2011-105 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110105 Date Issued: Wednesday, June 22, 2011
This is to certify that work requested to be done as shown by Permit Number P20110105
has been completed.
Location: 756 GLEN St
Tax Map Number: 523400-302-006-0001-051-000-0000
Owner: ILENE FLAUM
Applicant: DICKEY`S BARBECUE
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&Cod Enforcement
Planning Board or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110105 Application Number: A20110105
Tax Map No: 523400-302-006-0001-051-000-0000
Permission is hereby granted to: DICKEY'S BARBECUE
For property located at: 756 GLEN St
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: ILENE FLAUM
400 ANDREWS St Suite 500 Certificate of Occupancy(COM)
ROCHESTER,NY 14604-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-105
Dickey's Barbecue - CO only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, April 20, 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.)
Dated at the Town.o€Q ieensb jty; ,, Wednesday,April 20, 2011
{ / 1 .},,
SIGNED BY \ �.�; ;V` 1 for the Town of Queensbury.
ti Y•-
Director of Building&Code Enforcement
Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 t
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• David Matin, Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J. Palmer; Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # �> Q_ —�� / BLDG. PERMIT RLE#
t If applicable
Name of Business:
Address j-6 L(11r 6XSf
of Business: 't QUESTIONS? CALL 761-8256 OR
// EMAIL codes(aqueensburv.net
G.
WEBSITE
Person in Charge or Manager: ro ` �� S s VISIT OUR INFORMATION FOR MORE
www.queensburv.net
Business Phone Number: cif 1
Type of Business: =� ' '" ` !r -ie e-0 C.— e f.�s-
Owner of Property: I (``� -� ' Phone Number(s):
wow— VON--
Owners nn
Address: YOU AI Tetif $i St S4) i/Dc-�J4e,� /-'1 /yeo`�
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a se gate sheet of paper.
7 17/
Signature: ( Date: /
Of person submitting this form
Notes I Comments: )
/COr plan is IA- -11?- - /
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE:
6/61-r- !z✓� £ C C, h l �. fr t ( iL'A-c+�.� ,�•BUSINESS NAME. � � /
BUSINESS ADDRESS: �S4 tino ' aa�^ Sr-- 4-E ; a_Lt rs ,. ) /1/Y( 7 roY
BUSINESS PHONE: e ? 3 L i
ccLiA y(i� �,1 HOME
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CONTACT 1: PHONE ���
ADDRESS: -� /`&rC. 0 IAA "c j ..7 /t/i
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HOME
CONTACT 2: Cditi PHONE
ADDRESS: tit( l 1C d� '' (( .4`A 4e ..j/`') /v%
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 h o n e: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensburij.net wwzv.queensbury.net
i,d++� Jul, 7. 2G11 t11 :49A —,MDIA, Watervl I t, NY.3ii+�Q.�i� '�' i.;�.����.�. '�',�','J'�"v%�!J�`:�::;4iNo 7682:) ,), P. _1/$1eN;tn�4.,
bi MIDDLE DEPARTMENT INSPECTION AGENCY, INC. t!
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54 ��that the electrical wiring to the electrical equipment listed below has been examined and is approved as C-4
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
(y4 noted below and is issued subject to the following conditions.
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Pi Owner: Dickeys BQ Date: 06/14/2011 —/ ii05-
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s Occupant: Same
Location: Upper Glen St. `.A
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M Occupancy: Queensbury, Warren Co. NY
p Y' Non Residential %,
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. Applicant: Edward F. Gaiotti �N
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<< Queensbury, NY • "" ' `,„hp
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�` Raymond A. No k 1,-4,14,,,,.�, ,;� •N
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Equipment �'.'1
,' 4-Receptacles; I -20 Amp. 208 V. -e d• ac , G, • ece. I ever Cir r ' '
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and 0,,
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‘ above and the Installation Inspected as of the above noted dale based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
., inspection. No warranty is expressed or implied es to the mechanical safety etfl- of the property Indicated above,this certificate shall be Immediately null and void. ff
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(0, ciency or illness of the equipment for any particular purpose, This certificate shall In the event that this certificate becomes invalid basad upon the above conditions, ,'
gtbe valid fora period of one year from the above noted dale. Should the electrical this certificate may be revalidated upon reinspection by Middle De artment pp'
system to which this certllicate applies be altered in any way,including but not Ilmlt• Inspect on Agency Inc. An application for Inspection mull be submitted o Middle ,„.S.
(.�� ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency Inc.to Initiate the Inspection and revelidallon �'
any of the components installed as of the above noted dale,this certificate shall be process. A lee will be charged for this service.
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Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date:0`91)it Time:
742 Bay Road,Queensbury NY 12804 �Re-Inspection - �, S�
518 761 8206/518 761 8205 CO Inspection Permit#: I t'
Fir Marshals Representative
Fir
MJ Palmer --Business Name: is \
Location: ` G U QPcri,;.%Ltr j tt v rt,, B
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 x
Sign:Normal FC 1011 &FC1029ty�'
Sign:backup FC 1011.5.3&FC1029.7.5 ) Mttr7 �` `- c-uk . 14 '--/
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 r ri `� l
Secondary Aisle Width FC 1025&FC1029.11 S1 I �cr Lct
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 I ir8 a,".-:!ins perrii-,n CorT,t,l `
1 3K to iamb C.,,;;ir ate of Occupartry
EVAC Plan FC 404.6 r
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: JUN Interior FC 1006.3&FC1029.8 JUN I' 2011
Exterior FC 1006.3 t /Sil"
Clearance to Electrical FC 605.3 I ... — r�h"
Electric Wiring Enclosed/Labeled FC 605.3.1 ��..,,ff� � � :
-- i
Combustibles In Equipment Rooms FC315.2.3 j. ... . � l.fl .; 'ti Jt._,.,,.,..:
F.D.Signage— FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
0...0
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 .
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
,t,( .>e 21 DAYS
SYSTEMS: FC 901.6 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 (� �!
Fuel Island Suppression Semi Annual 1 "��� 4 �,�IC�Qr( ��crk�4 `l�
Hood Cleaning 3—6 -Annual 31\1) v `h ' ! 041 ii/
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection