2008-264 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20080264 Date Issued: Monday, June 16, 2008
This is to certify that work requested to be done as shown by Permit Number P20080264
has been completed.
Location: 729 GLEN St
Tax Map Number. 523400-302-006-0001-015-000-0000
Owner. RICK HAYES
Applicant: RICK HAYES
This structure may be ocWj§DREAM
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, /d
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: P20080264 Application Number. A20080264
Tax Map No: 523400-302-006-0001-015-000-0000
Permission is hereby granted to: RICK HAYES
BAKERS DREAM
For property located at: 729 GLEN St
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: RICK HAYES
MICHAEL FITZGERALD Certificate of Occupancy(COM)
729 GLEN St Total value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-264
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 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 T fnQueewy, o day,June 16, 2008
SIGNED BY for the Town of Queensbury.
Director of Bull ' &Co Enforcement
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NEW BUSINESS CERTIFICATE OF OCCUPAR PERMIT b .
APPLICATION
TAX MAP# 3C27 „ "/ / ; BLDG. PERMIT FILE#
4/--%�� If applicable
Name of Business: uAddress
off s ness: �a t Q r l t� 5fi ^'�l�ee11 S� ��dIONS? CALL 761-8256 OR
EMAIL _
1 b� 00 INFORMATION
VISIT OUR R MORE
Person in Charge or Manager: (,,
Business Phone Number:
Type of Business:
Owner of Property: M I��1 r( �'�C1 Phone Number(s): �2 6 d _0 /D"/
Home Cell
Owners �1 y(
Address: '7� !7 �� ti l e� 5t O' le-m t y�
Y dS D 1
Signature: --- Date:
Of on submitting this forth
Notes/Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. 74, 3 250.2
PLEASE PRINT
/ r
DATE:
I
t
BUSINESS NAME: QC^k r I S by-C-0-M
BUSINESS ADDRESS: a2 " I cr S f- ivy /aSO/
BUSINESS PHONE: 9 l 3 r &S a F
HOME - 1-3
CONTACT 1: �� y PHONE / 3 ' 34
Cetl 32-1 )-p3`� � 3
ADDRESS: _ CroAdA a �lens Ott A
HOME
CONTACT 2: V� HONE
Ce(I = 321 -- 3 7 8ti/
ADDRESS: 3 C no-� e.n s Pcd IS A/ I Id o% /
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: 518-761-8206 F a x. 518-745-4437
fZremarshaRqueensbunf net www.queensburj.net
Inspection for Permit to Occupy
Fife Marshal's OAlce Request Rec'd Permit No. C" t�`y `/
Town of Queensbury
742 Bay Road 1�®
Queensbury,NY 12804 Scheduled Inspection Date: — rime:
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location:
T of N A To$ No
EXITS:
Fxit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width 71-1
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Si -battery - f
EVAC signs in rooms � �v
TRUSS ID SIGNAGE f -
EMERGENCY LIGHTING \
FIRE EXTINGUISHER: v
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown ,........_...,
Fire Sprinkler System Fire Marshal Insppectbn Complete
Flre Suppression-kitchen OK to Issue CertiflCate of Occupancy
Fire Sumression-Gas tslan
Generator
Hood Installation J U N 8
Elevator
Interior Firdshes
Stora a Ire ai
Compressed Gas Town 0f Queensbury
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 Sign
Emergency Evacuation Plan
N(Approved (If no other approvals apply,the B&C Office will issue th C fi ate f Occupancy)
Q DenW 1 call for Recheck
inspected By: Na:)
L:\FireMarshal\New Folder\permitto occupyform.doc
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BAKERY CASE
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