2008-371 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. P20080371 Date Issued: Tuesday, September 30, 2008
This is to certify that work requested to be done as shown by Permit Number P20080371
has been completed.
Location: 5 COLLINS Dr
Tax Map Number. 523400-302-008-0001-007-000-0000
Owner. 9832 BAY PARK, LLC
Tay,Map Number. 523400-302-008-0001-007-000-0000
plicarlt: FRANCIS & EILEEN COLLINS
Owner. FRANCIS & EILEEN COLLINS
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.
TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080371 Application Number. A20080371
Tax Map No: 523400-302-008-0001-007-000-0000
Permission is hereby granted to: FRANCIS & EILEEN COLLINS
For property located at: 5 COLLINS Dr
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: 9832 BAY PARK, LLC
1399 PILOT KNOB Rd Certificate of Occupancy(COM)
KATTSKILL BAY, NY 12844-0000 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-371
Northland Friendship Club - C/O only
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 30, 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 'Yuesday, September 30, 2008
SIGNED BY for the Town of Queensbury.
Director of Buildin &Co Enforcement
Contntrrrtity Development Office
Town of Queenshury • 742 Bay Road • Queensbury, Ne-w York •12804 !
Date: Stamp
•David Hatin,Director(f Building&Codes
Craig Brown, Zoning Administrator-lkiichael J.Palmer,Fire A4arshal
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP # ,� y6c) i o JE' I -` BLDG. PERMIT FILE#—
If
applicable
Name of Business:
Address r
of S: QUESTIONS? CALL 761-8256 0R
c EMAIL codes(Woueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: O), INFORMATION
www.gueensbury.net
Business Phone Number: t.
Type of Business: 1 Q
Owner of Property: �". d �^T Phone Number(s): SS`�
Home Cell
Owners
Address: o G
Please provide an accurate layout of your store showing all walls, exits, siockroalffiis, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date:
of person submitting this form
Notes/ Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
o?� 3-7
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PANT
DATE: d
BUSINESS NAME:
BUSINESS ADDRESS: �� ( ,'ems&az d ala
BUSINESS PHONE:
HOME
CONTACT 1: PHONE G
ADDRESS:
HOME
CONTACT 2: Dc"k) J (46 L• PHONE
ADDRESS:
This form is used to assist Emergency Service personnel who may be called fo
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours fo assist Police and/or Fire
personnel in gaining entry fo 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
firemarshal@queensbunjxet wwzv.queensburz net
Inspection for Permit to Occupy
f*e Mazw's 0mce Request Rec'd Permit No.
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: 2� Time:
Phone: (518)761-8206 Business Name:
Fax: (518)745-4437 Location: �•���H !.�L/��
Type of N A Yes No
EXITS:
Exit Access
Exit Enclosure COMMEWS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE -
Sion—normal Cp Fice Manshsl Inspection Cormlete
Sign-battery OK to IssUe C*tificate of Occupar, y
EVAC si ns in rooms
9
TRUSS ID SIGNAGE
EMERGENCY LIGHTING AUG Bit
FIRE EXTINGUISHER: _Hung Fif@-M3TSh<<'s
coon of extinguisherTown of Queen.>hu.
�--�� `�-..,�._..�..,..�
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire S sion-Gas Islan
Generator
Hood Installation
Elevator ?
Interior Rashes
5tora e
Compressed Gas
Clearance to Spriniders
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smokina Slons
Maximum Occupancy Sign
Emeruency Evacuation Plan
pproved (If no other approvals apply,the B&C Office will issue the Certificate of Oc ancy)
Q Denied /call for Recheck
Inspected y: --
L:\FireMarshai\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy
Fke Manhal's Oillce Request Rec'd Permit No. V y
Town of Queensbury
742 Bay Road c'
Queensbury,NY 12804 Scheduled inspection Date: Time:
Phone: (518)761-8206 Business Name:.
