2010-481 TOWN OFQ UEENSBURY
742 Ba Road Queensbury,NY 12804-5902 (518)761-8201
vro y ,
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100481 Date Issued: Monday, January 31, 2011
This is to certify that work requested to be done as shown by Permit Number P20100481
has been completed.
Location: 730 GLEN St
Tax Map Number. 523400-302-006-0001-054-000-0000
Owner. L.P. DECOGLEN LP
Applicant GAME XCHANGE
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 ; 1 j
i ty J
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
.4111%
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ET 1
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100481 Application Number. A20100481
Tax Map No: 523400-302-006-0001-054-000-0000
Permission is hereby granted to: GAME XCHANGE
For property located at: 730 GLEN St
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: L.P. DECOGLEN LP
CIO HOFFMAN ENTERPRISES Certificate of Occupancy(COM)
25 CORPORATE Cir Total Value
ALBANY,NY 12203-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-481
GAME XCHANGE - CIO only
---- ---------
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 06,2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbbefore the expiration date.)
e'
Dated at the To.41 of e mid0 '/ da October 06, 2010
ti
SIGNED BY J1` for the Town of Queensbury.
Director of Building&Code Enforcement
gift& Connmunitj Development Office
Town of Queensbury• 742 Bay Road • Queensbury, NewYork •22804 2010
' �I � � �
Marilyn Ryba, Executive Director•David Hath!, Director of Building&Codes 'F WN OF QUEENSBUf2Y
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal 3UILDING & CODE
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP# L . (�� "' S4/ BLDG. PERMIT FILE# 1104/8-
I applicable
Name of Business: &o,0-.Q X.0 voirNC3e
Address
of Business: 736 V pp�,^ cr ter., SA r� QUESTIONS? CALL 761-8256 OR
EMAIL codes0aueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: lk- ckr . Shp u k. INFORMATION
www.aueensburv.net
Business Phone Number: SI $- ��- 7,`-to
Type of Business: Q e. cam:( 11, d eo Crc r.c2 s
Owner of Property: TQd C 4 rem:Icon Phone Number(s): Ti2)-o za,3 —�
Home Cell
Owners
Address: /`-t M c`'v nc.'d Saks e Q_a-
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date: `t/2.-4-11.0
Of person submitting this form
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
g 29,710/0 --zik/
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: `1 1 2 43 16
BUSINESS NAME: Cr ek..rne C1NCt�vg
BUSINESS ADDRESS: �3b vpp Y G Ie.- (res —l
BUSINESS PHONE: S l e - �cf3 - Zai(.3S
HOME
CONTACT 1: toax• 1trx PHONE % -cio5�
ADDRESS: 29. SI. PP 2"
HOME
CONTACT 2: N PHONE -9c+6-0 z z?j
ADDRESS: Z$ Lck.dA, S1,ppm D �e
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
Phone: 518-761-8206 • Fax: 518-745-4437
firencarshal@queensbury.net • www.queensbury.net
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Inspection Form
Town of Queensbury Fire Marshal oPeriodlc Inspection Dater 27%
742 Bay Road,Queensbury NY 12804 Reinspection
518 761 8206/518 761 8205CO 6/1 Permit#:
Fire Marshals Representative / / *�/
_MJ Palmer Business Name:
Location: `750 W.,/ • '
_ GK Stillman Contact: i7 }`NI S3-j 5L1 r W
Type of Inspection N/A Yes No
EXITS: NOTES
Exit Access FC 1014
Exit Enclosure FC 1020
Exit Discharge FC 1024
Sign Normal FC 1011
Sign backup FC 1011.5.3
AISLES:
Main Aisle Width FC 1024/1025
Secondary Aisle Width FC 1025 /1414-,
C
FIRE EXTINGUISHER: /�/,��
ri
Hung FC 906
lnsp of extinguisher FC 906 47.
WO
EVAC SIGNS IN R ooms FC 404.6 �'�
TRUSS ID SIGNAGE FC 505.3
EMERGENCY
Interior
LIGHTING:FC 1006 ��
Exterior FC 1006
Clearance to Electrical FC 605.3
Compressed Gas FC 3003
Knox Box FC 506
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1
18"/24"
Exterior Storage FC 315.3
Operating Permit
Vacant Buildings FC 311
REINSPECTION DUE APPROXIMATEL
21D
SYSTEMS: FC 901 lnsp OK NC DATE: _ 0 NC
Date
Generator Annual DATE: 0 ! OK 40.
Hood Installation
Elevator Semi Annuali
FIRE ALARM Annual DATE: i - OK C
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 C\C' ()Cl/
Inspection for Permit to Occupy
Fire Marshal's Office Request ‘O-LIC C
Recd Permit No.
Town of Queensbury
742 Bay Road tor o `'
Queensbury,NY 12804 Scheduled Inspection Date: i v Time: I
Phone: (518) 761-8206 Business Name: l.s.A"V-4 °-."c:
Fax: (518) 745-4437 Location: if-1 S �ep4r. 4e I�
Type of Inspection N/A Yes No
EXITS:
Exit Access / COMMENTS
Exit Enclosure
Exit Discharge / _
I\ }'f AC iss-"V i1c1.I ttat. �
v
AISLES:
Main Aisle Width sJ(t.4'> 3+- e.
Secondary Aisle Width /
EXIT SIGNAGE a 17101 `k.T A t6441g6 ?� �9"
Sign-normal r
Sign-battery / )....Ny:412 42.,"c‘ bc Vv.we
EVAC signs in rooms l
TRUSS ID SIGNAGE /
EMERGENCY LIGHTING / . \ i•ou, N 4 lS 1 z
FIRE EXTINGUISHER: O 1 c( k )'`'`-t --
a „,,c- 5n�` � 1...IHung 4l
Inspection of extinguisher Ne Rt.-6r) 'A CC
FIRE ALARM SYSTEM ) f_0 0 C^T I it CG V cim
Fan Shutdown IG 4 •V
Fire Sprinkler System (FDC) "7-1-4.1 .- ��Y�--
Fire Suppression-kitchen
Fire Suppression-Gas Islan / -
Generator �( `� t j cl'447 �d�p
Hood Installation / \ r Cc' I -- 6
ElevatorJJJ
Interior Finishes V . ` MJt_.1 I
Storage V �
Compressed Gas i ��QP�' r� ti.o�1aft
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled _ ��rr,, l,
Combustible Waste Co � CQVY1�$``r"
Vehicle Impact Protection f/ ?N.2iN4‘csi.) i ,
Knox Box ,/, 1.j � �'t� ��
F.D.Signage-Utility Rooms //
•
No Smoking Signs /
Maximum Occupancy Sign ✓✓/
Emergency Evacuation Plan
❑ Approved (If no other approvals apply,the B&C Office will i - 'cote of Occupancy)
o Denied / call for Recheck
4Inspected By: •i
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc