2015-433 A TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY�
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150433 Date Issued: Wednesday, September 30, 2015
This is to certify that work requested to be done as shown by Permit Number P20150433
has been completed.
Location: 16 MAIN St
Tax Map Number: 523400-309-011-0001-046-000-0000
Owner: ROBERT J. ECKARDT
Applicant: ROCK CITY VAPOR - CODY GREEN
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 VVV ,45t
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
0.44,41
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150433 Application Number: A20150433
Tax Map No: 523400-309-011-0001-046-000-0000
Permission is hereby granted to: ROCK CITY VAPOR- CODY GREEN
For property located at: 16 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: ROBERT J. ECKARDT
ERIC ECKARDT Certificate of Occupancy(COM)
16 MAIN St TotalValue
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-433
C/O only
Rock City Vapor
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 17, 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 ' • . ,, September 17,2015
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: 30)x,
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: 2.01 ,-
�'
Permit Fee: -73,
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business RC k C i fi/ Vc p e or
Address 16 YV)at`fi S+ gOec n J oy 7 V `y ---�-- � �/�-
Type of Business e � D C E ru v 1 ,
Manager
OR SEP 14 2015
Person in charge Cc 0Y Gr.e "1 /SyJii 6-001
Business Phone No. �13)- ( - l O 6 TOWN OF QUEENSBURY BUILDING&CODES
Property Owner L n'G Ec ctrc,l f
Address 71 (�c '( ( 'o AP4- 6DL �//
I Sr4d t �pr;.oys NY1 i6C
Phone (sir) 3 6 g o g
✓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: Cody are 4.i.
Signature:
Date:
Notes I Comments: "
�Nlarc .
?e0i/ -
-*
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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
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Datef?) hf Time: I
742 Bay Road,Queensbury NY 12804 Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: 20 i5-4--1-7=3
Fir Marshals Representative ` r
>(MJ Palmer Business Name: Z -1t CI-1-7V APa2
Location: 1 la q t i..z s 1--
GK
GK Stillman Contact: C o 07
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 f-----_'
FIRE EXTINGUISHER: Hung FC 906 0-1(-
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
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
SYSTEMS: FC 901.6 lnsp OK NC DATE: OK NC
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
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
Inspection Form 49C)Town of Queensbury Fire Marshal O Periodic Inspection Date:CNI Time: i
742 Bay Road,Queensbury NY 12804 o Re-Inspection I5' 433
3
518 761 8206/518 761 8205 ®CO Inspection Permit#: d
&F Marshals Representative c0 -1 -
MJ Palmer Business Name: 01 \O p02-
Location: kb v`nG rr•1 �r1`
_ GK Stillman Contact: C001
Type of Inspection N/A Ye 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 f
Sign:backup FC 1011.5.3& FC1029.7.5 ./ -70C-1.1.‘ q0
AISLES: SC14- r t-4\--ir
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 ,f 1r(. C{1 li --
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 /
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3 ../ 1/16'4\- CP4-10 5 il'"C/
05.3 /
EMERGENCY LIGHTING: �� ti �,/�
Interior FC 1006.3& FC1029.8 / , ,34."'W
Exterior FC 1006.3 •
Clearance to Electrical FC 605.3 Y.,....
• Electric Wiring Enclosed/Labeled FC 605.3.1 l
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 4.
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
SYSTEMS: FC 901.6
Insp OK NC DATE: OK NC
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
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
i
Operating Permit, if required will be issued after
Completion of Inspection
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FIRE MARSHAL'S OFFICE
Queensbury
f� Town of Q �
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Rock City Vapor
16 main Street
2600sf
2015 - 433
• Verify location and function of all exit and emergency lighting
• All egress hardware to comply w/ Chapter 10 of NYSFC
• Fire extinguisher locations to be determined
• Verify aisles and storage
• Add carbon monoxide detection (see attached)
x\ix\,,e
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office ■ Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net