2014-255 TOWN OF QUEENSBURY
F
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140255 Date Issued: Monday, September 15, 2014
This is to certify that work requested to be done as shown by Permit Number P20140255
has been completed.
Location: 467 DIX Ave
Tax Map Number: 523400-303-016-0001-030-000-0000
Owner: SASHA MEHALICK
Applicant: PRECISION AUTO SPORTS
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 ay
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140255 Application Number. A20140255
Tax Map No: 523400-303-016-0001-030-000-0000
Permission is hereby granted to: PRECISION AUTO SPORTS
For property located at 467 DIX 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: SASHA MEHALICK Certificate of Occupancy(COM)
PO BOX 302 Total Value
FORT EDWARD NY 12828-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014 -255 Precision Auto Sports
C/O Only See SP 41-2014 S. Mehalick
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 03,2015
(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 bury- Thu +a, July 03,2014
SIGNET)BY - W for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Receive��ly 2 4 2014
ESTABLISHMENT OFA NEW BUSINESS Tax Map ID: D. ~_3 e)
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: &'a 5
Permit Fee: .DF"
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business Cu;i'J /\&S 6 l `
Address 1/117
Type of Business M'0 4) ( 'i /44)M1�o
Manager (9NreGePtAl
OR pp
Person in charge I5'"'f�� (nth sS1E'jii)\/
Business Phone No. ga.-4"
Property Owner S5 r `%
Address
Phone &#I .. 17+1
✓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: ir4s1 /(t;) fsiey
Signature:
Date: qiativ
Notes 1 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 durinq 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: Wd C)#
BUSINESS NAME: PirCI:9 'CI() /C'€ .p 5
Li-(o
BUSINESS ADDRESS: 14k Glx Ave
BUSINESS PHONE: S1f- t43- 0).2)C
CONTACT 1: /1Y41 1 161")6(-4 HOME PHONE 6k__?-0.5.7F
ADDRESS: 1`vlL tip /1Y Ott3 C
CONTACT 2: C�S�ui �'�'v` HOME PHONE a)( r o2)7
ADDRESS: 93 ()X 44e 16
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Dated ' )t1( Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection ! LI, r�,��
518 761 8206/518 761 8205 CO Inspection Permit#: ` Qt.�
Fi Marshals Representative
M.1 Palmer Business Name: 90,t_c,01,N, fquti SP)
Location: I- (oI D r k A- /
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 &FC102941 t
( \
Sign: backup FC 1011.5.3&FC1029.7.5 T K10(
AISLES: c_
Main Aisle Width FC 1024/1025&FC1029.11 1D POWti,tlyh rli .( 4111.
Secondary Aisle Width FC 1025&FC1029.11 J`�
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 1 G f C ' i) `-
EVAC Plan FC 404.2 L
TRUSS ID SIGNAGE FC 505.3 \i3&- C?N }a c e c c'9
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 "rW\l4t'
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 D) Iva (N`ri pK)
No Smoking Signs FC 310.3
Storage FC 315.2 1_
Compressed Gas FC 3003 -Z�N(XI(.-' �JCA . ,r-
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907 --t-(\cA* �, 1\
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
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 Fire Marsha'Ins tion Complete
Fuel Island Suppression Semi Annual OK to Issue Certificate of Occupancy
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
SEP 1 2'i
Operating Permit, if required will be issued after
Completion of Inspection Fire Marshal
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