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2005-796 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 42 Community Development- Building &Codes (518) 761-8256 CERTIFICATE (317'r" OCCUPANCY Permit Number. P20050796 Date Issued: Monday, January 30, 2006 This is to certify that work requested to be done as shown by Permit Number P20050796 has been completed. Tax Map Number. 523400-302-006-0001-051-000-0000 Location: 756 GLEN St Owner. THE HOWARD GROUP Applicant: PAPA GINO'S/D'ANELOS SUB This structure maybe occupied as a: Commercial Alteration 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: P20050796 Application Number: A20050796 Tax Map No: 523400-302-006-0001-051-000-0000 Permission is hereby granted to: PAPA GTNO'S/D'ANF,T.OS ST 1R For property located at: 756 GLEN 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. Tyne of Construction Value Owner Address: THE HOWARD GROUP 401 NEW I<:ARNER Rd Commercial Alteration $135,000.00 ALBANY, NY 12205-0000 Total Value $135,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-796 PAPA GINO'S/D'ANGELOS SUB 3000 SQ FT COMMERCIAL INTERIOR ALTERATION $360.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 24, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queenshury before the expiration date.) Dated at the T Queen ury; o day, October 24, 2005 SIGNED BY for the Town of Queensbury. Director of Building Code nforcement Permit No. , C J Building & Codes Office-Department of Community Development-Tovm of Queensbury Fee Paid0� 742 Bay Road, Queensbury, NY 12804 Recreation Fee i_I-e. Dave Hatin,Director codes ueensbury.net Phone: (5181 761-8256 FAX: (5181 745-4437 Principal Structure Building Permit Application Application & Plans subiect to review before issuance of a valid permit for construction. instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants' spaces on this application must be completed and must appear on the application form. Kevin Strainer Applicant/Builder S & S Construction Co. , Inc. Owner. Thomas & Jeremiah Burke Address: 303 Spraquetown Rd Address: 509 Rt 67 Greenwich NY 12834 Malta, NY 12020 Home Phone: 518-692-2221 Home Phone: Office: 899-4231 Email Address: Email Address: Cell Phone: 518-365-3601 Cell Phone: Tom: 281-722 FAX Phone: 692-2369 SAX Phone: 899-5622 Person responsible for supervision of work with respect to building and codes compliance: Name: Kevin Strainer 692-2221 o. Address: 299 Spraquetown Rd, Greenwich, NY 12834 Phone 365-3601 c. Location of proposed construction: Lot No, Legal Address: 756 Glen Street Tax Map Number: 302.6-1-51 Subdivision Name: Queensbury Plaza Estimated Cost of Construction: $ 135,000.00 ,- Proposed construction is for: _Residential,Use XX Commercial Use Name of Business: Papa Gino's / O'Angelos Sub If proposed construction is an addition, what will use o` new addition be? New Addition Alteration Proposed Construction 1,+Floor 21d floor Other Total Proposed j structure (Occupancy Type) Sq, Ft. sq,ft, Sq. Ft. Square feet Height Ft, &In. Singie-Family Dwelling Two-Family Dwelling Townhouse Multlfamlly Dwelling Number of Units: Office Mercantile Manufacturing Other: Restaurant Attached Garage 1, 2, 3 type of Heating System: Electric, Oil, Gas, ood, Forced Hot Air, Baseboard, Other: is a fireplace and/or woodstove being installed, please refer to a separate application. — Yes X No Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. Declaration; Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. 