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2015-141 fs - 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: . P20150141. Date Issued: Wednesday, May 27, 2015 This is to certify'that work requested to be done as shown by Permit Number P20150141 has been completed. Location: 453 DIXON Rd BLDG'3 Tax Map Number: 523400-301-008-0001-012=000-0000 Owner: SDC EVERGREEN, LLC Applicant: FINANCIAL BRIDGE CONSULTING, LLC 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 Director of Building&Code Enforcement or Zoning Board of Appeals..' TOWN OF 'QUEENSBURY F_ 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT. Permit Number: P20150141 Application Number: A20150141 Tax Map No: 523400-301-008-0001-012=000-0000 Permission is hereby granted to- FINANCIAL BRIDGE CONSULTING. LLC For property located at: 453 DIXON Rd BLDG 3 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. Twe of Construction Value Owner Address: SDC EVERGREEN, LLC . Certificate of Occupancy(COM) 453.DIXON Rd BLDG 1 QUEENSBURY NY 12804-0000 Total Value . Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 20B-141 Evergreen Professional Park Suite 6,Building C C/O only Financial Bridge Consulting, LLC $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 11,2016 (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 T n o . ueen ty;/' .,-May 11,2015 SIGNED BY �VJ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: 2015- 1�� Permit Fee: � *Note: This application is for occupancy only,with no work requiring a building permit. Name of Business - Address 41>0W .ev s aA� 05. 2015 Type of Business �GourlTi L CL Manager _._1-� N OF QUE OR Person in charge Business Phone No. ,� 4e ,37030 5 � Property Owner Address a�o-1/ . a AA4 J e J Phone ✓Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters, and fixture layout on a separate sheet of paper. Print Name: .� Signature: Date: Notes 1 Comments: IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire extinguishers, fire sprinkler systems, and fire alarm systems require annual inspections by an outside contractor and the corresponding documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semi-annual inspections. Any violations noted during an inspection,require immediate corrective action. CONTACT NUMBERS: Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 EMERGENCY CONTACT UPDATE �p TO: Warren County Sheriff's Department 1. 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. 2. 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. PLEASE PRINT DATE: /lv�l BUSINESS NAME: '��► �J ?) /+�C�►,�'�1aLTj�� BUSINESS ADDRESS: BUSINESS PHONE: CONTACT 1: , l HOME PHONE ADDRESS: rt, CONTACT 2: HOME PHONE ADDRESS: '] ,✓�� / �ZI�� I.��S, .l Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 FIRE MARSHAL'S OFFICE Tozvn of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Financial.Bridge. Consulting, LLC 453 Dixon Road, Suite 6 2015-141 5/11/2015 I have reviewed_the submitted drawings for the above project, and offer-the following comments: 1) All egress door hardware shall comply with chapter 10'of the Fire Code of NYS. The use of a key operated or thumb turn device is not permitted. Verify operation of panic hardware for Exits 2 & I. 2) Verify operation:of all Exit/Emergency lights. 3) 're extinguisher locations.to be discussed. Deputy Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 . 5.18 761 8205 garys@queensbury.net Fire Marshal 's Office Phone: 518=7614206. Fax: 518-745-4437 fireniarshal@queeiisbttnl.net WWW.queensbunl.net Inspection Form I� Town of Queensbury Fire Marshal CD Periodic Inspection Date: .� Time: 6 l�� 742 Bay Road,Queensbury NY 12804 o Rplinspection - - 518 761 8206/518 761 8205 CO Inspection Permit#: / �! Fire Marshals Representative MJ Palmer Business Nqjne: Yf✓1 /tI'� d�i�)�ly� C.IjG,'��f, l��l�—�� Location: /GKStillman Contact: P 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 404.2 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 �y 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/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 EmerqencV Disconnect FC 2203.2 21 DAYS V Party Electrical SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Generator Annual FM Type Suppression Semi Annual DATE: OK NC Elevator Semi Annual FIRE ALARM Annual DATE: OK NC Paint Booth Suppression Semi Annual Sprinkler S stem Annual Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annualoo Hood Cleaning 3-6-Annual Knox Box:installed/checked FC5 Operating Permit, if required will be issued after J Completion of Inspection j/ Inspection Form f 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 -0 CO Inspection Permit#: C� Fire Marshals Representative MJ Palmer Business Name: IV'41 A- -�,/ � i Location: 4 5�7 a"n/ lZej�4e , �5a,1e-4�; GK'.Stillman Contact:. Type of Inspection N/A Yes No EXITS: ExitAccess FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 �°' Exit Discharge FC 1024&FC1029 > Locks and latches FC1008& FC1029.2 Z,} �yj Pll Sign: Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: I Main Aisle Width FC 1024/1025&FC1029.11 SecondaryAisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: `� o• �--. „_�,.tr-}� 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 A,.« 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 404.6 111 &R2) Fuel Pump Warning Signs FC2205.6 ' Fuel Station Emer Procedures FC2204.3.5 Exteriorstora a FC 315.3 -� REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 .� Emergency Disconnect ,FC 2203.2 . ,o•"' 21 DAYS 3,d Part •Electrical SYSTEMS: FC 901.6 Insp OK' NC DATE: OK NC Generator Annual FM Type Suppression Semi Annual. / DATE: OK NC Elevator Semi Annual / FIRE ALARM Annual DATE: OK NC Paint Booth Suppression Semi Annual �. Sprinkler System Annual Sprinkler FDC J Kitchen Suppression. Semi Annual Fuel Island Suppression Semi Annual f Hood Cleanin 3-6-Annual ,✓ Knox Box:installed/checked FC506 Operating Permit, if required will be issued,after Completion of Inspection ��;_, 9 1` 9 Wt a *\Ar � AU C p r