2008-579 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUP-A-N- CY
Permit Number. P20080579 Date Issued: Tuesday, December 02, 2008
This is to certify that work requested to be done as shown by Permit Number P20080579
has been completed.
Location: 1025 STATE ROUTE 9 A-2000
Tax Map Number. 523400-296-013-0001-024-000-0000
Owner. WILLIAM T. CRIST
Applicant: WILLIAM T. CRIST
This structure may be ocEJACK TIRE CENTER
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.
I
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080579 Application Number. A20080579
Tax Map No: 523400-296-013-0001-024-000-0000
Permission is hereby granted to: WILLIAM T. CRIST
ADIRONDACK TIRE CENTER
For properly located at: 1025 STATE ROUTE 9 A-2000
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: WILLIAM T. CRIST Certificate of Occupancy(COM)
34 BONNER Dr Total value
QUEENSBURY,NY 12804
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-579
ADIRONDACK TIRE CENTER - CIO ONLY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 05, 2009
(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 reT�Oof ens ry; ednesday,November 05,2008
for the Town of Queensbury.
SIGNED BY Qu ury.
Director of Building&Code Enforcement
Commitnity Development Office
R ,
Town of Queensburif • 742 Bay Road • Queensbury, Nezn York •12804
•David Hatin,Director of Building&Codes 0
Craig Brown, Zoning Administrator•Michael J.Palmer,Fire Marshal 11
-----------------
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP # ?,q& r 13 - Zy BLDG. PERMIT FILE#-
It
applicable
Name of Business:
Address 'O 2 (� OV E ►53v�y /�/ 12 0
Of Business: � Q QUESTIONS? CALL 761-8256 OR
EMAIL codesCfaueensburv.net
�n^! � VISIT OUR FORM T FOR MORE
Person in Charge or Manager: C�r-� INFORMATION
G� ueensbur�.net
Business Phone Number: � / 3����1 (Lfz1 -3(0Z' CALL--
Type of Business: 1��Z3 ��-� q -
Owner of Property: fif PhoneNumber(s): '>53-3`►J'Z Ylc
Home Ceti
Owners
Address: .3 Y
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.
Signature: >— �i Date: i0lWof
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: 1() — Z7'0 g
BUSINESS NAME: P 'biq2fj"I cK_ '�f-
P
BUSINESS ADDRESS: _ � ® Z5 F�-QQ 9 /Vy Rob yfi� I Q V�-���`�
BUSINESS PHONE: � 1�— b b 7
HOME
CONTACT 1: �►� - PHONE �5l "3�3 g 1
ADDRESS: 7 M A2-CftHOME
CONTACT 2: LAr1k_V �t Stf HONE �f'�'37d`y(75'
ADDRESS: (q D & .
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 OFF QUEENSBURY FIRE MARSHAL'S OFFICE
Ph one. 518-761-8206 F a x: 518-745-4437
iremarshal@queensburij.net www.queensbu!ii.net
FIRE MARSHAL'S OFFICE
Town of Queeuisbury
742 Bay Road, Queettsbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
2008-579
Adirondack Tire center
11/5/2008
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) Fire extinguisher locations to be discussed
2) All exit and emergency lighting will require function test
Note: I have reviewed the layout drawing submitted on 11/5 for tire storage.
The layout proposed is acceptable and does not meet the threshold for sprinkler
protection in the building. Any deviations may require an additional review.
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 761 8206
firemarshal@queensbury.net
Fi r e M a r s h a l 's Off i c e • P h o n e: 518-761-8206 • F a x: 518-745-4437
firemar•slial@queensbury.ftet • uw7w.queensbury.net
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. t-7q
Town of Queensbury
742 Bay Road ► ��i V�\ [ 313
Queensbury,NY 12804 Scheduled Inspection Date: Time: (/
Phone: (518)761-8206 Business Name: ; ::[-j 1ftA. CL-Azit41t,
Fax: (518) 745-4437 Location:
T of cillm N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary-'Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER: "1-
Hung
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-I(itchen
Fire Suppression-Gas Islan
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 Sign
Emergency Evacuation Plan
proved (If no other approvals apply,the B&C Office will is ue the erti is a of Occupancy)
��Ap Denied I call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
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