2011-608 TOWN OFQUEENSBURY
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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: P20110608 Date Issued: Monday, January 09, 2012
This is to certify that work requested to be done as shown by Permit Number P20110608
has been completed.
Location: 69 CONNECTICUT Ave
Tax Map Number: 523400-309-009-0001-080-000-0000
Owner: MARY JANE CANALE
Applicant: MCKINNEY'S AUTO REPAIR
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
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Issuance of this Certificate of Occupancy DOES NOT relieve the c4.)43%,7-1( ,�
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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.
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TOWN OF QUEENSBURY
F 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110608 Application Number: A20110608
Tax Map No: 523400-309-009-0001-080-000-0000
Permission is hereby granted to: MARY JANE CANALE
For property located at: 69 CONNECTICUT 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: MARY JANE CANALE
28 FOX HOLLOW Ln Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-608
CO only- McKinney's Automotive Repair
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 21,2012
(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, , Wednesday, December 21,2011
SIGNED BY �`� � for the Town of Queensbury.
Director of Building&Code Enforcement
ECEOW 1 El
Community Development Office ,
Town of Queensbury • 742 Bay Road • Queensbury, New York •12
David Hatin, Director of Building& Codes DEC
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal
TOWN DE Q NSSURY;
BUILDING & COD $
ESTABLISHMENT OF A NEW BUSINESS—`
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
CIC /� J(
TAX MAP# J BLDG. PERMIT FILE# 1 ��
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Name of Business: (Y\e fn,nr l '� A i.t/Dcrm ft/ Cp�,jr
Address / 6 UESTIONS? CALL 761-8256 OR
of Business: L0 q LO,nner �-j� "AVC �L�Pe(tgbkty �Y� EMAIL codes(aqueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: ek ri,s'tpoec CtiJ1rlt_4/ INFORMATION
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www.queensbury.net
Business Phone Number: 51 /g 4433 4:2
Type of Business: pat) epais `410
Owner of Property: 11 4g 1/ 11 w1eCf),)f' Phone Number(s):5! 71/3 0;35
a // /� Home Cell
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Owners Address: —! i-t off Lt eenS?Ltf L( ( zg&1
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date:
Of person submitting this form
Notes/Comments:
EMERGENCY CONT '�° �°lj— �v�
QCT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 1?//V/i
BUSINESS NAME: NM0_,V,i„‘,A4y--, AL)
BUSINESS ADDRESS: 6 9 0_0\i'N c‘c,
BUSINESS PHONE:
CONTACT 1: G v r1� +(r1� - w- f HOME PHONE 74'/'1
ADDRESS: 51-1 Cc)( \e .-A. ,eve ve— Q irY� .y
CONTACT 2: cam, 1C\ CV.vc ./ HOME PHONE 74-fri 413 31
ADDRESS: 6-4 C.01'N'C\e(AN c
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.
x- _' 00 Mie
Inspection rm � -
C) Periodic Inspection Date: 1 �� r Time: l Pte-
Town of Queensbury Fire Marshal p
742 Bay Road,Queensbury NY 12804 o Re-Inspection /��~
518 761 8206/518 761 8205 s CO Inspection Permit#:_- CO.
Fire Marshals Representative t
MJ Palmer Business Na e: A -e' I i it—
Location: ;' i i■
GK Stillman Contact: ` rr {.
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Type of Inspection N/A Ye No 714/
-
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 n
Secondary Aisle Width FC 1025&FC1029.11 ,� , tlt//
FIRE EXTINGUISHER: Hung FC 906 V
Inspection of extinguisher FC 906 1
EVAC Plan FC 404.6 ig
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
(-)coQl
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.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2 l
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 /
Interior Finishes FC 803-804 /
Smoke Detectors FC 907
CO detectors FC 610 j
Clearance to Sprinkler/Ceiling FC 315.2.1 l/
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 APPROXIMATE'
Vacant Buildings FC 311111 21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation -
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown �*-,.+»------,?•"'"�. """...""""�".
Sprinkler System Annual FIfE�vlar ',���rISG9rt�t`(i�lC
op
?0 i$5iA8 edeif#iiiJete Gf Ofc�.i+ n'y
Sprinkler FDC
Kitchen Suppression Semi Annual q
Fuel Island Suppression Semi Annual °
Hood Cleaning 3-6 -Annual I
Knox Box:installed/checked FC506 1
Operating Permit, if required will be issued after .,,,,,.! ,.......... r
Completion of Inspection -
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The Town of Queensbury does not warrant the correctness or accuracy of this data or assume any
responsibility for any explicit or implied uses.
Town of Queensbury
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-s- Queensbury,NY. 12804-5902
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