2011-048 41111" TOWN OFQ UEENSBURY
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742 BayRoad,Queensbury,NY 12 2 1
Q ry, 804 590 (5 8) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110048 Date Issued: Monday, April 18, 2011
This is to certify that work requested to be done as shown by Permit Number P20110048
has been completed.
Location: 365 BAY Rd
Tax Map Number: 523400-296-019-0001-030-000-0000
Owner: YI NONG LIU
Applicant: JULIANO'S DELI
This structure may be 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 1 // r f
property owner of the responsibility for compliance with Site Plan, �I4 ' `�
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.
1
TOWN OF QUEENSBURY
.47 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110048 Application Number. A20110048
Tax Map No: 523400-296-019-0001-030-000-0000
Permission is hereby granted to: YI NONG LIU
For property located at: 365 BAY 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: YI NONG LIU
365 BAY Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2011-048
JULIANO'S DELI- C/O only
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, March 16, 2012
(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 Town of Quee our Weesday, March 16, 2011
SIGNED BY ) ,1P II
�'y for the Town of Queensbury.
Director of Building&Code Enforcement
co
s Co;nnuiltity Development Office
44' � Town of Queenshury • 742 Bay Road • Queensbury, New York •12804 Date.44np
• David Natiu, Director of Building&Codes
Craig Brawn,Zoning Administrator•Michael J. Palmer, Fire Marshal
J. ;
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
Sp /a - .o it APPLICATION
'fit' N�'_�-t u2%i -/-3C)AX MAP #
BLDG. PERMIT FILE# ) 1.-
DO"
If applicable
Name of Business:
�u' 1`,1��.t10 s t1E I i''i •
Address 3(4,s— '3aq j� / SeGUn� p QUESTIONS? CALL 761-8256 OR
Of Business: (� I' g y `� c�n� EMAIL codes(c�queensbury.net
QvicenSIovi� /Nil Y 2 S2M
� f i VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: Z/14r4t6S �! i ii c ii a INFORMATION
www.queensburv.net
Business Phone Number(57g> 7 q 3`6 76,4
Type of Business: `a,c--4 <_ '1'1,1(a L Se m ( yL mat e_ re l,Jre- Pick),-l;
lel d Sr,,bs, hot sedwl _s
Owner of Property: y i /v L \ ij L I kJI Phone Number(s)kSl15)I ' 11139
Home Cell
Owners Q l
Address: )8 3 e f Pck-kc h 0 r. Qv ecnSr�r ,1'J l I Z'0 Li
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: 141a2 111 2/ v Date:
2/Z 111
Of person submitli f this form
Notes / Comments:
sp _aiig
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 2/29 I 1
v
BUSINESS NAME: (IQnO S� � L
BUSINESS ADDRESS: 3&..0 13ftyI2ccL4l -ee-4S61 I\Jw l do4
y �
BUSINESS PHONE: /2 793 676. (1
liA� HOME
CONTACT 1: 3-4-w' 5 Ji1Co PHONES )7727-�?i
ADDRESS: 2? E1 za 10,e- %I-1J ( . eeLii7' NyIZO,
cf
HOME l
CONTACT 2: J04CL frUN %E& JJ
PHONE�lcJ r373r"
ADDRESS: Yk-/1Z46e4 1L1� C ee/,3L1 y ,- !250 /
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
Ph o n e: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
0 I I I ll FIRE MARSHAL'S OFFICE
�+ ��__ Town of Queens Jury
742 Bay Road, Queensbury, NY 12804
'r " Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Julians Deli
1/5/2010
The following comments are based on review of submitted plan: (SITE PLAN)
1) FM has no issues with site requirements at this time.
