2011-151 41.1111.1aki TOWN OF QUEENSBURY
F0,0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110151 Date Issued: Saturday, May 07, 2011
This is to certify that work requested to be done as shown by Permit Number P20110151
has been completed.
Location: 1011 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-023-000-0000
Owner: FRANK PARILLO
Applicant: FRANK PARILLO
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
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owner of the responsibility for compliance with Site Plan,Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
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: P20110151 Application Number: A20110151
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
BP 2011- Smith Boys (Tom McDowell)
C/O Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 28,2012
(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 eensbu • Thu sday,April 28,2011
SIGNED BY for the Town of Queensbury.
Director of Building& se E,i�rcement
0)7-
,
xx `. Community Development Office !.; � 'i
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 ; ji .,I?
•Dar>id l-lalin, 1)irectar of Building&Codes 1 QV,.:
Craig Brown,Zoning Administrator•Michael J. Palmer, Fire Marshal ; BU
NEW BUSINESS CERTIFICATE OF OCCUPANCY I II '
APPLICATION
TAX MAP # (.0 • 3 — BLDG. PERMIT FILE#` ` I
If applicable
Name of Business:�. rv\t-t1\ /S CLC
Address I O 11 5 'J
of Business 'ff' QUESTIONS? CALL 761-8256 OR
EMAIL codes(a� ry
OUR WEBSITE FORqueensbuMORE.net
VISIT
Person in Charge or Manager: (Q rv--, /L" l L-1(e INFORMATION
www.queensburv.net
Business Phone Number: C,49.1 ,5-74 `414f 9"6-06 v
Type of Business: 5,7,2_4 .- 4',V s/�/�s ��P i c��'e
L. .
pV- - / l6
Owner of Property: aT 1/4 ; / ro Phone Number(s): 1279
Home Cell
Owners n / _ 7r 57,02.-ref-y "
Address: �}�'� i9//�� A20, dry!/ �i�/. 7i0 K/ //
Please provide an accurate layout of your store showing all walls, Cxits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: � � � Date: 404, �+� (90/
Of person submitting this form
Notes / Comments:
iy;i0 )14
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: ` � 9e,// n d _.. ..__.__
APR 27 2011 U
BUSINESS NAME: Sini
E07_5-
BUSINESS
7SBUSINESS ADDRESS: /o// s--)‘,4 A.4 2'.
BUSINESS PHONE: /v/i9 /7-7-/ - �r� -
��/� / HOME S`6"4z�,=c6-0�
CONTACT 1: Jo / c . '9 / PHONE
ADDRESS: 447/C/c,4 Kbe- eiJ e C /l J
/ / / P PHONEHOME
57, 3`/.5�/�
CONTACT 2: �j .
ADDRESS: 4vere_ ave / 7:.‹- cr Pk _9--O�O
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 QUEENSBLIRY FIRE MARSHAL'S OFFICE
P h o it e: 518-761-8206 • F a x: 518-745-4437
firencarshal@queensbury.net • www.queensbury.net
Inspection Form .
�
Town of Queensbury Fire Marshal o Periodic Inspection Dater —7'i 1 Time: 1 .....
5 i
742 Bay Road,Queensbury NY 12804 o Re-Inspection Ci _
518 761 8206/518 761 8205 'CO Inspection Permit#: (I r
Fire Marshals Representative
)(MJ Palmer Business Name: hs a-,firth tiA0-f5
Location: i o' I 2l
GK Stillman Contact: • i 0 ),-..^-
Type of Inspection N/A Year No
EXITS: Exit Access FC 1014&FC1029 ✓// NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 J^
Sign:Normal FC 1011 &FC1029 7z-
Sign:
/Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 / \1r^ i
Secondary Aisle Width FC 1025&FC1029.11 /
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 \9
EVAC Plan FC 404.6 `0,1\ ICO /
TRUSS ID SIGNAGE FC 505.3 10,1\V
ICAO
LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 `
Electric Wiring Enclosed/Labeled FC 605.3.1 7,..-
Combustibles
/Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 7
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 7
Exterior Storage FC 315.3 7
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
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 1 Fire Mar' at!num a.t1 Complete
Fuel Island Suppression Semi Annual •.)K to issue Citi Kate of Occupar cv
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 i
i I.:11/1\:;ceti 11
Operating Permit, if required will be issued after i
Completion of Inspection } Fire fv"Pashi.•.
Tot of Queensbury
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