2015-382 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: P20150382 Date Issued: Friday, August 28, 2015
This is to certify that work requested to be done as shown by Permit Number P20150382
has been completed.
Location: 53 MAIN St
Tax Map Number: 523400-309-010-0002-070-000-0000
Owner: DONALD J DANIELS
Applicant: KERRIE'S NORTHWAY
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 If
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
..41"
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150382 Application Number: A20150382
Tax Map No: 523400-309-010-0002-070-000-0000
Permission is hereby granted to: KERRIE'S NORTHWAY
For property located at: 53 MAIN 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: DONALD J DANIELS Certificate of Occupancy(COM)
1 GILMORE Ave Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2015-382
Certificate of Occupancy ONLY
Kerrie's Northway(Diner)
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 25,2016
(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 n of eens ;/� •, • ugust 25,2015
SIGNED BY 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.: a0I S— gea
Permit Fe ! oG e
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business YQ.,'C-'C\ 5 � iJJ CV-A'
Address W\(x\:c
Type of Business —01 Cl F
Manager Pte'(' r 1�..e_Cia.,‘r
g � \
OR
Person in charge €A T\G `,-� A� �6 2 4 2015
Business Phone No. ( 3 )\33')-O'S-).�o T BVI�p� UEENSB Ry
NG& CODES
Property Owner TDc1 ba r\\ i\
Address 0A-1)&\ Q c Q,Ur2,ec\S b l&r 1 Q\I
Phone ( q -5 30
✓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: es-c \ea_
Signature:
Date: I a
Notes I Comments:
Kerrie's Northway BP 2015-382
53 Main Street
CIO Only
IMPORTANT: The business owner is responsible for keeping exits allu IIIQIIRcuiluny CAII JIyiIJ dllu CIIICIyeIIuy uymb. rue
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
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: e ji S Time: 3.-. P----
742 Bay Road,Queensbury NY 12804 o Re-Inspection n
518 761 8206/518 761 8205 dI`'CO Inspection Permit#: I. - —14..)....4"-
.
F e Marshals Representative + `'`''�,
MJ Palmer Business Name: 1421 ii s (qot-liv" ,1,-)tlokir.g
Location: a rylq.rr
_ GK Stillman Contact: ieE. fib
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 �� '�`,'✓ NOTES
Exit Enclosure FC 1020& FC1029 '
Exit Discharge FC 1024&FC1029 ,,,04°'
Locks and latches FC1008& FC1029.2 ,/ ,�/
Sign:Normal FC 1011 &FC1029 /'" ;� 66-.Sign:backup FC 1011.5.3&FC1029.7.5 D t:.1<t C.. t... 3 d i-t
AISLES: e'1(-!Li 1 r a +'rt-. C .,✓
Main Aisle Width FC 1024/1025&FC1029.11 ,/
Secondary Aisle Width FC 1025&FC1029.11 O'r
FIRE EXTINGUISHER: Hung FC 906 J/'
Inspection of extinguisher FC 906 ...," a j Pi Q f 0 0 D e.-rtc-n or,1
EVAC Plan FC 404.2 c I i.J b t Cct-ks 0
TRUSS ID SIGNAGE FC 505.3 7
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 Pw0,i44 uI J �milai h� �to
Exterior FC 1006.3 7 l>( ,,'
I Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 7 �ft
Combustibles in Equipment Rooms FC315.2.3 .o — IAM) �Y)GNt. ! !ova a 6 et-if ity
F.D.Signage- FC 510 if
No Smoking Signs FC 310.3 .. "
Storage FC 315.2 7
Compressed Gas FC 3003 .."
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804 .7 _ At I
Smoke Detectors FC 907 „" 0 g 1--V n )
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 / ..
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) I
Fuel Pump Warning Signs FC2205.6
\ 1
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
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 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 "11 M X
Fuel Island Suppression Semi Annual
Hood Cleaning 3-C,Annual `ill'6,,.<
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection •
.,
{ Kerrie's Northway BP 2015-382
C3S\6 53 Main Street
CIO Only
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