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2012-216 elaki TOWN OFQ UEENSBURY ��� Quw 742 BayRoad, eensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120216 Date Issued: Monday, May 07, 2012 This is to certify that work requested to be done as shown by Permit Number P20120216 has been completed. Location: 543 QUEENSBURY Ave Tax Map Number: 523400-297-008-0001-026-000-0000 Owner: 543 QUEENSBURY AVE., LLC Applicant: DOCUMENT SOLUTIONS OF THE NORTH COUNTRY 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 —" ;!rce Director o---building&Code : rcnt or Zoning Board of Appeals. ,-"P` TOWN OF QUEENSBURY AgIV 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FON Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120216 Application Number: A20120216 Tax Map No: 523400-297-008-0001-026-000-0000 Permission is hereby granted to: DOCUMENT SOLUTIONS OF THE NORTH COUNT For property located at: 543 QUEENSBURY Ave 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: 543 QUEENSBURY AVE., LLC 543 QUEENSBURY Ave Certificate of Occupancy(COM) SUITE 1 Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans&Specifications 2012-216 Document Solutions of the North Country $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 03,2013 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Quee bury• ilhu s a May 03, 2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Community Development Office I Town of Queensbury • 742 Bay Road ■ Queensbury, New York •12804 ,i�� ,,+ , .Qlip) J f_.../.60.0', 1,._,t David Hain, Director of Building&Codes Michael J.Palmer, Fire Marshal TOWN OF QUEENSBURY Craig Brown, Zoning Administrator- BUILDING& CODES NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP # D99. ' '-02 10 BLDG. PERMIT FILE# / a 1 ' it applicable Name of Business: ©ocurneA r SJL�TtuNN dents_ /voa7H loa,ci-P-' Address of Business: QUESTIONS? CALL 761-8256 OR 3 Q���N �r2Yv� EMAIL codes(@queensburv.net VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: - ..- . GALL P INFORMATION www.queensbury.net Business Phone Number: ‘S—( 8'- 79 Z-9(0 1 Type of Business: c i Ff C L Fz$L prA2Ad'- Owner of Property: C1_I F� i-iSLS,,tj Phone Number(s): clT- 24k-0 c Home Cell Owners Address: Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. Signature: p...„ ,,,I.rDate: Z//3c�� 7 Of person submitting th Notes / Comments: IrD ii- _,_:(L=7: _LL.Lii \Y" L '; r' EMERGENCY CONTACT UPDATE 02 2012 ` - Please print clearly 1_1°,6'l_tlit_CD)INGIMIS-DIPRY DATE: Y3c13F7 1 - - )-( T BUSINESS NAME: P4cLii t'T Se LunGA-- of t I ar\ Cam P--Try BUSINESS ADDRESS: S `l 3 0 cr -4i36 e_y A vE BUSINESS PHONE: 51F " L- `it o PHONE 1: 7" " `eO'5 CONTACT 1: �'tc_ 64-1-1--- p PHONE 2: .30 .7 -2-9 30 TOWN/VILLAGE RESPONDING FROM: 6-L '-' a:1 Q-`t' PHONE 1: 79k _oo 30 CONTACT 2: CV-1?::- gJSt4 PHONE2: 532 - 32- tf TOWN/VILLAGE RESPONDING FROM: t:70(2-1-- F-'D`"-A i 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. TOWN OF QLIEENSBLIRY FIRE MARSHAL' S OFFICE P l: o n e: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.,iet • www.gueensburtl.net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman ric ria 1-3 Inspection Form r Town of Queensbury Fire Marshal O Periodic Inspection Date: 0ime: 742 Bay Road,Queensbury NY 12804 o Re-Inspection .\\ Q 518 761 8206/518 761 8205 41 CO Inspection Permit#: / oi< I LP Fir .Marshals Representative MJ Palmer Business Name: 0?s c S 01 ceq--/0 ..9D�, PoC+(- Location: 5 3 A.\.) e. U U _ GK Stillman Contact: R.Lcl� �L p Type of Inspection , N/A Yips No - EXITS: Exit Access FC 1014&FC1029 -/ NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 /7/ Locks and latches FC1008& FC1029.2 / Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 7.1,, (Nr -JA- 53-() 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 / r\,,vi,Tt_ EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 � ,l Exterior FC 1006.3 6. cl::: e____ Clearance to Electrical FC 605.3 ,�r, `r j Electric Wiring Enclosed/Labeled FC 605.3.1 / 6 Combustibles In Equipment Rooms FC315.2.3 f F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 _ CO Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 ,7 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 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 _ I Sprinkler FDC rFire Mar.,"111 Inspec Ln Complete Kitchen Suppression Semi Annual ' OK to IGsue CertifirAte of Occupancy i Fuel Island Suppression Semi Annual I Hood Cleaning 3-6 -Annual f Knox Box:installed/checked FC506 f 0` 2 Operating Permit, if required will be issued after ^� F Completion of Inspection of •en ' of • esc>i+ry ,42) ) o2 2012 • L3`►/_S�� 51)) s /\I3 r-14-N VV 2 " 1 .Du i_ ,2 aa2 Fi re Marshal 's Office • Piton e: 518-761-8206 • Fax: 518-745-4437 fireniarshal@queensbury.net • www.queensbury.net