2011-184 t
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: P20110184 Date Issued: Wednesday, June 08, 2011
This is to certify that work requested to be done as shown by Permit Number P20110184
has been completed.
Location: 203 LUZERNE Rd
Tax Map Number: 523400-309-009-0001-048-000-0000
Owner: RONALD BACON
Applicant: RON'S AUTO BODY REPAIR
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
4 �
Issuance of this Certificate of Occupancy DOES NOT relieve the
owner of the responsibility for compliance with Site Plan
property P tY P �..�
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: P20110184 Application Number: A20110184
Tax Map No: 523400-309-009-0001-048-000=0000
Permission is hereby granted to:, RON'S AUTO BODY REPAIR
For property located at: 203 LUZERNE 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: SUZANNE BARNES
PO BOX 2328 Certificate of Occupancy(COM)
GLENS FALLS,NY .12801-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-184
RON'S AUTO BODY REPAIR- CO 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 Town of eensb ; Fia May 13,2011-
SIGNED BY �`t - ` for the Town of Queensbury.
Director of Building& ode Enforcement
a
r
I
~= Cofn»iunity Developnierct Office D ;
-•Town of Queensbury- 742 Bay Road - Queensbury, New York -1280
•David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator-Michael J.Palbner,Fire Marshal
7' W
NEW BUSINESS CERTIFICATE OF OCC
APPLICATION +
:3c)?o _
TAX MAP# BLDG. PERMIT FILE#
ap lca e
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Name of Business: + � S A,6 CLI �� l�-
Address D� 3 �uzelq
e QUESTIONS? CALL 761-8256 OR
of Business:
EMAIL codes(ftueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: q_dA,4_td A &Lc1� INFORMATION
www.aueensbury.net
Business Phone Number:
Type of Business: c4 V-2 e-oI(-,R—
Owner of Property: k0A10 Cat A i-UK- Phone Number(s): (Ll9) 716-T3 17
Home Cell
Owners
Address: �� 5 e`
!Wg - rovide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date: 2d!
Of person submitting this form
Notes Comments:
[2-P
l
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: t'
BUSINESS NAME:
BUSINESS ADDRESS:
l
BUSINESS PHONE: kl� y'j �3
CONTACT 1: 1qk_ ��A-� HOME
PHONE �CO 796 ,?32-7
ADDRESS: 73 To t,�_ S'r. ( y 1y`7L
HOME
CONTACT 2: 1ut � <-�`' PHON 0 (o- 399 1
ADDRESS: -7 M CAA A/(�
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
Phone: 518-761-8206 Fax: 518-745-4437
flrernarshal@queensburi .f� zet. www.queensbicry.net
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: I Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 7618206/518 7618205 o CO Inspection Permit#: /
Fire Marshals Representative -� s
MJ Palmer Business.Name: R o�0> �
Location: L'J-'?c.AV'C Po on
GK Stillman Contact: 2" e��CQV--
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 ,F
AISLES: �r �„,. `�✓`
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 ✓'
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 ^� /I ��
EVAC Plan FC 404.6 , l 6 t 11'
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 a .�
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electri&Wirin Enclosed Labeled FC 605.3.1 e
Combustibles in Equipment Rooms FC315.2.3
F.D.Si na e- FC 510 s"
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 f
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 '`- MINSPECTIONDUE 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 Mar tl In ecton Oompiaw
Fuel Island Suppression Semi Annual OK to ISSLie Cwtlicate Of OCCUP91cy
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 01
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1
Operating Permit, if required will be issued after
Completion of InspectionI t . PAW
Fire Wsn4i
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