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2003-899 TOWN OF QUEENSBURY - 00 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030899 Date Issued: Wednesday, October 29, 2003 This is to certify that work requested to be done as shown by Permit Number P20030899 has been completed. Tax Map Number: 523400-303-005-0001-087-000-0000 Location: 352 QUAKER Rd Owner: JOHN & TINA LYNCH Applicant: HEIDELBERG This structure may be occupied as a: By Order of Town Board Certificate of Occupancy•(COM) TOWN OF QUEENSBURY Du r of Building& e E "N°cement TOWN OF QUEENSBURY 01,71 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030899 Application Number: A20030899 Tax Map No: 523400-303-005-0001-087-000-0000 Permission is hereby granted to: HF,Ii)F,I,BFRG For property located at: 352 QUAKER 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 Value Owner Address: JOHN& TINA LYNCH WILLIAM& JUNE MEILLIUR Certificateof Occupancy CO( M) Value Total Value 18 ORCHARD Dr QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-899 HEIDELBERG INN CERTIFICATE OF.OCCUPANCY ONLY: NO STRUCTUAL WORK TO BE DONE AS PER APPLICATION $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 28, 2004 (If a longer period is required,an application for an extension must t be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at of Qu nsbury; Tuesday, October 28, 2003 SIGNED B for the Town of Queensbury. Director of Bu ng ode Enforcement 1 . F Town of G4ueensbury c1.. Fire Marshal's Office CO 6� - L iii' • 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 ) — °—QIY-\ Fire Marshal's Inspection Report ' Request ���11,,� oQ SCHEDULE _ Received: Permit# CY "�J 29 INSPECTION ON: JO `r' C3 Name: 1A P 1 Act\bete AANy - 5 1 7 A(C9kNYTIME Location:_,�,5 Q..)xliiCPROVED N IA YES NO COMMENTS EXITS / AISLE WIDTHS EXIT SIGNS—NORMAL - BATTERY X 5 iC ,��1. bki,4__KaiIO11 AAA EMERGENCY LIGHTING X l O G FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM ' Q/��i FIRE SUPPRESSION SYSTEM(vj�� ✓ HOOD INSTALLATION II INTERIOR FINISHES STORAGE 0 I$5 COMPRESSED GAS X C . ' CLEARANCE TO , CLEARANCE TO HEATINGERS x y & OC1 . poct UNITS X CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE v EMERGENCY PLAN ? C MAXIMUM OCCUPANCY SIGN ..• tot CHIMNEY • MASONRY ROUGH IN , FINAL • CHIMNEY. FACTORY BUILT ROUGH IN • FINAL WOOD STOVE ROUGH IN , • FINAL VENTED GAS • APPLIANCE ROUGH IN FINAL -FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK\, FINAL C FIREPLACEQ 1� FACTORY BUILT ROUGH IN INSPECTED BY FINAL , COMDEV/CHRISJ/ WORDlLETTERS2001/FIREMARSHA!_INSPECTIONREPORT11022O01 YELLOW—OCCUPANT COPY WHITE—BUILDING DEPARTMENT COPY I Whi''tr,...., C6 { Town of Queensbury - �� f. Fire Marshal's Office �1-- 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) '745-4437 c.____f____74.2.: 5Ss 5 Fire Marshal's Inspection Report Request SCHEDULE 1.0 ?q-c, Received: Permit# - Icedq INSPECTION ON Name: c::k A ti-'B i AM 40ANYTIME &Q�-�4 _ Location: ,. . ... . __.. APPROVED — — N IA YES NO COMMENTS EXITS tNN C71,�-`Pt C--i- AISLC WIDTHS 0 /-t ,w a 5( EXIT SIGNS-NORMAL - BATTERY lb �� EMERGENCY LIGHTING `^FIRE EXTINGUISHERS V FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION 17:'°` INTERIOR FINISHESDSTORAGE �� (° COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING �_-, UNITS - 5 f. Pi_ac) '� CLEARANCE TO ELIECTRICAL "I k REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH ROUGH IN FINAL FIREPLACE ' MASONRY ROUGH IN OK THIS DAT -OR CO NOT OK FINAL .z 1 FIREPLACE FACTORY BUILT ROUGH IN i ' `�'r ___ ' INSPECTED BY _ FINAL COMDEV/CHRISJMORD/LETTERS2001/F IREMARSHALINS PECTIONREPORT11O22©01 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY • BP File#9. 