'urther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction, Date: _ 10/5/05 Applicant/Builder Signature: / The application of dated is hereby approved and permission granted for the construction, reconstruction or alteration of a building/and or accessory structure 05 set forth above. Date: Authorized Signature: \Sue Hemingway\Buiiding,Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04 01/30/2006 14:55 15187927497 STAPELS PAGE 01/01 Town of Queensbury Fire M&rshaFs Office EMERGENCY CONTACT UPDATE Lms 2000 TO: WARREN COUNT''SH;EREFF°S DEPT. FAX: 761-6210 'PLEASE PRINT DATE: I 3 0 T-% BUSINESS NAME: (a ll �t�17 s � � �v' -2 a BUSINESS ADDRESS:` C/ �,•• .. Q''ar,._-��� !/ 1l r BUSINESS PHONE: ZU —�a,C:7 .� f ,Q HOME -7 6 -- L16 CONTACT 1: `� i ,�.�.1. !i Cl'C PRONE TOWN RESPONDING FROM.: PP IIOME sly ^- I �, �70 4 "/S CONTACT 2. PHONE TOWN RESPONDING FROM: Jco�et HOME CONTACT 3: 6r PIiONF, ���''3��A TOWN RESPONDING FROIK.: l��` -✓- , Fire Marshal Steve Sinith, Deputy Fire.Marshal Mike Palmer Phoney 76I-8205,FAX 745-4487 Inspection for Permit to Occupy Fire Marshals Office Request Rec'd Permit No. Town of QueensburyO '( 742 Bay Road I /go/o(QQueensbury,NY 12804 Scheduled Inspection Date: JT , Time. Phone: (518) 761-8206 Business Name: Fax: (518) 745-4437 Location: - Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-batte TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM ' Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation Interior Finishes Stora e Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Si n Emergency Evacuation Plan 4— .,W�Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) ❑ Denied ❑ Call for Recheck Inspected L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. D,5-7 Town of Queensbury Bay Road Qu ' Z7% Queensbury,NY 12804 Scheduled Inspection Date:A ,,, Time: Phone: (518) 761-8206 Business Name: Fax: (518) 745-4437 Location: Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Second Aisle Width EXIT SIGNAGE Sign-normal Sign-batte TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher Hydra extinguisher FIRE ALARM SYSTEM Fan Shutdown k /I Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island �/ �` S✓- / Hood Installation Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wirinq Enclosed Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan o Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) o Denied o Call for Recheck Inspected (vy:? L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No./T- Town of Queensbury Bay Road t fL1 Qu ?� Queensbury,NY 12804 Scheduled Inspection Date: Time: ` 9� Phone: (518) 761-8206 Business Name: 1 Fax: (518) 745-4437 Location: - � Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-battery 1 (1lfi? A ' TRUSS ID SIGNAGES EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher Hydra extinguisher FIRE ALARM SYSTEM LCr 1v t f i111I�� Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan o Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) �enied o C r ., all for Recheck (:::A Inspected By. L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd �� �- ! 7C Permit No. ( ' Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Dated / l ``�`� Time: Phone: (518) 761-8206 Business Na e; Fax: (518) 745-4437 Location: L_' Type of Inspection N/A Yes No EXITS: Via' Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal 4 .7 t6,� <e Sign-battery , TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun f-- j2q)4*`f Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM ly �►+s'VT � `T5 AFL �/� ` l Fan Shutdown Fire Sprinkler System X 3 �1(� Lt u Ze, ` Fire Suppression-kitchen / Z �flol CL ,i,^ t;-4) s't Fire Suppression-Gas Island I Hood Installation IT L4006c, Iitt, 4 oo I/p �� t(,(/�",/A;�, Interior Finishes L Stora e /Compressed Gas fir' c �1 G C�Y1G'� -4v �� (.,t r„ Clearance to Sprinklers elw Clearance to Electrical �-%� Cz�2 I �f - Electric Wiring Enclosedui � � Gx� ri7�=-c tC1� jy �Cj � Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-UtilityRoomsi1 �t 1 61 b y I vq S �lt No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan ❑ Approved (If no other approvals apply,the B&C Office vvill issue the Certificate of Occupancy) .Denied ❑ Call for Recheck Inspected y: L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc Commercial Final Inspection Report 14 Office No.: (518)761-8256 Date Ins ction c i ed: % `�Lt Queensbury Building&Code Enforcement Arrive: t Depart: an 742 Bay Road,Queensbury,NY 12804 Inspector's Init NAME: r2 > PERMIT f f LOCATION: ,i l DATE:4 fez , r COMMENTS: Y N NA t Chimney/"B"Vent/Direct Vent Location r Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in.Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if re uired Exits At Grade Or Platform 36(w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18")Above Grade �. Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum t-\O UJt ` E' Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/Z doors > 10%> 1000 s . ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stoppii , 3,000 s . ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ram /Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space _ Final Electrical �L� ��- Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. L I.�b U As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway -` Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide 26 Okay To Issue Temp. or Permanent C/O OkayTo Issue C/C LLL a att printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Framing / Firestopping Inspection Report Office No.(S i 8)761-8256 Date Inspection r st r e ed Queensbury Building&Code Enforcement Arrive: , m e rt: ' a 742 Bay Road,Queensbury,NY 12804 Inspector's Im i s: NAME: - PERMIT#: — 15.E LOCATION: h INSPECT ON: -►p--c'�C TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in.or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insulation Inspection Repo r Office No. (518) 761-8256 Date Inspection reque re i d: ` All )S Queensbury Building & Code Enforcement Arrive: /p part: am/ m 742 Bay Road, Queensbury, NY 12804 Inspector's Ini alss r NAME: /-VA G) 0 S PE IT #: LOCATION: - 1 �.t S IN ECT ON: TYPE OF STRUCTURE: Y /A "'Rough Plumbing Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test DrainPr Air 5 S0 ft. above highest connection for 15 minutes Pressure Test Water up I iping Air/ ea 50 P. . for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct toe J C MMENTS: Q LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection Wq-u-'e'sle Queensbury Building&Code Enforcement Arrive: am/ Depart: e!.,rp 742 Bay Rd., Queensbury,NY 12804 Inspector's ' O NAME: _ G �. PERMIT#: LOCATION: � _ INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A P Footings ----- _ -------— 1 � � Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing;Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above .footing 6 mil of for wet areas under slab �- Backfill roval _ ng Under SIab PV Vast opper oundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHemingway\Building.Codes.Inspecti on.FORM SV'oundation Inspection Report.doe January 28.2003 I - ,-3 Foundation Inspection Report l Office No. (518} 761-8256 Date Inspection request received: t t 4' _ Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ a os NAME: _ pj�-p E' IT#: __ `7 LOCATION: C� _ INSPECT ON: .--- TYPE OF STRUCTURE: ( iN Comments Y N N/A Footings -------------______.T_�_ Piers _---- Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site.____ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing,•'Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval umbing Under Sla _ -7� VC st/Copper ndation Insulation Interior/Exterior Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORM S\Foundation Inspection Report.doc .January 28,2003 Z TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY, 12804-5902 Memorandum To Dave Ha1in, File 2005-796 From: MJ Palmer, Fire Marshal Date: Oct. 13th,2005 Re: Papa Gino's T have reviewed the submittals of, and have the following comments: 1)Provide NFPA 13 compliant letter for sprinkler modifications 2)Provide detailed drawings of the manual and automatic fire alarm system 3)HVAC shutdown required Respectfully, Michael r Palmer Fire Marshal Michael J Palmer, Fire Marshal 742 Bay Road Queensbury, NY 12804 518.761.8206- frremarshal@queensbury.net 4E L TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Memorandum To: Dave Hahn, Fie 2005-796 From: MJ Palmer, Fire Marshal Date: Oct. 21 st,2005 Re: Papa Gino's Plan review of fire alarm system indicates the following: 1) Fire alarm system appliances ok Fire alarm system must be monitored 3) Complete test reports and system function witness required before CO is issued. Respectfully, Michael J Palmer Fire Marshal Michael J Palmer,Fire Marshal 742 Bay Road Queensbury, NY 12804 518.761.8206- firemarshal@queensbury.net TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201 Kevin ner October 13, 2005 S & S Construction., Inc 303 Spraguetown Rd. Greenwich, N. Y. 12834 Dear Kevin, The following items need to be provided to this office in order to issue a building permit for the PaPa Gino's renovations: The rear exit door must be handicapped accessible with a canopy provided over the door. 2' The food service counter and beverage counter must be handicapped accessible at 34" above finished floor. /V l 7) We need a fire alarm system layout including all detection and audible/visual devices including fan shutdown for the HVAC units. We need 2 sets of revised plans when changes are made. Once we receive the revisions and they are approved a building permit will be issued. Thank you for your attention to these matters. �ee�ely� David Han "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 01-30-2006 08:01 FCSI 5187472518 PACE1 FIRE CONTROL SYSTEMS INC. 104 REYNOLDS RD., kORr EDWARD,NY 12828 P(518) 747-2567 FAX 747-2518 www.firecontrolsystemsine.com email: info(q-),firecontrolsystemsinc.com �q�R, TOWN OF �rr k f ZONING 1/29/2006 Mr. Mike Palmer Town of Queensbury 742 Bay Rd. Queensbury,NY 12804 Re: Papa Gino's Queensbury Plaza 7.50 Upper Glen St. Queensbury,NY 12804 Dear Mike: The alterations of the fire sprinkler system that we made 110r the store, at the location above,to the best of my knowledge conform to the NFPA 13 standard. If you require anything further please give me a call. Sincerely, Richard E. Boucher Sec-Treasurer 01/25/2006 14:58 5187988305 FORESIGHT ELECTRONIC PAGE 01 Foresight Electronic Monitoring Systems, Inc. 25 Connecticut Ave. Queensbury, NY 12804 ECF—t\/E ATTEN: Fire Marshall JAN 25 2006 SUBJ. Inspections U� uutt-Nz5boRY �pWN gD{LD1NC AND CODE The attached inspections were completed this month. 745-4437 91/9 "/wo ,v on) 0150AW / COVER& SIGN: i RE EQUIPMENT Pre-Engineered System Inspection Report -- - Ftn[PC1J1Gi:t#SN+JY'�ii11ELi'u'.( 1654 RIVERDALE STREET Date of Service: o: Time: PM WEST SPRINGFIELD, MA 01089 413-732-4590 877-238-2792 Annual / Semi-Annual/ Recharge,41nstallation tRenovation (circle one) Customer/Location System Information Name: Z)A„rYUo.s �, , ,� :r.l4s Make: f, .vsj! Address: 754 aAkdrr�� sr` Model City, ST, Zip: v r- /-,XY Size: Phone: Sd -7cf 3 _�o qs Control Head: Owner/Manager: 7ew Location of system: Yes No N/A Yes No N/A 1 System interlocked with building fire alarm. 14 Checked operation of manual release. 