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2011-592 iA 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: P20110592 Date Issued: Wednesday, February 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20110592 has been completed. Location: 31 CRONIN Rd Tax Map Number: 523400-296-016-0001-002-001-0000 Owner: PETER SHABAT Applicant: JULIANO'S DELI & RESTAURANT 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 (c) A //1":1 owner of the res onsibili for com liance with Site Plan Variance or °P tY P � � r other issues and conditions as a result of approvals by the Planning Board Director of Building&Code tnforcedient 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: P20110592 Application Number: A20110592 Tax Map No: 523400-296-016-0001-002-001-0000 Permission is hereby granted to: JULIANO'S DELI&RESTAURANT For property located at 31 CRONIN Rd 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: PETER SHABAT PO BOX 967 Certificate of Occupancy(COM) GLENS FALLS,NY 12801-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-592 JULIANO'S DELI&RESTAURANT $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 05,2012 (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 of Queensbury; Monday,December 05,2011 . ' SIGNED BY `} for the Town of Queensbury. Director of Building c (bde tatforcement Community Development Office I [� 1' �n ` ' . Town of Queensbury• 742 Bay Road• Queensbury, New York -12804 V_• Ilf a en 5411 Marilyn Ryba,Executive Director•David Hatin,Director of Building&Codes ! DEC Z 1 Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal , • gU , �'UEENSBU�Y ' NEW BUSINESS CER11FICATE OF OCCLIP all - ""'',-.. it2 SES APPLICATION --"'2 - -2 —� r ,r(; BLDG. PERMIT FILE# !J_ �' '� TAX MAP# ,. - _ t If applicable ----"D Name of Business: NJ (--A- I i C{-v'1 c 6'L_, 14 c J G Ct_A L_. ,..-4 Address of Business: D l �------ I r'> , • t�.CC I)t ` - QUESTIONS? CALL 761-8256oR '1L6� C.t_, EMAIL codesCoiqueensburv.net / t-' VISIT OUR WEBSITE FOR MORE c. Person in Charge or Manager: _,t 0, i L 5 ti I 7,'i (( z/� INFORMATION www.queensburv.net Business Phone Number: SSl . 7`1,3 - (- Type of Business: -IZ.:)'Lk A. s. C � ). g2•3gee<< Owner of Property: t-k�'t-� ltn�'��'�( Phone Number(s): �' �� Home Cell Owners Address: -i,l.:a.�i�w X31 I�I $.:. ,,..= -104— ' ,v j^ � - ' 1 f ' ../ `'{4i4(ifft�gar4/40 i 4.. 'I PPArx..t. 7 ' 0 0`' _7-40W S, 011111 lir Signature: Date: lit 1 S/f I Of. ,rn9 Uds fore, Notes/Comments: *Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: BUSINESS NAME: SL ecRe , 5 b L� 1 BUSINESS ADDRESS: \31 tv. (---141nrSh i�y i /0 v ) �� BUSINESS PHONE: C-1 -1---t-v1- -�' HOME / CONTACT 1: u� r c` (10PHONE ?!�' 7672 -S - 7i7 ADDRESS: E( �2,1-int)1 t--/U 6,„„„s h ;1 moi/ /2(i f7 HOME (ZI CONTACT 2: Aim ES T.) 1,GPIb PHONE(�7$) ADDRESS: 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 firentarshal@queensbury.net • www.queensbury.net Inspection Form 212112.- tl is-,7)., Town of Queensbury O Fire Marshal Periodic Inspection Date: Time: 742 Bay Road,Queensbury NY 12804spection 518 761 8206/518 761 8205 CO Inspection Permit*: /71' t-� Fire Marshals Representative _MJ Pa er Business Name: 1i,9^. , Location: 3 1 6..?2 4.n K Stillman Contact: e-I s-) f t 2-)� n eL 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 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 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 .....----s- 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 NNW Clearance to Sprinkler/Cel 315.2.1 i�� 18" / 4" EVAC SIGNS IN Rooms F 04.6(R1 &R2) r Fuel Pump Warning Signs FC2205.6 / Fuel Station Emer Procedures FC2204.3.5 ----- Exterior /Exterior Storage FC 315.3 ./ REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 _ 21 DAYS SYSTEMS: FC 901.6 lnsp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual 14 d DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi Annual /L// Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual al a Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date: 2 6/ me:,Z Y'/ i 742 Bay Road,Queensbury NY 12804 o -Inspection _ 518 761 8206/518 761 8205 CO Inspection Permit#: �/ Fire Marshals Representative t/Mi Palmer Business Name: 'J V bone 5Z2-f-2/ Location: / 6'42,,n c( VGK Stillman Contact: j/oin 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 ) F1 i S,471-,-, AI-. Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 . - rce,- /!�.--x I2 Lc CCLk AISLES: 7 Zc J' - Main Aisle Width FC 1024/1025 E.FC1029.11 -/'y Secondary Aisle Width FC 1025&FC1029.11 / Y�r k.. FIRE EXTINGUISHER: Hung FC 906 /' /9 7 1 b �"1 1 i Inspection of extinguisher FC 906 .� 01 �F??e [.,1 EVAC Plan 404.6 s ' TRUSS ID SIGNAGEE FCC505.3 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. F.D.Signage- 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/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 ---''.- Vacant StoragBuildings FC 315.3311 ...----- Vacant REINSPECTION DUE 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 /L1�/ DATE: OK NC HVAC Shutdown 11 Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi Annual 11// Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual I JP Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Inspection Form Periodic Inspection Date:jZ� LTime:_1 Town of Queensbury Fire Marshal P 742 Bay Road,Queensbury NY 12804 o Re-Inspection Permit#: �/✓�7� 518 761 8206/518 761 8205 .."'CO Inspection Fire Marshals Representative �/ '�^ s J _MJ Palmer Business Name: r/�10 Location: <3 1 c-2.4:1-.1i, GK Stillman Contact: fig Jit�,.:., Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029NOTES 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 B.FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 ----'FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.6 1 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 .i Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 -----1 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 '--- ,.- - Interior Finishes FC 803-804 Smoke ( �v1�4��f Smoke Detectors FC 907 . �J CO detectors FC 610 / A6CO IW,1 ° 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 APPROXIMATEL Vacant Buildings FC 311 21 DAYS Imp OK NC DATE: OK NC SYSTEMS: FC 901.6 Date Generator Annual DATE: OK NC Hood Installation ElevatorAnnualSemi nnual 1)/i/ i/� FALIRE ALARMy DATE: OK NC F HVAC Shutdown Sprinkler System Annual Sprinkler FDC �,a G 4 1 Kitchen Suppression Semi Annual IzJi( ✓ �X it L Fuel island Suppression Semi Annual Hood Cleaning 3-6-Annual i1// .-------- Knox Knox Box:installed/checked FC506 -----r� a ;/1--- ? (2) q if re uired will be issued after Operating Permit, Completion of Inspection ca ,&"/)l