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2011-516 011114.1.1TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110516 Date Issued: Tuesday, November 15, 2011 This is to certify that work requested to be done as shown by Permit Number P20110516 has been completed. Location: 551 QUEENSBURY Ave Tax Map Number: 523400-297-008-0001-025-000-0000 Owner: ADIRONDACK INDUSTRIAL PARK CO., INC. Applicant: PRAXIS POWDER TECHNOLOGY INC 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, "` 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. 4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FON Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110516 Application Number: A20110516 Tax Map No: 523400-297-008-0001-025-000-0000 Permission is hereby granted to: PRAXIS POWDER TECHNOLOGY INC For property located at: 551 QUEENSBURY Ave 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: ADIRONDACK INDUSTRIAL PARI 4 WALKER Way Certificate of Occupancy(COM) ALBANY,NY 12205-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-516 PRAXIS POWDER TECHNOLOGY INC - CO ONLY $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 24,2012 (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 To ueen 'V /• : , I ctober 24,2011 14 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement V l.J „ Community Development Office FS C � , Town of Queensbury• 742 Bay Road• Queensbury, New York •128. 1128.' 1 David Hahn, Director of Building&Codes E I - 2Craig Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal + r OF 1`. E),i B.J PY & CODES ESTABLISHMENT OF A NEWBUSINE' r - -oi NG CERTIFICATE OF OCCUPANCY PERMIT APPLICATION *Note: This application is for occupancy only, with no work requiring a building permit TAX MAP# BLDG. PERMIT FILE# I applicable Name of Business: ►rtl1(13 ?0041.4/ cM RO IO Y kg- Address of Business: 5S1 Ougirbhurtj Ave_ �I JILns� QUESTIONS? CALL 761-8256 OR ` v EMAIL codes(aaqueensbury.net Person in Charge or Manager: J ie. C-7��?k��w S VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Business Phone Number: S/r - 812 -of 1.4 Type of Business: M 1GAL l.>Euic 6EVELO P T Owner of Property: Joe. Phone Number(s): V 16 ' e40 9- 6193 ceH Owners Address: ki //Jai . I tly /22 fI Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. Signatu • re: / J 9 es.tri_ /1 (i Date: r 1�14.111 Si Of person sub itting this form rr1 sc.hicken iY, �1 9 // �C ll'9 Notes/ Comments: EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: 9/1V / 11 BUSINESS NAME: 'P(lX I3 Ru v /&J'1(m jc 1 n BUSINESS ADDRESS:S57 C ,t,ltjt, Aye, iPu J y /2817y BUSINESS PHONE: 1/45/8- &12-a//..l CONTACT 1: k TO-C. 6 rOhrx.:S k4 HOME PHONE 078 222 - 7t/93 ADDRESS: 1143 in-Ay.(1., tit. 6 / n,1 rails . My /2$4I CONTACT 2: .SCjj)- C,,6,1.11= HOME PHONE • -)2—7 ADDRESS: 'Paw ins � A.ke A.n7 is .r_ 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. 4 ` Inspection Form A Town of Queensbury Fire Marshal O Periodic Inspection Date:/ I!1 r'` 1 Timer --- 742 Bay Road,Queensbury NY 12804 Re-Inspection 518 761 8206/518 761 8205 PCO Inspection Permit#: 1 1 5 Fir Marshals Representative MJ Palmer Business Name: ?flat i.3 Location: .5 I ( e_4n,Sh' Rd. _ GK Stillman Contact: ii IV Type of Inspection N/A Yey No ' (-11'..) 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: / /NMain Aisle Width FC 1024/1025&FC1029.11i��( Secondary Aisle Width FC 1025 S.FC1029.11 • FIRE EXTINGUISHER: Hung FC 906 /. r,.A ', Inspection of extinguisher FC 906 EVAC Plan FC 404.6 / I TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: 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 FC314.2.3 / F.D.Signage- 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 REINSPECTION DUE 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 Fire Marto3l ins ec'i:,rr Conif,iete Sprinkler FDC 1 OK to issue Corti it lite of Occupancy 1 Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Ji I # rr\Ai Operating Permit, if required will be issued after , Fire t')rsh Completion of Inspection _ .,._, Town of(litert. Emergency Exit Route 010 x al] ix GE — • . , Pi11* ....IIr .j,' Engineering � Office Rear Lab `. W.I. South i �I Main Lab South Cteanln w lLU l '1 c""",____nLiV S.7".,. ! I Inner Lab 1 Main Lab North Front Lab Secondary LabRear Lab r North Main Lab II Main Lab tlin= Main Lab 1 Room A Room S Room C i III 1 ® ® Xi ILZJ NORTH 4