2 All tamper seals intact.No evidence of tampering. �' 15 Checked operation of microswitch. k 3 All appliances properly covered w/correct nozzles. ,/( 16 Checked operation of gas valve. ulECHj)ELEC.) 4 Duct(s)&plenum properly covered w/correct nozzles. X 17 Piping/conduit securely bracketed. 5 Hood/duct penetrations properly sealed. I k 18 Nozzles cleaned. 6 Grease accumulation: _excessive _heavy -knormal 19 Proper nozzle caps/covers in place. Qty. 7 Pressure gauge in acceptable range. 20 Exhaust fan in operating condition. 8 Checked cartridge weight. 21 System operational&armed. " 9 Cylinder within hydrotest date. Due: �O/7 �$� 22 Fan warning sign on hood. X 10 Inspected cylinder&mount. X 23 K-Class fire extinguisher in cooking area. 11 Checked operation of detection line. 24 Personnel instructed on manual operation of system. }� 12 #of Fusible links: 360° 450° _500° other(—O) 25 Service&certification tag on system. X 13 Replaced fusible links. X 1 1 71 26 System meets U.L.300 standards. Cooking Appliances(left to right): ��,`/,>� e Safety Notice: Non-compliant systems may fail to extinguish/supress a fire.Below are non compliant conditions which require immediate attention.All State Fire Equipment assumes no responsibility for system performance if these conditions are not corrected and/or verified by an authorized agent of All State Fire Equipment. Comments/ Non-Compliance: �I �(C) n W t- 4ct All State Fire Equipment Agent- ' — s% ' ' Date: Customer's Authorized Agent: Date: MA-CR 4059 CT-F3-40258 VT-T2-406 �Frii Customer Acknowledgement and UL-300 Safety Alert on reverse Pro ` 01/17/2006 15:55 5187988305 FORESIGHT ELECTRONIC PAGE 02 Certificate of Inspection Foresight Electronic Monitoring Systems, Inc. 25 Connecticut Avenue, Queensbury, NY 12804 2 t3Name: j. jf' �r//(JEJ ' �i` •tl«�Ci Address • "A),,l ���'l" .C) SA Y//���..�' D 'j�' L�✓"/� City: �f ��� . -��/ State: Fire Alarm Inspection Date: •i ,�� / •,ZG��> J DESCRIPTION: Inspection of Fire Alarm devices as designated below. Panel Model: QTY Correct/Incorrect Battery City Connect Digital Communicator Door Release Smoke Hatch Release _ Elevator Recall Fan Shutdown Pull Stations -? Smoke Detectors -�- Duct Smoke Detectors — Rate of Rise Thermostats Fixed Temperature Thermostats r Audible/Visual devices � . Flow or pressure devices time delay Tamper Switches Other Signature of Inspector: Comments: -:�4 14 1 2L-I-2 signature of Customer Rep: Foresight Electronic Monitoring Systems, n 5. is duly licensed by the State of New York_ NYS License number 12000076730 15'HOOD WITH 212'7f12"DUCT ( , I I ' I I 1N 1N 3N 3N Ll 1 ( ( F I) I 11 I { TABLE TABLE 2 FRYER PASTA 6'x 24"GRIDDLE 14"X 24" COOKER NOTE: THE SYSTEM WILL MEET UL 300,NFPA 17A,AND MANUFACTURERS SPEC.THERE WILL BE A MANUAL PULL IN THE PATH OF EGRESS AT 48".THE FUEL VNLL SHUTDOWN ON SYSTEM DISCHARGE.THE SYSTEM WILL ACTUATE THE ALARM IF AVAILABLE (BY OTHERS) ALLSTATE FIRE EQUIPMENT INC DANGELOSI PAPA GINO$ ANSUL SYSTEM DETAIL 1H c1 FLOW 50 EAST GOOSEBERRY ROAD 756 UPPER GLEN ST R-102 6 GALLON 22 FLOW 219 c 2 FLOW WEST SPRING FIELD,MA 01089 QU E E N S B U RY, NY MAXIMUM 230 c 2 FLOW 413-732.4590 VT T2-406 1F c 1 FLOW MAC R 4059 CT F3-40258 DRAWN BY MB NOT TO SCALE 20 c 2 FLOW MAXIMUM OCCUPANCY 117 PEOPLE Occupancy of this space by more than 117 people is illegal and unsafe. By Order of theQueensbury Fire Marshal' s Office Michael J Palmer,Fire Marshal Gary K. Stillman,Deputy Fire Marshal Papa Gina's- 2/7/2006 KNOX BOX KEY LIST X MAIN DOOR ACCESS KEY X FIRE ALARM PANEL KEY SPRINKLER ROOM KEY SPRINKLER LOCK KEY ELEVATOR MACHINE ROOM KEY X FIRE ALARM PULL STATION KEY X FIRE ALARM DUCT DETECTOR KEY ROOF HATCH LOCK KEY X FIRE ALARM ROOM KEY SECURITY GATE KEY ELEVATOR FIREFIGHTER KEYS ROOM MASTER KEY (HOTELS) MASTER LOCKSET KEY Prepared for Papa Ginos /DeAngelos Queensbury Plaza