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2010-588 ..0"111& TOWN OFQ UEENSBURY FOS742 Bay Road Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100588 Date Issued: Friday, February 04, 2011 This is to certify that work requested to be done as shown by Permit Number P20100588 has been completed. Location: 436 QUAKER Rd Tax Map Number. 523400-303-005-0001-020-000-0000 Owner. NYSARC, INC. WARREN WASHINGTON CO'S C Applicant: 2ND FLOOR ONLY 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, "'` 'v 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 401.re 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100588 Application Number. A20100588 Tax Map No: 523400-303-005-0001-020-000-0000 Permission is hereby granted to: NYSARC. INC. WARREN WASHINGTON CO'S C For property located at: 436 QUAKER 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: NYSARC, INC. WARREN WASHI Certificate of Occupancy(COM) 375 BAY Rd Suite 200 Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2010-588 WWARC - CO only $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,January 04,2012 (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 T wn fQuee ryl /Tuepday2,January 04,2011 :t l /.1"-c SIGNED BY *~ ' 7 ; for the Town of Queensbury. Director of Building&Code Enforcement - a; Community Development Off ice of Queensbury • 742 Bay Road • Queensbftry, New York •I2804 gr"° n gpI gq Marilynn Ryba, Executive Director•David i-latin, Director of Building&Codes 9 Craig Brown,Zoning Administrator•Michael J.Palmer, Fire Marshal NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP# 2C)-- BLDG. PERMIT FILE# _)`r �> if applicable Name of Business: L.4,1 Address of Business: 11 3(, ( vh� ,, +( gJr~e-rtizv •Y. QUESTIONS? CALL 761-8256 OR j AEMAIL codes(aqueensburv.net L VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: / c.. �r S e,, INFORMATION www.oueensburv.net Business Phone Number: 6R/ II=i Type of Business: I-Lk ) rct✓i'8e- Se-ed;(e / cat s1 0 c^ own; i< +0 i n.st�v,rciuc,I ti: ttIN, PA 4"e WO11,CA ri.nr.5, r�c'_vefI rl •I. irp,S. Owner of Property: lint//} Phone Number(s): o'- Home Cell Owners r� Address: 11,2C. gaeAke►,- )Zones— 11/4'. 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: y'`�;�;.�✓4 ✓�� Date: 4041Will91 —29/0 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 5F) e o EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: I a -g j - I O BUSINESS NAME: Lt,' c4i A RL BUSINESS ADDRESS: H 9k.; k•-:e 17.0cak- c�IP�� 46t/.y h/,'11 .. BUSINESS PHONE: ri cl-o1/41 HOME CONTACT 1: PHONE 6g 1-C7 I r"( ADDRESS: j YY\ e et,t ge)t-,Q- F f (AiCk NF1 HOME CONTACT 2: Uae . I -„,r t-obN. PHONE 6-28 iafe ADDRESS: I fl �t�I ( ( ) ?(A(( 6(1 y 5(41.1 c. 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 1, o n e: 518-761-8206 • Fax: 518-745-4437 frremarshal@queensburi.stet www.Tree nsbury.net /-ri4e Rough Alumbing I Insulation Insp fon Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/pm Depart m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' _� 1/- LOCATIO NAME: ��.