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2015-266 iAeffilbkiTOWN OF QUEENSBURY too742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20150266 Date Issued: Tuesday, July 07, 2015 This is to certify that work requested to be done as shown by Permit Number P20150266 has been completed. Location: 123 QUAKER Rd Tax Map Number: 523400-296-019-0001-002-000-0000 Owner: MRK COMMUNITY COLLEGE HOUSING, LLC Applicant: MR B'S BEST - GLEN LAKE SERVICE CORP. 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 ( 44,0 1 16/lt 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. 016` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150266 Application Number: A20150266 Tax Map No: 523400-296-019-0001-002-000-0000 Permission is hereby granted to: MR B'S BEST- GLEN LAKE SERVICE CORP. For property located at: 123 QUAKER 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: MRK COMMUNITY COLLEGE HO1 6 CHELSEA P1 Certificate of Occupancy(COM) CLIFTON PARK,NY 12065-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2015-266 C/O only for Office Mr. B's Best- Glen Lake Service Corp. $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 24,2016 (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 e : ra i on date.) Dated at the Town I 'Qu.-n%r ' ' doe say,June 24,2015 SIGNED BY /✓moi , i/1A / for the Town of Queensbury. � r : - . . Building& ode Enforcement 1 Office Use Only Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: 2oi5 - 2te(0 Permit Fee: �� - , *Note: This application is for occupancy only,with no work requiring a building permit. Name of Business 40A a_ T2. (A.-QnL.o ke_ S2ry i -C, Co cc . Address b 24, +2 C( Type of Business FH C.2 Manager L 2 v v OR Person in chargeRECEir'd Business Phone No. _ -Q 3- S l t14 2 2 2U15 Property Owner K- 16 12 --Cl I f C o -e-tr4 Rv Address (o S 2 Q v �. 0.C-e- � � � `F' Phone 3 7 / - O S&L( /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: R- ( ' Pe \L g cC `` CilZQZ, Signature: �� 3 - 2 � Date: W. 2:2-1 2 t7/ .S Notes I Comments: -Cc hGcrt S? race ; .s /' c - 1 Oc / /2_ Cat a.LQr- °' d t,,-e ens 6 to r v AN, @ '7' 30 ac ry SS S',".S',". tt-1Q re 7L. J--QA5`eri+ �-t,V-t 1- t-t S 6 o r rt gra I phi C 0 rrer u-V-I"ors . 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 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. � •=•-_-_- -�- LD� c� � o -T� , PLEASE PRINT .�U�d 2 2 2015 DATE: (o '/%2-- Z p TOWN OF QUEENSBURY BUILDING&CODES BUSINESS NAME: i_a l p rd #7 ek- Rea l Pryer-1-y LL C ;di a 2 f10 1.4-, c Z— — Ci( 0/50— y'52- BUSINESS ADDRESS: L Ck 5,ea ‘q . et ; c v- lC N) 12-0(4.5 373 — 4/ Sib BUSINESS PHONE: CONTACT 1: 01 I Chi Ci-e,( ICI i rn1Ce 14HOME PHONE ADDRESS: C L S •eG tiP l • c P I�CONTACT2: e 0 n e HOME PHONE 7 ` 62367 ADDRESS: Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 Inspection Form 30 Town of Queensbury Fire Marshal O Periodic Inspection Date:/h1` 1 Time: / • 742 Bay Road,Queensbury NY 12804 (11.Re-Inspection (� d�o 518 761 8206/518 761 8205 CO Inspection Permit#: Fire Marshals Representative MJ Palmer Business Name: (nom"` CS`' 'i or Location: 1X13 fa/ltan It 6°- GK Stillman Contact: 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 y AISLES: '� �� / Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 � �\"n�� 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 DL Clearanc e 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 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 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 