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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 I a �c r''G l l . 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