2013-347 ga TOWN OF QUEENSBURY
woys742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130347 Date Issued: Thursday, November 07, 2013
This is to certify that work requested to be done as shown by Permit Number P20130347
has been completed.
Location: 63 QUAKER Rd
Tax Map Number: 523400-296-018-0001-005-000-0000
Owner: OMALL FAMILY LIMITED PARTNERSHIP
Applicant: BENNINGTON FURNITURE
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
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 nforce ent
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130347 Application Number: A20130347
Tax Map No: 523400-296-018-0001-005-000-0000
Permission is hereby granted to: BENNINGTON FURNITURE
For property located at: 63 QUAKER Rd
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: OMALL FAMILY LIMITED PARTNE
35 ORCHARD Dr Certificate of Occupancy CO( M)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-347 BENNINGTON FURNITURE
CO ONLY
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,August 12,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date)
Dated at the Town .• Que, sbu ; M 1e i at A Lust 12,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS La`MJp{ID:21M - ,
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION ermit No.: / 3- 3 411
Permit Fee:
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business (3e.Y\1\\1\5\oc\ \U:(a
Address GR C4u$ke_a QcsiP4c6.4
1 LapeC
Type of Business `k(4,\\ U \ (tc
Manager
OR '"\C� 7� 1XGC 0
Person in charge
Business Phone No. S le o -" ?LI 3
Property Owner 'c'NC \\ /
Address lD. C9t$A-etL �� ( U o,exi\S�na,..j k k t9-8C11
1
Phone
✓Provide an accurate layout of your store showing all walls, exits,stockrooms, rest rooms, counters,and fixture layout on a
separate sheet of paper. daipilir
Signature:
Date:
Notes/Comments:
6e,i l So -3 C-7 ?CM
f3e&A- ce
- -nSpec t,
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
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's Department
1. 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.
2. 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.
PLEASE PRINT
DATE: J— S 340 13
BUSINESS NAME: {\\1\C tOfl cemrn‘
BUSINESS ADDRESS: 63 Qu\`C2- \C Que,
BUSINESS PHONE: I v -636 -31/13(1
3(1
CONTACT 1: 1 t1C-X\46 CW-d HOME PHONE Clin (D (1°2
ADDRESS: a, cOrs - U PO?e 1-k'\ W U Leiv td1/4-1 ID I
Si
CONTACT 2: 3(CNCT Veeft1`\ HOME PHONEW551? '(/ p'-e w
ADDRESS: pR 1 1.� . �J �vL� l� U Qc-7
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form
Town of Queensbury Fire Marshal 0 Periodic Inspection Date:r t�L 1�3 Time:
742 Bay Road,Queensbury NY 12804 °Re-Inspection 2
518 761 8206/518 761 8205 `a'CO Inspection Permit 41: 1.J
3'c
I 7
_Fly-Marshals Representative
MJ Palmer Business Name: :aerlklitc iCA--- t+1Nrh lle
Location: L93 Q--"f2Ct,l20
GK Stillman Contact:
Type of Inspection N/A Yes No
EXITS: Exit Access PC 1014 a FC1029 NOTES
Exit Enclosure FC 1020 8 FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign.NormalckuFC 1011 &FC1029
FC1 �\ N)5 ^
Sign.backup FC 1011.5.3&FC1029.7.5 J u/
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 (7�j1-}2 "
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
_ EVAC Plan FC 404.2 /
TRUSS ID SIGNAGE FC 505.3 D CL ' U Y•
EMERGENCY LIGHTING: L _
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 N('7eC.. - CT�J k
Vehicle Impact Protection FC 312.1 I!�-
Interior Finishes FC 803-804 l"r'G
/
Smoke Detectors FC 907 0/kid t� �w CS"'
CO detectors FC 610 +,.,�y ,
Clearance to Sprinkler/Ceiling FC 315.2.1 ;wg. - . JUJer"
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) !_{/
Fuel Pump Warning Signs FC2205.6 I f\--A 7
Fuel Station Emer Procedures FC2204.3.5
Exledor 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 i I
FIRE ALARM _ Annual DATE: OK NC
HVAC Shutdown I
Sprinkler System Annual _ •
Fire Marsh*l Inspection Complete
Sprinkler FDC
Kitchen Suppression Semi Annual OK to Issue Certificate of Occupancy
Fuel Island Suppression Semi Annual _
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 I 2013
Operating Permit, if required will be issued after
Completion of Inspection Fire Marshal
L. Town of Queensbu
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Bennington Furniture
Mark Plaza
63
Quaker Road