2011-342 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: P20110342 ' Date Issued: Wednesday, July 20, 2011
This is to certify that work requested to be done as shown by Permit Number P20110342
has been completed.
Location: 989 STATE ROUTE 9
Tax Map Number: 523400-296-013-0001-022-000-0000
Owner: 697 UPPER GLEN STREET, LLC
Applicant: FITNESS FUZION
This structure may be occupied as a:
Certificate of Occupancy(RES) 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&Code Enforcement
Planning Board 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: P20110342 Application Number: A20110342
Tax Map No: 523400-296-013-0001-022-000-0000
Permission is hereby granted to: FITNESS FUZION
For property located at. 989 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. Tyke of Construction Value
Owner Address: 697.UPPER.GLEN STREET, LLC
697 GLEN St Certificate of Occupancy(RES)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-342
FITNEES FUZION- CO ONLY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,July 15,2012
(If a longer period is required,an application for an extension must be made to the code EnforcementDfficer'
of the Tows of Queensbury before the,expiration datc.)
Dated at the Town of eensbury; Friday AIT 15,2011
SIGNED BY f..L4,.�1 for the Town of_Queensbury.
Director of Building&_Code nforceement
r.,,..---------------
Community Development Office E E 0 W E;
Town of Queensbury- 742 Bay Road • Queensbury, New York -1280 ;
David Hatin, Director of Building& Codes 2011
Craig Brown,Zoning Administrator• Michael J..Palmer,'Fire Marshal
=_TF3�MPd BUIp NG& CODE SF�Y
ESTABLISHMENT OF A NEW BUSINESS-
CERTIFICATE OF OCCUPANCYPERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
v
TAX MAP# 296•13 - �2Z BLDG. PERMIT FILE# �` 9
if appllca e
Name of Business: P—C,L zi 0,-
Address
of Business: `�-` S��w P-k QUESTIONS? CALL 761-8256 OR
EMAIL codes(&-gueensburv.net
fZ L Q VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: Jvl,H D���. INFORMATION
www:Queensbury net
Business Phone Number: Z 0 Z
`(�eS�rw� SPl'�lC G �Tw� 1 f G/C�5-C
Type of Business:` }c
�q j Qo%51 LLC
Owner of of Property: I Phone Number(s):
Home Cell
Owners Address:
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: S Date: 7 1� ��
Of person su mitting this form
Notes/Comments:
EMERGENCY CONTACT UPDATE
TO: .WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE:
BUSINESS NAME:
BUSINESS ADDRESS:
BUSINESS PHONE: 5:16 711 t DB t 2
CONTACT 1: HOME PHONE
.ADDRESS:
.CONTACT 2: � /� Jot(, HOME PHONE
ADDRESS:
-This form-is used.to assist Emergency Service personnel who may be called to your
-business after hours. Please.be sure#hat 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 Periodic Inspection Date:. r Ttme:�
742 Bay Road,Queensbury NY 12804 o Re-Inspection ++ ?
518 7618206/518 7618205 4`CO Inspection Permit#: t 1+ 3LO
F're Marshals Representative /, _
MJ Palmer Business.Name: i 'tom S5
K
Location:
GK Stillman Contact: '
Type of Inspection N/A Ye No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 Af
Sim:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Alsle 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 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/CellingFC 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 FOK 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 fa�*'Q'
Fuel Island Suppression Semi Annual OK to isSUe GlKt fiicate of Occupancy
Hood Cleanin 3-6-Annual
Knox Box:installed/checked FC506 3UL 1 C y
i�
Operating Permit, if required will be issued after
Completion of Inspection Fine lOwshal
Tow of Queensbury
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FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Fitness Fuzion
2011 342
7/11/2011
The following comments are based on review of submitted plan:
1) Fire extinguisher locations to be discussed
2) Verify function of all Exit and emergency lighting fixtures
3) Locks and latches at egress doors to comply with NYSFC 1029.2
4) Provide documentation of inspection of upgrades to fire alarm system per
NFPA 72
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 7618206
firemarshal@queensbury.net
Fire Marshal 's Office Phone: 518-761-8206 Fax: 518-745-4437
flremarshal fteensbunj net www.queensbury.net