2013-518 011111114,
OF TOWN QUEENSBURY
742 BayRoad, uccnsbu NY 12804-5902 (518) 761-8201
Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130518 Date Issued: Thursday, November 21, 2013
This is to certify that work requested to be done as shown by Permit Number P20130518
has been completed.
Location: 931 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-017-001-0000
Owner: NIKANTH INC.
Applicant: MANISH PATEL
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, ordr
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
00/14 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130518 Application Number: A20130518
Tax Map No: 523400-296-013-0001-017-001-0000
Permission is hereby granted to: MANISH PATEL
For property located at: 931 STATE ROUTE 9
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: ATL HOLDINGS LLC
50 PORTLAND PIER Certificate of Occupancy(COM)
PORTLAND ME 04101-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-518 Red Roof Inn
CO Only- Property Owner: Nilkanth, Inc. Manish Patel
No structural or interior alterations -new ownership reflected by issuance of this Certificate of Occupancy
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 01,2014
(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 o ensb ;� F-i'a, November 01,2013
SIGNED BY for the Town of Queensbury.
Director of Building& ode En orcement
Office Use Only
Town of Queensbury Fire Marshal
Received: _
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: c),9 CD .) 3 -I-1
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: l 5ii
Permit Fee: `f ' r
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business Rem TooF 271.4r)
Address 9;3 i — STATE SOV 1 q ( U EENSBv ,e'1 / N`f - I21rOL
Type of Business 0 n'rEL,
Manager COPN t'i S H Ptkf
OR
Person in charge 1'0AJ 1 S id 4\tE-- OCT 3 1 1013
Business Phone No. Sig — ?4-3—
Property Owner NIL VAN T TNG-
Address qA I S"T"ATE 'ot,'rE 9 J Q6)EENSi3t,)AY , N`? ._ 12-g011-
Phone cI ?Dv
✓Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters, and fixture layout on a
separate sheet of paper.
Print Name: 1 Hc'4 i-SH PA¶EL—
Signature: - k. P% -1
Date: I 0/3 t I
Notes/Comments:
Apel ons 'new Com+ ficc occMPaiAc7
Neck PrciPex11 owivALs NA\ke_ .
1,10 Sfcv y 'c, I of kox c(naAj c .
IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire
extinguishers, fire sprinkler systems, and fire alarm systems require annual inspections by an outside contractor and the corresponding
documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require
semi-annual inspections. Any violations noted during an inspection, require immediate corrective action.
CONTACT NUMBERS:
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's Department
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.
2. 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.
PLEASE PRINT
DATE: )D f) ) 13
BUSINESS NAME: Rn Rq O F
3 t safe PAN( lemY - KY - l2Fc�
BUSINESS ADDRESS: �I r Q ai 1)NtJ
BUSINESS PHONE: ,cj 8 �tf — 0 O
CONTACT 1: 61\1 is -P1`)1- 1-- HOME PHONE S `t-0 0 O
ADDRESS: �� r S�tU k-o 9 ( q\teevuLAyt y (110-1-
CONTACT 2: A mc(Y Ctel HOME PHONE g4-�'O
ADDRESS:
Sr
of - N Co ; Ave , a �'0
i1uoy) , � _ (2015-
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
fr2Rk., , , , _....., 6_,...._ Ade /6,416_ 49,r2ii.&,,
Foundation Inspection eport
l
40 ail,/
Office No. (518) 761-8256 Date Inspection request received: /c IS /
Queensbury Building&Code Enforcement Arrive: am/pm Depart. am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
�� kayla q`/JSC1.S PERMIT#:
Ili:, NAME: I� ft kt...-
C LOCATION: PU /1-e�-C�P4/ INSPECT ON: a . d-D/L/
TYPE OF STRUCTURE: / _ 6 162 &PQjt.g. 7h ' / i
-17
-3 kuait4h
��'sey /tidnzt // Comments
M
t-r3 ,-b Y N N/A / ,(3
) Footings yi
r Zi-itePiers 5
. \ onolithic Slab
Ret orcement in Place `/'/ � (. ` I
Th.contractor is res. nsible for �9
proviI. g protection om freezing
for 48 h. rt following the placem= t
of the cone -te.
Materials for ,pis purpo•- on sits. e `` CfAcV4(—
Foundation/ all. ur A��"h
Reinforcemen'in Plac- ---
4
Footing Dowe s or Keywa i .lace , }� .n n,�
Foundation D. pproofing `v �'�" �+hw�,
Foundation W.terproofin: c ,1;\) 00
ri
Footing Drain Daylight .r Sump
Footing Drain Stone: 4
12 inch width "LE
6 inches above ft oting
6 mil poly for -t areas under slab r
Backfill Appr va 4I
1 ,,.
Plumbing Un�.ials •
PVC/Cast I Copper 4010 ..k. ...4.,i , '
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last .rinted12/18/2013 2:44:00 PM
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Inspection Form
t1!
Town of Queensbury Fire Marshal O Periodic Inspection Date: Il kit3 Time
742 Bay Road,Queensbury NY 12804 Re-Inspection +
518 7 '1 8206/518 761 8205 gk CO Inspection Permit#:
Fir arshals Representative
MJ Palmer Business Name:
Location: 93 1 1?1
GK Stillman Contact: '1 r till St/
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: ' r\C\Main Aisle Width FC 1024/1025&FC1029.11 Cpl
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 `J ( dj
Inspection of extinguisher FC 906 •
EVAC Plan FC 404.2
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
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
•
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 t ire r:u ;�l3
i-ire MaI�1..�111�1� +t ��
Sprinkler FDC r OK to Issue Corti l•'rte o1 Occupancy
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual 2.V
Knox Box:installed/checked FC506 '
Operating Permit, if required will be issued affer Fire M1iKsh;.
Completion of Inspection Town of Queenchury
Inspection Form
11/6/#5
j�
Town of Queensbury Fire Marshal O Periodic Inspection Date: If 6/5 Time: tt✓15
742 Bay Road,Queensbury NY 12804 a Re-Inspection /
518 761 8206/518 761 8205 CO Inspection • it /
Fire Marshals Representative �/��,,� � ,�
MJ Palmer Business Name: �'t-
location: q31 f �5
XGK Stillman Contact: Alchv/sli A _
ape of Inspection N/A Yes No
EXITS: Exit Access FC 1014 8. FC1029 NOTES
Exit Enclosure FC 1020&FC1029 �„
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2PX, / .5'4 / i M
222,
Sign:Normal FC 1011 &FC1029 la �`GC
Sign:backup FC 1011.5.3& FC1029.7.5
AISLES: ' "IcUZ- e' ieSe
Main Aisle Width FC 1024/1025 8 FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 ./
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.2 ✓ Mo- G/Glfr 5p2.r,►k-Le/l
TRUSS ID SIGNAGE FC 505.3
4Li+. `"2
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 L b41h t ' p SefrtieeiT)
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 ./1.
Storage FC 315.2 / c- +j" .--NJ�.�o~ 0-1,ZZi/ -�!
Compressed Gas FC 3003 / • CJ yZl2 /�- �7--4�� 7/"'
Vehicle Impact Protection FC 312.1 /" �� ,,I
Interior Finishes FC 803-804 E2_. '`��'i 1�k
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
X FIRE ALARM A•r Annualii
//5 DATE: OK NC
HVAC Shutdown
• Sprinkler System ` ' Annual
7f3 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