2009-577 �-� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761.8256
OCCUPANCY
IF'I ATE �F'
Pernut Number: P20090577 Date Issued: Tuesday, December 01, 2009
This is to certify that work requested to be done as shown by Permit Number P20090577
has been completed.
Location: 940 STATE ROUTE 9
Tax Map Number. 523400-296-013-0001-011-000-0000
Owner: BARCY ENTERPRISES, INC.
Applicant` DUSTY'S BBQ
This structure maybe occupied as a:
Certificate of Occupancy(COM)
By Order of Town Board
TOWN OF QUEENSBURY
f �
Issuance of this Certificate of Occupancy DUES NOT relieve the W
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090577 Application Number. A20090577
Tax Map No: 523400-296-013-0001-011-000-0000
Permission is hereby granted to: BARCY ENTERPRISES INC
For property located at: 940 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: BARCY ENTERPRISES INC
C/O REMINGTON BAR&GRILL Certificate of Occupancy(COM)
940 ROUTE 9 Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-577
DUSTY'S BBQ- C/O ONLY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 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 To 7=14
F a mber 20,2009
SIGNED BY for the Town of Queensbury.
urY
Director of Building&Code Enforcement
P. I
---------------------
Vt I`Commitnity Development Office
Town of Queensberry- 742 Bay Road - Queetisbury, New York-3
44
Marilyn Ryba, Executive Director•David Hatin,Director ofBirilding&Codes I
Craig Brouni,Zoning Administrator-Michael 1.Palmer,Fire Marshal
NEW BUSINESS CERTIFICATE OF 0 LhW&
APPLICATION
Ve 13
TAX MAP # BLDG. PERMIT FILE#
Name of Business:
Address C p c TIONS? CALL 761-8256 OR QUES
of Business: EMAIL codes0gueensbumn
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 6wtA5 c- INFORMATION
www.gueensburv.net
Business Phone Number.
Type of Business:
Owner of Property: Phone Number(s): 7V 06 1 0-1-
Horm cell
Owners
Address: 262 Qu-rcL5 ic&2—k -4 (v\\u 6 c,--s -A) 1�S70Y---
I I L
Please provide an accurate layout Af your store showing all walls, exits, Stockrooms, rest rooms,
counters and fixture layout on'
separate sheet of paper.
Signatu 4�-Z
Date: 476 /o
OJ personungthi.f..
Notes / Comments: S W Z 6
10 A(?
A. 0
*Note: This application is for occupancy only, with no work requiring a building Permit. No fee required for this permit
14
'' !��' 1 ,
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: « j Time: / Q
t
Phone: (518)761-8206 Business Name: S
Fax: (518)745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access G
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width �--�
Secondary Aisle Width
EXIT SIGNAGE
Si n-normal
Sign-battery
EVAC signs in rooms --�
TRUSS ID SIGNAGE ..�.
EMERGENCY LIGHTING Q1
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System (FDC) +►
Fire Suppression-kitchen
Fire Suppression-.Gas Islon --�
Generator 1 J
Hood Installation 04a t� Eb
-0 y 157-4 t-F"
Elevator &j f!x: lyi..-nArc'►ti
Interior Finishes
Storage pwp j IJf(,AS
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 Occupancy Sin 'i` w LUI?t r t
Emergency Evacuation Plan
proved (if no other approvals apply,the B$C Office will issue the ificate of Occupancy)
o Denied / call for Recheck
Inspected By:
L:\FireMorshal\FM Forms Masters\permitto occupyform.doc