2012-550 v ` TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
5Q r7,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120550 Date Issued: Tuesday, November 20, 2012
This is to certify that work requested to be done as shown by Permit Number P20120550
has been completed.
Location: 704 GLEN St
Tax Map Number: 523400-302-006-0001-058-001-0000
Owner: LANDCRAFTER, LLC
Applicant: BUY LOW CARPET AND THE FLOORING GALLERY
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
L.Dj 1k--
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 QUEENS,B,URY
'742 lia.v Road,Q)Umisbury,NN' 12804-5902 (518) 769-8201
Coninninity Development-13trilding& Codes (518) 761-8256
BUILDING PERMIT
Perinit Number: P20120550 Application Number: A20120550
T.-ix ,\Lip No: 523400-302-006,-0001-058-001-0000
Permission is hereby gnintcd lo: BUY LOW FLOORING
I'or property locnted it: 704 GLEN St
in the "own of Queensbury, to construct or pLice
,it the,
bove loc.ition in accordmice with application together with plot flans and other 111fortruitiOn hereto filed
mid approved and in compliance with the N`` Uniform Building Codes .incl the Queensbuly Zoning
OrdID1311ce. 1' pe of Construction 'Value
Owner Wdrcss: LANDCRAFTE'R, LLC (_lertificate of Ocetipancy WOM)
ATTN: JOHN CARR 'Votal Value
,9 IIALADA Dr
LAKE GEORGE, NY 12845-0000,
Contractor or Builder's Name / Address 1_,'1ectricn1 I rispcction Agency
Plans& Sy.iccifications
2012-550 BUy Low Flooring WarehOLISC
CO only
550.00 PERMIT FEE PAID-'rHIS,PERMIT EXPIRES: Tuesday, Noveniber 19, 2013
(1fa longer period is required,an application for an extension must be roade to the code Enforcement Officer
of the"T of Queensbury before the expiration date.)
Dated at the Town of Queensbitry; Monday, Noveniber 19,2012
SIGNT'D BY for theTOW11 of QUeeil'bllry.
Director of Building& Code E`nforcerrietit
i
\--ni 004e r ,
,�-._ Community Development S(� e �i,ci� i�
,
,. , Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 '
David Hatin, Director of Building& Codes
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal iii ref i
ESTABLISHMENT OFA NEW BUSINESS t," 7012
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP# ?0-, .(p-I - C2 .. I BLDG. PERMIT FILE# / —55(3
It applicable
Name of Business: v 1--D14 C V b'b -- tiQPIO C,A DEW
Lt.....c_
Address l�1�
of Business: -C 6 LFi - QUESTIONS? CALL 761-8256 OR
EMAIL codes{?1queensbury.net
0_--0--j-rVISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: ''..1.71)-1--)1---) Z - INFORMATION
(; f www.queensbury.net
Business Phone Number: S I 1 `12 - 6 C-
Type of Business: e � _ / ,"' 5, 1_, / 6
LA, 1, r i / -LL �-C� z
Owner of Property:(' _ ��-�)� Lt'J 1 �.'Ptione Number(s): - l ' - f 4 J
F18mr Ceq
Owners Address: Cl- -1/2-LL. .� 1 '42 I^ 1 12 C/9
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
-T; counters and fixture layout on a separate sheet of paper.
i
Signafur
c7� Date: / , ----
person submitting this form
1
Notes / Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 1 1/j3/12=
BUSINESS NAME: U1.a\-( LOW
BUSINESS ADDRESS:NESS L
BUSINESS PHONE: 1 U — R-9 2, — 2-6
(
CONTACT 1:"-A -04-) � �� HOMEME PHONE - 1 ;113
ADDRESS: 6\ -1T 1"m 1 C ' IN.)
CONTACT 2: 1./3 M i C HOME PHONE
ADDRESS:
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.
i-
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: Time: •
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fire Marshals Representative
MJ Palmer Business Name:
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
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
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.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
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 I Fire Mar;;.",=I InsnecSur orrlplete
Fuel Island Suppression Semi Annual OK toIssu^ Crdrtific..,ti1bccuoancy
Hood Cleaning 3-6 -Annual
Knox Box:Installed/checked FC506
2E2
Operating Permit, if required will be issued after 1111
Completion of Inspection —' i ..
L _. Town of Queen sr�u�rr ___Y