2009-149 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090149 Application Number. A20090149
Tax Map No: 523400-302-006-0001-043-000-0000
Permission is hereby granted to: NORTHGATE ENTERPRISES INC
For property located at: 797 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: NORTHGATE ENTERPRISES INC
PO BOX 4514 Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-149
c/o only MARINO'S PIZZA
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 29, 2010
(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 f Que buWednesday,April 29,2009
s
SIGNED BY for the Town of Queensbury.
Co a Enforcement Director of Building&
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE (31'r' OCCUPANCY
Permit Number. P20090149 Date Issued: Friday, May 29, 2009
This is to certify that work requested to be done as shown by Permit Number P20090149
has been completed.
Location: 797 STATE ROUTE 9
Tax Map Number. 523400-302-006-0001-043-000-0000
Owner. NORTHGATE ENTERPRISES INC
Applicant: MARINO'S PIZZA
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 owner of the responsibility for compliance with Site Plan,
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.
---------------
Community Development Office � `
Town of Queensbury • 742 Bay Road • Queensbury, New York
, ate
1- •David Hatin,Director cf Building&Codes APR 2 4 2009
Craig Brown, Zoning Administrator-Michael J.Palmer,Fire Marshal
TOWN (IF-0
BUILD NSBURY
ESTABLISHMENT OF A NEW DES
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# 2- vU ,C�Z. 6- !-LO BLDG. PERMIT FILE# ��_ L7
7
It appflu e
. /
Name of Business: r/� / �V/lI
Address rt r-1 of Business: 1 d I "1 1< 9 &,"AISGj- j y 12 66 y QUESTIONS? CALL 761-8256 OR
j EMAIL codesCa)_aueensburv.net
Person in Charge or Manager: / c01 �4 ( `021In I GT k VISIT OUR FORM T I FOR MORE
INFORMATION
www.aueensbury.net
Business Phone Number:
Type of Business:
Owner of Property: Ajor�ka pte �tl /k/c, -L-fl o e Number(s):
Hone Cell
Owners
Address:_ f1cl1 R-hel (Oo-u is6 cy
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
_ J
Signature: Date: c� l�
Of person submitting this form
Notes/ Comments:
"Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: V � C)_ APR
2009
BUSINESS NAME: aU1LO IN NSf3s Y
BUSINESS ADDRESS:
BUSINESS PHONE:
,3HOME
CONTACT 1: fit" �179/ PHONE
ADDRESS: -) Z !zq/safe /- Zake (�O_n sae L
HOME
CONTACT 2: PHONE
ADDRESS:
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: 5.18-761-8206 Fax: 518-745-4437
.firemarshal@queensburj net wwzv.queensbuVj net
41
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2 4 2009
TOWN OFUCENSBURY
BUILDING& CODES
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Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road 3:`S7
Queensbury,NY 12804 Scheduled Inspection Date: me:
Phone: (518)761-8206 Business Name:
Fax. (518) 745-4437 Location: 27
T of cNon N/A Yes Ho
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Seconds Aisle Nl'idtfZ
EXIT SIGNAGE
Sion—normal
Si -battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Are Suppression—kitchen
Are Suppression—Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
�f!
Electric Ming Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e—Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
❑ Denied / call for Recheck
lnsp fed B
L:\FireMorshal\New Folder\permitto occupyform.doc
Commercial Final Inspection oft
Office No.: (518) 761-8256 Date Ins ection requ ive .
Queensbury Building&Code Enforcement Arrive: r Depart: �� a p
742 Bay Road, Queensbury,NY 12804 Inspector's Initi s:
1 >
NAME: G( PERM #:
LOCATION: OL3k ARE.
'`` // COMMENTS:
Y N NA �
(---'`�t
Chimney
/"B"Vent/Direct Vent Location t
Plumbing Vent Through Roof 6"/Roof Complete /�
Exterior Finish/Grade Complete 6"in 10' or Equivalent �- 02 i
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.-38 in. /Step Risers 7"/Treads 1111
��'r�✓Y
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in. w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36 w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors
> 10%> 1000 s . ft.
3/4 Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping,3,000 s . ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler L 6'
Building Access All Sides by 20' /Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. 495F-e _
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: Time: �S
r
Phone: (518) 761-8206 Business Name:
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE } 6>f b
Sian-normal
Sign-battery 1L
EVAC signs in rooms
TRUSS ID SIGNAGE LL DD
EMERGENCY LIGHTINGZy-L✓G /c^ /��" �✓( G �' J
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher k-45
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC C� � %I `� lC�✓ /
Fire Suppression-kitchen
Fire Suppression-Gas Islan r
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sin
Emergency Evacuation Plan I
o pproved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
Denied / call for Recheck
Insp ted
71
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
N ? MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Ca-
that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on.the date
noted below and is issued subject to the following conditions.
Owner. Marina Pizza Date: 05/19/2009
Occupant: Commercial Location:Aviation/Rt.9
Occupancy: Non-Residential Queensbury, Warren Co. NY
Applicant F
Marino
79e State
Queensburyry, NY 12
L J R
Raymond A, No.
No. 3180
Equipment: - - - - - - -I- - - - - - - - - - - - - - - - - -
1 -Switch; 5- Receptacle 1 -22 p
CTIOQ
d
N
CE i
�, This oerlificate applies to the electrical wiring to the electrical equipment listed immediat*null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy oQ ownership
r— inspealon, No warranty Is expressed or implied as to the mechanical safety,affl- of the property indicated above,this certificate shall be immedlatety nuti and void.
ciency or frtrtess of the equipment for any particular purpose. This certificate shall In the event that this certificate beconnas Irrvalld based upon the above conditions,
a be valid for a period of one yeas horn the above noted.dale. Should fhe electrical This certificate may be revalidated upon relnspection by Middle Departmenl
system to which this certiffCale applies be elfered in any way,including but not limit- inspection Agency, Inc. An applfication for kupection must be submitted to Middle.
ed lo,the Introduction of additional electrical eq*ment ancVor the replacement of Department Inspection Agency, Inc.to initiate the inspecs;on and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee v40 be charged for this service.