2008-276 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Penmit Number. P20080276 Date Issued: Monday, June 16, 2008
This is to certify that work requested to be done as shown by Permit Number P20080276
has been completed.
Location: 52 MAIN St
Tax Map Number. 523400-309-010-0002-028-000-0000
Owner. 52 MAIN ST. WEST GLENS FALLS, L.L.C.
Applicant: JEFF VARNETTE TRAINING FACILITY
This structure maybe 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 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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080276 Application Number. A20080276
Tax Map No: 523400-309-010-0002-028-000-0000
Permission is hereby granted to: JEFF VARNETTE TRAINING FACILITY
For property located at: 52 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: 52 MAIN ST. WEST GLENS FALLS
52 MAIN St Certificate of Occupancy(COM)
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 16, 2009
(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 Quee u da ,June 16, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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olstmacszifilf DevelopmentOffice of Queeusbury • 742 Bay Road • Queensbury, New York •128 4 L
L
•David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J. Palmer Fire iWarshaI u'
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# _ ��'� BLDG. PERMIT FILE# np -2;K'If� s1
applicable
Name of Business: Ae` V&ikeKe.'tl- -Irajniyl,s r4c ; ��'ki �T'►/'9�°i C or�c��aher►)
Address
of Business: QUESTIONS? CALL 761-8256 OR
EMAIL codes0mueensburV.net
-T VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: -a a F'F 01 )n er' INFORMATION
/ www.aueensbuFv.net
Business Phone Number:
Type of Business: IPr®F,--.ss 1 e ,1 C C,o VN L" / +% rz S ' cs
Ft4n:kSf oi o a,o�e }-foils
Owner of Property: kA5 i- G 1�znS 0:;� 5— Ur— Phone Number(s): 7 ?3 16 6 0 Z t Z 06'93
Home cell
Owners
Address: V�' 'S Q
Please provide an accurate layout of your store showing aff walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date:
Of erson fitting this form
Notes/ Comments: x;sh` �,` e s i-42b1 I��s he -ay° e°r'1 r'�4""`"�
filsnk) ct'�� �v✓' �totr►tc�esS V s .
"Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this pennit
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: `O
BUSINESS NAME: � 11C.'e ti►-e. T�'`�, ►-L k r, �0.C,
BUSINESS ADDRESS:
BUSINESS PHONE: 3 �-
HOME
CONTACT 1: Seir Vq Y-Y4 PHONE
ADDRESS:
HOME
CONTACT 2: PHONE
ADDRESS:
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
firenzarshaRqueensbunj.net www.queensbu!y.net
Inspection for Permit to Occupy
We Marshd's Ofte Request Rec'd Permit No. y y �2-76
Town of Queensbury
742
Qu Bay Road
Qu / c�
eensbury,NY 12804 Scheduled Inspection Date: � Time: ,
Phone: (518)761-8206 Business Name: � Van Oct N Ko
Fax: (518)745-4437 Location:
TWO of A Yes No
EXITS:
lyctt Access
Ixit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Si -battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown Fire Marshal Inspection Complete
Fire Sprinkler System OK to Issue CertifiGate of Occupancy
Fire Suppression-kitchen
Fire Su
esslon-Gas Islan
Generator � ��Uo
Hood Installation JUN
Elevator
Interior Finishes Fire Marshal
Gas
Story a Town of Queensbury
Clearance to Sprinklers
Clearance to Electrical
Electric Witing Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
J. Emergency Evacuation Plan
r Approved (If no other approvals apply,the B&C Office will issue Ce ficate Occupancy)
Q Denied /call for Recheck
inspected Ely:
L:\FireMarshal\New Folder\permitto occupyform.doc
4ZILFIRE MARSHALS OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Horne of Natural Beauty ... A Good Place to Line "
PLAN REVIEW
Jeff Varmette Training
2008 276
6/6/2008
I have reviewed the submitted plans for the above project, and offer the
following comments,
1) No comment at this time.
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 761 8205
firemarshal@queensbury.net
Fire Marshal 's Office • Phone: 518-7 61-8206 Fax: 518-745-4437
{irernar•slial@queensbur•ii.net • zinuni. ueensbun1 net
FIRE SAFETY CHECKLIST
KEASE CHECK APPLICABLE ITEMS EACH MONTH JAN FES MAR APR MAY JUN JUL AUG SEP OCT Nov DEC
All EXIT SIGNS are lit
EXIT SIGN battery test OK
EMERGENCY light battery test OK
EXIT DOORS are not obstructed
EXIT DOORS have only ONE lock
EXIT DOORS operate in one motion
Aisle widths are maintained, no obstructions
FIRE EXTINGUISHERS are visible
FIRE EXTINGUISHERS are hung
FIRE EXTINGUISHER annual inspection done
FIRE ALARM system testing done
Sprinkler and/or suppression system inspected
All mechanical rooms are free of storage
Clearance to sprinkler heads = / > 18"
Cooking hood is clean Ct
EMERGENCY PLAN is posted
MAX. OCCUPANCY sign is posted
CERTIFICATE: OF OCCUPANCY obtained
OWN OF QUEENSBLiRY FIRE AL4RSHAL"S OFFICE PHONE 518-761-8205 FAX 518-745-4437
MICFIAEL 1. PAL A4ER, FIRE MARSHAL t • GARS'K. STILL MAN, DEPUTY FIRE MARSHAL.
YEAR:
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