2012-158 TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120158 Date Issued: Tuesday, May 01, 2012
This is to certify that work requested to be done as shown by Permit Number P20120158
has been completed.
Location: 717 GLEN St
Tax Map Number: 523400-302-006-0001-012-000-0000
Owner: PARKER HAMMOND DEVELOPMENT, LLC
Applicant: NATIONAL GOLD AND SILVER EXCHANGE
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
- FoN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120158 Application Number: A20120158
Tax Map No: 523400-302-006-0001-012-000-0000
Permission is hereby granted to: NATIONAL GOLD AND SILVER EXCHANGE
For property located at: 717 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: PARKER HAMMOND DEVELOPME
2868 COUNTY RD 46 Certificate of Occupancy(COM)
FT. EDWARD,NY 12828-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-158
New Business Name/ same owner
CSA Coin &Jewelry changing to National Gold& Silver Exchange
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, April 16, 2013
(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 Town of bury; on. ,', April 16, 2012
SIGNED BY -14
for the Town of Queensbury.
Director of Building&Code nforcement
ff. .moo
Community Development Office
f- Town of Queensbury• 742 Bay Road • Queensbury, New York •928
Dat
e
David Hatin, Director of Building& Codes
Craig Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal AiStamp
ESTABLISHMENT OF A NEW BUSINESS 61t ;,IN G& CODES
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP# Ovia -- /BLDG. PERMIT FILE# J
If applicable
Name of Business: N R TIoN' & /.-,0 ,S//UGC C
Address -7 /I /'
of Business: 1 1 C�LL� Si • &(--ri--7-A-Z Ul f ,/ QUESTIONS? CALL 761-8256 OR
/ EMAIL codesftueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 1 C l-\ (>ci) (,v r L(—if INFORMATION
www.queensbury.net
Business Phone Number: 5) k - 7YS
Type of Business: LK-4/ StiliC
Owner of Property: tit 1v � 11 v rk1.4A-4 Phone Number(s): � 3 22 d
Home Cell
Owners Address: 7 (1 .
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters an�.3t•�s -:yout on a separate sheet of paper.
Signature: Date: '"/ a-12—
Of
fZOf• submitting this form
Notes/Comments:
EMERGENCY CONTACTSPR° 1`)"-- 15.
UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE:
BUSINESS NAME: NP11 to( )A-(._ C1 c- (6 S i J t232 Cxo-feylgf'
BUSINESS ADDRESS: -711 (L?v1 S G�_.c,c--t—rvSAc /?r6y
BUSINESS PHONE: 5) " 71S— 17 6iU
CONTACT 1: �c tfi ./3 (,v) L LI,Ow i HOME PHONE 7i'3- 73��
ADDRESS: 5LISI-Se v\ A
CONTACT 2: (7,def i'! " - / L 100HOME PHONE —793—206I
ADDRESS: 7 L-7i914 , S G /2d
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.
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.
Inspection Form
Lio
Town of Queensbury Fire Marshal O Periodic Inspection Date: 611 I I?' Time: /0
742 Bay Road,Queensbury NY 12804 o Re-Inspection ba_ /65
518 761 8206/518 761 8205 aD CO Inspection Permit#:
FirMarshals Representativei);(e
`
MJ Palmer Business Name: tJ Cki ter,,_ C9 of O , Si i-v�I.-
Location: `-) ( '1 (0PP4 h G/t,,.-
GK Stillman Contact: Qtc-d,e, 1-.J111(0,..../
Type of Inspection N/A Yes i No o _
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024&FC1029 ...--
Locks
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029 ,7'.
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 f
Secondary Aisle Width FC 1025&FC1029.11 ‘(`r..
FIRE EXTINGUISHER: Hung FC 906 f
Inspection of extinguisher FC 906 C OP{Jh
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 ./
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8 f
Exterior FC 1006.3 V
r'
Clearance to Electrical FC 605.3 ./,./.
` 5c �G l
Electric Wiring Enclosed/Labeled FC 605.3.1
J
Combustibles in Equipment Rooms FC315.2.3 /
F.D.Signage- FC 510
No Smoking Signs FC 310.3 / s
Storage FC 315.2 !
Compressed Gas FC 3003 /77
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 7'
Exterior Storage FC 315.3 '2
Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY
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 $(I I )/ DATE: OK NC
HVAC Shutdown
Sprinkler stem Annual I Fire Mar.;.'-21 iriS�JC;G i ': (.,c� i....:
P y ).K t::Ss.a Certif.:-to of OcAwar1,? 1
Sprinkler FDC
Kitchen Suppression Semi Annual ;
Fuel Island Suppression Semi Annual `
Hood Cleaning 3-6-Annual 21112
Knox Box:installed/checked FC506 ; �- _ __
I Fire e,6. .`t
Operating Permit, if required will be issued after Town of Q:.F_rs_:iri 1
Completion of Inspection
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