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2004-704 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLI-ANCE
Permit Number: P20040704 Date Issued: Wednesday, September 15, 2004
This is to certify that work requested to be done as shown by Permit Number P20040704
has been completed.
Tax Map Number: 523400-309-017-0001-017-001-0000
Location: 415 Big Bay Rd
Owner: FRANK A KINEKE
Applicant: SEVERN TRENT PIPELINE SERVICES, INC.
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy(COM) TOWN OF QUEENSBURY
e �
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040704 Application Number: A20040704
Tax Map No: 523400-309-017-0001-017-001-0000
Permission is hereby granted to: SFVF,RN TRFNT PIPELINE. SF,RVICF,S. INC
For property located at: 415 Big 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. Tyne of Construction Value
Owner Address: FRANK A KINEKE
4 BIG BAY Rd Certificate of Occupancy(CO1V)
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-704 SEVERN TRFNT PIPELINE SERVICES, INC.
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, September 15, 2005
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queenshury before the expiration date.)
Dated at the T of , Lery; eesday, September 15, 2004
SIGNED BY ` for the Town of Queensbury.
Director of Building&Code Enforcement
BP File#af 70
Me-mzzr 13usmess
Dept. of Community Development CeJ'tlfJCate Of
Town of Queensbury ®CCApaarte-sr �ei mit
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
IFor occupancy only, with no work requiring building permit: no fee requireptcrizif
IcVE
SEP 0 7 2004
TOWN OF QUEENSBURY
BUILDING AN CODE
Name of Business: t)1 /t-e 1 `p =C"V i eS Y1�
Address: 'T i 'al I i �o�z� Qt.xe ,)/1 5 b, T 4vl ( ] 2 ec),+"
Person in Charge or Manager: E 1,1- do lZ G.
Business Phone Number: sr -'6%5
Type of Business: (i.e., mercantile, restaurant, hobby shop,plumbingpl store):
We �` e.ie._aY� JYl1, cti4�t / vl s'F a4 b i!.
1
e II
Owner of Property: rrcx" k <I' !'1 e K
Address: - �oc>� L�e-eyi s t 71 1\1 Y 12_6 o 4-
Phone Number: 5 & — 71 - -5—
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet ofpaper.
G
Signature: �,, y( Date: �t 7d$
person submitting th form:
Property Tax Map No.icVJ //7 / / '1 /
Notes/Comments:
- 70. -y
Town of Queensbury RECEIVE
Fire Marshal's Office
SEP 0 7 2004
EMERGENCY CONTACT UPD mENSBU Y
LTR.S 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: c • "23j .2G>c%�f
BUSINESS NAME: �� t% - n 1 Ne Yt
BUSINESS ADDRESS: 15 ��'�" �� ��� s u l [2&)A—
� r r
BUSINESS PHONE: '7f—6/s ' 4330
i HOME
CONTACT 1: She( i4 s PHONES/8 3T7.S--�9
TOWN RESPONDING FROM: #ag 6) L1 i'Y/
HOME
CONTACT 2: S 1 J e (7 l c-'i-- HONE'/& ' 0- -/6 Oe"
TOWN RESPONDING FROM: G' / A- I r f�
HOME
CONTACT 3: //1 GG- kf r dot
PHONE 5/- 5z-ZGG/
-
/" /�
TOWN RESPONDING FROM: JO. A/15Z ail rE
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205, FAX 745-4437
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It- ¢ EVACUATION PLAN
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STORAGE
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I EQUIP
STORAGE
I
PARKING I
415 Big Bay Road SHOP
Queensbury,NY 12804I
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MEETING POINT (3 ?Iil [?
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OFFICE i
TOOL ROOM WC 3
WC OFFICE EQUIP
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FO E Y - NFERENCE RO OM CO
OFFICE OFFICE ii�
1 2 PARKING
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PROPANE TANK I
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- ,,_ .,�,. .,_,,_ ,CHAIN.LINKFENCE
C0Town of Queensbury akin Y
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 feel/45ree- t
Fire Marshal's Inspection Report
l �
Request SCHEDULE (� �
Received: Permit# - Li I I-)
INSPECTION ON: - I l
Name: 56t4J lvdtfFy_v_li Nice, AM PM ANYTIME
Location: 9i S r213 ray
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING X
FIRE EXTINGUISHER HUNG (o
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN 155v-e.
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND
HOOD INSTALLATION
INTERIOR FINISHES OD
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION �(
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE OK OR CO NOT OK
INSPECTE
COMDEVICHRISJIWORDILETTERS2001/FIREMARSHALINSPE IONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
1111bF Town of Queensbury
w Fire Marshal's Office
742 Bay Road OD
Queensbury, NY 12804 )I
Phone (518) 761-8205 Fax(518) 745-4437
/ 1 ._.______4_---0A
Fire Marshal's Inspection Report
t
Request � SCHEDULE
Received: Permit# 0200 Lf- %it INSPECTION ON: `_ 13-0-
Name: SiAt /J (tn 1 J v j 200 AM GO ANYTIME
Location: 1 i S 3 i 1 I`-Cx• f
A P OV D
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE4-'
EXIT DISCHARGE - j-k-1-- Gi[ W!MAIN AISLE WIDTH �" ® Qf.� `l
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL h�EXIT SIGN-BATTERY }( (q h j Q
EMERGENCY LIGHTING )G ,/
FIRE EXTINGUISHER HUNG vv _ N � r
�(
FIRE EXTINGUISHER r q WO I l\1 flq
INSPECTION J r
FIRE EXTINGUISHER HYDRO ( f1
FIRE ALARM SYSTEM ile ilArcitl' 6C-)1(
FIRE ALARM -FAN SHUTDOWN �� V �"
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN X �� 1t4 FIRE SUPPRESSION-GAS 17_
ISLAND x
HOOD INSTALLATION '?(�
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL X y
ELECTRIC WIRING ENCLOSED /�
COMBUSTIBLE WASTE 7C
VEHICLE IMPACT PROTECTION X
FIRE LANE X
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN X
OK THA 9ATE FO CO NOT OK
Q f
# .
SPECTED BY
COMDEH/CHRISJ/WORD/LETTERS2001/FIREMARSHALI NS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY