CO-000708-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000708-2017 Date Issued: Monday, January 22, 2018
This is to certify that work requested to be done as shown by Permit Number CO-000708-2017
has been completed.
Tax Map Number: 303.16-1-31
Location: 473 DIX AVE
Owner: William Bennett, B & W Auto Service
Applicant: B and W Auto Service
This structure may be occupied as a: C/O Only
Tenant: B & W Auto Service 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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
f
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000708-2017
Tax Map No: 303.16-1-31
Permission is hereby granted to: B&W Auto Service
For property located at: 473 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
Owner Name: B&W Auto Service Certificate of occupancy $0.00
Owner Address: 50 Nicole DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O Only
Tenant:B&W Auto Service
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 15,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueensbu Wed a ber 15,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY office Use only —7
APPLICATION Permit#: GO 7U i f /
Permit Fee:$ f 066,
742 Bay Road,Queensbury,NY 12804 invoice#: �J
P:518-761-8206 or 518-761-8205 www.gueensbury.net
k/o✓ I-lU�av!
"This application is for occupancy only,with no work requiring a building permit"
CONTACT INFORMATION: a E C E 0 V E
NOV 12 2017
• Applicant: TOWN OF QUEENSBURY
Name(s): n
Mailing Address, C/S/Z: SO .`C cA- 1
Cell Phone: (fA-'6 Land Line: ( _)
Email: 6�eJ Go1AL-) x-Q'i Ce C-A�i��l � �t'�C is C6`M
• Business_Owner(s):
Contact Name(s):
Mailing Address, C/S/Z: C \CD\')V`
Cell Phone:_(5\1 Land Line: _( )
Email: '
•
Manager:
Contact Name(s): v
Mailing Address, C/S/Z: ` •
Cell Phone:_ v:?-, ) Land Line: _( )
Email: cy C-Q k CNArnC.\.c b
G
• Property Owners • q
Business Name: T�
ContactName(s):
Mailing Address, C/S/Z:
Cell Phone:=f ) Land nc),
Email: �'� "� C ''i
Certificate of Occupancy Only Revised June 2017
D D C E9WlowC
-
r wn NOV 12 2017
742 Bay Road,Queensbury,NY 12804 9 TOWN OF QUEENSBURY
P:518-761-8206 or 518-761-8205 www.clueensbury.net COMn/1UN1TY DEVELOi'N1E NT
EMERGENCY CONTACT INFORMATION
"THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR
BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND
AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN
GAINING ENTRY TO YOUR BUILDING."
PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN
DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL.
Date: _,
Business Name: ����J
Business Location(including suite, space,etc.): A�\
Business Phone#: �? 44-
1.
Contact name:
Main Phone:_( �� ) -� �� ondary Phone:_( )
Coming from what town/village?
2. Contact name:
Main Phone:_( ) ;Secondary Phone:_( j
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F:518-745,4437
FIREMARSHALD-QL_
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
----------------
FkE CLEUV �
742 Bay Road,Queensbury,NY 12804 NOV 12 2017
P:518-761-8206 or 518-761-8205 sww.gueensbury.net
TOWN OF QUEEIVSBURY
COMMUNITY DEVELOPMENT
BUSINESS INFORMATION:
Name of business:
Address (including suite, space, etc.): Lap,
Type of business (i.e.: retail, car repair, etc.): (~ ('A r
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest
rooms, counters and fixtures on a separate sheet of paper.
IMPORANT: 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 Town of Queensbury 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 and a re-inspection.
Applicant name: �( 'C-' C1 1'
Applicant signature:
Date: �. V� �
Certificate of Occupancy Only Revised June 2017
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: CO-000708-2017 Case Module: Permit
Inspection Date: 01/18/2018 Inspection Status: Passed
Inspector: Mike Palmer Inspection Type: General(Fire Marshal)
Job Address: 473 DIX AVE Parcel Number: 303.16-1-31
Queensbury,NY 12804
Contact Type Company Name Name
Tenant B&W Auto Service
Applicant Hill,Brian
Business Name B&W Auto Service
Manager Hill,Brian
Primary Owner B&W Auto Service
Granted Permission B&W Auto Service
Property Owner Bennett,William
Checklist Item Passed Comments
Fire Marshal Notes YES
Exit Access YES
Exit Enclosure YES
Exit Discharge YES
Locks and Latches YES
Main Aisle Width YES
Secondary Aisle Width YES
Fire Extinguisher Hung YES
Inspection of Extinguisher YES
Clearance to Electrical YES
Electric Wiring Enclosed YES
Combustibles in Equipment Rooms YES
No Smoking Signs YES
Storage YES
Interior Finishes YES
Smoke Detectors YES
CO Detectors YES
Clearance to Sprinkler/Ceiling FC 18"/24" YES
Brian Palmer,Mike(Inspector)
Jan 18,2018 Page(2)
AOp�0$ 201 1 1 L
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REVIlION TPBI.0 1e42Xo
y��; rREVPr�o Er. .._.. ,•... _ ---- — ____ TA;U s 303.16
>bx� WARREN COUNTY REAL PROPERTY SERVICES """ "" -= a�M __ .ti.r...� �— mm r0 �-1�1 TOWN OF QUEENSBURY
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FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Honie of Na tit ra1 Beauty ... A Good Place to Live "
PLAN REVIEW
B & WAuto
473 Dix Avenue
CO-000708-2017
11/13/2017
The following comments are based on review of drawings:
• Verify fire extinguisher location and inspection
• CO detection required
• Verify operation of exit /Emergency lighting.
• Lock/ latches shall comply with Chapter 10 of 2015 IBC.
• Verify paths of egress
• Verify storage
Mic ael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437
fireiaiarshal@queensbun1 net - unviv.queensburi/net