2014-341 ``
Ejo r ` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140341 Date Issued: Wednesday, August 20, 2014
This is to certify that work requested to be done as shown by Permit Number P20140341
has been completed.
Location: 17 SWEET Rd
Tax Map Number: 523400-296-013-0001-083-000-0000
Owner: 17 SWEET RD LLC
Applicant: CHARLES & KATHERINE FUSS
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 (DJ
owner of the responsibility for compliance with Site Plan, Variance, or �����F//// 1� '
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
`ow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140341 Application Number: A20140341
Tax Map No: 523400-296-013-0001-083-000-0000
Permission is hereby granted to: CHARLES &KATHERINE FUSS
For property located at 17 SWEET 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: CHARLES & KATHERINE FUSS
17 SWEET Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-341 DalPat Ventures LLC
C/O Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 31, 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 Queen bury; - a a/Jul 31,2014
SIGNED BY - for the Town of Queensbury.
Director of Building& Code Enforcement
Town of Queensbury Fire Marshal Office Use Only
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: _
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: —
`Note: This application is for occupancy only,with no work requiring a building permit. Permit Fee: 67) �
Name of Business
A c f1- T S E N T w e e.f c tt7:7-r- -
Address / s W E ET R D /D1 f - `L' V Lam;
Type of Business & t'T'DODJQ (74xxJ�k i11u/�/.r /r / .3?� �L ���
Manager YY 2 8 1014 IUI
OR TOWN OF
Person in charge f} 'Rt ck C4 (.4 � a� B QUEENSBURY
BUILDING& CODES
Business Phone No. 7 73- 843--
Property
3- $0g,--
Property Owner 17 J GJ E E T f2 t) (-LC-
Address
-LCAddress / 7 s u1 E er R p
Phone 7 5'3—gQ Sl r
/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: 'f}T,f?tC Oct67/EA.
Signature: � r. <
Date: V2 g- /4c
Notes I Comments:
Fre/14c2544 vlsx-kcPo-- Ai. Az,l2-aCaoice xeikee Rithei
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
C�' fs
EMERGENCY CONTACT UPDATE
JC� Cs'UL28u2014 �J
TO: Warren County Sheriffs Department TOWN&QUEENSBURY
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: 7/� / y
BUSINESS NAME: 7)A- t- ,f-T Vit N77kgj L L
BUSINESS ADDRESS: / 7 S e1JF ET
BUSINESS PHONE: 7 9 3- ?O e.3—
CONTACT 1: ripfrila Eck CAuT'HOMEPHONE 7 93- 9.Oir
ADDRESS: /0 Z. 64'71 S et ,p
CONTACT 2: /i/ TI/CY &,4Zf7/`H4ME PHONE SANe
ADDRESS: SA rC
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
17 E57RAPsi-3kt/
E__ it: it V i [^\
JUL 2 8 2014 � DA t-P>4I ISA -P6-175
TOWN OF QUEENSBURY
RI I ING & CODES
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Inspection Forme �/ /s�'30
Town of Queensbury Fire Marshal 0 Periodic Inspection DateD OfjIt`l Time: �v
742 Bay Road,Queensbury NY 12804 o Re-Inspection I�_ 9 I
518 761 8206/518 761 8205 O'CO Inspection Permit#:
Marshals Representative
F
MJ JPalmer Business Name: �6�2c�
Location: I? 5tacct Z9
GK Stillman Contact: S- t,C
Type of Inspection N/A Yey 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
SLES /
backup FC 1011.5.3&FC1029.7.5 b r /AISLES:
+-on._
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 l/j
FIRE EXTINGUISHER: Hung FC 906 .„........-2,
Inspection of extinguisher FC 906Ilk
C ///'
EVAC Plan
404.2
TRUSS ID SIGNAGEFC 505.3 / WV
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 4-
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 / Sr. ��
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 Waming Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 Insp OK 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 AnnualF1e RAaTeN
Fuel Island Suppression Semi Annual ' OK to•lssuece y
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 _
AU�014
Operating Permit, if required will be issued after
Completion of Inspection Fire Marshal
T e of Quenbyry