3 ' New 3E3-eimixiess Dept. of Community Development Certificate of Town of Queensbury Occupancy Permit 742 Bay Road Queensbury,NY 12804 (518) 761-8256 For occupancy only, with no work requiring building permit: no fee required for this permit. Name of Business: 7k OTahI , AN Address: 3s a 004,10.4c., i 74t/ Cry veviisb Person in Charge or Manager: / P4 6'i id s q4z $SS6 04ca+.-1- Business Phone Number: aas 9yyo CEO. Type of Business: (i.e., mercantile,restaurant,hobby shop,plumbing store): gesfi Owner of Property: Tout t O(I Address: I (4 1Sw) [2.0*4eritikee"464441 Phone Number: lei GI` SsSq Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. Signature: .., / Date: /61e8703 of person submitting this form: Property Tax Map Noaai., S17 Notes/Comments: • tfvfe1410,1- P'I''''f ! . .. ....... ).4 k• 3g' t �N1' NL� 1 - i, WINDoM) ' . ►N ow Fo'ea mews ‘,.. `,pope. Room —, 7 t A®; I t ' t I �? 1 A�(bY �wu rP�WN'}' p0!� WdMG�,L `�` ♦Y�- Roor+i 51 — — — Dee ' * 2 i ,��,O f I �� I • OCT 2 8 2003 j T4a.G I 3 — — TOWN OF ODE FN P.fir CEfAItts Gf +.... t .0ekj I — UILIING AND CODE 9 MIME t Q' I ( c t `" I .,, of �c DO* . i ..+ CO 0" N sr S a ; iF b 1 g• i • i 1/1 t is lac z a/ 13/M-wets ' �—�' I, • D O O O O 0 O 0 O :.r' 7e;',1 (3 R K I Peep ;ol abs `°I Tab U s 1 p T tg ..—. I le `O o. 5ron,AiE C 00 tars. {��` coo &2 is E . S d JS�arMa O 1. Vale. t {ryKt4rIf NA+°: E wets (Ne.. plot t 1 trietaLl h.exci IN0 L►S? Q tM k t.. fir Qugetkis6441 OUtj ldgoti Town of Queensbury Fire Marshal's Office EMERGENCY CONTACT UPDATE •f LTRS 2000 TO: WARREN COUNTY SHERIFFS DEPT. FAX: 761-6210 PLEASE PRINT DATE: l opitd3 BUSINESS NAME: fle d d /NA/ BUSINESS ADDRESS: 3501 L tA440.4. rtelVd BUSINESS PHONE: 1'1d HOME CONTACT 1: 1-0114 C. 1(,"1s PHONE MS Sgi TOWN RESPONDING FROM: Qv'exi%)4Sboti HOME CONTACT 2: - PHONE TOWN RESPONDING FROM: HOME CONTACT 3: PHONE TOWN RESPONDING FROM: Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205, FAX 745-4437 it,folugti- Pb+rt, ! . I.- 38 I f aN7RAti4E � • UPI NOOW . WtNuow if rotrara. McN's .�, )pone. (Zoom ) ( ,�I(b� � � ��� ��,5 �-- pawl. poo WOM C WIRoomg 3 ........ a.on .... , 4" • �TORA6G a► O 2 — 1 1A*t ( ( gout I • OCT 2 8 2003 1 --- U LDINC AND CODE 'mew i 6r I . 0' I - io ! I Ir1c r.. I ( 40' I .0' i I ' ', v Cake' pts�t .� ., N sty "' Si 41,� s ..f .11 .. i in: GA 0 092 57oo�s -• z • a .fr D 0 0 0 0 0 0 0 6 ..P 7° 49K • reef I• N / -T f ao, • Tabs ��0 p ... t f l Sr01.A6rc coot-Ca. OP coo Lea. ICE , �, 0 °4 LIquaw 04 ma tNe SO , �o+�t Nye: Ewetss (NC,. J)ba & !Nni 3S? Q v44tei. PaAti 4 , Ivy idol Town of Queensbury Fire Marshal's Office EMERGENCY CONTACT UPDATE •f LTRS 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210 PLEASE PRINT DATE: /0i 03 BUSINESS NAME: 1" U�ck'rj l NP) BUSINESS ADDRESS: 3S advaceet. t d BUSINESS PHONE: ti5d 'g5'gt T HOME CONTACT 1: TOM Co 1 l 04 PHONE MS SSI TOWN RESPONDING FROM: Qtteer.),sbviti HOME CONTACT 2: PHONE TOWN RESPONDING FROM: HOME