2014-327 ,,Sr ` TOWN OF QUEENSBURY
VTO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140327 Date Issued: Monday, August 04, 2014
This is to certify that work requested to be done as shown by Permit Number P20140327
has been completed.
Location: 928 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-014-000-0000
Owner: EUGENE TIMPANO
Applicant: ARTISAN INK
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 ` . f/ 4 ,4
owner of the responsibility for compliance with Site Plan, Variance, or GGGttt✓��6� V
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: P20140327 Application Number: A20140327
Tax Map No: 523400-296-013-0001-014-000-0000
Permission is hereby granted to: ARTISAN INK
For property located at: 928 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: EUGENE TIMPANO Certificate of Occupancy(COM)
91 MANNIS Rd
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-327 ARTISAN INK
C/O Only
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,July 24, 2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o Quee ury; ltu 4a ;/_ -24,2014
f
SIGNED BY V for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: tar 3 - / -
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: //����;
Permit Fee: ?I ►'/irr
'Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business R 504 1 1} ,1:
F ; �L,
Address 9A9 5tek.W 9 ()4,Lou:,ht,t,� M1 12 6`i---..�, �� Lam,
Type of Business T�.t}np S hn P C pvn.5orcz tervi 1 I Ini {t'�2 3 X014
Manager Melt53RR creel'rn
OR TOWN OF QUEENSBU
Person in charge BSA °'' lr & co RY
Business Phone No. (5I2) SOS- 851 O 5►$)�r2
'i�te1. ES
Property Owner E ucr t h e 11 rn p can O
Address 9 f tk-A con v1't 5 (2c
Phone O1/4-Lar-6Q-±auj Ny 12130y (srB) 99t `2128
'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:
Signature: AtIi550. F.-re ern
Date: r7181 19-
ge 4er
Notes�1 Comments: ,} ,
74't'`e4 Skies At Si i,�'[� 44-cp.
hlt-re
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Ckees CJkat'-c- L�i-ea �1 c Y`�t'-' ' ,q f1-tS-
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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`7.61-8220
Town of Queensbury Fire Marshal-New Business Permit 518-761-8206
I - E ;\
EMERGENCY CONTACT UPDATE UJ, AUL 2 3 2014 1f,
TOWN OF QUEENSBURY
TO: Warren County Sheriff's Department BUILDING&CODES
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: 9/21/V
BUSINESS NAME: �� iSGt.� (1
BUSINESS ADDRESS: f 51-c4, q
BUSINESS PHONE: 6510 � �R - % cS t
SIS) t12-311or1
CONTACT 1: HOME PHONE I 26 1 2 FCC,
�lL1�SS�l Crt.e.berrl
ADDRESS: 3363`1 St4J 42I , No die. Cree I iGt
51$) 128 53
CONTACT 2: ��cjeneTt'n�OV�a HOME PHONE 9 97 -21 21
ADDRESS: Ri MaA/11(k 4 . Q1.t_sa.vuJ ) N 1290q
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form �(
Town of Queensbury Fire Marshal 0 Periodic Inspection Date:g�/'� r Time: 'og°
742 Bay Road,Queensbury NY 12804 °Re-Inspection j 14 —
518 761 8206/518 761 8205 eCO Inspection Permit#: r )r)
Marshals Representative
ue
MJ Palmer Business Name: Antisa,./ ` Y
Location: pa-6 r ilo_s-rt
GK Stillman Contact: ori u SS4-
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 I`. 4)
Secondary Aisle Width FC 1025&FC1029.11 `/fin `
FIRE EXTINGUISHER: Hung FC 906 1( r `' \ ` _
Inspection of extinguisher FC 906 ejAPAVEVAC PlCYnL FC 404.2
TRUSS ID SIGNAGE FC 505.3 G^y"L�
EMERGENCY LIGHTING: al Cl
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.Signaqe- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact ProtectionFC80 FC 312.1 i k / _ ,
Interior Finishes 803-804 //ItVC \► �—���J�(N'.//
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
ar) .1
16"" / 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 egon Cw �
Sprinkler FDC 1 OK o IS 1B l S�. 1O
Kitchen Suppression Semi AnnualUpaney
Fuel Island Suppression Semi Annual l
Hood Cleaning 3-6-Annual
E AUG 0 20 '
Knox Box:installed/checked FC506
I
Operating Permit, if required will be issued after i FireCompletion of Inspection Town of i ::. .,
Inspection Form �J1go
Town of Queensbury Fire Marshal 0 Periodic Inspection Date:�I3 tlf� Time:
742 Bay Road,Queensbury NY 12804 °Re-Inspection t,R , 3)-7
518 761 8206/518 761 8205 v6 CO Inspection Permit#: l.�
. ire Marshals Representative
MJ Palmer Business Name: (L�i-tsw.. .�N►�
Location: as 51--°1 kt. QC9
X GK Stillman Contact:
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 7 "a:11`n Vci bihig
AISLES: 3 o tic- �•_l 1 toj res-SP
Main Aisle Width FC 1024/1025&FC1029.11 "A"- l'�
Secondary Aisle Width FC 1025&1C1029.11
FIRE EXTINGUISHER: Hung FC 906 /
Inspection of extinguisher FC 906
EVAC Plan FC 4042 a>ignleKrarti
TRUSS ID SIGNAGE FC 505.3 1 tcs' . �wi f
EMERGENCY LIGHTING: 2 1LG o
Interior FC 1006.3&FC1029.B Y
Exterior FC 1006.3 #,..