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 761 8206
firemarshal@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 • F a is 518-745-4437
firenrarshal@queensbury.net • www.queensbury.net
Inspection Form
Town of Queensbury Fire Marshal CDPeriodic inspection Date: N l
*/
742 Bay Road,Queensbury NY 12804 o Reinspection '
518 761 8206/518 761 8205 4'CO Inspection Permit#:
Fire Marshals Representative c
MJ Palmer Business Name: 'Iv i i q 1.4 0.5 DLL,
Location: 26 atvLi 12c-i 0
— GK Stillman Contact: i yr 3ii bra fvo
Type of Inspection N/A Yes No
EXITS: - / NOTES
Exit Access FC 1014 L
Exit Enclosure FC 1020 i/
Exit Discharge FC 1024 ,/ � �G - -Q '�i°thr Af sitf
Sign Normal FC 1011 ,/
Sign backup FC 1011.5.3 ,/
AISLES: qqAci. R:--. *vs Ai 6 c uss v 3
Main Aisle Width FC 1024/1025
Secondary Aisle Width FC 1025
FIRE EXTINGUISHER: 4 rt I e'Z' SitrAVr: dl(ila tfi-ti..e+
Hung FC 906
Insp of extinguisher FC 906
EVAC SIGNS IN R ooms FC 404.6 "' 0chtvQfrASct 04
TRUSS ID SIGNAGE FC 505.3 / QE.Yw4� 6 Co , ,,
EMERGENCY LIGHTING: �,,
Interior FC 1006 / d e.b4•J'
Exterior FC 1006 / /
Clearance to Electrical FC 605.3
Compressed Gas FC 3003
Knox Box FC 506 r 1 U,1(( 1 d..f
F.D.Signage- FC 510
No Smoking Signs FC 310.3 0 �.4 `4 s 4 ih it
Storage FC 315 ,7'
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle impact Protection FC 312.1 4/-
Interior Finishes FC 803-804 - *
Smoke Detectors FC 907 //
CO detectors FC 610
Clearance to Spr./Ceiling FC 315.2.1 /
18"/24"
Exterior Storage FC 315.3 .7
Operating Permit X
Vacant Buildings FC 311
REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6
Inspection Form
Town of Queensbury Fire Marshal °Periodic Inspection Date: Ll' 13) 1/
742 Bay Road,Queensbury NY 12804 o Reinspection (�,
518 761 8206/518 761 8205 CO Inspection Permit#: 1 1- Y4
ire arshals Representative
MJ Palmer Business Name: I 1 0revi.„ tt
Location: S6 cA,i 110
_ GK Stillman Contact: '"3 ,/ r•
Type of Inspection N/A Yes No
EXITS: Z.' NOTES
Exit Access FC 1014
Exit Enclosure FC 1020 /
Exit Discharge FC 1024 7'
Sign Normal FC 1011 / \l \j �0
Sign backup FC 1011.5.3 / �
AISLES: 14-
Main Aisle Width FC 1024/1025 ./' 1
Secondary Aisle Width FC 1025
FIRE EXTINGUISHER: eflfrif41 LHung FC 906 7 _(
1 9
Insp of extinguisher FC 906 7'
EVAC SIGNS IN R ooms FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006 f �
Exterior FC 1006 -- / '
Clearance to Electrical FC 605.3
Compressed Gas FC 3003 .,/,'",-
Knox
�
Knox Box FC 506
F.D.Signage- FC 510
No Smoking Signs FC 310.3 .,
Storage FC 315 /
Electric Wiring Enclosed/Labeled FC 605.3.1
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907 el j
CO detectors FC 610 //!
Clearance to Spr./Ceiling FC 315.2.1
18"/24"
Exterior Storage FC 315.3 7 !
Operating Permit
Vacant Buildings FC 311
REINSPECTION DUE APPROXIMATELY
21 DAYS
SYSTEMS: FC 901 Insp OK NC DATE: OK NC
Dote
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC -.—
Kitchen Suppression Semi Annual liirpa si10t15pitCttil
Fuel Island Suppression Semi Annual Chi i3}rg& S�gU o N
Hood Cleaning 3-6 !A1 }
R13CUI�
Mrs*1urshai