Fax: (518)745-4437 Location: ID h w C,
of A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Widths-� 1. S
Secondary Aisle Width �J\
IV
EXIT SIGNAGE A
Si —normal
Sign-battery
EVAC signs in rooms �j
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Huna C,
Inspection of extinguisher tt
FIRE ALARM SYSTEM C S n Cl IL"Fan Shutdown V '
Fire kyinkler System
fire SyRpression—kitchen
Fire Suppression—Gas Islan
Generator
Hood Installation
Elevator
interior Finishes
Stora e
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Witing Enclosed Labeled
Combustible Waste
Vehicle 1 act Protection
Knox Box
F.D.Sin e—Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
a Approved (If no other approvals apply,the B&C Office will issue the Certi t of Occupancy)
o, Denim l call for Recheck
Inspected By:
3 yc-) 4 jlcro,-�o
L:\FireMarshal\New Folder\permifto occupytorm.doc
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
Northland Friendship Club
5 Collins Drive
910412008
MAMMUM OCCUPANCY
66 PEOPLE
Occupancy of this space by more than
66 people is illegal and unsafe.
By Order of theQueensbury
Fire Marshal' s Office
Michael J. Palmer, Fire Marshal Gary K.Stillman, Deputy Fire Marshal
Fire Code of New York State
§F1004.3 Posting of occupant load. Fvery room or space that is an
assembly occupancy shall have the c c_:pant load of the room or space
posted in a consp .cuous place, ..ear: the main exit or exit access
doorway from the room or space. rostra _igr.s shall be of an approved
legible permanent design and sha be main;:ained by the owner
authorized agent.
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MAP REFERENCES �. ..' PARKING REQUIREMENTS
1 1. • "Map of Lards of U.S. Catheter i Instrument Corporation* P Property f Ashley T. Kellogg'6 p 4. "Ma of Pro ert o y a wsaaxoosF 80ILDIIK'. - GIST { sr UPSTATE TILF Co. - u:Arlac:
Byt Leslie Coulter By: L.A. Beach, C.E.
36
Datedl Se Member 3, 1955 Dated: June 2, 1909 .000 S.F. ♦ 1 SPACE�1.c0a ► _ 3s SPACES REQUIRED 1.74s S.F. COMMERCIAL s 5 SPACES:1000 5.F.
- I ■ 10 =PACES BECOI?HD
1 ' 41 SPACES ?PCV:DED
I filed: September 28, 1955
LEGEND 5. "Map and Survey of the Coolidge Farm" 2) aRENNEN'S QUICE-P3itiT - rX 311• I: SPACES Psor:�_D
2. "Rig it of way and Track Map - The Rensselaer ti Saratoga By: L.A. Beach, C.F.. s) MINI-STORAGE - EXISTING!
0 MH MANHOLE RailLoad Ccmpany - The Delaware and Hudson Company - Dated: June 2, 1909 2.800 3.7 COMMERCIAL a s "..Ooc s = - p
Saratoga Division - Lake George Branch - Fort Edward t0 •` '•'a'==> -- 2.600 S.F. WAREHOUSE i : SPACE/1000_S.F. REQUIRED O CB CATCH BASIN e g 6. "Warren County Department of Highways Is ;PACT_ so �__ - a =PACES PROV
SO STORM DRALN * Lake George`. -
Uatedt June 38, 1916 Description and Map for the Acquisition a SPACES P90VIDED
I o IRF IRON ROD FOUND of Property", Bay Road, County Road No. 7, 3' a_;sE:riAes s
T) PRCPOSED RETAI'. SPACE:
0 3. x Ma of a survey matte for Kenneth C. hopper, M.D. Warren County, Map Nos. 65, 69, 78, 71, 74, etsa S.F. RETAIL ♦ SPACE/10'. a >PAcEa 3E ;=a;
IPF- IRON PIPE FOUND P Y 75, 82, 83 12.000 S.F. RETAIL ♦ 1 SPACE/ZOO S.F.
f By.- VanDusen 6 Steves 9 SPA:ES ?R,-V_DEC _ , E
,. SUBDIVISION LOT No. _ 1_o SPACES 3ECO:RT_L
`) �1 Dated: January 14, 1983 By: Kist-Frost Associates, P.C.
Dated: October 3, 1974 a CUSHINGS - EX:sr:'•F.
