2008-097 TOWN OF QUEENSBURY
Fojo742 Bay Road,Queensbury,NY 12804-5902 {518}761-8201
ter.
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20080097 Date Issued: Thursday, March 27, 2008
This is to certify that work requested to be done as shown by Permit Number P20080097
has been completed,
Location: 619 QUAKER Rd
Tax Map Number: 523400-303-010-0001-009-000-0000
Owner: 619 QUAKER ROAD, LLC
ATax liVial:Number: 523400-303-010-0001-009-000-0000
ppca t H & V COLLISION CENTER
Owner: 619 QUAKER ROAD LLC
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 property (DJ 4
owner of the responsibility for compliance with Site Plan,Variance,or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Co e Enforcement
or Zoning Board of Appeals.
" TOWN OF QUEENSBURY
coro 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080097 Application Number. A20080097
Tax Map No: 523400-303-010-0001-009-000-0000
Permission is hereby granted to: H &V COLLISION CENTER
For property located at: 619 QUAKER Rd
in the Town of Queens bury,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: STANLEY GANNON JR
619 QUAKER Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-097
C/O Only H &V Collision Center
Patrick Donahue, Manager
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,March 27, 2009
(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 eensb , 1. r�;r ay,March 27,2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
rE pEow40
iift. Community Development Office
,14-41
Town of QueenshuriJ • 742 Bat/ Road • Queensbury, New York •12804 __.
NA
Ap •
•David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal
:,_MIMI°.F_QUEE.N�SB�1 °
BUILDING& CODES
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
//`� /` (3
TAX MAP # >rt 7 /C1 - /w � BLDG. PERMIT FILE# i C /l l 7-
1 applicable
Name of Business: ("k k 1/ C.s I L is keyvk 1....E
Address /� n � CX
//��,,
of Business: !!b(� Q�r� k 2 „ . ..1 2e-+r'tS lot)(L4 codesOqueensburvet
»OR
VISIT OUR R MORE
Person in Charge or Manager: C 4)A t"R.t(,'L.. U O 1\)4!•}U I✓ INFORMATION
www.queensburv.net
Business Phone Number: S I 9 - a 4 7 3
Type of Business: /y 0 i-0 b OP y REP/4 , 2 S1-1 el P
Owner of Property: V A 17.-" 1 31 (LI t' 10 Phone Number(s):SW 41)7 " `I 7?f�t17- 8l el -73ei Z
Home Cell
Owners
Address: 2.1 zzr(1et_ L.td • Lk . Cr _ee-t. 3USN N-9, tZo 6 i
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: Date: 3) to / or
Of person submitting this form
Notes I 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: 3 ` 7-0 ` o $
BUSINESS NAME: 14 1 S l eAel CCA-at-
BUSINESS ADDRESS: R- Q bv'R-y NL?.
BUSINESS PHONE: 5- - - a 4 -1 3
/ HOME
CONTACT 1: 1/Art-Ta J - iAA" PHONE)/S- ` 77-V735-
ADDRESS: Of :re-NH tit La git A! USW NY. /Z 0 4 /
HOME
L c�
CONTACT 2: (P TR. .( of A HJ E PHONE S" ►$-64a=?71d,
ADDRESS: (4 (\town+ gD . b-N tch N.Y . ( 2 ' 3 4
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: 518-761-8206 • Fax: 518-745-4437
fireniarshal@queensbury.net • www.queensbury.net
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. v 40 C 7
Town of Queensbury
742 Bay Road 00
Queensbury,NY 12804 Scheduled Inspection Date: _B ,Time: 3'
Phone: (518)761-8206 Business Name: ! r /510 h
Fax: (518)745-4437 Location: 6/'i 404� (zA
Type of MSped fon M/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure a-
Exit Discharge
AISLES:
Main Aisle Width k
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal .4—
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung -A--
Inspection of extinguisher --
FIRE ALARM SYSTEM X'
Fan Shutdown
Fire Sprinkler System �-
Fire Suppression-kitchen �- rif/#6'4'
Fire Suppression-Gas Islan
Generator }
Hood Installation
Elevator t-
Interior Finishes —1-
Storage --
Compressed Gas .{.
Clearance to Sprinklers -4-
Clearance to Electrical
Electric Wiring Enclosed/Labeled Jr
Combustible Waste `"
Vehicle Impact Protection
Knox Box ..�-
F.D.Signage-Utility Rooms fi 1 _C
No Smoking Signs 4- � � 2 h -�v6'\
Maximum Occupancy Sign e ( 1 S��l
Emer_gency Evacuation Plan .>a- erUG
Approved (If no other approvals apply,the B S.C Office will issue the Certificate of Occupancy)
a Denied / call for Recheck
Ins fed By
L:\FireMarshal\New Folder\permitto occupyform.doc
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