2014-161 TOWN OF QUEENSBURY
` w 742 Bay Road,Quccnsbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140161 Date Issued: Monday, June 30, 2014
This is to certify that work requested to be done as shown by Permit Number P20140161
has been completed.
Location: STATE ROUTE 149
Tax Map Number: 523400-279-000-0001-008-000-0000
Owner: JHSAK, LLC
Applicant: STREAKING MOOSE BBQ, INC.
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&Code nforcemcnt
or Zoning Board of Appeals.
EEE 1� TOWN OF QUEENSBURY
dr742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140161 Application Number: A20140161
Tax Map No: 523400-279-000-0001-008-000-0000
Permission is hereby granted to: STREAKING MOOSE BBO. INC.
For property located at: STATE ROU 1 E 149
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: JHSAK, LLC Certificate of Occupancy(COM)
8 HUNTINGTON Ct Total Value
SARATOGA SPRINGS NY 12866-0(
•
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-161 STREAKING MOOSE BBQ, Inc.
C/O Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, June 02,2015
(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 Town Quee sbury to y Ju 02,2014
SIGNED BY sy/ for the Town of Queensbury.
Director of Building&Code Enforcement
�� C� Q ��Officefiii,Only
Town of Queensbury Fire Mars ah I ---f II
III MAY
p 7 2,Received:I:
ESTABLISHMENT OF A NEW BU INESS hex MaplID: N ,� `>9• -/- 8
CERTIFICATE OF OCCUPANCY PERMIT APP1LiCAT1ON ,�P-ermit�No.: ./ 1—//0/
�UEa'' GqI
BUILDING& C(iLPte� d Fee: Si'.- 00
*Note: This application is for occupancy only,with no work requiring a building permit—_., 41
Name of Business 5+YPQKrnq Moose %QC TMC .
Address 990 Izi/ilc�PJ ly9 ar:Q2nShom
Type of Business 15P)t( Ries-{-eeckran-h
Manager
OR
Person in charge << oinn VIn-1eK__
Business Phone No. .5-1 k- a I--7 I i I (Led)
Property Owner CVo in in Ian brieI /PrPS. — 1I-HKSAK LE c,
Address g f- r Ind7u1 *::fl Cf, \So r&1Zj4 % S A lC /2 �p
Phone '16- 4if -° - .. 1 -0021-41//) G2l/� /
/Provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,counters,and fixture layout on a
separate sheet of paper. i i<
/ /
Print Name: < l ierrq tK n o-F-
Signture: I. (tiy' ,pds
Date: W-Fy
Notes/Comments:
IMPORTANT: The business owner is responsible for keeping exits dear 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
Inspection Form 1
Town of Queensbury Fire Marshal 0 Periodic Inspection Dater t1 I `)Ott Time: 9
742 Bay Road,Queensbury NY 12804 0 Re-Inspection
518 761 8206/518 761 8205 406 CO Inspection Permit#: f U. - t Co (
e Marshals Representative
Fe
MJ Palmer Business Name: S't fC MrnDae�
Location: SQL) \i,\-- (4,
)(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&FC1029.7.5tt��r"
AISLES: M — )
Main Aisle Width FC 1024/1025&FC1029.11 ))
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 � _ n
ov\O
Inspection of extinguisher FC 906 ' 1 {hv�'l/
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3 ?--.M41
Electric Wiring Enclosed/LabeledFC 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 312.1CD
Interior Finishes FC 803 -804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
_ /EVAC SIGNS IN Rooms FC 404.6(R1 &R2) 7............„.<_______--)
Fuel Pump Warningng 1C Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
SYSTEMS: FC 901.6 lnsp 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
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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