^
Clearance to Electrical FC 605.3 / n nit 1 _ I 4 L w�
Electric Wiring Enclosed/Labeled FC 605.3.1 \" D
Combustibles in Equipment Rooms FC315.2.3 .4 / pt- po.,f
F.D.Signage- FC 510
No Smoking Signs FC 310.3 7.- /
Storage FC 315.2
Compressed Gas FC 3003 l
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 /
Smoke Detectors FC 907 7.-
CO
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 1C2205.6
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
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
r- -0 f-evd, D i. ((.3 `J r r`
JUL 2 3 2014 ,i
t .__,
TOWN OF -IUEENSBURY
A BUILDING& CODES
I Shop Floor Plan
I
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1 Bathroom
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a
1 nom : Warmer
(Le'a'.77. ."p ''7 ',
681 Maple Lane . . . : .
Niskayuna, New York 12309
Ph 518-346-2002 Fx 518-346-8989
Cer fficate of Inspec l'on:
Periodic inspection
This is b oeltEify that the lift.idektif•Ied below has beea� inspected �h accordance
with ASME A18.1 -Safety Standard for Platform Lifts and Stairway Chairliffs an
Arnerica' n Standard. This lift has been found to be acceptable to operate on this
date of inspection.
Location of Lift Description
Artisan Arts
,:.. . Type:. VPL
928 Rt 9 Capacity 560 pounds
Que.ensbury.NY 12804 Speed: E 15 fpm.
Lift No (City No)_# 1 Manufacturer Trus-T-Lift
This Inspection Certificate expires on Janu6ry,31', 2015 and is subject to
revocation at any time upon failure to comply with the safety standards governing the
equipment covered in the ASME A18.J.Code..
Issued this date: July 31, 2014
i
Inspector,':QEI #.EIWPF 309':-
This lift must have a six month maintenance inspection as called for in AWE A18.1six
months after the inspection date. Reference BG=NYS-PM-606.1.1'
A Certificate of Operation can only be, issued by the Local Authority Having
Jur6diction pay 1S.13C9
THIS CE`I"IFiCATE MUST 9E.POSTED OR MAIN-TAMED ON EiLE AS REQUIRED BY
LOCAL REGULAT O.-
Company: Offal District Elevator LLC__..
i Address 681 Mable!gin _....
f Pidflla City, State, Zip: Nlsk�y,�an NV3U9 _...
—
le _
n Inspector. JohnCbbstal�`` GlEI No: 309
Initial Insp. Date: 7131/14 Re-insp. Date: --=- _
Misc. Info:
ROUTINEINSPECTION REPORT FOR ELEVATORS, ESCALATORS
Address; . .. 928 Rt 9,Q ugensb:ury MY.. Building Name: Arlsan Arts
Maintenance Contract Withf Natib- hW de. _ Certificate.Expires:
Authority: BCNY inspections Due: Periodic
Last NL: Last FL:
___...._.. ................_..__ _ — _—
Car# 4 I
RISE: 2
PASSENGER:
FREIGHT-
ESCALA'6 OR: ..°-
Other _ I VPL --
Name, Title and Telephone of Person Contacted:: Gene-*p rope own t°,913-264-�1634 _
Deficiencies—none observed
Recommendation
® Clean leaves and dirt from.between obstruction pan and car platform
NOTICE:This report.iasbeen complied through the process of interview and obserration..The report reflects only those conditions and
practices which could be ascertained,through Intervrety arid.obsetvation at the time'of the:call by the inspector. It does not representthat
hazards and/or Exposures not.shown.hereon.do not in .fact exist. We do not..assume ariy responsibility for inaccurate or erroneous
information,express or implied,given to the Inspector or to any other matters beyond our cause and control.
'4Y r'i;^,;:'XJd` oS'S.iORtl�' I? i'iwJ � ..�.,>i, Y.,•iw;r.
6i_;1 Mapie Lane...
Niskayuna, NewYork.?2:309.
Ph 538-34,66-2002 Fx 51 Sr,3
.46:
fte Address
_._.___ _._..__......_.______._..• ..........
! city.*
��«� ���� ��•. tv Zip :...ode s-,emsq
t 1�3�'ti�ar - �.�....
""ertival!'P:it>riszla P 2it A t}aePii:ctl itair+s�v C;G2tsrii'P4.
lnJ(."It'.L�•tlUr? t ! r+ r fit'• .
