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CO-0667-2018 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-0667-2018 Date Issued: Wednesday, November 7, 2018 This is to certify that work requested to be done as shown by Permit Number CO-0667-2018 has been completed. Tax Map Number: 303.16-1-31 Location: 473 DIX AVE Owner: William Bennett, Brian Hill Applicant: Brian Hill This structure may be occupied as a: Certificate of Occupancy Only Tenant: B &W Auto Service By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (7 J 4i/tn.- /� property owner of the responsibility for compliance with Site Plan, /d 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 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: CO-0667-2018 Tax Map No: 303.16-1-31 Permission is hereby granted to: B&W Auto Service For property located at: 473 DIX AVE 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: Brian Hill Certificate of occupancy $0.00 Owner Address: 24 RHODE ISLAND AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy Only Tenant:B&W Auto Service $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,November 1,2019 (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 t expiratio •:tee Dated at the Town Quee ury; T •r.i-; ,November 1,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY Office Use Only APPLICATION Permit#: C —0 t9 /? 7i)wn r:�'t recr►� uty Permit Fee:$ /OC'.. DO 742 Bay Road,Queensbury,NY 12804 O C T 2 2 nitce#: (� 1 7 7i- P:518-761-8206 or 518-761-8205 www.queensbury.net **This application is for occupancy only, with no work requiring a building permit** CONTACT INFORMATION: • Applicant: Name(s): ck.0 Mailing Address, C/S/Z: Z3-1 9Yy: ok Cell Phone: ( ice ) ��CQ I r 4 Land Line: ( ) Email: • Business Owner(s): Contact Name(s): jr c\CI \ ii Mailing Address, C/S/Z: PrWQ- i k ur 4.{ Cell Phone:_(,i 1) 7_2 -1- Land Line: _( ) Email: • Manager: Contact Name(s): Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: • Property Owner(s): Business Name: 1C_� Contact Name(s): 1 rim � C. MailingAddress, C/S/Z: � tim‘ex.)(1A Cell Phone:_(6% ) vs t Land Line: _( ) Email: Contact Person for Building& Code Compliance: Cell Phone: (' , ) ( -439-4-- Land Line: ( ) Email: Certificate of Occupancy Only Revised December 2017 ' r T€%.u<:f( yt'cll.cbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net BUSINESS INFORMATION: Name of business: PY� NAIC W Address (including suite, space, etc.): 142 D t s Q cliASVD .)\71 -V)\ Type of business (i.e.: retail, car repair, etc.): Cc e_ po,.\\ kr-- 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. Applicant name: kf\0U7Th "'- Applicant signature: Date: \CO Certificate of Occupancy Only Revised December 2017 R ► row= 4 4'c ccn.;un° 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: , Business Name: Business Location (including suite,space,etc.): `—� S Di' -( oe9.___c\c*)L) 'Pq k 04- Business Phone#: P&C) I, 1 1. Contact name: PJCV2\f\ \ V \\ Main Phone:_( ) t ;Secondary Phone:_( Coming from what town/village? ( 3€Q_flCitsYLf 2. Contact name: f �� nik-e—h) 11C Main Phone:_( , ) ( Da94--; condary Phone:_( Comingfrom what town/village? 6 g �� TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:518-761-8206 F:518-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised December 2017 FIRE MARSHAL'S OFFICE wr � Town of Queensbury 1 Warn'I 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW B & W Auto Service 473 Dix Ave CC-0667-2018 10/23/2018 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) 4,4 Dep rty 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 • Fax: 518-745-4437 firemarshal@queensbury.net • www.queensbury.net INSPECTION WORKSHEET (007903-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CO-0667-2018Permit Case Number:Case Module: Wed Nov 7, 2018Passed Inspection Date:Inspection Status: Gary StillmanGeneral (Fire Marshal) Inspector:Inspection Type: 473 DIX AVE303.16-1-31 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName Granted PermissionB & W Auto Service ApplicantHill, Brian Primary OwnerHill, Brian Property OwnerBennett, William Checklist ItemPassedComments Fire Marshal NotesYES Exit AccessYES Exit EnclosureYES Exit DischargeYES Locks and LatchesYES Sign: NormalYES Main Aisle WidthYES Nov 07, 2018Page (1) INSPECTION WORKSHEET (007903-2018) Checklist ItemPassedComments Secondary Aisle WidthYES Fire Extinguisher HungYESHANG FIRE EXTINGUISHERS AS DISCUSSED 11/7/18 CORRECTED Inspection of ExtinguisherYES Energency Lighting InteriorYES Clearance to ElectricalYES Electric Wiring EnclosedYES Combustibles in Equipment RoomsYES FD SignageYES StorageYES Compressed GasYES Vehicle Impact ProtectionYES Interior FinishesYES CO DetectorsYES Clearance to Sprinkler/CeilingYES Exterior StorageYES Stillman, Gary (Inspector) Nov 07, 2018Page (2) Town of Queensbury- Building and Codes- Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number: CO-0667-2018 Case Module: Permit Inspection Date: Mon Nov 5, 2018 Inspection Status: Partial Pass Inspector: Gary Stillman Inspection Type: General (Fire Marshal) Job Address: 473 DIX AVE Parcel Number: 303.16-1-31 Queensbury, NY 12804 Contact Type Company Name Name Primary Owner Hill, Brian Applicant Hill, Brian Property Owner Bennett, William Granted Permission B&W Auto Service Checklist Item Passed Comments Fire Marshal Notes YES Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Sign: Normal YES Main Aisle Width YES Nov 05,2018 Page(1) • INSPECTION WORKSHEET (007798-2018) Checklist Item Passed Comments Secondary Aisle Width YES Fire Extinguisher Hung NO HANG FIRE EXTINGUISHERS AS DISCUSSED Inspection of Extinguisher YES Energency Lighting Interior YES Clearance to Electrical YES Electric Wiring Enclosed YES Combustibles in Equipment Rooms YES FD Signage YES Storage YES Compressed Gas YES Vehicle Impact Protection YES Interior Finishes YES CO Detectors YES Clearance to Sprinkler/Ceiling YES Exterior Storage YES ti man, ary nspector Nov 05,2018 Page(2)