2014-142 ,��'� TOWN OF QUEENSBURY
FTO742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140142 Date Issued: Friday, June 13, 2014
This is to certify that work requested to be done as shown by Permit Number P20140142
has been completed.
Location: 543 QUEENSBURY Ave
Tax Map Number: 523400-297-008-0001-026-000-0000
Owner: 543 QUEENSBURY AVE., LLC
Applicant: HEADRUSH APPAREL
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 lD J 4 )1�
4t
owner of the responsibility for compliance with Site Plan,Variance, or W��
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
if_ya 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140142 Application Number: A20140142
Tax Map No: 523400-297-008-0001-026-000-0000
Permission is hereby granted to: HEADRUSH APPAREL
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
2014-142 HEADRUSH APPAREL- Suite 4
C/O ONLY rear half of Warehouse 100' x 100'
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 30,2015
(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 Tow of Que sbu ; w:i i e?S a April 30,2014
SIGNED BY 4
%04 for the Town of Queensbury.
Director of Building&Code Enforcement
ce'Use Only
Town of Queensbury Fire Marshal2 & 2014 \U°
Reck961:
ESTABLISHMENT OF A NEW BUSINESS Tax Map rD ,�- FR e� , �L
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION SF �t orNG ' /4/a
—Peftnit Fee:
Note: This application is for occupancy only,with no work requiring
�a building permit.
/t°
Name of Business /✓LLi9/)/2IXSN / '°MRbz !/
Address _ _ d ' •
Type of Business /9,0P.a?et G IJ IS 2i4t74/0N
Manager .f -�/�-G 4-///t/y
OR 2✓
Person in charge /G G /
Business Phone No. /-2 9,3"-,t70
Property Owner C G/rF / [/2"Lso t/
Address
PhonezqP- o c
✓Provide an accurate layout of your store showing all walls,exits, stockrooms,rest rooms,counters, and fixture layout on a
separate sheet of paper.
Print Name:
Signature:
Date:
Notes!Comments:
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: `z423 • /
BUSINESS NAME: /12'c9 ED Rai-4 /`tick/2e/
BUSINESS ADDRESS: 5Z/2 �j/�G 711S4(/(2-(i ,9 v '
BUSINESS PHONE: - 5/ 37" `2 ,_1- Jc3 C.7O
CONTACT 1: /- & a !) YJ V HOME PHONE 7?2- 8 y
ADDRESS: 6 „A7)0 'T h L? c3) f DE 00e7'1SIkji012-1
CONTACT 2: /91)C / * 21-1) I7 9 HOME PHONE �t '" C:1iJ 7)
ADDRESS: 6/ C C h Cr; 6-&)-) 7/-7) /is
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form
Town of Queensbury Fire Marshal 0 Periodic Inspection Date: V I13 IN Tme:i 1i7ay Road,Queensbury NY 12804 °Re-Inspection
51 61 8206/518 761 8205 91° I CO Inspection Permit#: Vq 17-
Marshals Representative
_ MJ Palmer Business Name: gF-P
Location: 543 Q Aid
_ GK Stillman Contact: a 1I I
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\/ , ,1/cAki- p-, r /_ �°
Secondary Aisle Width FC 1025&FC1029.11 t� V �1 l W 1
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan ECC r / �Ci
TRUSS SIGNAGE FC 505.3 (9
t /i '�0-C/
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Extenor 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 Waming Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY I
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
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC ¶' Fire Marshal m to
Kitchen Suppression Semi Annual OK to Issue Marshal_
of Occupancy
Fuel Island Suppression Semi Annual 1
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 JUN �
13 +
Operating Permit, if required will be issued after i tn\`/^`
Completion of Inspection ! Fire Marshal
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PARKING CALCULATION
GENERAL NOTES
DISTRIBUTION CENTER (WAREHOUSE PORTM) ORMATION SHOWN ON THIS DRAWING IS TAKEN FROM
1 SPACE REQUIRED PER 2 EMPLOYEES & 1 FOR EACH COMPANY VEHICLE SURVEY DRAWING PREPARED BY VAN OUSEN do STEVES.
NO COMPANY VEFNCLES - 6 EMPLOYEES PER SHIFT IN WAREHOUSE
3 SPACES REQUIRED.
OFFICE SPACE -
1 SPACE REQUIRED PER 3W SQ.-FT. GROSS OFFICE SPACE
1 t FLOOR OFFICE SPACE = Z512 SF - 9 SPACES REQUIRED.
2nd FLOOR OFFICE SPACE D W40) = Z322 SF = 8 SPACES REQUIRED.2nd FLOOR OFFICE SPACE (PROPOSED) = Z032 SF = 7 SPACES REQUIRED. LEGEND No.1 DESCRIPTION DATE
PIP - REVISIONS
RETAIL BUILDING (tRtKIN EXTERMINATION) PROPERTY LINE
1 SPACE REQUIRED PER 300 SQ FT. GROSS
TOTAL BUILDI C SIZE = Z148 SF - 8 SPACES REQUIRED. ----------------- -- PROPERTY LINE SETBACKS
TOTAL SPACES REQUIRED = 35 E/r' EDGE OF PAVEMENT }
EXISTING SPACES AT ORKlN EXTERMINATION = 26 (INCLUDES FLEET VEHICLE PARKING)
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- RECOMMENDATIONS. TRADE
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