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2003-095 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030095 Date Issued: Thursday, May 01, 2003 This is to certify that work requested to be done as shown by Permit Number P20030095 has been completed. - Tax Map Number: 523400-266-003-0001-081-000-0000 Location: 1019 STATE ROUTE 149 Owner: STEPHEN & CAROL MANLEY Applicant: COUNTY LINE CAFE & EATERY This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COM) TOWN OF QUEENSBURY r:-- 4, ;4 44t Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030095 Application Number: A20030095 Tax Map No: 523400-266-003-0001-08 1-000-0000 Permission is hereby granted to: COUNTY LINE CAFE&EATERY For property located at: 1019 STATE ROUTE 149 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 Queensbuty Zoning Ordinance. Tne of Construction Value Owner Address: STEPHEN& CAROL MANLEY Certificate of Occupancy(COM) 139 DUBES Rd HUDSON FALLS,NY 12839 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2003-095 COUNTY LINE CAFE' CERTIFICATE OF OCCUPANCY ONLY AS PER APPLICATION $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 27,2004 (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 own o Quee s uy7= y,March 27,2003 SIGNED BY for the Town of Queensbury. urY• Director of Building&A Enforcement BP File#Q%03-09-5 New Business Dept. of Community Development Certificate of Town,of Queensbury71 — Occupancy Permit 742 Bay Road Queensbury,NY 12804 (518) 761-8256 [For occupancy only, with no work requiring buildingpermit: no fee required for A^ MAYzUn� SU U NG��EVS- VuRY Name of Business: Address: l 6 lCl J Person in Charge or Manager:��01 Mc c Business Phone Number: Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): Owner of Property: �� Address: 9 rn OY2�' S Phone Number: (b Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet ofpapen �` � Signature � � _� Date: �Z4 of person submitting this form: Property Tax Map No. Notes/Comments: iV lk Town of �-D Queensbury Fire Marshal's Office EMERGENCY CONTACT UPDATE LMS 20.00 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-9210 PLEASE PRINT DATE: r BUSINESS NAME: BUSINESS ADDRESS: C) c� BUSINESS PHONE: 42 - c(2--L 'A ' � HOME' CON ``TACT 1:_ VP 2V Y10 TOWN RESPONDING FROM: HOME CONTACT 2: v` etc PHONE TOWN RESPONDING FROM: HOME CONTACT 3: VL PHONE `�—��, Lj. TOWN RESPONDING FROM: oco v- y-e�\O( Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205, FAX 745-4437 Town of Queensbaury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 � n Phone (518) 761-8205 Fax(518) 745-4437 J Fire Marshal's Inspection Report Request Received: Permit# SCHEDULE D p r -3INSPECTION ON: �-u Name: A PM ANYTIME Location: APPROVED N/A YES I NO COMMENTS EXIT s AISLE WIDTHS EXIT SIGNS-NORMAL- BATTERY 44 �--�i EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY /— ROUGH IN OK THIS DATE FOR CO) NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL CO M DEV/C HRISJ/WORD/LETTERS2001/FIRE MARS HALINS PECTIONRE PORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury G Fire Marshal's OfficeN 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: Name: Gq i—t-- l AM �PANYTIME Location: APPROVED N/A YE NO COMMENTS EXITS t'� S-�Sf , 4-r0 P ->C-0 q/03 AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY (� 16 EMERGENCY LIGHTING FIRE EXTINGUISHERS T I FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM / i� C ; FIRE SUPPRESSION SYSTEM t-1 A �( HOOD INSTALLATION INTERIOR FINISHES - STORAGE COMPRESSED GAS A CLEARANCE TO SPRINKLERS 1 CLEARANCE TO HEATING C �QSnU�SLc' UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY d MASONRY ROUGH IN I FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DAT t� FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJMIORD/LETTERS2001/FIREMARS HALI NS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury /) Fire Marshal's Office L_ e 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report �-0b 3-C�9 Request �;� � SCHEDULE U � Received: G Permit# !' INSPECTION ON: / Name:A41,1lr ��` �° � � AM OM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS x EXIT SIGNS—NORMAL BATTERY EMERGENCY LIGHTING ^�V� FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION x INTERIOR FINISHES4 � STORAGE I�nA COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY /� l� ��N MASONRY ROUGH 1NCHIMNEY FINAL FACTORY BUILT ROUGH IN FINAL WOOD ( / STOVE ROUGH IN FINAL -VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO FINAL NOT OK FIREPLACE ,� �. FACTORY BUILT ROUGH IN N PECTED BY FINAL COMDEV/CHRISJ/WORDILETTERS2001/F IREMARS HALI NS PECTIONREPORT11022001 WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY 4rk- 3p CO10'MERCIAL FINAL INSPECTION REPORT r' Building& Code Enforcement Date inspection request received: 0f` Office No. (518)761-8256 4/ Dept. of Community Development Town of Queensbury Arrive am/pm Depart am/pm 742 Bay Road Inspector's Initials co, -O I Queensbury,NY 12804 . J Cf,JGv� uh� A�JAY)p��,�J>~ NAA�E , � PERMIT# LOCATION DATE 6 , TYPE OF STRUCTURE N/A YES NO CONMIENTS ChiumeyP'B"Vent/Direct Vent location Plumbing Vent Roof Complete Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Dior/exterior ballastess 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7 3/4 m. Main door 44 in. All others 36 in. Lever handles i Exits at grade or platform i Canopy to cover req.exit doors Gas valve shut-off exposed&regulator(18 in.)above gra Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250.000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour) f / Cress fumace shut off within 30 ft.or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),3/4 hour door &orage/receiving/shipping room(2 hour), 1 1/z doors �G J j,�f �L✓1v= v 1 ',i hour doors and closers ?.hour corridor doors and closers / A r�d:.� ��✓�� f!U Firewalls/fire separation,2 hour,3 hour complete Fire dampers,2 hour fire wall/separation or greater Fire door/shutters 1 '/z hour,3 hour Ceiling fire stopping 3,000/5,000 sq.8. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware j f SJ�s Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets Handicapped bath/parking lot sigmage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site PlanNariance required Final Survey,new structures As-built septic system layout required Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) L `�„� Rb k , } IL ? oeo ,,, ToP o 77 fir ., x c - , i - F_ J cr _