2004-304 *-, TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building & Codes (518) 761-8256
TIFICATE-DrT. OCCUPANCY
_ Permit_Number .:P20:0.40304:: -_:— -:: Date=Issued:' ;.,:Tuesday;=Sep
tember 28, 2004
.This-is to=.certify..that wo"rk requested=to.be-done as:=shown b Permit Number
has been completed.
Tax-Map Number:
. 523400-296-017--0001-051-000-0000
Location: . . . _ 870 STATE ROUTE-9
.:__ wrier: - : ` ALEXANDER POTENZA
- . .. - . - -
:_.__PP _ . RESNICK'S MATTRESS FACTORY DIRECT
This structure may be occupied as a: -
By Order-of Town Board
Certificate of Occupancy (COIVI) - TOWN OF QUEENSBURY
Director of Building&Code Enforcement
N TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518),761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040304 Application Number: A20040304
Tax Map No: 523400-296-017-0001-051-000-0000
Permission is hereby granted to: RF,SNTCK'S 1VTATTRESS FACTORY DTRF,CT
For property located at: 870 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location ' accordance wide 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. - Tie of Construction Value
Owner Address: ALEXANDER POTENZA
FRANK BORK Certificate of Occupancy(CONI)
Total Value
403 GLEN St
GLENS FALLS, NY 12801
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-304 RESNICK'S MATTRESS FACTORY DIRECT
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 19, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the of Quee sbury; Wednesday, May 19, 2004
/1
SIGNED BY for the Town of Queensbury.
/�Director of Build &C le Enforcement
BP File#
New$usiness
Dept. of Community Development Certificate of
Town ofQueensbury ®cciipalicy Permit
742 Bay Road
Queensbury,NP 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
Name of Business:
�0-7
70 Ro4e,)'
Address: f — �N1 \er 4i
Person in Charge or Manager: _ f'`___/ (5 f (""-0 a 0 S
Business Phone Number: �1?3 �]7 L/
) Y3 1 (ol RECEIVED
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
(VIAL' 1 � 2004
M OF QUEENSBURY
BUl�l��i�1D C. .ODE_
Owner of Property: P(LAY3 � �_�ec�� ZFI-7-
Address: D3 5 o c&" 6. (2-� CSC SP N f=C,A- N_�, OWL2�
Phone Number:
yo3 G-lc►v S�- ��rw `-AII'S
Please provide an accurate layout of your store showing alt walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet ofpaper.
-i
Signature: Date: l l D
of pers n submitting this form:
Property Tax Map No.
Notes/Comments:
6 `, -` 30
Town of Queensbury
Fire MarshaYs Office R C E
NED
EMERGENCY CONTACT UPDATE 2004
LMS 2000
TOWN OF QUEENSBURY
BUI!DING ACID BODE
TO: WARREN COUNTY SHERIFF'S DEPT. FART-'76�-62I0
PLEASE PRINT
DATE:0 5-I/ 6
BUSINESS NAME:
BUSINESS ADDRESS: �L l I k� tC l ,A&LL V_±q G-It-VN 4
BUSINESS PHONE: �l�?� 7� I 7�[ /O 7
HOME Sl,? Z 7 y W Z-0
CONTACT 1: �St�! G-C Oda�S PHONE 6' 7�3
TOWN RESPONDING FROM: J�R kW S4 w r�
.s,�t a 22s 2a3�
CONTACT 2: t'A-f S PHONE � b �3 �7S I
n
TOWN RESPONDING FROM: (AJ
HOME _
CONTACT 3: 3L-,-S�t�W __PHONE
TOWN RESPONDING FROM:
Fire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer
Phone W--5205, FAX 745-4437
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: �m/pmJ' D art: am/pm
Date Inspection request received: Inspecto 's It nitials: C�-r-
NAME: PERMIT#: 2
LOCATION: ,(�4� tacls� M- DATE: yr'
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s . ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
as Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required /
Flood Plain Certification,if required l r (�h el%�1;3
Okay to issue C/C or C/0 [Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office,176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE.- ELECTRICAL APPROVAL
Permit No........................................Cert. N®' . 76339 Cut-in Card No...........................Q
Owner.................
Location............. I.... ..............L�.��.�......�?.�......................................L+ .....
19�.
Installation Consisting of... ............../..�...........................�Y:�v...................... .............................
...................................I...................................................................................................................................................
Installed By....., !{.!..... �� .......................Lie.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki spections at any time, and if its
rules are violated,the Company shall have the right r Ath' ce ificat .
Date.. .....(....... ............... INSPECTOR................ ...........................................................................
Member N.F.P.A.,I.A.E.I.
�D
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request F,INSPECTIONON:
Received: --Permit_Permit# �® Cc
Name: � �� 1C M PM ANYTIME
__. ----
Location. �
APPROVED
_ -`—�-- N/A Yk NO COMMENTS
EXITS
AISLE
EXIT SIGNS-NORMAL � �+ �I L1�1 /' � (I 1C7l��Q
BATTERY '�� P.u, 1 C.
