2009-077 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: P20090077 Date Issued: Wednesday, December 30, 2009
This is to certify that work requested to be done as shown by Permit Number P20090077
has been completed.
Location: 415 BIG BAY Rd
Tax Map Number: 523400-309-017-0001-017-001-0000
Owner: UPONAHEW FARMS, LLC
Applicant: FRANK A KINEKE
This structure may be oc QM WORKS UTILITIES
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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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 nforcement
Planning Board or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090077 Application Number. A20090077
Tax Map No: 523400-309-017-0001-017-001-0000
Pernussion is hereby granted to: GROUND WORKS UTILITIES
FRANK A KINEKE
For property located at: 415 BIG BAY Rd
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. Tyne of Construction Value
Owner Address: FRANK A KINEKE
4 BIG BAY Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-077
Ground Works Utilities - CIO only
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 20, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Toro Bens idarch 20,2009
SIGNED BY �%'� `� `4 for the Town of Queensbury.
Director of Building&Code Enforcement
MAR-18-2009 10:50A FROM:GROUNDWORKS 5187928407 TO:7454437 P.2
----------------
Communihj Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York -12804
Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes
Craig Brown,Zoning Administrator•Michael 1. Palmer,Fire Marshal
'____ _________ _____
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # 3 Oaf _ l7 — — l7 , ( BLDG. PERMIT FILE# r)y- r) 77-
Ifa
PP ica
Name of Business: V'OQ V i-- 1 C)✓k S t -t t 5
Address
of Business:� ( � G I�G J CX )PP_✓l S n U v �.( QUESTIONS? CALL 761-8256 OR
EMAIL codesftweensburv.net
/ I_ VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: `°� Ih y1 r-✓� 1.1 4 l i C—4- INFORMATION
www.aueensburv.net
Business Phone Number:
Type of Business: ✓l Cie ✓G yr v1 C �'�"t i �- �l CO V C'C+0 ✓
Owner of Property Phone Number(s)( 1$ — BIOS
Home Cell
Owners n Address: ��.� �b)1-C.- t b-..a V-c L-j z.c✓ -,L r-
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Date:Signature:
l e
Of perso su ittlng mis form
Notes / Comments:
'Note: This application is for occupancy only, with no work requiring a building permit, No fee required for this permit
` Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permi/j No.
Town of Queensbury 3/'�,�1C
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: e-'N S Time:
Phone: (518)761-8206 Business Name: lruJA tNu�S ��i� z3
Fax: (518)745-4437 Location: G 4 V�ar 2�
T of IstwecNon N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Sign n-normal
Si -battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extin uisherFire Ma': In bf,n COnICiiO
SDK to issue cart ifk:ate of occunalVY
FIRE ALARM SYSTEM
Fan Shutdown -
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Islan - 2
Generator ° Fif2 i1+c�.
Hood Installation L .. ..- Y(1MR1 Of Q1ie�►sI `I� -=
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utifity Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan f
_js<, Approved (If no other approvals apply,the B&C Office ill i e the a ficate of Occupancy)
❑ Denied J call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
f
MAR-18-2009 10:50A FROM:GROUNDWORKS 5187928407 TO:7454437 P. 1
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I ,Vi K, 6J
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LC.
1281 STATE ROUTE 9
GANSEVOORT,NY 12831
FAX TRANSMITTAL
To: Jennifer From: Mary Matte
Company: Town of Oueensbury Re: Application
Date: 3/18/09 #of Pages 3
Fax: 745-443 7
Jennifer:
Per our conversation today, T am faxing the application for Certificate of Occupancy permit with layout of
building. If you need anything else, please give me a call. The Fire Marshall is schedule for tomorrow.
Thank You,
Mary Maw
Mary Matte
Ground Works Utilities
(518)792-8684
(518)792-8407 Fax
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. ("Cl C)
Town of Queensbury / I0
742 Bay Road 10
Queensbury,NY 12804 Scheduled Inspection Date: - Time:
Phone: (518)761-8206 Business Name: �U,'t4 Wks Q -t, ��'tY f.
Fax: (518) 745-4437 Location: L-r I S T;tw,,�L �
Typo of kup9cHm N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES. r sue/ l�a 1 5M, 116`7
Main Aisle Width
---Secondar Aisle Width
EXIT SIGNAGE
Sign-normal ft
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE t U, C f
EMERGENCY LIGHTING
FIRE EXTINGUISHER: i
Hun �(
Inspection of extinguisher CA
FIRE ALARM SYSTEM r i r�C t d'I Ova
Fan Shutdown
Fire Sprinkler System FDC L S
Fire Suppression-I(itchen X, t h t r
Fire Suppression-Gas Islam S2
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms No Smoking Signs
Maximum Occupancy Sign
Emegency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will issue t ertific to of Occupancy)
Denied / call for Recheck
Inspected By: --
L:\FireMarshal\New Folder\permitto occupyform.doc