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2010-148 TOWN OFQ UEENSBURY ,� � " 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100148 Date Issued: Wednesday, April 28, 2010 This is to certify that work requested to be done as shown by Permit Number P20100148 has been completed. Location: 53 MAIN St Tax Map Number: 523400-309-010-0002-070-000-0000 Owner: DONALD J DANIELS Applicant: WINNIE & PETE'S NORTHWAY DINER 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 (72) wiP owner of the responsibility for compliance with Site Plan, Variance, ori other issues and conditions as a result of approvals by the Planning Board Director of Building&Code enforce ent or Zoning Board of Appeals. 11* TOWN OF QUEENSBURY f. ` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20100148 Application Number: A20100148 Tax Map No: 523400-309-010-0002-070-000-0000 Permission is hereby granted to: WINNIE & PETE'S NORTHWAY DINER ] For property located at: 53 MAIN St jO 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: DONALD J DANIELS 1 GILMORE Ave Certificate of Occupancy(COM) QUEENSBURY,NY 12804 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2010-148 Winnie & Pete's Northway Diner- CO only $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 20,2011 (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 Queensbury; Tuesday,April 20,2010 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement _ - ContnncrritJ Development Office k Town of Queensbury • 742 Bay Road • Queensbury, drew York -12804 f j : 44 at 4011-11) i David Hatin,Director of Building&Codes ! Craig Brown, Zoning Administrator•Michael J. Palmer, Fire Marshal a e ESTABLISHMENT OF A NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION 30?.,k) -2 _ ?to TAX MAP # BLDG. PERMIT FILE# 1C,1 P f 1 ��(�3 / et 11 S i-) plicable 1 / �p hwDi Name of Business: '.,,�J ; (1(\i Q.. e- `p-4L-}-ct,s Q i n Address of Business: c 1 M.A\r\ 5A- 4,ter,sb..,n, ,I � a 5 b I QUESTIONS? CALL 7614256 OR `� EMAIL codestftweensburv.net c VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: e-A-C4, ( 'ML 1 Co c? i U rflt _ 1v�q. INFORMATION vw.aueensburv.net Business Phone Number: '1 Lo 1- 133 ') 0 Type of Business: '`\4.-. gock^f• Owner of Property: 0 pct Omni { 15 Phone Number(s): 9 3 - 5-..? (,9 Home Cell Owners Address: I C r L.rn o(u .. Av Q v e-try-,bU(f I a2.2sbt 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: MCC __CIAAry Dater 13 fl V Of person submitting this form Notes / Comments: *Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit 2o/O- EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: 14- - U BUSINESS NAME: AM\(N Ake i- Qd Js Obtl )\(\w toe,ti BUSINESS ADDRESS: S ( AA dB - • s b 1 I a voq BUSINESS PHONE: 1 (o t O3 '') () HOME CONTACT 1: QC's-t )4-Ec.Rey PHONE 3 O7- -)(0 I ADDRESS: \14\15 S-1" �( J 5 � s ��-g�j1 S �q HOME CONTACT 2: S if1\Oc M.LA p PHONE 1 1-tt-0()S_ ADDRESS: vv C (15i. St" Rid Sun WI S! (V)LI tag 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 P h o n e: 518-761-8206 • F a x: 518-745-4437 fireniarshal@queensbury.net • www.queensbury.net TOWN OF QUEENSBURY } 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 Inspections per Permit Permit# P20100148 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 04/22/2010 Fire Marshal Inspection Certificate of Occupancy(COM) MIKE PALMER Staff Denied 2010-148 1)restore all electrical conduit&junction box in front dining 2)FM to provide max occ sign 01/28/2014 Miscellaneous Certificate of Occupancy(COM) STAFF Misc 2010-148 status slip issued 07/17/2014 Fire Marshal Inspection Certificate of Occupancy(COM) GARY STILLMAN Approved 2010-148 FM approved for CO on 4/28/2010-never issued +R - TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 loppS Community Development-Building&Codes (518) 761-8256 Inspections per Permit Permit# P20100148 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 04/22/2010 Fire Marshal Inspection Certificate of Occupancy(COM) MIKE PALMER Staff Denied 2010-148 1)restore all electrical conduit&junction box in front dining 2)FM to provide max occ sign 01/28/2014 Miscellaneous Certificate of Occupancy(COM) STAFF Misc 2010-148 status slip issued inspection for Permit to Occupy Fire Marshal's Office Request Recd_ Permit No. Town of Queensbury 742 Bay Road / ,i ], lI 10r( Queensbury,NY 12804 Scheduled Inspection Date: l pry` .Time: Phone: (518)761-8206 Business Name: Li l w N ?c--"1-) Fax: (518)745-4437 Location: (N\ i/A- Si Type ci Inspection N/A Yes No EXITS: Exit Access Exit Enclosure G3tC, COMMENTS Exit Discharge c liC.., V) (_ ______ AISLES: si j/) 2 Main Aisle Width C-4-' iet , Secondary Aisle Width Cif__ EXIT SIGNAGE Sign-normal Sign-battery _ i . t` v EVAC signs in rooms .G- C G V TRUSS ID SIGNAGE 41— =„�,-j— EMERGENCY LIGHTING ©L- FIRE EXTINGUISHER: ` A Imo' . PLC ' Hung Cir.LInspection of extinguisher o --- �n�l. l AS FIRE ALARM SYSTEM L �, - i ( Fan Shutdown __ Free Sprinkler System (FDC) _ r Si Fire Suppression-kitchen Of 01,A± c,e Fire Suppression-Gas Islan Generator / Hood Installation ©C Elevator r-- —~ Interior Finishes A-- ,_ Storage �-� Compressed Gas o oC 1 ' Clearance to Sprinklers `' ' x`~ int: g 4 dor' / Clearance to Electrical V . 1 Electric Wiring Enclosed/Labeled Combustible Waste . Vehicle Impact Protection -- l � Knox Box - ' F.D.Signage-Ufi — fity Rooms -�---�- i No Smoking Signs i Marsha i Maximum Occupancy Sign ' / T t.F • A �' .� . Emergency Evacuation Plan v o Approv= • (If no other approvals ,the B&C Office will issue t - • «a t- of Occupancy) ci Deni d /call for Recheck ^n Ii Inspected By: _� L:\FireMarshal\FM Forms Masters\perrtritto occupyfam.doc # _f': . 1,. .-..', .1 . , ,,, -'.''' ., ... � 55 . ' .1''- ,:-;...,.;...',i4i.,...j:,....;,.....i.';!... _ x 1 i�� fPyo6 "e ir d ..' ' -..''''' '',1 gi. , ..:::.. +;' „....:..,...„,-;-'..' a � e c>i • tx �, `...� � r- ..:4 ¢' # aji -z`s :# 'r ',..,..f.„,,.,'!'.-;.!:,.,, tA. 4 T (($ pt kas sa�� x>&t6 EPz F. s � y e ® y C!� Page 1 of 1 .r. 1 \II NV`4'ti ; J. Scalebar length always=300feet ,-to 0 -a tt The Town of Queensbury does not warrant the correctness or accuracy of this data or assume any responsibility for any explicit or implied uses. Town of Queensbury r 742 Bay Road s Queensbury, NY. 12804-5902 http://gby2svr/GIS/printdis.asp 4/15/2010