CONTACT 3: PHONE TOWN RESPONDING FROM: Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205,FAX 745-4437 zfellibTC1I-61/41 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury,NY 12804 Phone 518 7618205 Fax 518 745 4437 A Guide for Developing an Emergency Plan Section 404.2 of the NY State Fire Code, provides for posting of evacuation plans. These plans should outline the course of action to be followed in an emergency, and be the basis for assignment of responsibilities to your employees. Please include the following in your plan: • Emergency egress and escape routes • Procedure to account for employees and occupants • Immediate evacuation when the alarm sounds • Notification to 911 of the emergency • Meeting place for accountability • Assigned person to meet the emergency responders • Listing of any special hazards, processes or storage at the premises This plan must be posted in such a manner so it can be easily reviewed by the employees. All employees must be trained in this plan, prior to assignment. Please take time to practice your plan with all employees. Emergency Plan Developed on October 29,2003 The Heidelberg Inn 352 Quaker Road Queensbury, NY 12804 (518)792-5556 Emergency Plan Quaker Road DOOR A The Heidelberg Inn DOOR B DOOR C I I 1. There are three (3) Exits to the building in case of an emergency. Door A is the front entrance of the building. Door B is the side entrance of the building. Door C is the kitchen entrance of the building. 2. In the case of an emergency evacuation all employees should assist patrons through door A and B whichever is closer. Once outside the building, all persons should be instructed to gather in front of the dumpster for a a head count of patrons and employees. 3. There should be an immediate evacuation of all persons when the alarm sounds. All patrons and employees should exit through Door A or B. All kitchen staff should exit through Door C or the next closest door. 4. Owner or Chef should notify 911 immediately by using a neighbors phone or a cell phone. 5. Owner or Chef will be the designated person to meet emergency responders as they arrive. This emergency evacuation plan shall be posted in the restaurant at all times. 1 k 38' EJU1V1 vc� �. 54 WINDOW 1 I . IO�Nocw Fog a R. M EN'S ....... )poem. Roo M 1 j1/4Ply" iI 00 I ( ��tl' I o�V' .. ..FRONT DOOR WOM C N�� 1 i • (Zp o r►'1 S 5T0446G as oo '� 3 I -it.* ( ( OCT� t ( 2 2003 1 I _.TOWN-OF CLEFN-,T my I ,`��t I UILt�ING AND CODE Cifik1Rs I �f O I ?Ar3tE l A l e .,, I `" ofPoc PIS* � —�. 3 � � — 4 , V , IF i .....„-- i �� 1 • i... I`Ik► " Z a' i 01 :srho`S ! • 0 0 0 0 0 0 0 0 0 :..? 077. 80R � Peep (v ao, y I Tabs RI' to Tk- ..._r N 'L s' sTon.Acg c oo t.en. . 1 {aSk coot.&R. ice Ni. o ool °, �.,q�ow 11,64 c�ti cog' 16,5 NIAmg : EJeAutietz (Nc.. 1)124 (rf�et�.I � (N� 35? Q QQ€ 4t byIdZQ'l Town of Queensbury Fire Marshal's Office EMERGENCY CONTACT UPDATE •. LTRS 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210 PLEASE PRINT DATE: m f iid3 BUSINESS NAME: ' fleidA !NA) BUSINESS ADDRESS: 3S o1 QL4041. d BUSINESS PHONE: 'Srgt" HOME CONTACT 1: TOM C°6l/14S PHONE 79a•5S TOWN RESPONDING FROM: OvezA)4 HOME CONTACT 2: - PHONE TOWN RESPONDING FROM: HOME CONTACT 3: PHONE TOWN RESPONDING FROM: Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205,FAX 745-4437