 •t Mt: . 24 -rite9'''t'r,c ko �gr�`�'_ 1 IIINi 6,5 Rn-, PERMIT PLOLPL N I HAVE PERSONALLY EASURED THE DIS�`ANCE FROM 'I � TY LWES TO TWA PR''�S a--,, 'UCTURE(S)OR SIGNS) 44 DATE SIKNATU'E +:4-P-*//3 6 7A-RE-1,k- . ' .-riBi):/ ki7 _D/ide ..,,,__ ,_,,,.....„\ J & W Queensbury Diner BP 2013-404 �C (c. .,,..„ D 384 Quaker Road CIO only - no structural work "- '747 lvicetA5 �` [�6-\ L" L., - >c' l j. N��r F ri�J;,�� it 'Y_.r.f 1 r Mcp i,;CMCKY'5 0 P w}�� 10 ..4 ?,k, AUG 72013 . 7 �� , . f - , • , F F ,, ,, ,.• • r., , �t�� t, T �( /ice , �6)3.4-} 77141-1-I F1-;E-,2r: Y f e'r �A i L:�saa�v i4 1riJ` '�1 , PERMIT PL-0-121---k- 1 HAVE PERSONALLY EASURED THE DISTANOE FROM,Tk `PTY LINES TO TIDE pROPQS p 6UCTURE(S)OR SIGN() o _IGNATU E DATE _{..._44:2____ ,,—)69 -ESC OF-&) (,(,(. i(7 _D/ide' J & W Queensbury Diner BP 2013-404 384 Quaker Road 3ef- --,-c/-I-sD CIO only - no structural work -,, ') -- �'�. : ( 4-R-/ / u 2