2014-324 0" TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140324 Date Issued: Friday, October 03, 2014
This is to certify that work requested to be done as shown by Permit Number P20140324
has been completed.
Location: 295 DIX Ave
Tax Map Number: 523400-303-015-0001-006-000-0000
Owner: OMALL FAMILY LIMITED PARTNERSHIP
Applicant: UNITED AUTO SUPPLY
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 Gs✓Ll'
owner of the responsibility for compliance with Site Plan, Variance, or �yv�� RI
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
Vora742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140324 Application Number: A20140324
Tax Map No: 523400-303-015-0001-006-000-0000
Permission is hereby granted to: UNITED AUTO SUPPLY
For property located at: 295 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: OMALL FAMILY LIMITED PARTNE Certificate of Occupancy(COM)
35 ORCHARD Dr
Total value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-324 UNITED AUTO SUPPLY
C/O Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 29,2015
(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 u
sbury Tu t a //Jul 29,2014
l
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 Tax Map ID: 03, /5- /- •
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: I '3 - /
Permit Fee: P-
*Note: This application is for occupan
only,with no workrequiring a building permit. -
Name of Business tin 44 Vk b P�
Address a-�!S fD i)l f1,✓�Lu try
` l�
Type of Business tn�i oI e(C,is Pet+V-1.L 74-0-c) C DI ,ft?
Manager e Tp (-eaten
OR p
Person in charge Ski t CRat/en ,
r�
1.
Business Phone No. ��1�' '� Q t� ��-.
Property Owner Ck-tP Roder) 2 2 2;41
Address I
Phone
BUtIDING$6pOE3rY
✓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: ' . )£:‘3
Signature: t�-w
Date: 71/42 -/// `f
Notes I Comments:
fie G c ..Lx ( 19 -
IMPORTANT:
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: -7/3ab y
BUSINESS NAME: U4vc 416 ccufisAy
BUSINESS ADDRESS: c29c t_% /X �i i" vL
BUSINESS PHONE: . 3ks - 402D --a63
CONTACT 1: 04 � � HOME PHONE a& 'fes 1 Z3
ADDRESS: "757' 7/7 5 S' .s t Al' '7"
CONTACT 2: J�r+i_s7 444-z OME PHONE .30:7-, -ic7) -.SA
ADDRESS: �� ,s7 SY sc N` V.
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form
Town of Queensbury Fire Marshal 0 Periodic Inspection Date: tcl illy Time:
742 Bay Road,Queensbury NV 12804 °Re-Inspection Lt_ t
518 761 8206/518 761 8205 000 Inspection Permit!/: t I s`�2 Y
Fr Marshals Representative
JC MJ Palmer Business Name: e l r\q• `..Jt7
Location: - S - Je
GK Stillman Contact: C kI O
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
Sig n•backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Wdth FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 ,1�
FIRE EXTINGUISHER: Hung FC 906 'PC tS
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
TRUSS ID SIGNAGE FC 505.3 -
' at
EMERGENCY LIGHTING: op r =t —_ •
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 _ f ,� -'4"'�i
Clearance to Electrical FC 605.3 — —� — - r
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 t Fire M. ���,�. i7 ;--:
Inspection Form _DAw
Town of Queensbury Fire Marshal CD Periodic Inspection Date:a`\ SIC' Time: � /'-f
742 Bay Road,Queensbury NY 12804 o Re-Inspection (94 _�
518 761 8206/518 761 8205 �b Inspection Permit#:
Fire shals Representative third
,�1 `
J Palmer Business Name: i)i, rc� i4rra ply
Location: g� a ac
K Stillman Contact: 0D �4-T
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 I -E,74.; /�/� _
Secondary Aisle Wdth FC 1025&FC1029.11 y 6
.44 .4g gera 4/I
FIRE EXTINGUISHER: Hung FC 906 f G0iry7) Al. efistafia,12.
Inspection of extinguisher FC 906
EVAC Plan FC 404.2 / /J
TRUSS ID SIGNAGE FC 505.3 ./. - t zVm'h,>x /� A/s/i, alftd...
EMERGENCY LIGHTING: x at CC((//` O/%
Interior FC 1006.3&FC1029.8 LfJ
Extenor FC 1006.3 45 567S
Clearance to Electrical FC 605.3 /
Electric Wiring Enclosed/Labeled FC 605.3.1 f )<-
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 ,-- A�1.�,, ayr i s/ S
Vehicle Impact Protection FC 312.1 / �7w c T/� f ,/ - 'V�/
Interior Finishes FC 803-804 ! 11w��'�� Q5 (jt OL€ •
Smoke Detectors FC 907 `
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1 �' — Lys nu- / „ G /�
18" / 24" _ i_C1iL//(Jre (�S
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) � !�"
Fuel Pump Warning Signs FC2205.6 ,. "°°. �jr�� _
Fuel Station Emer Procedures FC2204.3.5 `�//(ir'"� O G _List.
Exterior 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
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC �n^n C ' //_
Kitchen Suppression Semi Annual 7e*- 4rT/7 �iii I
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual A114((1 idi !„?`W L
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection