2009-128 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090128 Application Number. A20090128
Tax Map No: 523400-303-005-0001-083-000-0000
Permission is hereby granted to: DEMETRIOS KOLIOS
For property located at: 384 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. Tyne of Construction Value
Owner Address: DEMETRIOS KOLIOS
28 SPA Dr Certificate of Occupancy(COM)
SARATOGA SPRINGS, NY 12866 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-128
Rocco's II- c/o only
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 22, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of ensbury bef the expiry 'Alednesday,
n te.)
Dated at th To Aril 22 2009
t3' p
SIGNED BY for the Town of Queensbury.
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
Cr.mjLIFICATE 0-AF OCCUPANCY
Permit Number. P20090128 Date Issued: Thursday, September 23, 2010
This is to certify that work requested to be done as shown by Permit Number P20090128
has been completed.
Location: 384 QUAKER Rd
Tax Map Number. 523400-303-005-0001-083-000-0000
Owner. DEMETRIOS KOLIOS
Applicant: DEMETRIOS KOLIOS
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 j
property owner of the responsibility for compliance with Site Plan,
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.
----------------------
:• Community Development Office '
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 _r. ;
Marilyn Ryba, Executive Director•David Hatin,Director of Building&Codes ;
Craig Brown,Zoning Administrator•Michael J. Palmer,Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
P
TAX MAP # BLDG. PERMIT FILE# J y�
f applicable
1
Name of Business: / U C C t%S
Address tJ
of Business: _0,5 Q��t1� P < (J- QUESTIONS? CALL 761-8256 OR
EMAIL codes@aueensburV.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: INFORMATION
www.gueensbury.net
Business Phone Number:
Type of Business: 2-Z..4 2�STA+ti/L/�n�l
Owner of Property: beMt? C%Q-iOS K6L;OS Phone Number(s): �4-o)29-gYoer
Home Cell
Owners
Address: $ Sup J�f2-r�� S �or�e4- S(ar2�t��S IO t/ l��Ck (s
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: zDate:
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
Inspection for Permit to Occupy
Fire Marshals Office Request Rec'd Permit No. CQ ~l
Town of Queensbury �l
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: `� Time:
Phone: (518)761-8206 Business Name: c
Fax: (518) 745-4437 Location: �� \
T of in clue N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
-Seconds Aisle Width
EXIT SIGNAGE
Sign-normal
Si -batter -
EVAC signs in rooms
TRUSS ID SIGNAGE � .
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator rice Mar;`gal inwe&w Cpmpletcl
Hood Installation OK to ISSUB C Tf1f1(ste of()CC 311Cy
Elevator a
Interior Finishes
Storage
Compressed Gas ?
Clearance to Sprinklers
Clearance to Electrical
Electric Wring Enclosed/Labeled Fire V
U
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sin
Emergency Evacuation Plan
`Approved (If no other approvals apply,the B&C Office will issue t e Cer, cate of ccupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshals Office Request Rec'd Permit No. ` >
Town of Queensbury aw
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: Time: to
Phone: (518)761-8206 Business Name: CAS
Fax: (518) 745-4437 Location: 3`6 u d�a¢Ctn
Type of clill0ti N/A US L O
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES: ' i� `Ql�(�1 COO
Main Aisle Width
Seconds Aisle Width l � 1'-�s A
EXIT SIGNAGE
Sign-normal
Sign-batter �Llticp� (1U�?Crt`c c� .�
EVAC signs in rooms
TRUSS ID SIGNAGE e� C� � FG�'j� aLi cL-
EMERGENCY LIGHTING
C4€�►scL4S
FIRE EXTINGUISHER:
Hung C a
Inspection of extinguisher
FIRE ALARM SYSTEM 01—
Fan Shutdown '
Fire Sprinkler System FDC
Fire Suppression-kitchen d S�. N�lt G
Fire Suppression-Gas Islan
Generator L i) Ay
Hood Installation '-i �-as�Dl�-
Elevator
Interior Finishes Zt�44✓�
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical L= low I S
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
❑ Approved (If no other approvals apply,the B&C Office will is tthrtifi to of Occupancy)
❑ Denied / call for Recheck
inspected By:
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