2011-365 TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110365 Date Issued: Thursday, September 22, 2011
This is to certify that work requested to be done as shown by Permit Number p20110365
has been completed.
Location: 437 DIX Ave
Tax Map Number: 523400-303-016-0001-008-000-0000
Owner: WILLIAM BARRETT
Applicant: DPM AUTO SALES INC.
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
Planning Board or Zoning Board of Appeals. Director of Building&Co Enfo went
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110365 Application Number: A20110365
Tax Map No: 523400-303-016-0001-008-000-0000
Permission is hereby granted to: DPM AUTO SALES INC.
For property located at: 437 DIX Ave
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: WILLIAM BARRETT Certificate of Occupancy(COM)
PO BOX 142 Total Value
GLENS FALLS,NY 12801-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2011-365 1
C/O only-DPM Auto Sales Inc
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 22,2012
(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 raue: jh/J
sd , September 22,2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
v I&v/�v 51 19 41j if i4o,7 r. vv�(vv.
Community development Office
Town of Queensbury• 742 Bay Road• Queensbury, New York •12 J
David Natin,Director of Bullding&Codes ;
Craig Bmwn,Zoning Administrator•Michael J.Palmer,Fka Marshal il-O W B U R�
�•l��f�31i;FE�&&e0D[!S- .
ESTABLISHMENT OFA NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
`Note. This application is far oemupancy only,with no work requiring a building permit.
03- Ib- 1 -
TAX MAP# $ BLDG. PERMIT FILE#
11applicaole
Name of Business: b! m
Address
of Business• QUESTIONS? CALI.767.625s OR
EMAIL_coddeg laueenshury net
r1 yy� VISIT OUR R MORE
Person'in Charge or Manager: cKe-e INFORMATION
wwwpu ensburv.net
.Business Phone Number. 5) $ 13~fib)
Type bf Business: I N "�RrC. Sad cS
-Owner of Property: lay-, Rien-14— Phone Number(sj: q S 81 %3_
Hama cell
Owners Address: �uG�� !Nu• QU e• S
Provide an accurate layout of your store showing all walls, exits, stockrooms,-rest rooms,
counters and fixture layout on a separate sheet of paper.
Si re:natu
! Aate:
Of person submitting Ws form
Notes/Comments:
VI/GO/LVII 10.40 NIYOJ r. VVY/Vvj
DATE -
.EMERGENCY' CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DElsT. FAX: 743-2502
PLEASE PRINT
DATE: _ I L2Z� ��
BUSINESS NAME: - DP(Y) t1lb Sr
i
BUSINESS ADDRESS: y31 D K.jJLL.,
BUSINESS PHONE: :9:2Qi 6
;CONTACT 1: DarfWi m ckec HOME PHONE
ADDRESS: 31 y s-.4x 1p., 1 90b ri £ .,,1
CONTACT 2:. �;c � 1'l1�kc� HOME PHONE^37�-�i/3'✓8
ADDRESS: /V S-44f &,4ly-19? hri Qlageil
This form Is used to assist Emergency Service personnel who may be called to your
business offer 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.
Inspection Form
Town of Queensbury Fire Marshal O Periodic inspection Date: ( Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 4422�'CO Inspection Permit#: I
it Marshals Representative
MJ Palmer Business Name: o� -� -y
Location: 43-1 :1)
_GK Stillman Contact: i, r7 n ns�r ;nr•��c
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
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY 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
Combustibles In Equipment Rooms FC315,.2.3
F.D.Si na e- FC 510
No Smoking Sighs FC 310.3
Storage FC 315.2
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 REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
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 FI Mer*4 Ins ec I
Kitchen Suppression Semi Annual "�0 8y b I�ue W
Fuel Island Su ression Semi Annual �� &
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after ire iU1x+rshaJ
Completion of Inspection
Inspection Form fl-3 C13S
Town of Queensbury Fire Marshal C::'Periodic Inspection Date: /S l'I Timer
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#:
Fir Marshals Representative
MJ Palmer Business Name: ?YY-?
Location: dl&-
GK Stillman Contact: cr n 05 N on C4ix"
Type of Inspection N/A Yes No
EXITS:. Exit Access FC 1014&h C7029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 G�k' we
AISLES: b55 Upbit-aA '
Main Aisle Width FC 1024/1025&FC1029.11 ,/ r&Q�1 �/
Seconds Aisle Width FC 1025&FC1029.11 du l y
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: t
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315,.2.3
F.D.SI na e- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
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/Celling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms PC 404.E R1 &R2
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 f
Exterior Store ;Fc 315.3. REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
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 Fir. Par* ppac I C
Kitchen Suppression Semi Annual �Q m$�� l*ed
Fuel Island Suppression Semi Annual11 f� �s G•
Hood Cleanin 3-6-Annual
Knox Box:installed/checked FC506 � Z l
Operating Permit, if required will be issued after Rre
Mffshai
Completion of Inspection T u
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