Filed: January 26, 1983 125 SPACES PROV:DED M.H.
t, 7. "Boundary Survey Portion of Lands of Mark C. 1.1ss S.F. RETAIL ♦ 1 sPAC_.'Ic Fs 12 SPACES REQUIRE
DEED REFERENCE & Elizabeth B. Doyle" 1 - 150'+_M
By: C.T. Male Associates, P.C. Ire AC.IACE?- - 4 A- BENCHMARK
1. F.T. COLLt CONSTRUCTION CO.. INC. TO Dated: March 4, 1986 ' UPSCA-= 7—LE'H
S.D. O 25
FRANK T. COLLINS AND EILEEN COLLINS
D- JANUAR" 22, 1989 Ft; JUNE 13, 1980
MAGNETIC NORTH 631/920 ,
x_ L
2. - RENNETII HOPPER, M.D. TO
`F.T. COLLINS AND E.P. COLLINS
D: JUNE 14, 1985 Ft JUNE 17, 1985 C.B. 318
671/854 ��
a
� 3!T 315
TAX WPM /319 � �� ��_ 31f I' i- �
P. SECTION 105 BLOCK 1 PARCELS 10, 11, AND 12 / \ W
317 DRIVE /
CAL
L'-NCS Nf�F 319 318\
ELEVATIONS SHOWN ARF. BASED UPON IIMQ25 AS SHOWN UPON PLANS FOR THE R 3TEK I \ \ a
j: CENTRAL pUEENSBJRY QUAKER ROAD SEWER DISTRICT. / �: /56I ' \ \
/ \ 1
LANDS N/F 'A MACADAM 1 \ \
DRIVE / M6(�DAM PA KING \
MB NEW YORK 319 , / \ I
SHOP BI SAVE -` 682/683 ;
LANDS N/F
(MAP REF No.4) I \ / / / `L J,, KOSTEKO \ \ \\
622/85
321 320
318
322 319 31 \ ___ ` C.B. / 318 1'OEEP CHAIN LINK \ ' 315
PINCHED - .,' \ / , / \ t RAILROAD STANS SEAFOOD I
IPF \ I l ( \ o_ E 100.00 SPIKE 1
y 2 S 85�3 3
1 IRF0 be
O o; '
\ 804'91 : 906.5fi1 \ BRE'JNL-NS QUICK PINT 1 S07°-18�30"W
, ` ( DEED _ — \ ° ' 111LDlNG 1 50.00' oAw� 139.93( I
MACADAM;•• —..}}}{{{ �/319 �. FILLER ,� 'IRF. 0.2'
SOJ I I / 1 -1 POI p /` — o_ 40 E
uVERHEAD ELECTRIC __ E — a► E i PIPE I l ' t " SO.OF :ORNER
o % _ �( E --- --- _ _ .� NYT I3'3 { \ _ S85 11� / S 0 133'�g 40"W /,31s
\ E _ VPOLE 1 � - - ELEC. \ /
E NYT 13-4 I - Z METER
O �/1`--50I4 E / POLE E ��- T '1 OyE HA / I CO ER F RIVE \ NM I 317
5 - NYT 13-5 _ }I'•. I I 1 I MA90NAR-Y�L \
54 GUY % PAVED D 13,.E
318
\ \ .�O• / /0.7� ` �) E C NL i / r1PYOTLE 1 E WOOD QGN , 316
Y
`�` �2ca\ \� \ )• / / HC NL LE TRIO
UNOERGROUND/ CRUSHED STONE DRIVEi
W /
BENT IPF--/r 1.2'DEEP 321 \ ' \ \ I
� t
1.2'DEEP \ p E / qp i I HOUSE
\ \ 140'SN OF CORNERI. FEIGENBAUM
\ \ \ \ \ , •. ; i — _ _ ! -_ \ UY ,317 — �` CLEANERS;. ` I
C-319 _i 1 CR SHE S NE WI E < ` 10 1
\ \ \ RU_HED -�
\ \ i STONE l j NC
21
\\ ,_ 3 2 CQUSNED S1DNE
RET.WALL)\ 2 E"
J. ER LINE
\ � PROPOSED SEW CRUSHED STONE AP F No 3
\ .8 / ` \ \ (SEEM RE )
\ +\ \ \ I,I`,, {! WAREHOUSE `319 C NC NC \ CRUS ED STDA/E NU B RE
r 31 I F. �317
i S. .
`yt BUILDING g N —
\ �.
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\ \ \ \ \ 1 He NL N��QA/YT t yr
\�t ARE ! W \ ` Dv - WOO \ 34' l' i S'o -20-00"
A \ \\ \ \ ' `. sRro'k-1?s �r3o PISSED t ADD. ' 5 86' \ J HOUSE
P,eO
y
St + �� \ \` —.L .9< '� Fc• --. i _ ° (�•' C -Q/P. �. Ci. w J.. ._ — \ - Cl.SHING S \
/ 42
�y t t ` PTANK 1 WATERL/NE w EA TONE / �-
U , US UPSTATE 9 I
\\ O'c' \ ' , t ���W / r: TILE .\ \ p _ D
`+ \ ` , ' AA COMPANY !
