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2009-402 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 I F I(].AT E OF +OCCUR-1�NC..YX Permit Number. P20090402 Date Issued: Monday, August 31, 2009 This is to certify that work requested to be done as shown.by Permit Number P20090402 has been completed. Location: 797 STATE ROUTE 9 Tax Map Number. 523400-302-006-0001-043-000-0000 Omer. NORTHGATE ENTERPRISES INC Applicant: NORTHGATE ENTERPRISES INC This structure maybe ocgrV"TaDANCE WORKS Certificate of Occupancy(COM) By Omer of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DUES NOT relieve the ' ,� property owner of the responsibility for compliance with Site Plan, J, 4 p / �'` 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090402 Application Number: A20090402 Tax Map No: 523400-302-006-0001-043-000-0000 Permission is hereby granted to: STARLET DANCE WORKS NORTHGATE ENTERPRISES INC For property located at: 797 STATE ROUTE 9 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: NORTHGATE ENTERPRISES INC PO BOX 4514 Certificate of Occupancy(COM) QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2009-402 Starlet Dance Works, Space 6A Northgate Center Certificate of Occupancy $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 27, 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 Town o uee bury;, Thursday f August 27, 2009 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 BUILDING PERMIT Permit Number: P20090402 Application Number: A20090402 Tax Map No: 523400-302-006-0001-043-000-0000 Permission is hereby granted to: STARLET DANCE WORKS NORTHGATE ENTERPRISES INC For property located at: 797 STATE ROUTE 9 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: NORTHGATE ENTERPRISES INC PO BOX 4514 Certificate of Occupancy(COM) QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2009-402 Starlet Dance Works, Space 6A Northgate Center Certificate of Occupancy $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 27, 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.) — e Dated at the Tow(Of of Q nsb r)t; rr T. rs., aY.16A ugust 27, 2009 �. v .s, d �'. SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement --------------- "Too"I rnunity Developnien Officewn of Queensbuty - 742 Bat/Road- Queensbury, ltireuv York -12804 te Stamp Da David Hatin,Director of Building&Codes Craig Brown, Zoning Administrator-Michael J. Palmer,Fire Mnrshal ; ESTABLISHMENT OF A NEW BUSINESS CERTIFICATE OF OCCUPANCYPERMITAPPLICATION TAX MAP# 302 . W L,—001 -043-BLDG PERMIT FILE# if applicable Name of Business: ,Sia tc! bance. V ; Address 1, f i/1� / n off 1144.` ' pj I Zb -j`� Of Business:(9 A t v U f'( r 1 t, ate Ce nfec, L1��s ✓ �. QUESTIONS? CALL 761-8256 OR EMAIL codesCci)_aueensburv.net �'1 VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: V1`�i S�l n a c�[� INFORMATION c,`-2 vvww,,ueensburv.net Business Phone Number: -I J i Type of Business: c-nC e_ -d ua i o Owner of Property: C��- I Phone Number(s): oq ' lP U Owners AA � _ Address: 1V Q tit k 6cJd l'1ltwly Please provide an accurate layout of your store showing all walls, exits, stockrooms; rest rooms, t� counters and texture layout on a separate sheet of paper. On Signature: Date: 0i�- , A 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 CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: S I -1 1 o q BUSINESS NAME: 3'C �)CtYlce- A& s BUSINESS ADDRESS: � 1 C ► 4 h C�CI i C a'i � t1QPY�:�t� �}, � I zC BUSINESS PHONE: HOME�� I CONTACT 1: chy-141rtCL Para PHONE �� l JCI ADDRESS: (9� 171 fth !4re f. Cdcr s r-alls Nq I HOME CONTACT 2: Gl PHONE 1-4 5-75 ADDRESS: (Y►P QLS Q .bO C•,'P- 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 Phone: 5.18-761-8206 - Fax. 518-745-4437 firemarslutlfqueensbu-nI.net - www.queemsbury.net a W �V M � u Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: Time: Phone: (518)761-8206 Business Name: J�f1�L I V-� �n�L� Fax: (518)745-4437 Location: 77 �� '-7� -J� CdV T of clan N/A Yes No EXITS: Exit Access COMMENTS Fait Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign—normal Sign-battery 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—Vitchen Fire Suppression—Gas Islan Generator Hood Installation 9 y Elevator Interior Finishes �G�l Storage Compressed Gas 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 Oc upancy Sin Emergency Evacuation Plan ❑ 6pproved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) Denied I call for Recheck Inspect By: L:\FireMarshal\New Folder\permitto occupyform.doc Inspection for Permit to Occupy Fire Meushcd's (Mce Request Rec'd Permit No. Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: �f Timer Phone: (518)761-8206 Business Name7�"n Fax: (518) 745-4437 Location: �Zf'2 � fi of InWecftn N/A Yes No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width Seconds_. Aisie Width EXIT SIGNAGE Sign—normal Sign-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 Hood Installation Elevator Interior Finishes Storac je Compressed Gas Clearance to Sprinklers Clearance Electrical ElectricWie nEnclosed/Labeled Combustible Waste Vehicle Impact Protection Knox Box F.D.Si na e—Utility Rooms No Smoking Signs Maximum Occupancy Sign Emer env Evacuation Plan Approved (If no other approvals apply,th;&C ffice will issue the Cert' c e of Occupancy) ❑ Denied / call for Recheck inspec# L:\FireMarshal\New Folder\permitto occupyform.doc