2013-503 011111104, TOWN OF QUEENSBURY
742 Bay Road,Qucensbury,NY 12804-5902 (518) 761-8201
Amb
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130503 Date Issued: Tuesday, October 29, 2013
This is to certify that work requested to be done as shown by Permit Number P20130503
has been completed.
Location: 375 BAY Rd
Tax Map Number: 523400-296-019-0001-032-000-0000
Owner: 375 BAY ROAD LLC
Applicant: REBECCA FENAUGHTY SKIN TRANSFORMATION CEN'
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 i) t
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 Enforcement
or Zoning Board of Appeals.
Office Use Only
Town of Queensbury Fire Marshal
Received: OCT 2 5 2013
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: a'Go,19- i-
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: / 3- 503
Permit Fee:`P f01 11.—
`Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business Rebecca Fenaughty Skin Transformation Center
Address 375 Bay Road, Suite 104
Type of Business spa
Manager Rebecca Fenaughty
OR
Person in charge
Business Phone No. (518) 409-0410
Property Owner 375 Bay Road, LLC
Address 6 Industry Drive, Waterford, NY 12188
Phone (518) 233-0600
✓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: ngela Cioffi
Signature:
Date: `' S S3 `
Notes I 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
6)7 d_c, I 3 --50 3
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:
BUSINESS NAME: Rebecca Fenaughty Skin Transformation Center
375 Bay Road Suite 104
BUSINESS ADDRESS:
BUSINESS PHONE: (518) 409-0410
CONTACT 1: Rebecca Fenaughty HOME PHONE
ADDRESS:
CONTACT 2: Angela Cioffi (Bdg ownerHbMEPHONE (518) 779-7702
ADDRESS:
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:t v),5i t3 Time:
742 Bay Road,Queensbury NY 12804 __Re-Inspection 3
518 761 8206/518 761 8205 •CO Inspection Permit#: i - r�.�-3
fsiry Marshals Representative
MJ Palmer Business Name: SU J T'kbws On-4", r.‘ir- C'C .r2-
Location: 2 T-s Cafai R o
GK Stillman Contact: RE b,=-cc...r
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 /fi
Sign:backup FC 1011.5.3&FC1029.7.5 / .
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 / ���� � �
Secondary Aisle Width FC 1025&FC1029.11 /
FIRE EXTINGUISHER: Hung FC 906 i e js^>! i.---
Inspection of extinguisher FC 906 /
_EVAC Plan FC 404.2 /
TRUSS ID SIGNAGE FC 505.3 _� j ` �A C e, )
EMERGENCY LIGHTING: ) . ( ,(,,��/
Interior FC 1006.3&FC1029.8 / (�
Exterior FC 1006.3 7
Clearance to Electrical FC 605.3 / --
Electric Wiring Enclosed/Labeled FC 605.3.1 '
Combustibles in Equipment Rooms FC315.2.3 / 1
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 j
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
-- -- --- llnsp OK NC DATE: OK NC
SYSTEMS: FC 901.6
Date
I—Generator Annual _ DATE: OK NC
Hood Installation
Elevator Semi Annual 11.3 ?(
"FIRE ALARM Annual JOP- V DATE: OK NC
HVA.:Shutdown
Sprinkler System_ Annual MD 1( _, —�
S•rinkler FDC VI Fire MaP hAi Inspection Complete
Kitchen Suppression Semi Annual OK to Issue C rtifIc3te of Occupancy
Fuel Island Suppression Semi Annual
Flood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 13
Operating Permit, if required will be issued after ` —/
Com letion of Inspection '�—
p p Fire Marsh,:
—..4---
L._..__ Town of Queensbury ___
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OCT 2 5 2013
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GENERAL NOTES LEGEND
I. ALLMONO TO RENNIN WALL PAR1Tl1ONS SNAILEE RCO VERIRED AND METER EXCEED DIE W LL1XPE SPECIFICATIONS OF THE TYPE A•
PARRRc:IS MS OTi1ERRISE EPECIFE.D.
C) DOOR NUMBER
2. THE RECOlIROURATCSI OF THE SPACE/AYRESULT NITRE NEED TO RELCCATE=SONO NSO CR ADO CELNJLV111OTRGTICIIDEVICES
1SP RERSANDORSTROBESTOWAN EW
PLYITNER7lF71A11SOFNRMiD
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IRTICIW.FREALAJiM CODEALLCLVISROICTIOH DOCULWITSTO SS REVIEWED SYOSAEUILCSD LWV40.04.FRICATO WED CUT =DM EXIST.PARTITIQY TO REMAIN
3. THERECONFlOURA11ON OFTNE/PACE MAY RESULT DI MEI=SD TO RELOCATE ammo ND CR=FIRE SPRINKLERS TO IMMOTl) 1OTJL - NEW.PARTTIOU
SPEEDIER PROTECTION OSTHIS BUILDS*III ACCCEDANCE SWIHNEPA 10.5TNID+LD Mill EIU TILAT1C11 CP ETrotauo SttROZ3.1L1
COtTi1RLLTOPI DCCULl11TS TORE MIMED BYG ABEL0,1OMNL'CEhcIPWERTO CUED OUT.
Z. 1HEIff.ClA nGU1S TCII OF TRE SPACE MYRESU.T EI THERMOTO RFLCCAIE DOSIIANDCRAM EXIT SE NS TO ASSURE CWECDCII TO
"OLOCMTCNS OF NI COTS FROG THE RBDVATED MEI ARE W.FOXD INACCOrt NFCEWEN!FP.%S1ARWRDNO.102,LIMSAFETYOOcEE7ET •SIG
H AJLE REQURED AT ROT DOCKS. --
5. TIE RECONFIGURATION OF ME SPACE Ma RESULT WIRE NEED TORELOCATE NE/ORMODIFFUSERS ANDREIUUS.IHEGENEDAL. KEY NOTES O'
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