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2011-172 4111" TOWN OFQ UEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 ��� 3 Q r}, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110172 Date Issued: Wednesday, May 18, 2011 This is to certify that work requested to be done as shown by Permit Number P20110172 has been completed. Location: 16 MAIN St Tax Map Number: 523400-309-011-0001-046-000-0000 Owner: ROBERT J. ECKARDT Applicant: MANSFIELD FINANCIAL STRATEGIES, LLC 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 � property owner of the responsibility for compliance with Site Plan, <+' " 145ti 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 CERTIFICATE OF OCCUPANCY Permit Number: P20110172 Date Issued: Wednesday, May 18, 2011 This is to certify that work requested to be done as shown by Permit Number P20110172 has been completed. Location: 16 MAIN St Tax Map Number: 523400=309-011-0001-046-000-0000 Owner: ROBERT J. ECKARDT Applicant: MANSFIELD FINANCIAL STRATEGIES, LLC 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 ' property owner of the responsibility for compliance with Site Plan, wt 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,Quecrisbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110172 Application Number: A20110172 Tax Map No: 523400-309-011-0001-046-000-0000 Permission is hereby granted to: MANSFIELD FINANCIAL STRATEGIES, LLC For property located at 16 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: ROBERT J. ECKARDT ERIC ECKARDT -Certificate of Occupancy(COM) 16 MAIN St Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency r Plans&Specifications 2011-172 MANSFIELD FINANCIAL STRATEGIES, LLC - C/O only $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 13,2012 (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 wn o uee uryA May 13,2011 SIGNED BY �6 for the Town of Queensbury. Director of Building&Code Enforcement UQ/L0 zuII Thu 15: Lti FAX 51�IQ544j7 Community Development (p�puQ/ppg CO.171numity Developinent Office Town of Que!ensbu.ry- 742.Tray Road- Queen.sburil, N,!w York•2280.4Stanin DateS David Halin,Director of Fuilding&Codes Craig Brown,7_011ilig AM11i»istrator MiehaeL J. Palmer,Fire Marslurl NEWBUSINESS CERTIFICATE OF OCCi 'ANCI'PERM CODES� APPLICATION :307, TAX MAP# BLDG. PERMIT FILE# ' a p Ica e Name of Business: 1 Address f Business: 16 MAIN S i Q�' � S 0 12 3-Q EslIONS? CALL 761-82s6 OR p a:) EMAIL Person in Charge or Manager: �Qdpueensbury�net 1 J F)C L) VISIT OUR WESSITE FOR MORE INFORMATION www.civaensbury.net Business Phone Number. I /zType of Business: AL � Lj� N Ov\W(� S Owner of Property: Phone Number(s): jy Homo Cell Owners �j/j Address: —7I �RAILiZo'Ad P1 SAt4T-b&� 5)p,1 W AN 1Z" "�, Please provide an accurate out of your sto in all walls, exits, stockrooms, rest rooms, counters and fixture lay ut on a separate eet paper. 7 5ignatur Date: UP .w m ng Ihls r Notes/Comments: V4/Z0/ZUll THU 15C Z0 NA% Community oevetopment [&005/008 .y Y} EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: BUSINESS NAME: MJ�N5\�1�c�� Y� �'� l.AL -%'L-"G tE LL C BUSINESS ADDRESS: HAI QjjC__IJS VJy M� a U04 BUSINESS PHONE; �>�� � � 3 S 7o CONTACT 1: 6A�v HOME. p o 77 7 2 PHONE E,v ?3 ADDRESS: 9-0 Iu.OJNTA 1 94-0\,VOof w CONTACT 2; .1��c4r &am HOME HONE 3 j 3 J d " _7zey" ADDRESS: 1 �I,LS TD N SPA P This form is used to assist Emergency Service personnel who may be called to your business after hours. Please be sure that the persons fisted on this form will Ibe 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. I TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P h one: 518-761-8206 F a x; 518-745-4437 fren7grsrig queensbunj.net wzvw.queensbury,net f Inspection Form Town of Queensbury Fire Marshal CD Periodic Inspection Date: y0't d d Time: 742 Bay Road,Queensbury NY 12804 o Re-Inspection '1 518 7618206/518 7618205 o CO Inspection Permit#: j r? y� FireWarshals Representative ,f MJ Palmer Business Name: N) vjt,�i=r, c ice. €mac)f�.C.l C, F Location: I �, — GK Stillman Contact: C3aM Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 J FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: j Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical 'FC 605.3 Electric Wiring Enclosed Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Si na e— FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6 R1 &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTIONDUE APPROXIMATELY Vacant Buildings FC 311 21 DAYS SYSTEMS: FC 901.6 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 Fire Ma 15 I In 3 1a Fuel Island Suppression Semi Annual OK t®113 A_ i I f Oct Hood Cleanin 3-6-Annual Knox Box:installed/checked FC506 pp,, iPOY 7 q 1 Operating Permit, if required will be issued after Completion of Inspection I�W hd -'° Inspection FormLiu l �� Town of Queensbury Fire Marshal 1(5'Periodic Inspection Date: Time: 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 7618206/518 7618205 '::'CO Inspection Permit#: d Fire Marshals Representative /1 ✓ ' MJ Palmer Business Name: My � ' � �'C ��f�1 a Location: X Y/,l a f k" GK Stillman Contact: s" Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 A' NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 '' �> Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES `1 e ry Main Aisle Width FC 1024/1025&FC1029.11 ��- �. �� •� - v'- C Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 (t ;1 U EVAC Plan FC 404.6 `/ TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 r` Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/labeled FC 605.3.1 f Combustibles in Equipment Rooms FC315.2.3 _ F.D.Si na e- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2g Compressed Gas FC 3003 / Vehicle Impact Protection FC 312.1 r J Interior Finishes FC 803-804 Smoke Detectors FC 907 - CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6 Rl &R2 Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Z' Exterior Storage FC 315.3 REINSPECTIONDUE APPROXrMATELY Vacant Buildings FC 311 21 DAYS SYSTEMS: FC 901.6 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 Su ression Semi Annual - Hood Cleaning3-6-Annual Knox Box:installed/checked FC506 / Operating Permit, if required will be issued after r Completion of Inspection - �- CommunituDevelopmentOfFice S� )�Lb��-S ".• Tocvrc of Queensbury • 742 Bay Pd. Queeresbury, New Yorlc •12804 PLOT PLAN Ui m Show all existing and proposed structures. Indicate the setbacks of all s erty lines. ' C LLi 0 T I r i 1 J° I I i.. .._I... ....L_f _f. .... .'.... '... ...........L. 1 �....i... p� .�..... i._. UJ I I nl , ...... i ::. .._.._..__.. _..._._.!..........i ± I ,l� ! �. I , LU _.._........�.............._...........,._........._ ................ ........_...__. �. ._ .......' I 1 . , i .. ._ ....... ;. F.._._.. � i —-•---�—�.I.�._._I ' 1 I i 1_-1-- i_ I +Ie+�' '���yt,'•� I ._)_ _t_. �.. �_ l ( I I 1 � � I w ....__......._... G f ilc LU r ._....__.._.._..._._,...._.._.,...._..._;_._._..._.._-..__...._.;.._..._..................._......__... .i._...."_i__...._ ...t..�. t ..__._. ..:._................_..L.._.._, .. _.. i ..... _. �- , 1 I 4 I 1 1 ....... .. _ .._......... . . '. L 11 ,._..._._jI .._..._.�� . ......_ ii _ ' ' Iv .. ... I ...: Irk" .. 1'_' __ .. ... _. .. I O IL (r . .. ' ... _i_ 1 I• w �. 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