CO-0542-2018 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-0542-2018 Date Issued: Tuesday, September 4, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0542-2018
has been completed.
Tax Map Number: 308.16-1-3
Location: 398 CORINTH RD
Owner: TNT Corinth Road,LLC
Applicant: 398 Corinth LLC
This structure may be occupied as a: Certifiacate of Occupancy Only
Tenant: Papa's Diner By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (..s4a4iP 4
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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 Enforcement
Planning Board or Zoning Board of Appeals.
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TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
-, - ---, Community Development-Building & Codes (518)761-8256
—----,
BUILDING PERMIT
Permit Number: CO-0542-2018
Tax Map No: 308.16-1-3
Permission is hereby granted to: Papa's Diner
For property located at: 398 CORINTH 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
Type of Construction
Owner Name: Tom Barber Certificate of occupancy _ $0.00
Owner Address: PO Box 752 Total Value $0.00
Lake George,NY
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certifiacate of Occupancy Only
Tenant:Papa's Diner
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 29,2019
(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 e ex irati.. Jag.) ..
Dated at the To of.Que n bury ,•-,/..ay,August 29,2018
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SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY office use Only
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Permit#: ' 05;2 ° 15
APPLICATION t uo.00
cs r� �eA o, Permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#: Q$�Z
P.:518-7618206(or 5118 761'8205 www.queensbury.net
**This application is for occupancy only,with no work requiring a building permit**
CONTACT INFORMATION:
• Applicant: - -_
Name(s): 398 Corinth, LLC
Mailing Address, C/S/Z: PO Box 1605 Bolton Landing NY 12814
518 848 0601 Land Line: ( ) n/a
Cell Phone: ( )
Email: foresthilltradingcompany@gmail.com
• Business Owner(s):
Contact Name(s): Maureen Sawyer &James Campione
Mailing Address, C/S/Z: PO Box 1605 Bolton Landing, NY 12814
848-0601 ` Land Line: _
Cell Phone:_( 518 ) ( )
Email: foresthilltradingcompany@gmaiLcom
• Manager:
Contact Name(s): same as business owners
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Property Owner(s):
Business Name: TNT Corinth Rd LLC
Contact Name(s):_Rod Cornelius
Mailing Address, C/S/Z: tPrk6 . /`/
Cell Phone: _( 9' ) (d O S YS-- Land Line: _( )
Email:
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Certificate of Occupancy Only Revised June 2017
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'742 Bay Road,Queensbury,,NY 12804
R.::518-767-8206 or 518-761-8205 www:queensbury.net.
BUSINESS INFORMATION:
398 Corinth, LLC dba Papa's Diner
Name of business:
Address (including suite, space, etc.): 398 Corinth Rd Queensbury, NY 12804
Type of business (i.e.: retail, car repair, etc.): Restaurant/ Diner
Please provide an accurate Ipyout 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.
James Campione
Applicant name:
Applicantg �si nature ��
: :��''
-
August 21,�
Date:
Certificate of Occupancy Only Revised June 2017
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742 Bay Road,Queensbury,,NY 12804
P.51i8-761-8206,or 518 7,61=8205 www.queensbury.net
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: August 21,2018
Business Name:_398 Corinth, LLC dba Papa's Diner
•
Business Location (including suite,space,etc.): 398 Corinth Rd Queensbury, NY 12804
Business Phone#: 518 848 0601
1. Contact name: James Campione
Main Phone: ( 518 ) 848 0601 ;Secondary Phone:_(
Coming from what town/village? Lake George
2. Contact name: Maureen Sawyer
Main518 40�.7517
Phone:_( ) ;Secondary Phone:_(
Coming from what town/village? Lake George
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-7 61-8206 F: 518-745-4437
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
01 FIRE MARSHAL'S OFFICE
_ 1 Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty... A Good Place to Live "
PLAN REVIEW
Papa's Diner
398 Corinth Road
CO-0542-2018
•
The following comments are based on review of drawings:
• Verify fire extinguisher location
• CO detection required, both floors
• Verify operation of exit/Emergency lighting.
• Lock/ latches shall comply with Chapter 10 of 2015 IBC. "
• Verify paths of egress
• Verify storage
• Provide Knox Box at entrance for FD use, www.knoxbox.com
• Provide current inspection report for hood suppression system
• Provide current record of cleaning of hood, duct and fan system in kitchen
Michael 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
firemarshal@queensbury.net ■: www.queensbury.net