2008-131 41114k'iTOWN OF QUEENSBURY
'* 742 Ba Road eensb. NY 12804-5902 518 761-8201
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Community Development- Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20080131 Date Issued: Monday, May 05,2008
This is to certify that work requested to be done,as shown by Permit Number P20080131
has been completed.
Location: 324 QUAKER Rd
Tax Map Number. 523400-302-008-0002-062-000-0000
Owner: 1606 FIRST AVENUE, LLC
Applicant; 1606 FIRST AVENUE,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 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.
-.---••••''''''...11°..limu..11
` TOWN OF QUEENSBURY
.0742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080131 Application Number: A20080131
Tax Map No: 523400-302-008-0002-062-000-0000
Permission is hereby granted to: 1606 FIRST AVENUE, LLC
For property located at: 324 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. Type of Construction Value
Owner Address: 1606 FIRST AVENUE, LLC
101 CHESHIRE Ln Certificate of Occupancy(COM)
RINGWOOD,NJ 07456-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-131
C/O only for consignment shop
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 16,2009
(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' a eensb , d sday, April 16, 2008
SIGNED BY for the Town of Queensbury.
Director of Building& e orcement
p
erfa. Conmninity Development Office
rEc,fly
Town of Queensbury • 742 Bay Road - Queensbury, New York •12804
DAfrIZ:1101,1 0P, ;
•David Hatin,Director of Building&Codes 6
Craig Brown,Zoning Administrator•Michael J. Palmer, Fire Marshal •
BUILDING & CODES
ESTABLISHMENT OF A NEW BUSI
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
/ 05'TAX MAP# t BLDG. PERMIT FILE#
if applicable
Name of Business: ---.3)4N \•Q C123\A (-4 (A
Address
r- Su\ EMAIL codes@aueensburv.net
QUESTIONS? CALL 761-8256 OR
of Business:
VISIT OUR WEBSITE FOR MORE
Person in Charge or Managerte-"--- 6-ts6(rek. INFORMATION
www.aueensburv.net
Business Phone Number: ) 901 c IA)
_
Type of Business: d 0.-12--COV-Ak1/1 -Y4 I vki -.L-01..)S.-Lk-6=1-6-LS
?rIvrj.trercarlteriVRIAA Cr") 3- cltaa-1103
w er of Property: LCirf-5 Phone Number(s):4C1-)-71"rgv
Home Cell
Owners bJ C 5iLLc&VcQL (Airs. 0-1 67,
Address: 48
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:_ k • Date:
(6.A.LacLA-A._
/
n 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
si
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: `; s"s
BUSINESS NAME: b.t ir LeM S L V\
BUSINESS ADDRESS: .oZ - Qua kc..jc- U\ 1
BUSINESS PHONE: 7, Y' �;= ''-)G?
HOME `10). /O°t7
CONTACT 1 SVar& PHONE --7p4 3.:cc"
ADDRESS: \ Cxj OD-di c S + ( F- ( s v3
HOME
CONTACT 2: t h &r( ke_oj(.4 ) 63
ADDRESS: lc) 1-w►• R',v1)Lt.)OM `f\ 3. al-y S�
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
firencarshal@queensbury.net • www.queensbury.net
Inspection for Permit to Occupy
o
Fire Marshal's Office Request Rec'd Permit No. vv t 3 l
Town of Queensbury
742 Bay Road `` C9 3
Queensbury,NY 12804 Scheduled Inspection Date: 5) l Time: 0
Phone: (518)761-8206 Business Name: D‘q * ' Co Witt
Fax: (518) 745-4437 Location: - - `.'_
Type of Inspection N/A Yes No
EXITS:
Exit Access f/ COMMENTS
Exit Enclosure /
Exit Discharge
AISLES:
Main Aisle Width /
Secondary Aisle Width
EXIT SIGNAGE Sign—normal f
Sign-battery
EVAC signs in rooms /
TRUSS ID SIGNAGE f
EMERGENCY LIGHTING
FIRE EXTINGUISHER: /
Hung
Inspection of extinguisher
Fire Marshal Ins con Complete
FIRE ALARM SYSTEM i OK to Issue Certificate of Occupancy
Fan Shutdown /
Fire Sprinkler System E
Fire Suppression—kitchen lj t MAY u-, 2OU8
Fire Suppression—Gas Islan d r?
Generator f r ..,,,j
Hood Installation ✓ -
Elevator Fire Marshal
Interior Finishes
Storage
Compressed Gas t. i
1/ i
Clearance to SprinklersClearance to Electrical .
Electric Wiring Enclosed/Labeled
Combustible Waste /
Vehicle Impact Protection
Knox Box I/(
F.D.Signage—Utility Rooms V
No Smoking Signs
Maximum Occupancy Sign 11
Emergency Evacuation Plan
i
Approved (If no other approvals apply,the B&C Office will issue the Certifi of O upancy)
❑ Denied / call for Recheck
inspected By:
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