STEEL -, / \
\\ �,q ,• �.. (� t ) CHUTE C(kIC. BLOCr: REL tvA 1 /
CRUSHED STONE DRIVE
IRF
t ¢ ONE I ( I2'IMF `STOCKADE FE?Wt /-� 39.09 E I
F
3/4'IRF N85Q-31-30 W
\ 0.56'SO.OF I / HOUSE
24 \ \ , , \ \ \ � � / L / !_ -V CORNER ^ ( 1 ',
N
BLS-- t+� UEENSBU ' a 3 � � / IRF W
_� \ ,` \\ ,j,\ _ �• \ \ f \ �iQDP05E0 �2 MINE STORA dA1� a ' ` /t I ROOF 1 / SPAC-0) O \ POLE
;OVERHANG ; / / \ $ L,+;ETATL 20 V S AkEA 3j 8
Q \ \ , ' / f� ; CON. BLOCK
MACADAM d• \ F
/ I c LANDS N/F /PARKING LOT L ��\ o\ \ �J \ �� _ / I I
I \ r- (IF DONALD SMITH E
646/704 \ I I
CRUSHED STONE DRIVE �'I SEE MAP REF. 5--------------
) I
\ 1\
I \ \A \ \ \ '-APPROX. LOCATION \� / ! i' C X �.JF 2"IPF I-
t OF RAILROAD TRACKS
\ \\ 1 w/HIRE �T,f •\ ,� I
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t / rovrt ? 61 .71 BLDG. QO I 1
t \ ) � -!° L`< E � AVER
ge6D Q� w HOMER
•• '9 \ � t 5 5
G 1
N �i
;RF \ MACADAM
LOCATION MAP fxr� /RUSHED -TONE R4RKING AREA I
HYDRANT
0 ' x _ ' / PARKING AREA � �}
N•,Gtwppp0 1 C ' \ \ GLTE
ESrArESf 320 s I
K,.pt = ; cnn ` + BLDG. a�y -
.,z ,w.•. rota \ \ \ BLDG. _ �- I
ar r . BLDG. 321 PF1,E _ I
e.CnKr i
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MAI V �3
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ou.." SITE .�
' (r Ml1KN!•v ' j
't.. ►t•►A N°''A a l•t1.,.11• , tzOi, JP MACADAM
AN•.,O„ PARKING � —
MAIL
a ,a � (. � 2 J. M. 5-30-91 ADDED C/A/OEI?G2oUND Ul/C/T/ES
clr.� ,�.. . LANDS N/F --- - _
'. SOUtiT ,`'
C:R. BARD, INC. / J G M. S--/-9/ T17 .eEF[ECI BU[/EG C�e�/E.e MA PKEe S FGY�iVO
t� a ILI P� •� � AUKE � 553/3 � REv. aY DATE: r�oTE-
• n i wnUSIRIAt '
nTLE: FRANK T- R EILEEN COLLINS
PARK 'i a:..., I ' 278 BAY ROAD
s
• ii ='ItiFALLS + �: ,��., s �,- -- -
a
z �9 i.A't. �'F• ; �• Fj t q 4
" J r.,,N..,l t "�� �s �. MORSE EN
SITE PLAN GINEEF
;� 1 ( � ESA,. ,,..✓p. 1. A. .u, e ; 5> NCT-. 09 LOWFR DIX A'
oV-
', f.. ', Y ,` "; f «.tl�• ► U -DERGRCCN-D UTILITIES SHCWa �.=E AS DEP:C':ED OA1 PLANS FCR THE, Town of Queen Sbur —County of Warren — State of New York QU�SBURY. N.Y. 12e
'` } - s' CENTRAL 4CEENSBCP.'= QUAKER RCRL SEWER DISTRICT MAP. ACTUAL DESIGNED: CHECKED: SCALE SHFET OF DRAWING NO.:
E ; 7� I I»•A, 'r �`; ,;,, , `" LOCATIONS SHOULD BE FIELD VER:1 D BY THE UTILITY COMPANIES "=
f J.Huntington R.S.Morse I - 40 SHEETS
,n: .« .«+ i -�" o•' w, BEFORE ANY EXCAVATION.
%
,)I, aa-A. .?.•'''mot'' sP' ►• ,"-� ORA MAC DATE* PROJECT NO.:
t, > 12-20-91 91-012
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