2012-370 ../1111% 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: P20120370 Date Issued: Wednesday, October 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20120370
has been completed.
Location: 79 GLENWOOD Ave
Tax Map Number: 523400-296-019-0001-042-000-0000
Owner: PRIME GLENNWOOD, LLC
Applicant: VECTOR MARKETING
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&Co a Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
F � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120370 Application Number: A20120370
Tax Map No: 523400-296-019-0001-042-000-0000
Permission is hereby granted to: VECTOR MARKETING
For property located at: 79 GLENWOOD 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: PRIME GLENWOOD, LLC
79 GLENWOOD Ave Certificate of Occupancy(COM)
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-370
CO Only-Vector Marketing
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 01,2013
(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 To a \nsbu A W I , y i a • ugust 01,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
M. Communitrj Development Office • ALIli U J. 2012
'` ;=, Town of Queensbury • 742 Bay Road • Queensbury, New York -12504
Marilyn Ryba, Executive Director• David Hain, Director of Building&Codes ,'
Craig Bron,Zoning Administrator•Michael J.Palmer,Fire Marshal ; ;
6P o
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 6' I a 4
BUSINESS NAME: Vector Imo
BUSINESS ADDRESS: -.Ft G t.e Yu,.)0A Ave Cue€Rsbuc "( 12-80tf
BUSINESS PHONE: 51b ( S (0^ 3B(12
HOME
CONTACT 1: ITC1Sh CCA mie r PHONE 516-3C21-93i(4Q
ADDRESS: ?)05 QU'een� b . Pip- A- ftudSn is t3\i r2_S3 I
CONTACT 2: Ili' Y.1►rQu COC(Y)•QC HOME
PHONE Ne)- C13a-y01
ADDRESS: 305 Queens Dc. Bc. f t\ fails Nhi 12835
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 QUEENSBLIRY FIRE MARSHAL'S OFFICE
Ph o n e: 518-761-8206 • F a x: 518-745-4437
frrenrarshal@queensbury.net • www.queensbury.net
Inspection Form
3G
Town of Queensbury Fire Marshal O Periodic Inspection Date: 1'41 )1Z Timer
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 o CO inspection Permit#: I - 3 1) v
Fire Marshals Representative
MJ Palmer Business Name: 0 izTci,N_ onict �G
Location:
GK Stillman Contact:
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 VY\ 1 cP
Secondary Aisle Width FC 1025&FC1029.11 Iv 1
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 ` /�_
EVAC Plan FC 404.6 ( l 1
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 —7
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3 T V�
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 / J
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
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 Fire Marshal in on Complete
Kitchen Suppression Semi Annual OK to issue t f Occupancy
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506 JCI 41 t
Operating Permit, if required will be issued after
Completion of Inspection Fire MRs •I
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: °(31112 Time: g:/57/44
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 'CO Inspection Permit#: g491?-3 0
Fire Marshals Representative
MJ Palmer Business Name: �I�C7�T1 /If�rzke7'-/
Location: "7904 - .
4_ GK Stillman Contact: -77?/..0 C -4A1/ _
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 . 1- �I
Secondary Aisle Width FC 1025& FC1029.11 / 1 �`T"I/a f�'14l � 1� +� Ut1�
FIRE EXTINGUISHER: Hung FC 906 V
Inspection of extinguisher FC 906 ..-----'
EVAC Plan FC 404.6 ./
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
F.D.Signage- FC 510 ....------
No
/No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 ..-------
Vehicle
/Vehkle Impact ProtectionFC 312.1
Interior Finishes FCC80803-804 �fJ
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24" Q/)7,74/f /Cl de/Lek
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 ,i. REINSPECTION DUE APPROXIMATELY
Vacant Buildinggs FC 311
d C'r?4\5 r 6r)‘.;:/) 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 3/6Z /X 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
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