2007-124TOWN OF QUEENSBURY
BUILDING PERMIT
Permit Number: P20070124
Application Number. A20070124
Tax Map No: 523400-308-016-0001-001-000-0000
Permission is herebygranted to:
For property located at:
406 CORINTH Rd
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. ~e of Construction
Owner Address: VITO J. CAVALLARI
406 CORINTH Rd Certificate of Occupancy (COM)
QUEENSBURY, NY 12804 Totat Vatue
Contractor or Builder's Name /Address
Value
Electrical Inspection Agency
Plans & Specifications
-124
PIZZERIA CERTIFICATE OF OCCUPANCY
$U.UU 1'r;t(M1~1~ r~E PAID -THIS PERMIT EXPIRES: Sunday, Apri106, 2008
(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 To Queens ry; , did y, Apri106, 2007
SIGNED BY r' . ~ ; "~;
for the Town of Queensbury.
h
Director of Building Code nforcement
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
VITO J. CAVALLARI
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._s~.~ Community Development Office ~ ,
Town of Queensbury • 742 Bay Road •Queensbury, New York •12804 S `~ ~ 1
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Marilyn Ryba, Executive Director • David Hatin, Director of Building £~ Codes ; C ~ i ~
Craig Brown, Zoning Administrator • Michael J. Palmer, Fire Marshal TO~>lf~ j ;
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NEW B LISINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # ~~ ~~-~ ~--'
Name of Business: f G~ ~ ~A
Address ~~~ /,~
of Business: ~/'/t~ /'~
_.
Person in Charge or Manager: ~~
Business Phone Number: _ ~~~' ~(`Dl- /~~ f
Type of Business:
A
QUESTIONS? CALL 761=8256 OR
EMAIL codest~aueensburv.net
VISIT OUR WEBSITE FOR MORE
INFORMATION
www.gueensburv.net
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Owner of Property: ~2 Phone Number(s):
Owners
Address:
Please provide an accurate layout of your store showing
counters and fixture layout on a separate sheet of paper.
Signature: _
I /Comments: „~
Of person submitting this form
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BLDG. PERMIT FILE#---1e!-l r/
If applicable
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Home
walls, exits,
Date:
Celi
rest rooms,
"Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
D~ ~-12~
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX:., 743-25g
PLEASE PRINT
I
DATE: _ ~ -~!~'') - p~'l
BUSINESS NAME:
_ BUSINESS ADDRESS:
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BUILDING ANC7 GODS
BUSINESS PHONE: _ ~] Co~ ~ -- ~ ~ ~ ~
CONTACT 1: ~:`-C~ w ~c> ~° `F P ONE ~~" .2 d
ADDRESS:
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CONTACT 2: ~ ~ ~-~, ~ L - ,~ r
PHONE ~~ L- ~ ~l ~ '~
ADDRESS:
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This form is used to assist Emergency Service personnel who may ~e 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 QUEENSBLIRY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 Fax: 518-745-4437
~iremarshalC~3queensbu , net www.queensbur~ net
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Inspection for Permit to Occupy
Fire Marshal's QffICe Request Recd Permit No. ~~`
Town of Queensbury ~ U
742 8a Road '
Queensbury, NY 12804 Scheduled Inspection Date: ~~ ~ Time: ( /
Phone: (518) 761-8206 Business Name: '~ ~~ S '~~^~-
Fax: (518) 745-4437 I_OCatlOn: ~ 1 ^~1^
T e of Ins eciion N/A, Yes No
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Plan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXiT SIGNAGE
Si n -normal
SI n -batter
EVAC si ns fn rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown }
Fire S rinkler S tam •{-
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste ,/
Vehicle Im act Protection f
Fire Lane
F.D. Si na e - Uti6t Rooms ~
No Smokfn Si ns ~/'
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
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^ pproved (lf no other approvals apply, the B & C Office will issue the Certificate of Occupancy)
Denied
^ Call for Recheck
Inspected
L:\FireMarshal\insptopermitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Recd Permit No. ~ (~ I°Z'L
Town of Queensbury
742 Bay Road ~ a ~ ~ ~ ~"l~-
Queensbury, NY 12804 Scheduled inspection Date: Time: ._.(_._
Phone: (518) 761-8206 Business Name: ~ dC.kY S ._
Fax: (518) 745-4437 Location: ~•N~'h- °
T e of Ins action N A Yes No
ExlTS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Plan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Sl n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Kre ' rlnkler S tam
Rre S ression -kitchen
Rre S ression -Gas Island
Hood Installation
Interior Knishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Rre Lane
F.D. Si na e - Ufiflt Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
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v Approved (If no other approvals apply, the B & C Office will
~benied
o Call for Recheck ,rt ~
Inspected By:
of Occupancy)
L:\RreMarshal\insptopermitto occupyform.doc
Inspection for Permit to occupy
Fire Marshal's ~fflCe Request Recd Permit No. ~~ ,..
