2012-572 I�� TOWN OF QUEENSBURY
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
c_ Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120572 Date Issued: Wednesday, February 27, 2013
This is to certify that work requested to be done as shown by Permit Number P20120572
has been completed.
Location: 309-313 BAY Road
Tax Map Number: 523400-302-008-0001-007-000-0000
Owner: FRANCIS T COLLINS
Applicant: CHARO'S UNISEX HAIR DESIGN
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 Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120572 Application Number: A20120572
Tax Map No: 523400-302-008-0001-007-000-0000
Permission is hereby granted to: CHARO'S UNISEX HAIR DESIGN
For property located at: 5 COLLINS Dr
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: FRANCIS T COLLINS
1399 PILOT KNOB Rd Certificate of Occupancy(COM)
KATTSKILL BAY NY 12844-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-572
CO Only- Charo's Unisex Hair Design
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 06,2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Townigf$u ensbury Thur.day,December 06,2012
SIGNED BY < 6 /' /4/ for the Town of Queensbury.
Direc..2.)6144
tor"of Building&C.de En cement
5 Community Development Office
NW Town of Queensbury• 742 Bay Road• Queensbury, New York •12804
Date
David Hatin, Director of Building& Codes DE
Craig Brown,Zoning Administrator Michael J. Palmer, Fire Marshal tE
' J
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP# g 'I - ( BLDG. PERMIT FILE# Ia- s 74A
If applicable
Name of Business: CthWL() „a jiLy,j ', I/-wu
Address
of Business: , JV / I l 0/,01"111 j��� QUEAILSTIONS? CALL 761-
codes(a�queensb8256net OR
�I 1/ EMunr.
VVEBSITE
Person in Charge or Manager: I I'`4C �r 1 /,(J I I C J VISIT OUR INFORMATION FOR MORE
www.aueensbury.net
mbe� r79J --J
Business Phone Number:
Type of Business: JL114�, 5 ti/ 51k.P
GYM.
Owner of Property: l ,c4 n k 0//.;1 s Phone Number(s): 74 3-7 746
Home Ce
Owners Address: I O ? �rl, LS--. k expsixf
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
7//Signature: ���cw Date: /Z/Y/i 7_
Of person submitting this form
Notes/Comments:
EMERGENCY CONTACT UPDATE
�JH%; 4; 7012
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 4/Slid--
BUSINESS NAME: C V)%A 5 (ti' ic I-/iw
BUSINESS ADDRESS: 3 o 9 al - 6hu±i i?j C L/
BUSINESS PHONE: 5 Z.31/ )
j,( 53g.
CONTACT 1: r't S )' / C U HOME PHONE 5 8 9
� C� 5)_
ADDRESS: / C Qu1 0 . fagot,/
CONTACT 2: bavia,aL, "&)t J HOME PHONE 54 9d 9.e
ADDRESS: 9/2CW'1 M1/1 Otib p Stti11tG1615 Fiala /" fcX O3
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.
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: ) ')5 Time: I.3
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 'CO Inspection Permit#:
Fire arshals Representative
MJ Palmer Business Name: b-A+‘o S `/ Ut S
•
Location: 30( e 2A>
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign: Normal FC 1011 &FC1029
Sign: backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
41,
FIRE EXTINGUISHER: Hung FC 906 VY�
Inspection of extinguisher FC 906
EVAC Plan FC 404.2 CO(41C(15
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 �^
Electric Wiring Enclosed/Labeled FC 605.3.1C)
^ /J �� e
Combustibles in Equipment Rooms FC315.2.3 / 1 1 t( T(�
F.D.Signage- FC 510 �! 1
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC , is f
Kitchen Suppression Semi Annual f_h; I P::,.x ;'.
Fuel Island Suppression Semi Annual P
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 fir,
Ali:
`�v t
Operating Permit, if required will be issued after
Completion of Inspection
Inspection Form 1 du
Town of Queensbury Fire Marshal o Periodic Inspection Date: II g76.1/3 Time: 9
742 Bay Road,Queensbury NY 12804 �Re-Inspection `. _� m
518 761 8206/518 761 8205 CO Inspection Permit*:
Fir arshals Representative
)(MJ Palmer Business Name: Ckftho.s ONIISIK
Location: ,61 B a'I 1
_ GK Stillman Contact: �t1&PI"'
Type of Inspection N/A Yeses No
EXITS: Exit Access FC 1014&FC1029 �/' NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029 /'
Sign:backup FC 1011.5.3&FC1029.7.5 f ill° i V1 S ffrli AC0 0 1 S hi
lk
AISLES: TPL-5-00 In C GVrh
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 I NSV fc-(ON
FIRE EXTINGUISHER: Hung FC 906 /
Inspection of extinguisher FC 906 s
EVAC Plan FC 404.6 D
TRUSS ID SIGNAGE FC 505.3 / j cL \ ldt/rf
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 /// V t A-D A --
Exterior FC 1006.3 /
Clearance to Electrical FC 605.3 �� ,�
Electric Wiring Enclosed/Labeled FC 605.3.1 N
Combustibles in Equipment Rooms FC315.2.3 7'
F.D.Signage- FC 510 /
No Smoking Signs FC 310.3
Storage FC 315.2 /
Compressed Gas FC 3003 7/
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 Z
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 /
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) /
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 /'
Exterior Storage FC 315.3 7. REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
/ 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
FIRE MARSHAL'S OFFICE
wr Town ofQueensbury
- Q 1
itraTO 742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Charo's Unisex
12-572
12/6/2012
The following comments are based on submittal:
1) Locks / Latches must be compliant. Must be lever, paddle or panic style
2) Fire extinguisher locations to be discussed
3) Verify proper function of all Exit and emergency lighting fixtures
1\1\N/e
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@qureensbury.net • www.queensbury.net