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CO-0671-2018 /OW 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-0671-2018 Date Issued: Wednesday, October 31, 2018 This is to certify that work requested to be done as shown by Permit Number CO-0671-2018 has been completed. Tax Map Number: 309.11-2-36 Location: 4 WESTERN AVE SOUTH Owner: HAYES &HAYES LLC,James Askew Applicant: James Askew This structure may be occupied as a: Certificate of Occupancy Only Tenant: The James Askew Group Allstate Insurance By Order of Town Board Space C TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 4 Variance, or other issues and conditions as a result of approvals by the \ Director of Building&Code nforc- ent Planning Board or Zoning Board of Appeals. _4 4 TOWN OF QUEENSBURY .0.,40101110 '.. ► 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 - -£ Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: CO-0671-2018 Tax Map No: 309.11-2-36 Permission is hereby granted to: The James Askew Group Allstate Insurance For property located at: 4 WESTERN AVE SOUTH 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 Owner Name: James Askew Certificate of occupancy $0.00 Owner Address: 28 Broad ST Total Value $0.00 Glens Falls,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy Only Tenant:The James Askew Group Allstate Insurance Space C $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 25, 2019 (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 he expiration date.) Dated at the To of Qu sbu 4T �„ •, •ctober 25, 2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement 4 CERTIFICATE OF OCCUPANCY ONLY Office Use Only (A971— 20 /6/ tt,V4 APPLICATION Permit#: Tow'or fticensbut 0(Al 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8206 or 518-761-8205 www.queensburv.net **This application is for occupancy onlwith no work requiring a building permit** CONTACT INFORMATION: UL1 2 3 2018 I • Applicant — Name(s): , ,100Akts Mailing Address, C/S/Z: 3UltA-e_rvk A-Vt- v)-A0 Cell Phone: (51)s ) 5-Fs% Land Line: Email: joStunik 5-0 0 ya,krZ,C..(5\Ak • Business Owner(s): Contact Name(s): Ats tAA) Mailing Address, C/S/Z: j 3 (A)tS\t We,e,t.,\_.S s-6 Cell Phone: ( Land Line: _( Email: • Manager: Contact Name(s): A Mailing Address, C/S/Z: ,c-ock_ct SF Cell Phone: ( ) Land Line: ( 000 Email: pfdLC vv\ 5-6 Lle\koo. • Property Owner(s): Business Name: 1---\-17,y es - I • C>-voucp 1-‘ Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ql Email: Certificate of Occupancy Only Revised June 2017 V1 <tta'15 tt(4oc r1kbi1.'`; 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net BUSINESS INFORMATION: Name of business: ~ 1 .. ,,�t, vh;eg -S t,�..c� r WO' 1Th h. tAC' a e— Address (including suite, space, etc.): S UUn'S 'e0/\ Aiw 0,,,,,,,,akly11/ i-d Type of business (i.e.: retail, car repair, etc.): kx c1,trC kA Please provide an accurate layout of your store showing all Walls, exits, stockrooms, rest rooms, counters and fixtures on a separate sheet of paper. IMPORANT: 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 Town of Queensbury 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 and a re-inspection. c Applicant name: j Applicant signature: 1aime— AtAtkal . (€t) Date: )b l' ,.3 a j Certificate of Occupancy Only Revised June 2017 lilt Town of(tjcenshur 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensburv.net EMERGENCY CONTACT INFORMATION **THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN GAINING ENTRY TO YOUR BUILDING.** PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL. Date: 1 6 b3 )a/gJ Business Name:.--rht 77-:„v,„,,,,-, A ) 1,5t+, 4►43,, L .., Business Location (including suite, space, etc.): 9 _c pip„.