2014-233 TOWN OF QUEENSBURY
os742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building Sc Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140233 Date Issued: Monday, July 21, 2014
This is to certify that work requested to be done as shown by Permit Number P20140233
has been completed.
Location: 294 BAY Rd
Tax Map Number: 523400-302-008-0002-015-000-0000
Owner: DAVID BROWN
Applicant: NEIGHBORS NY, 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 r9 /,J A`�
owner of the responsibility for compliance with Site Plan,Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
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: P20140233 Application Number: A20140233
Tax Map No: 523400-302-008-0002-015-000-0000
Permission is hereby granted to: NEIGHBORS NY. INC.
For property located at: 294 BAY 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: DAVID BROWN
60 QUEEN MARY Dr Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-233 NEIGHBORS NY, INC.
C/O Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 21,2015
(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 o isbuty, , on• •y'. my 21,2014
SIGNED BY ` \ ;� for the Town of Queensbury.
Director of Building& Core Enfo`ement
Offce'l:tse my
Town of Queensbury Fire Marshal igethi2d2014
ESTABLISHMENT OF A NEW BUSINESS Tax Map.ID• _ _R. i_ : —_
CERTIFICATE OF OCCUPANCY PERMIT APPLICAT ONTowt1 veriij PEO u S _ ' - -
B iL4u�t�
Permit Fee: iL ♦ Abel'
'Note: This application is for occupancy only,with no work requiring a building permit. '
Name of Business A/ ErG /4T01t�5J 1 '� 711JL �/
Address is f' HofQ 4 FJ, -f 1•�a ADI ()U E6/JJ SU(Z f fU l /2-Seo q
Type of Business 1-4 o . Co-AC--
Manager Na.nw 7n,farsk,
OR
Person in charge -
Business Phone No. 14 6- Dolt) (ci )
Property Owner OaVrc '?r0tJA
Address o244 (5/91-/ /lJ rc4n4 !'" /a or 1 c/,fj / g-g Li t 0e-)
Phone 511 - t74C - S'f'7( (ce,H ) Jp
sy ✓Provide an accurate layout of your store showing all walls,exits,stockrooms, rest rooms,counters,and fixture layout on a
separate sheet of paper.
Print Name: tJCPI 78-1..fdR-Sk!
Signature: V nA.&
Date: �' !o / l`{
Notes/Comments:
IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire
extinguishers,fire sprinkler systems,and fire alarm systems require annual inspections by an outside contractor and the corresponding
documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require
semi-annual inspections. Anv violations noted during an inspection, require immediate corrective action.
CONTACT NUMBERS:
•
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal-New Business Permit 518-761-8206
p
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's Department
1. 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.
2. 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.
PLEASE PRINT
DATE 69 1 (0 / dD l t/
BUSINESS NAME: JJ6 I G H tso �v J Nc_1
BUSINESS ADDRESS: JO I.SRtf & Fzt I adtte/r5 `Jvr !
BUSINESS PHONE: 5/\ 3 00 3 0
CONTACT 1: hbi /c-tI /fl t42-t k r HOME PHONE Si Y C 5, -18/61
ADDRESS: 02 gob /Zrddc, R Qrkce_rf 12011
CONTACT 2: pat/✓t t& &u1 A HOME PHONE 77r b ' 5917 I
ADDRESS: 6Q Quitein /141 Dr , Lteel�>�J+
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206