2015-297 TOWN OF QUEENSBURY
^� 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: P20150297 Date Issued: Friday, July 17, 2015
This is to certify that work requested to be done as shown by Permit Number P20150297
has been completed.
Location: 707 GLEN St
Tax Map Number: 523400-302-006-0001-009-000-0000
Owner: FRANK J PARILLO
Applicant: MAUI TEETH WHITENING QUEENSBURY
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
Commercial Alteration TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (." /�
41-it
owner of the responsibility for compliance with Site Plan, Variance, or �d
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
tifk."10
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150297 Application Number: A20150297
Tax Map No: 523400-302-006-0001-009-000-0000
Permission is hereby granted to: MAUI TEETH WHITENING OUEENSBURY
For property located at: 707 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: FRANK J PARILLO
215 BALLARD Rd Certificate of Occupancy(COM)
Commercial Alteration
GANSEVOORT,NY 12831
Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-297
CIO -- Maui Teeth Whitening, Suite 2
Commercial Interior Alt.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 09,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o ensb ; /J r.$.11 . .my 09,2015
AISIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
•
ii-7TC
—.® Office Use Only
Town of Queensbury Fire Marshal
JUL 0 le Received:
ESTABLISHMENT OFA NEW BUSINESS Tax Map ID: 3c'2- & —t —1
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
Permit No.: 2(315 2G -
Permit Fee: ) 72-k�1
*Note: This application is for occupancy only,with no work requiring a building permit. •
Name of Business MaLLI x'11-Ih �U �I ,111I�� Qttury
Address C'? :.fr.reI I yowl
Type of Business to`'U.friiA SIC if)
Manager Ct I wk j
OR
Person in charge f�
Business Phone No. ( L ') �� O 5q j
Property Owner Fiit(\t pool/ 0
Address
Phone (5i ) 114(4 " (W U)
✓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: fl ! 0k. T
Signature: nl V 406
Date: -71z( �"-
Notes I Comments:
7O7 ,
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
, cle i 30/?rii
Inspection Form
Town of Queensbury Fire Marshal O Perio is Inspection Date:?1s/�Time: /��
742 Bay Road,Queensbury NY 12804 c"R nspection ®� ,2.17
3
518 761 8206/518 761 8205 ce 0 Inspection Permit#:
•
Fire Marsh Is Representative _._.______...- /
_ MJ almer Business Name: Ald14 �fli / 7e.�0`
Location: a /� 4- -..i._. _... ��J '��l -a
GK Stillman Contact: �,✓� le -
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 s
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 _� 0K-
Interior Finishes FC 803-804
I >.v........Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
10 _
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 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 /y�y`
`
Sprinkler FDC _
Kitchen Suppression Semi Annual Aka /„i /fv co
Fuel Island Suppression Semi Annual W G !Y(f
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 el/�i fit% fj
Operating Permit, if required will be issued after
Completion of Inspection
Inspection Form
Town of Queensbury Fire Marshal (D Periodic Inspection Dat`'��d��3 Timer_
742 Bay Road,Queensbury NY 12804 o Re-Inspection `�
518 761 8206/518 761 8205 SCO Inspection Permit#: I tT q-7
F Marshals Representative
MJ Palmer Business Name: ..
m Q,..1 +< Th4 SLS kIt-c(4% 1.!o
Location: -7 e77 J n CIL lk)
GK Stillman Contact: N ICoI --
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 V
I1i
Sign: Normal FC 1011 &FC1029 r-f�l�. �
Sign: backup FC 1011.5.3&FC1029.7.5 V ('1013 a l ./3Aij f t
AISLES: 4.. t. ���t%U J
Main Aisle Width FC 1024/1025&FC1029.11 1
Secondary Aisle Width FC 1025&FC1029.11 V
FIRE EXTINGUISHER: Hung FC 906 a (t(/M60 c)G t Mai N
Inspection of extinguisher FC 906
'tm -6 h t2 ,nq
/y
EVAC Plan FC
n V (��D
TRUSS D SIGNAGEFC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 V
Clearance to Electrical FC 605.3 _ - / ��1�� Ci)
���^_
Electric Wiring Enclosed/Labeled FC 605.3.1 // 3J moi
Combustibles in Equipment Rooms FC315.2.3 / / WON if * b t-r�
F.D.Signage- FC 510 ' _
No Smoking Signs FC 310.3 1p")\, ��. 11CL,
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 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
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
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