EMERGENCY LIGHTING _
FIRE EXTINGUISHERS_
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM_
HOOD INSTALLATION
INTERIOR FINISHES —
STORAGE
COMPR>^SSED
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS _
CLEARANCE TO EUlfCTRIaL__
REQUIRED SIGNAGE
EMERGENCY PLAN-MAXIMUM OCCUPANCY OCCUPANCYY SIG9::::�F----
CHIMNEY —
MASONRY ROUGH IN
FINAL_
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
_FINAL
VENTED GAS _
APPLIANCE ROUGH IN
FINAL
FIREPLACE -—� -- —
MASONRY _ _ ROUGH IN OK THIS DATE ® FOR CO NOT ®K
FINAL —
FIREPLACE
FACTORY BUILT _ ROUGH IN _ INgPECTED BY
-
--` COMDEVICHRISJMIORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Town of Queensbury AlFire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received' ermi INSPECTION ON:
�. _
Name: - -= AM PM ANYTIME
Location:
APPROV D
N/A. YEV NO COMMENTS
EXIT ACCESS $QQC4 a -
EXIT ENCLOSURE S�4 a t CZ our /�
EXIT DISCHARGE X 4�r
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH (h,J
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
'EMERGENCY LIGHTINGL ��
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS /
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE /
VEHICLE IMPACT PROTECTION /
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS ,"
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN !.
EMERGENCY EVAC PLAN
OK THIS DATE K OR O OT OK
INSPECTED BY
COMDEVICHRISJIWORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request (�_ ,-��_ SCHEDULE
Received: "1 �` C Permit# INSPECTION ON:
c.s
Name: �`�� � t-�= AM PM ANYTIME
Location: t�f ,)+C&-,- Ry�
APPROVED
N/A YES NO COMMEN
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE X. ?
MAIN AISLE WIDTH VW11 (-C
SECONDARY AISLE WIDTH
EXIT SIGN—NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER,
INSPECTION ; x
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION—GAS
ISLAND
HOOD INSTALLATION \
INTERIOR FINISHES
STORAGE
COMPRESSED GASi
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION
FIRE LANE
F.D.SIGNAGE—UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE f O FOR CO CN
rl
INSPECTED BY
COMDEV/CHRISJNVORDILETTERS2001/F IREMARS HALINSPECTIONREPORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 -,
Fire Marshal's inspection Report
Request 0 SCHEDULE
Rece v d: Permit#ga-� NSPECT ON OM:Name: L i`� to AM, PM ANYTIME
Location:�1— �n.Ll-�v1�1 Ct Q.Q
APPROVED
N/A YES NO COMMENTS
Q
EXITS �P-Ac� I —
AISLE WIDTHS �� S'C4 1 ,0 CA
EXIT SIGNS—NORMAL ��S°3 G ��
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 7
FIRE ALARM SYSTEM 4 n S�� i SSE W ' C.
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES Sn�G4 ( O I
STORAGE
COMPRESSED GAS /
CLEARANCE TO SPRINKLERS � , S r S
UNITSCLEARANCE TO HEATING 4 h S k b
CLEARANCE TO ELECTRICAL l
REQUIRED SIGNAGE �
EMERGENCY PLAN yr, ��c�l C� f-00)+ Cu
MAXIMUM OCCUPANCY SIGN
CHIMNEY V1V\
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD �� -
STOVE ROUGH IN \\ I
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN ®K THIS ®ATE,,4 FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR YELLOW—OCCUPANT COPY
WHITE—BUILDING DEPARTMENT COPY
VI/
Town of Queensbury
Fire Marshal's Office .
742 Bay Road
Queensbury;NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 ,
Fire Marshal's Inspection Report
Request L _ 1 SCHEDULE /+�
Received: Permit# �`� INSPECTION:
Name: i'� `� A PM ANYTIME
Location:—
�-' APPROVED
N/A YES NO Q COMMENTS
EXITS \
AISLE WIDTHS C� S CS�' '`�") CGLJ 4 VV
EXIT SIGNS-NORMAL
- BATTERY �'P�w vvrn c
EMERGENCY LIGHTING S
FIRE EXTINGUISHERS A , I 1 j S�� i tk 5
FIRE ALARM SYSTEM 2.5V
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM '
HOOD INSTALLATION
INTERIOR FINISHES t C> 1
STORAGE
COMPRESSED GAS X /
CLEARANCE TO SPRINKLERS u �,� co S r S
CLEARANCE TO HEATING -�Ova W4 U J 4 h h f b (J C9j 2
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE ; �
EMERGENCY PLAN yri l C} �J�+t� r`C (
MAXIMUM OCCUPANCY SIGN
CHIMNEY P P
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL _ JC
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DA FOR OO (NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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