2011-583 TOWN OFQ UEENSBURY
w 742 BayQueensbury,��� Road,Q ee sbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110583 Date Issued: Tuesday, December 13, 2011
This is to certify that work requested to be done as shown by Permit Number P20110583
has been completed.
Location: 108 MAIN St
Tax Map Number: 523400-309-014-0001-012-000-0000
Owner: PATRICK MERRILL
Applicant: ALL IN ONE EXCHANGE
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 `,� cr,‘
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
cora 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110583 Application Number: A20110583
Tax Map No: 523400-309-014-0001-012-000-0000
Permission is hereby granted to: ALL IN ONE EXCHANGE
For property located at: 108 MAIN St
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: PATRICK MERRILL
Certificate of Occupancy(COM)
108 MAIN St
QUEENSBURY,N.Y. 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2011-583
ALL IN ONE EXCHANGE
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 30, 2012
(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 Tor n of eenpit s ay,November 30, 2011
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Community Development Office .
. Town of Queensbury• 742 Bay Road • Queensbury, New York •12804 ate S dtiiii)
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes ;
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal
TOWN%I %UE CODES'
' BUILDING& CODES,
NEW BUSINESS CERTIFICA 1 F OF OCCUPANCY PERMIT
APPLICATION
)7, /4 —/—/2__
TAX MAP # c--)?
BLDG. PERMIT FILE# /1- O
If applicable
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Name of Business: 1.1J � ck-oha,my,
Address 1-4(1.
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of Business: b ,t94" g Qkj e.l2it^ 40(1OUESTIO S? CACI 761-8256 OR
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an
EMAIL codes queensburv.net
Person in Charge or Manager: ( VISIT OUR WEBSITE FOR MORE
I a./ A "v INFORMATION
www.queensbury.net
Business Phone Number:
Li q (01 q
32 Ii
Type of Business: /A4 k/v`A. qk(16
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Owner of Pro P rtY� $� ��,Ir<1 �1 Phone Number(s): �����3- ?ici 1-
Home Ca
Owners
Address: 1 t V 1 r \CO N
Sri--
Please provide an accurate layout of your store showing all walls, exits, stockrooms. rest rooms,
countersand fixture layout on a separate sheet of paper. -
Signature: Date: \ ( aI 'I
Of pion ' this form
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
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EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 11/29/u
BUSINESS NAME: J_L 'id Oa
c_?( 0 Clajikt
BUSINESS ADDRESS: 1 O �( 8/1 A , __ d1. ' L�
BUSINESS PHONE: c i C 93 2 --(4)Ti5
CONTACT 1: (i (,fl) HOME G
PHONE i c � 3 Z ���
ADDRESS: J:3c itA4.,, i3q.1
S HOME A�
CONTACT 2: Ct-'L- �� G NI -
''7� PHONE (037- S-440`7
ADDRESS: 9C �(��4 ---� 1
/ 06y (-ci K4
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.
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.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 • Fax: 518-745-4437
frrenrarshal@queensbury.net • www.queensbury.net
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date: ?/Q 1 N Time:
742 Bay Road,Queensbury NY 12804 a Re-Inspection ,,R
518 761 8206/518 761 8205 7..CO Inspection Permit*: 11 _ '"
FirMarshals Representative
4, 6
MJ Palmer Business Name: &-L-- 1,N1 C)lgt, t.-:--,A--(- ---4-.L.—:-
Location: -(- --Ma6-.c•,.Location: 1 '- E fNekcil r,j, ;'^c'
GK Stillman Contact: Pj»;ct it ` c :
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
Secondary Aisle Width FC 1025&FC1029.11 ni,, ,�FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
6:2
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior 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 Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATEL:
Vacant Buildings FC 311
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
Kitchen Suppression Semi AnnualFire Mari in$ ec L t Cor,plaic 1
Fuel Island Suppression Semi Annual 6 OK to issue CWtilt,',,te of Occupancy 1
Hood Cleaning 3-6-Annual i t
Knox Box:installed/checked FC506o
`Ot<- 2011 1
Operating Permit, if required will be issued after ? , I
Completion of Inspection i � Firer :'vh _
n ""�
. _•� Town of Qt ra' `.,L_..�...
r
Inspection Form
i 114'jll /0
Town of Queensbury Fire Marshal 0 Periodic inspection Date: Time:
742 Bay Road,Queensbury NY 12804 -Re-Inspection 1 I -
518 761 8206/518 761 8205 CO Inspection Permit#:
y •
arshals Representative A LG .t- NI e A t c -it ��--
, J Palmer Business Name:
Location: I v f2 eini 5 fi
GK Stillman Contact: g.l,aM IV S4W
Type of Inspection N/A Ye,o,s No
EXITS: Exit Access FC 1014&FC1029 VzNOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 �,r1 1 i.�c1 v ��� 4r-
Sign:Normal FC 1011 &FC1029 CD
Sign:backup FC 1011.5.3&FC1029.7.5 / 01(.11r . 0 i` NI y h ti C
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 `��i�i` �� S
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 / °
EVAC Plan FC 404.6 /
TRUSS ID SIGNAGE FC 505.3 ,/
EMERGENCY LIGHTING: /
Interior FC 1006.3&FC1029.8 /
Exterior 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 ,/j
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 Warning Signs FC2205.6 /
Fuel Station Emer Procedures FC2204.3.5
ExtVacant StoragBuildings
FC 315.311REINSPECTIONDUE APPROXIMATELY
Vacant FC 311 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
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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