„-favk Avt aittAAS bly,/)/P'S -6)Lf Business Phone#: � ' d 2\g'4% 000 a-- 1. Contact name: Yi'w t A-sp.....,e,cA) Main Phone: ( 51? ) � �a1{ ; Secondary Phone: ( ) Coming from what town/village? ItAA-S �� ( is At y 1 %5cs I 2. Contact name: -7-Tv. cy r - Main Phone:_( � I ) - 7 C1 ( 3)O 0; Secondary Phone:_( ) Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 518-7 61-8206 F: 51 8-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 FIRE MARSHAL'S OFFICE ei01111,Wki Town of Queensbury W O W 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW James Askew Group, The Allstate Insurance 4 Western Ave, space C CC-0671-2018 10/24/2018 The following comments are based on review of the submitted plans: 1) Verify operation of existing Exit / Emergency lights in the space. Addition may be required. 2) Fire Extinguisher locations to be discussed. 3) Locks / latches shall comply with the 2015 International Fire Code. 4) Carbon monoxide detection will be required Per NYS part 1228- must be a plugin with battery backup or a battery only type with a ten year battery. (NOTE: cannot be a smoke/CO combo unit). (office only) Deputy Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • F a x: 518-745-4437 fireniarshal@queensbury.net • www.queensburtj.net INSPECTION WORKSHEET (007724-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CO-0671-2018Permit Case Number:Case Module: Wed Oct 31, 2018Passed Inspection Date:Inspection Status: Gary StillmanGeneral (Fire Marshal) Inspector:Inspection Type: 4 WESTERN AVE SOUTH309.11-2-36 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName Primary OwnerAskew, James Property OwnerHAYES & HAYES LLC Granted PermissionThe James Askew Group AllstateAskew, J. Anthony Insurance ApplicantAskew, James Checklist ItemPassedComments Fire Marshal NotesYESJames Askew 10/3/18 ok for CO Exit AccessYES Exit EnclosureYES Exit DischargeYES Locks and LatchesYES Sign: NormalYES Oct 31, 2018Page (1) INSPECTION WORKSHEET (007724-2018) Checklist ItemPassedComments Sign: backupYES Main Aisle WidthYES Secondary Aisle WidthYES Fire Extinguisher HungYESPROVIDE FIRE EXTINGUISHER AS DISCUSSED, 5Ib. ABC TYPE 10/31/18 ADDED AS DISCUSSED Inspection of ExtinguisherYES Energency Lighting ExteriorYES Clearance to ElectricalYES Electric Wiring EnclosedYES Combustibles in Equipment RoomsYESRemove combustibles from electrical room FD SignageYES StorageYES Interior FinishesYESREPLACE ALL CEILING TILES DISCUSSED CO DetectorsYESADD CARBON MONOXIDE DETECTOR PER NYS PART 1228- (1) as discussed MUST BE PLUGIN WITH BATTERY BACKUP OR BATTERY ONLY TYPE WITH A TEN YEAR BATTERY 10/31/18 CORRECTED Oct 31, 2018Page (2) INSPECTION WORKSHEET (007724-2018) Checklist ItemPassedComments Clearance to Sprinkler/CeilingYES Stillman, Gary (Inspector) Oct 31, 2018Page (3) „:„,„ .a Town of Queensbury- Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building (518)761-8206 Fire Marshal Case Number: CO-0671-2018 Case Module: Permit Inspection Date:Tue Oct 30, 2018 Inspection Status: Failed Inspector: Gary Stillman Inspection Type: General (Fire Marshal) Job Address: 4 WESTERN AVE SOUTH Parcel Number: 309.11-2-36 Queensbury, NY 12804 Contact Type Company Name Name Applicant Askew,James Granted Permission The James Askew Group Allstate Insurance Primary Owner Askew,James Property Owner HAYES&HAYES LLC Checklist Item Passed Comments Fire Marshal Notes YES James Askew Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Sign: Normal YES Sign: backup YES Oct 30,2018 Page(1) } n•- ,,,�z.1� � � �, .:. f �.� �r•�. .3. "' ... Ate - � .��-�"�v_>��`.. ,.��` •,�_ Checklist Item Passed Comments Main Aisle Width YES Secondary Aisle Width YES Fire Extinguisher Hung NO PROVIDE FIRE EXTINGUISHER AS DISCUSSED, 51b. ABC TYPE Inspection of Extinguisher NO Energency Lighting Exterior YES Clearance to Electrical YES Electric Wiring Enclosed YES Combustibles in Equipment Rooms NO Remove combustibles from electrical room FD Signage YES Storage YES Interior Finishes NO REPLACE ALL CEILING TILES DISCUSSED CO Detectors NO ADD CARBON MONOXIDE DETECTOR PER NYS PART 1228-(1)as discussed ST BE IN IE BR BATTERYMU ONLY PLUG TYWPETH WITHBATT A TEN RY YEARACKUP BATTERY Clearance to Sprinkler/Ceiling YES ti man, ary nspector Oct 30,2018 Page(2)