2009-131 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090131 Application Number. A20090131
Tax Map No: 523400-303-005-0001-062-000-0000
Permission is hereby granted to:
For property located at: 318 RIDGE 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: JOHN HOFFMAN Certificate of Occupancy(COM)
LINDA CASSE
132 5TH Ave Total value
SARTOGA SPRINGS,NY 12866
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-131
C/O ONLY -THE YARN ANGEL
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, April 20, 2010
(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 own o Zee s u April 20, 2009
SIGNED BY 64 for the Town of Queensbury.
Director of Building&Code Enforcement
a
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (31F OCCUPANCY
Permit Number. P20090131 Date Issued: Monday, April 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20090131
has been completed.
Location: 318 RIDGE Rd
Tax Map Number. 523400-303-005-0001-062-000-0000
Owner. JOHN HOFFMAN
Applicant: THE YARN ANGEL
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Boatel
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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.
f------.---------------`
( f
Contmrcnity Development Office f
Town of 1lueensbury - 742 Bay Road - Queensbury, Neu= York -12804 ate Stamp•David Hatin,Director cf Building&Codes ;
Craig Brown,lotting Administrator•Michael J.Palmer Fire Marshal
----------I
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP # BLDG. PERMIT FILE# %-� / /'� /
It} applitable
Name of Business: L° a rn
Address 1t- r f
of Business: 1 c PtSGo r`�1 QUESTIONS? CALL 761-8256 OR
JEMAIL codes(&-QueensburV.net
g g � i h n ����� VISIT OUR FORMWEBSITEI FOR MORE
Person in Charge or Manager: � � y� INFORMATION
/ tt www.ciueensbury.net
Business Phone Number:
Type of Business: ,I ` as S e S
Tfi
318 RidOe 5treei
Queensbury,NY 12804
-I ONfa�_nn414
Owner of Property: 111'VAVY1 �19-C'. Phone Number(s): Jl
Home Cell
Owners (�-
Address: %tea /-s / t✓C'� y� /'CJCg 1� f�� /,;2 dew
Please provide an accurate layout of your stare showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
'DASignature: V y` ' Date: 4- 10- 09
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
EMERGENCY CONTACTUPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 4-
BUSINESS NAME:
BUSINESS ADDRESS: e, ancc-� 4)1),f(0tA&oy+ I
BUSINESS PHONE:
-�' HOME
CONTACT 1: I PHONE
ADDRESS: 3) MICHHEL_ I4 _ IF-o1 l 6(�, (,yAf-6HOME -
;
CONTACT 2: P(9n-f-o)-\ PHONE � � 4oS5
ADDRESS:
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: 518-76.1-8206 F a x: 518-745-4437
.frremarshal@queensbua.net wwztl.queensburt ff zet
Inspection for Permit to Occupy
Fire Marshat's Office Request Rec'd Permit No. 6(q s t (
Town of Queensbury
742 Bay Road �
Queensbury,NY 12804 Scheduled Inspection Date: i Time: _�►_
Phone: (518)761-8206 Business Name:
- ail
Fax: (518) 745-4437 Location: Z
Type of kopecHon N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Seconds Aisle Width
EXIT SIGNAGE
Sign-normal .
Si -batteryT-
EVAC signs in rooms -^
TRUSS ID SIGNAGE
EMERGENCY LIGHTING .....�
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Fice Mara;ai In�Per�Cpmp#ete
FIRE ALARM SYSTEM ..�+ OK to Issue CArt ate of OCcupawy
Fan Shutdown
Fire Sprinkler System (FDC) -�
Fire Suppression-kitchen .. ' ''' ` 2
Fire Suppression-Gas Islan
Generator .r
Hood Installation -^
Elevator Fire Varshi:,i
Interior Finishes (b L Thmm 0f Oueenstury
Storage
Compressed Gas e-r�
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
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 iss e C rtifi to of Occupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
CD
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A GUIDE FOR DEVELOPING AN EMERGENCY PLAN
Section 404.2 of the NY State Fire Code, provides for posting of
evacuation plans. These plans should outline the course of action
to be followed in an emergency and are the basis for assignment
of responsibilities to your employees.
Please include the following in your plan:
• Emergency egress and escape routes
• Procedure to account for employees and occupants
• Immediate evacuation when the alarm sounds
• Notification to 911 of the emergency
• Meeting place for accountability
• Assigned person to meet the emergency responders
• Listing of any special hazards, processes or storage at
the premises
This plan must be posted in such a manner so it can be easily
reviewed by the employees. All employees must be trained in
this plan prior to assignment.
Please take time to practice your plan with all employees.
TOWN OF QUEENSBUIZY FIRE MARSHAL'S OFFICE
P h o n e: 518-761-8206 - F a x. 518-745-4437
,firemarshal@queensburj.net ■ www.queensbury.net