2011-071 TOWN OF QUEENSBURY
FOS! 742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OFCU C P Y
�C
Permit Number: P20110071 Date Issued: Monday, April 11, 2011
This is to certify that work requested to be done as shown by Permit Number P20110071
has been completed.
Location: 1011 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-023-000-0000
Owner: FRANK PARILLO
Applicant: FIVE STAR GOLF CARS & UTILITY VEHICLES
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110071 Application Number: A20110071
Tax Map No: 523400-296-013-0001-023-000-0000
Permission is hereby granted to: FRANK PARILLO
For property located at 1011 STATE ROUTE 9
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: FRANK PARILLO Certificate of Occupancy(COM)
215 BALLARD Rd Total Value
WILTON,NY 12831-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-071
CO only - FIVE STAR GOLF CARS &UTILITY VEHICLES
S50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 29,2012
(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.)I
Dated at the Towtof7,nsb , / _ y,March 29, 2011
,
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•pr Community/Development Office
"Town of Queensbury • 742 Bail Road • Queensbury, New York •12804
ateSIMP
• David Hatin, Director of Building&Codes
Craig Brawn,Zoning Atinnnistrator•Michael J. Palmer, Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # ./��' , / - 2 BLDG. PERMIT FILE#
If applicable
Name of Business: 544kr Go'f CG'S S (X4-7 )1 c(e S
Address h
of Business: J°D 1V`3 S RT
q Q U.LL✓l s bo✓�-i � YL! QUESTIONS? CALL 761-8256 OR
f / EMAIL codes(a aueensburv.net
WEBSITE
Person in Charge or Manager: —�'� (1 ` VISIT OUR INFORMATION FOR MORE
ggi/07
www.queensburv.net
Business Phone Number: j V y0 9 - 83/7
Type of Business: (Zia-+ +'I (3-C« S S `- g,NA'c`S — ?C J S
Owner of Property: Fich� 1,11Phone Number(s):SI b SVf-1 14 5 - I<61-6
Home Cell
Owners I �J
Address: ,c)15 Y)4114.1,-( c , `1f) � G 1 1 N I 12,63.
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
/ Z/Signature: ,/ C/ r Date: ..�f ZZO l �
Of perso submitting m
Notes /Comments:
ifo7I
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 3 ` Z2 - Z.O( k
BUSINESS NAME: F-Ne- S c CAC Cwt S - iv- ��i C(e s
BUSINESS ADDRESS: 10(13 ULS .T CILr€i2X S O ) NM
BUSINESS PHONE: 516 - O f f 8311
HOME
CONTACT 1: Lc rr`` leeA101 PHONE $o L-
ADDRESS: ti De-eRk cuvv C LAA j
CONTACT 2: J 0 e Met/Io HOME
PHONE 518 462-- 15Z-9
ADDRESS: 3Z ' Roti-D f���x�1� N j 12Z0S
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.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P It o n e: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensburij.net • www.queensbunj.net
Inspection Form 911
r�
Town of Queensbury Fire Marshal Periodic° Inspection Date: J , 1
742 Bay Road,Queensbury NY 12804 o Reinspection
518 761 8206/518 761 8205 G::'CO Inspection Permit#: i i - 01 J
Are Marshals Representative
�� MJ Palmer Business Name: r. , Ina. Goy1`;- 0 q s
Location: l b°- p 1 q
_ GK Stillman Contact: L as -1 4_(..L.0
Type of Inspection N/A , Yes No
EXITS: NOTES
Exit Access FC 1014 _
Exit Enclosure FC 1020 !
Exit Discharge FC 1024 �E
Sign Normal FC 1011 �- _
Sign backup FC 1011.5.3 ,�
AISLES: l .
Main Aisle Width FC 1024/1025 ,/ 1 - I i
Secondary Aisle Width FC 1025r. ///
FIRE EXTINGUISHER:
Hung FC 906 / .,-\
Insp of extinguisher FC 906 . "
EVAC SIGNS IN R ooms FC 404.6 ;/ ` 7'
TRUSS ID SIGNAGE FC 505.3 e l
EMERGENCY LIGHTING: .�.-,
Interior FC 1006 ,
Exterior FC 1006 ,f
Clearance to Electrical FC 605.3 ,/ J.-----•
Compressed Gas FC 3003 ./e: _--
Knox Box FC 506 7'
F.D.Signage- FC 510 .7'
No Smoking Signs FC 310.3 ,.r'
Storage FC 315
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 ,.----
Smoke
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1
18"/24"
Exterior Storage FC 315.3
Operating Permit
Vacant Buildings FC 311
REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 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 Fire r,',..: is,pectI n Compl&lc
Fuel Island Suppression Semi Annual OK:U l ,.Q L'• U1lCzte of OCCUP3 1C
Hood Cleaning 3-6 1
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