2008-428 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (DIF OCCUPANCY
Permit Number. P20080428 Date Issued: Monday, September 15, 2008
This is to certify that work requested to be done as shown by Permit Number P20080428
has been completed.
Location: 69 CONNECTICUT Ave
Tax Map Number. 523400-309-009-0001-080-000-0000
Owner. MARY JANE CANALE
Applicant: MARY JANE CANALE
This structure maybe 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 ri
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&66de E nNtement
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: P20080428 Application Number. A20080428
Tax Map No: 523400-309-009-0001-080-000-0000
Permission is hereby granted to: MARY JANE CANALE
For property located at: 69 CONNECTICUT Ave
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: MARY JANE CANALE
28 FOX HOLLOW Ln Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2008-428
HUNTS TOWING c/o only
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, September 15, 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 eynsb , d y, September 15,2008
Z
SIGNED BY for the Town of Queensbury.
Director of Building& de E orcement
F F
Corsimunittj Development Office
Town of Queensbury - 742 Bay Road • Queensbury, New York •12804 r
•David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J.Palmer, Fire Marshal
F F
-----------------------
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# �� _ z e-"" -42s-
BLDG. PERMIT FILE#
it applicable
Name of Business: /^' '�� �� % �l✓ E
Address ? C''6ti
of Business: / ✓C f(' `j e, QUESTIONS? CALL 761-8256 OR
EMAIL codesftaueensburV.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: INFORMATION
www.aueensbury.net
Business Phone Number: jc�
Type of Business:
Owner of Property: Phone Phone Number(s):
Home Cell
Owners
Address:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a arate sheet of paper.
Si9 natur . -_� Date: 7— -0
Of p n submitting this forth
Notes/Comments:
*Note. This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
ny
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 7— i r C-3
BUSINESS NAME:
BUSINESS ADDRESS: c cjcjn _k i C-A P
BUSINESS PHONE: 1j
HOME
CONTACT 1: PHONE
ADDRESS: ✓'�C� � `� f1 C
HOME
CONTACT 2: 1� �.! � ? � PHONE
ADDRESS: C
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 a n e: 518-761-8206 F a x. 518-745-4437
firemarshal fteensbunj.net wwu%queensburu net
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Line "
PLAN REVIEW
2008 428
Hunts Towing
8/28/2008
I have reviewed the submitted plans for the above project, and offer the
following comments:
1) Install (1) 5# minimum ABC type fire extinguisher
2) Verify aisle and exits
Fire Marshal
Michael J Palmer
742 Bay Road
Queensbury NY 12804
518 761 8206
firemarshal@queensbury.net
Fi r e M a r s h a l 's Off i c e • P h o n e: 5M-761-8206 F a x: 518-745-4437
irerrrarshal@mac ueensbur-tt iet • wurw.q eensbur•it net
Inspection for Permit to Occupy
Fire Marshal's OQice Request Rec'd Permit No,
Town of ury
74 B ay Road �
Queensbury,NY 12804 Scheduled Inspection Date: I I f _ Time: J P
Phone: (518)761-8206 Business Name: v ' f
Fax: (518)745-4437 Location:
of N A Yes no
EXITS:
Exit Access
Exit Enclosure COMMEWS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Sw-battevry
EVAC signs in rooms
?RUBS ID SIGNAGE �--- n
EMERGENCY LIGHTING f f/
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown Fite Marshal ins ppec in lete
fire ler System OK to ISSI�C4rtif�cate Oc ancy �
Fire S ression-kitchen '
Fire S ession-Gas islan 'r
Generator SE P v 205, I
Hood Installation
Elevator
Interior Finishes
5fora e
Fine Marshal
Compressed Gas I Mfn of C2ueensbury
Clearance to Sprinklers
Clearance to Electrical
Electric Whing Enclosed/Labeled
Combustible Waste
Vehicle Irnp9ct Protection
Knox Box
F.D.Sin e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office will a the eL
W DenW l call for Recheck
lnapected By:
L:\FireMcrrshal\New Folder\permiffo occupyform.doc
Inspection for Permit to Occupy
Me Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road i
Queensbury,NY 12804 Scheduled Inspection Date: Time/
Phone: (518)761-8206 Business Name:
Fax: (518)745-4437 Location:
Type of kupecNon N/A lies No
EXITS:
Exit Access Enclosure COMMENTS
Exit
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Si —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
Fire Suppression—kitchen
Fire Suppression—Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Sign e—Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emera-wcy Evacuation Plan
0Ved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
D /c i for Recheck
Inspected "
L:\FireMarshal\New Folder\permitto occupyform.doc
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