CO-000139-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000139-2017 Date Issued: Tuesday, April 25, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000139-2017
has been completed.
Tax Map Number: 302.11-1-2
Location: 643 GLEN ST
Owner: T&M Jacobs Properties,LLC
Applicant: Primelink, Inc.
This structure may be occupied as a: Certificate of Occupancy;first floor
(voice and data) By Order of Town Board
Prime Link TOWN OF QUEENSBURY
Cross Ref. Site Plan Review 8-2017 �`�
Issuance of this Certificate of Occupancy DOES NOT relieve the r
property owner of the responsibility for compliance with Site Plan, /YJ
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000139-2017
Tax Map No: 302.11-1-2
Permission is hereby granted to: Primelink,Inc.
For property located at: 643 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
Tvce of Construction
Owner Name: T&M Jacobs Properties,LLC Certificate of occupancy $0.00
Owner Address: 643 Glen ST Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy;first floor
(voice and data)
Prime Link
Cross Ref. Site Plan Review 8-2017
$50.00 PERMIT FEE PAID,THIS PERMIT EXPIRES: Tuesday,April 10,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of QueensbuLLbefbre the axxpirattonn date.)
Dated at the Town o Queens // WMoo017
SIGNED BY: ' / for the Town of Queensbury.
Director of Building&Code Enforcement
302.11-1-2 CO 139-2017
Town of Queensbury Fire Marshal Prime Link
643 Glen Street (1st floor)
ESTABLISHMENT OF A NEW BUSINESS C/O with cross Ref. P-SP-8-2017
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION ,.-.
Permit Fee:
Note: This application is for occupancy only,with no work requiring a building permit. v
Name of Business vpo M CLIA K Address — D LS2
C g
Type of Business %I A 5 1 1 Grn1
Manager � Ai,� :0 2
OR (��E� Ca�1NW1 TOWN OFQUEENSBURY
Person in charge �l�' J COMMUNITY DEVELOPMENT
Business Phone No.
Property Owner
Address (:ALL I
Phone 1� � � '♦(p0
,/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: _t
Date:
Notes 1 Comments:
CASs SPS S`-d-017
I��lovr
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
Please print clearly
' \I 302.11-1 -2 CO 139-2017
DATE: 17 Prime Link
643 Glen Street (1st floor)
BUSINESS NAME: �iNK
C/O with cross Ref. P-SP-8-2017
R��E
BUSINESS ADDRESS: �3 uPP�� R c(
BUSINESS PHONE: 1� — mZj
PHONE 1:
CONTACT 1: Si�J� �ovtttv\,\tC1C PHONE 2: RcZ�i)
TOWN/VILLAGE RESPONDING FROM:
PHONE Is �3
CONTACT 2: �P� C �1 PHONE 2:
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@queensburynet • www.queensburu.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
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302.11-1-2 C0139-2017
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MENT 643 Glen Street (1st floor)
C/O with cross Ref. P-SP-8-2017
EMERGENCY CONTACT UPDATE
Please print clearly
DATE:l-1
BUSINESS NAME:
BUSINESS ADDRESS: G tl
BUSINESS PHONE:
_ PHONE 1: S�c �
CONTACT 1: ���J� �avttF��Ct� PHONE 2:
TOWN/VILLAGE RESPONDING FROM: G�PcMP1-�1a ��Y
l PHONE 1S5�8 �C -Q�
CONTACT 2: �tl�� CYc�.�1N PHONE 2:
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
P h o n e: 518-761-8206 • F a x. 518-745-4437
feremarshal@queensbury.net wzvw.queensbury.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
Please keep the approved plans on-site
Site Plan 8-2017 PRINIELINK, INC.
Attached is a copy of your final approved plan signed by Zoning Administrator Craig Brown. This is
the only copy you will receive Please make sure your contractor receives these plans and keeps
them on site.
Before any work is started please contact Bruce Frank, Code Compliance officer at 761.8226. He will
inspect the project at various stages to ensure your project is in compliance with your approved
plans.
This is separate from inspections performed by the Building & Codes office.
Applicant(s) PRIMELINK. INC. Application Type Site Plan 8-2017 _
Owner(s) T& M Jacobs Properties,LLC SEQR Type Unlisted
Agent(s) n/a Lot size 5.38 acres
Location 643 Glen Street Ward: 2 Zoning Classification: Cl
Tax ID No. 302.11-1-2 Ordinance Reference 179-3-040
Cross Reference SP 41-2003 fence/landscaping; SP 42- Warren Co.Referral February 2017
2005 warehouse;AV 64-2006 storage
bldg.
Public Hearing February 14,2017 Site Information
Project Description: Applicant proposes to lease 1,843 sq.ft. first floor interior space of an existing building 27,488 sq.ft.
(footprint),31,182 sq.ft.(floor area). Project is intended for anew tenant—no changes to interior,building exterior or site. Pursuant
to Chapter 179-3-040 of the Zoning Ordinance, adding a tenant to an existing building shall be subject to Planning Board review and
approval.
Plans reviewed/approved by -Craig arrwYrk �oninq Ad"giinistrator on ��2.,LZand copies
distributed as follows: Applicant, File, Bruce Frank, Code Compliance Officer, Building Permit file
FIRE MARSHAL'S OFFICE
Toxon of Queensbury
742 Bay Road, Queensbury, NY 12804
(Dw " Horne of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Prime Link
643 Upper Glen
CO-000139-2017
4/5/2017
The following comments are based on review of the submitted plan:
1) FM to verify location and function of exit and emergency lighting
2) FM to verify locations of fire extinguishers
3) FM to verify paths of egress
4) Carbon Monoxide detection may be required
5) FM to verify storage space
6) FM to verify compliant locks / latches
Fire Marshal
Michael J Palmer
Fire Marshal
518 761 8206
firemarshal@queensbury.net
Fire Marshal 's Office • P k o n e: 518-761-8206 • Fax: 518-745-4437
ftrentarshal fteensbtimnet • 7MMqueensbuni net