�1G�� PERMIT #: , , INSPECT ON: - TYPE OF STRUCTURE: LAA.AQ Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 34 inch minimum Drain Size Washi ! Machine Drain 2 inch minimum Cleanout eve 100 feet/chane a of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping 50 P. .1 for 5 minutes Insulation/ ' - -idential Check/Commercial Check I �l Tyvek or ' liar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: A `6 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Inspection Form Town of Queensbury Fire Marshal OPeriodic Inspection Date: 4J2 742 Bay Road,Queensbury NY 12804 o Reinspection // &-616 518 761 8206/518 761 8205 -'CO Inspection Permit#: Fire Marshals Representative W/e)R -1 _MJ Palmer Business Name: Location: 4 .rde ' . f )(GK Stillman Contact:—,j 3c Oiu y-r /144z Type of Inspection N/A Yes No ExiENOTES Exit Access FC 1014 Exit Enclosure FC 1020 f/ Exit Discharge FC 1024 r/ Sign Normal FC 1011 ,( Sign backup FC 1011.5.3 AISLES: Main Aisle Width FC 1024/1025 L.''f Secondary Aisle Width FC 1025 v FIRE EXTINGUISHER: Hung FC 906 1/ lnsp of extinguisher FC 906 V- EVAC SIGNS IN R ooms FC 404.6 I/' TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006 Exterior FC 1006 V Clearance to Electrical FC 605.3 I{/ Compressed Gas FC 3003 v. Knox Box FC 506 F.D.Signage- FC 510 17 No Smoking Signs FC 310.3 V Storage FC 315 17- Electric /Electric Wiring Enclosed/Labeled FC 605.3.1 1 ' Vehicle Impact Protection FC 312.1 ✓ Interior Finishes FC 803-804 I/ Smoke Detectors FC 907 L.--1 Al _� ��• CO detectors FC 610 Al / /' Clearance to Spr./Ceiling FC 315.2.1 18"/24" Exterior Storage FC 315.3 Operating Permit Vacant Buildings FC 311 I/ REINSPECTION DUE APPROXIMATEL. 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 Kox NFuel Island Suppression Semi Annual al � Hood Cleaning 3-6 62tYlft\ Gds 141 Inspection Form D-i 2 Town of Queensbury Fire Marshal cDPertodic Inspection Date:41-3Ci i I 742 Bay Road,Queensbury NY 12804 ' 'Reinspection 518 761 8206/518 761 8205 481 CO Inspection Permit#: /6 -se-56 Fire Marshals Representative MJ Palmer Business Name: ) ( Location: L-r6C,0 &LAI/1-n rZcAP GK Stillman Contact: hike_ 7-154-14/__.., Type of inspection N/A Yes No EXITS: Exit Access FC 1014 NOTES Exit Enclosure FC 1020 - Exit Discharge FC 1024 Sign Normal FC 1011 III . Sign backup FC 1011.5.3 ./ .w.. ,----- AISLES: 0 t Main Aisle Width FC 1024/1025 ,- Secondary Aisle Width FC 1025 . ' FIRE EXTINGUISHER: Hung FC 906 ./ 14 ammo Insp of extinguisher FC 906 VIMIL EVAC SIGNS IN Rooms FC 404.6 ..."*" MA TRUSS ID SIGNAGE FC 505.3 V- 116. III EMERGENCY LIGHTING: Interior FC 1006 .. . 111111111111111 Exterior FC 1006 Clearance to Electrical FC 605.3 ..7." Compressed Gas FC 3003 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 ../ --....7 CO detectors FC 610 V. Clearance to Spr./Celling FC 315.2.1 / 18"/24" Exterior Storage FC 315.3 V Operating Permit Vacant Buildings FC 311 ../- REINSPECTION DUE APPROXIMATEE 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 1111 / DATE: OK NC HVAC Shutdown Sprinkler System Annual I I " I/ '"""--:mr., „• i .,. , , I' -4,12 Sprinkler FDC Kitchen Suppression Semi Annual s t's i'S',11- C4FLIII =lt"- 3t a'n'Plirry Fuel Island Suppression Semi Annual Hood Cleaning 3-6 ...•••••••t i •-.3c4N-I D 1 i i - 1 I. _ I. , mirm MI Eli a dil' All Alb• I. /0 "'.. 5,.... ?s all ' A LOSST, is 2 2•2 , . . , . . 2010 , . 2.'... -' 1 _-. 0 DRA=T OF F N,4L P_AN 0 12/14/10 1-"L-44- 1-11111111 Z 1 c,,r .--7. ELI, s. . .• , , •._ E,.,N. SERVER Lil e 9.,'13$ 130 102 112 ILE 6 ,0,6u,,„ 4 --f-tr,E g C 72TI-1 1 . CI .., ___ _1_, I7 c.— • _ -' ;'''''' Go ,.1 ._ ---, \ f`... , O . . . . , .• . . _ . 1 • . -11 -'.. ,.--'---;-,. FIRST E_OPR PLam,7>c STING COSJ1-ONS/ LI . . ' '-1-"-----'----' ' ' .-_-.,