� 2. -,-:�i�j--r,:�cr.�ti'c f stnstiv:tl� `�:3 =P.1 t2uctirati'S
Activity ;� ''.1.2'Rim*ay Noi Prm.-Ided. : 4.2 Guide Rails anct'1 ra/K
h Shcavcv
i Final:�!a_sll'ltlt3! U 2.1.?r?ti zit:?rrtt x iat�t�_i11's 01 A.3 Driving Mcm a�
I F' 't.1 P.l cs r i Pt�la� r 0 4-4 I)ri::ilg ucf�,'trtc i.�rdkcs i
! `.T 13w<)$i_,i$k 2•1.5 Lotter 1_evci:iccci, }.5 5L- I itln',t't1 4u1)ilori Mcans
l tT �lel't:iC'a.l (i'it ��]Ii�cli;1�C1 li.f2 .2.1.6 Electriud Equipment 0 4:6(�llalrs Sc:.it
"?.1.7 Strl+.imli Suppi>rt 1.7 Currts i I...aaui iprcci and hr�,le
Cit.iffltlriV Chair lift } r3!''i•1.81lcadroorn Clearance !:l 4.8 and Gotie inors
tiii$t)ex of Pi35S YPge4 5 Ohe. i 1 4.9 TOrthin ri Si.i)pphl,-y My.il' s
'fl'3 2sye1/ $$ araf.Iye ! sQ' '3 Driving cS•iLarl%and Sh lets 0 =}.10()po,Taung L7a ays ruid Control
-a c brit an ikachu 4 f3r;a1 c; 0 4.11 Cade Data Ph•iL5
•P�pe of Operation CP i �
I wl ..5
t�l�t tuber of Laiitdings _.� G �- 16 Csl�nn 3 Pl tto..nS f3rixin•� LPcans
i.!Illt{lass 1I'E, { .21-7 7€apkrth and Speed. kf�t€izi2lflc
$ f.t 1)irect i ly-eiraulir,
'rape of�r€.ee �i l9r i. - I �. ^� ruin anal Stoppm�rNwicct:i - 0 8.1.2 R.olx d�!raci:ir.
1 , 1 cY ) l U Cip�ritin L):t!rrs tend t antrr•I D 8.1._i I iu rti
(; Screw (� i �.pC1 =.11 ni&!Ierxiy Signals 0 5.1.4 Iiiiders
❑$i.,t'cl.l�Itrnl;Lr C l lrillil ( 3^'"?.12 C- s I�`attal'lata I 8. ops
❑f it'd. Itopcd . ❑ i t'tir. it�t: i1 x..6 W"Wing.
Platform Sint 4t:r3t§ fiacfaincs
W t.. irl• ! Inclined r'latform I i IS i' 8.2
_.__.._............... ....._... ... Ll 1 lZitst tnys
€ .-_. ....._.-_.._...it___ _._. sll. i 0 3.'_Guidk>Rai.k a TI-W ks IriBn£Ct'!(rn5 23 riti I L'ht$ d Sp -.._._. ! ) 3 t.)riviu_; 11 nS<lidShetivcs (ti.l Ckrcrll l�=yu;rcasscn!a
__.
1 Rated twit c$r'itV_ ! M 3.1 Driving r_achine Brakes %i' I0.3.1 One Year hlspcctierl
I �veP'itoi 0 3.5 lus}^i; 3lon llrul Support iv,eanS' Q 1033 Fivc Year limection
i C) .i.C:•tart .nd Matforms t3 1 rr:}ALccixuncc.tni;pectiou
C:eritrifiLi al n.
! Q, 3.7 C2 acid•,Goad;Spccda,ut Annie O 10.4.1 Gesicral equirenicur::.
4.'HOist R.Ope CD.4StritCtid)R..: u .33.8 Lritxs 21nd Gctveinoa, 10.4.2 Type,A th iGovernor
X 5C ;# t '•`ermui>tl Stnppinn C)cvut 0 10.4.3 T;pt A WOIGovcrrsor
s Date�rtit:�t$w � c 0 i• 0 Clrr s da;,Dovices 2snd C ont'hol. 0, 1Ci.d_4`r}pes B and C Sai.;t}
--- ' 0 X.11 r�t•r Tc nc: Signals C} 10.4.5 Normal'relnilrui 'top
7cv icc '
Code Date — Z�'��' Q 3.12 Colo Dtita Plates 0 10.4.6 Stop Ritig p
`hype of`l'cst 10.=r.7 R0116111 Cylinder Ctearanc
ratr.ci}' ❑Gt3VGC1]Ur M 101 3 Specd
[1 Relief�"alve l l 10.5 r Itered r.l;txliniions
' � 'i'rip Speed �� r
l yt7fti�a`�:afel�' -----' 'l�otcs ' ��.� �. �x�. .�' '=''c'"°�_ .jury c�yF�.. ��Lc'�"�•r�..r..��c
El him.Rotl
I ❑ Broken Rope;Chain
❑Slack Ropt;sw. .- Yltj IrL--
flydratllic i'rissures
Emovv
3 Re]ief
Signature of Inspector
fib d#iaz�c�fi t�x t�ev
l