21 DAYS 3rd Party Electrical SYSTEMS: FC 901.6 lnsp 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 rrr Kitchen Suppression _ Semi Annual ;i / c �`" �' ' _,v Fuel Island Suppression Semi Annual I f 0"r'4 Hood Cleaning 3-6-Annual J Knox Box:installed/checked FC506 �G JUL O r I ; Operating Permit, if required will be issued after • - Completion of Inspection - , .) Inspection Form _ Town of Queensbury Fire Marshal O Periodic Inspection Date: 6 A Time: !4 742 Bay Road,Queensbury NY 12804 o'te-Inspection `�-2 518 761 8206/518 761 8205 �- CO Inspection Permit#: r��t Fire Marshals Representative f 7----(r41) � /'f Business Name: /0h• f .1,‘ / O Location: ��3 i �� 'PalmerStillman Contact: 100/1 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 41r- 176 Sign: Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 3 Secondary Aisle Width FC 1025&FC1029.11 ✓/ FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 �'�CA ,,409 41.W EVAC Plan FC 404.2 r TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: 7 !///ii Interior FC 1006.3&FC1029.8 %%��!!//�� Exterior FC 1006.3 Clearance to Electrical FC 605.3 .,...°"''. /I__ _ 4- Electric Wiring Enclosed/Labeled FC 605.3.1 -� /`y�/( Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 r No Smoking Signs FC 310.3 ;/ Storage FC 315.2 /Ri 57 Compressed Gas FC 3003 �/ 6) 4-' fiptr./`� 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 .. Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY Emergency Disconnect FC 2203.2 �j 21 DAYS 3rd 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 Paint Booth Suppression Semi Annual DATE: OK NC Sprinkler System Annual Sprinkler FDC C KitchenSuppression Semi Annual Fuel Island Suppression Semi Annual grt/te * C /(//41/ Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 46, Operating Permit, if required will be issued after Completion of Inspection4 1 L MACNETIC AS PSR MAP RIFERSIXS MAP REFERENCE MM Di A WAWY D] A pm,rw OF TE LVIOS OF MARK C. k RI2 S H B. O01TE BY: JOHN S. VAN DUSM l- OAIED: OECELLi&R R 1911 Cl. i LAST "k O,. iRaR IARY 1& IAM3 �G •ry OOb gphq - 8 ' / / i %� I LANAMO x NIAGARANIAGARAMaxArx 1( I l / Illr�=� 1 fill \I my III IIII II \\ _ AREA` '1 / / / gill I •V�\) I \\ �\ IIII LANW N/Y aP I 1A I 1 \ __ __ _ WAGARA Mp1AW( // / . • • • 1 1 (IM�AO•x• ____ _ _ — � � \ \ —� jl 1111 IIII M6 1— � \ POWER CGflPORAIICN I �/ � .' ___ __ / • I - \ \/ I 1 I r� ��\ 1 1 ♦\ Y o 1 � l\ / 1 � I 1 1 \ & \ Wwaw 1 Ace I /// • RIET / �_�, ��/. - - )\ I II I �� / \) � -_ _ .. \ ♦b / IIIIN (IIII AR " • _ _ _ Ej \\ 1\ - --' i b1 _. a) \ \� i i^I9/ 11 FIRE m Lr av 1 M1\' \ b ,illi iii A / �\ I MASONRYI m 0 1 1 1 ` II 1\ `\\ \ I I 1\ emLaNc / + j � n� I I I \ Iii \\\ O � 1 11 11 \ \ \\ I I I ASPHWAFAcc 1 / \ 11 \\a P. i 1 1 \ 8. B9s Hfrva I I I I / / I 1 1 1 111 1 z I 1 I 1 _ _♦ I I I 1 r / / / I c- - S I I III I F•+\. I I \ 1 1 I 1 POTENTIAL BUILDING111 I (-_------ I / I I ♦ ♦\ II\ / I\� 111 III N. �wRAOE it Y \ \ \ \— _J\ _C \_-� G_�-- �i � ___ __ /\ 1 � -_\ i / 1 ♦`♦ ________ ___ -_� _ _ \ _________________________________a � `� `�_` _ \ EENCMWAK: Bfl SPI ` r______ �ECT_Pe"E-_- tll 1____ �.._..__ \\\\ �\ \I ELEVA]IIXIR2=322.1 ) - CLUB \I ROAD COUNTRY --- ' `--- ♦rlr / LEGEND i FtgE RiM•Ali WO- RPf PIPE FWMD EL ATI 3 OS IWO- IRON ROD FWND •. FLAG POE 1 D. WARIER VALVE 1 H1DRANT ®= h EPHWE PEDEBTAL fA _ LAW POST v . SON 'D.. URUTr POE m . SAMTMY MANHOLE .�.�. WARD RAL 1 DATUM = U.S.G.S.3 CONTOUR INTERVAL = 1 FOOT D. Dc