Town of Queensbury
742 Bay Road ~
Queensbury, NY 12804 Scheduled Inspection Date: ~I'~L~G~ Time: ~_p
Phone: (518) 761-8206 Business Name: riUC ~ ~r2zcr«
Fax: (518) 745-4437 Location: ~, R~
T e of Ins eciion N A Yes No
Exlrs:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Plan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Si n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins ection of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem
Fire Su ression -kitchen
Rre Su ression -Gas Island
Hood Installation
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Fire lane
F.D. Si na e - Utilit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
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o Approved (If no other approvals apply, the B 8. C Office will issu the
Denied
o Call for Recheck _
Inspected By:
of Occupancy)
L:\FireMarshal\insptopermitto occupyform.doc
Inspection for Permit to Occupy
Fir@ Marshal's OffiC@ Request Recd Permit No. f
Town of Queensbury
742 Bay Road f .__.. .
Queensbury, NY 12804 Scheduled Inspection Data: - 1
Time:
Phone: (518 761-8206 BUSIneSS Name:
Fax: (518) 745-4437 Location:
r of Ins ~ctlon
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e N A Y+s No
AISLES:
Main Aisle Width
Seconds Aisle Width
EXIT SIGNAGE
Si n -normal
Si n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins ection of extin wisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire 5 rinkler S stem
Fire Su ression -kitchen
Fire Su ression -Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed /Labeled
Combustible Waste
Vehicle Im act Protection
Knox Box
F.D. Si na e - Utilit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
~lt~l0/'`/O ~,S ~~
/G%~
o Approved (If no other approvals apply, the B & C Office will issue the Certificate of Occupancy}
o Denied /call for Recheck
Insp@t d By.
L:\FreMarshal\New Folder\permitto occupyform.doc
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
Inspections per Permit
Pernut # p20070124
Inspection Date Inspection Type
Approved/Denied Comments PennitT
YID Person Responsible
4/5/2007 12:0O:OOAM Fire Marshal Inspection Certificate of Occupancy (COM) GARY STILLMAN
Denied 2007-124
FIRE MARSHAL TO PROVIDE MAX OCCUPANCY SIGNS PROVIDE DOCUMENTATION OF
SUPPRESSION SYS. INSPECTION (3) FIRE EXTINGUISHER REQUIRE INSPECTION OMIT
MULTI-PLUG ADAPTER BY COOLER (CASH REGISTER) OMIT .LEAD CORD TO T.V. PRPERLY
TERMINATE WIRING ABOVE SLICER REPLACE OUTLET COVER UNDER TABLE FOR PIZZA PANS
5/17/2007 12:0O:OOAM Fire Marshal Inspection Certificate of Occupancy (COM) MIKE PALMER Staff
Denied 2007-124
1) STILL NEED TO DISCONTINUE LEAD CORD @ TV NOTE: PLS GIVE ME A CALL REGARDING
MENU BOARD ITEMS PARTICULARLY HOW DO YOU COOK HAMBURGERS
6/20/2007 12:0O:OOAM Fire Marshal Inspection Certificate of Occupancy (COM) MIKE PALMER Staff
Denied 2007-124
1) Replace outlet cover under pizza counter
2) Provide surge protection at TV
3) Provide access cover panel at hot water heater