2008-433 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Pernut Number. P20080433 Date Issued: Thursday, September 23, 2010
This is to certify that work requested to be done as shown by Permit Number P20080433
has been completed.
Location: 299-305 DIX Ave
Tax Map Number. 523400-303-015-0001-007-000-0000
Owner. G & M LAND DEVELOMENT INC
Applicant: G & M LAND DEVELOMENT INC
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 Bu— rng-&-1Cod1'VWom1V4yent
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: P20080433 Application Number: A20080433
Tax Map No: 523400-303-015-0001-007-000-0000
Permission is hereby granted to: G& M LAND DEVELOMENT INC
For property located at: 299-305 DIX 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: G& M LAND DEVELOMENT INC
1015 B CENTRAL Ave Certificate of Occupancy(COM)
ALBANY, NY 12205 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2008-433
VITORY SIGNS & GRAPHIX- C/O ONLY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, August 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 Town of Qugelf's-Mvy; ri y, , 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
t r'
Q�Too=fu,nlzutsbury
Development Office- 742 Bay Road• Queensbury, New York •12804
Marilyn Ryba,Execiihve Director•David Hahn,Director of Building&Codes ;
Craig Brown,Zoning Administrator.Michael J.Palmer,Fire Marshal 01
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP# 30 3, P 5 _ t--7 BLDG. PERMIT FILE#
If apoicable
Name of Business: U iG4D r/
Address
of Business: 3 !X Use Q y eP.rl S 6 vn./ �Y z kO V QUESTIONS? CALL 761.8266 OR
/ EMAIL codes�aueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager:jehol INFORMATION
e,�►
www.nueensburv.n d
Business Phone Number: 5-11"
Type of Business: `c1n.s �e't1W
Owner of Property: hone Number(s): 69 Y -
Horne cog
Owners
Address:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate et of paper.
Signature: Date:
of person submitling fts form
Notes/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: ?f / 2 1 la,�'
BUSINESS NAME:
BUSINESS ADDRESS: 3d 12,'x ALle-
BUSINESS PHONE:
HOME
CONTACT 1: i PHONE,15W/
ADDRESS: Gi9sT R�ye L L yz3r,.,-e
HOME
CONTACT 2: ` VT PHONE
ADDRESS: —a l f�a-e xX eld
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
„feremarshg1@queensburj.net www.queensburyxet
Inspection for Permit to Occupy
Ike Marshcd's UAice Request Rec'd Permit No.
Town of Queensbury � n �)
(t r
742 Bay Road U_"' _
Queensbury,NY 12804 Scheduled inspection Date: ! Time:
Phone: (518)761-8206 Business Name: \J 6,tky- ,
Fax: (518)745-4437 Location: ��
N A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharoe
AISLES:
Main Aisle Width
SecondaN Aisle Width
EXIT SIGNAGE
Si -normal
Si -battery
EVAC si ns in rooms
TRUSS iD SIGNAGE
EMERGENCY LIGHTING FIG@
(� IS"cynic of"" flcy
FIRE WINGUiSHER:
Hun
Insoection of extinguisher
FIRE ALARM SYSTEM 1 �
Fan shutdown Re Marsha]
Fire ler System L T_U(QLSUry
fire SMapression-kitchen
Fire So
ppression-Gas Isla►
Generator
Hood installation
Elevator
interior Finishes
Store e
Compressed Gas
Clearance to Spdnlders
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
<�PPMVed (if no other approvals apply,the B&C Office will ieertific Occupancy)
DenW 1 call for Recheck
Inspected ay:
L:\F1reMarshal\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury742 ay Road VJ-)fU
QeensburyNY 12804 Scheduled Inspection Date: Time:
Phone: (518) 761-8206 Business Name:18 Oln Lolp_
Fax: (518) 745-4437 Location: A
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
C
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM err
Fan Shutdown
Fire Sprinkler System FDC
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Stora e
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 Sign
Emergency Evacuation Plan
❑ Approved (If no other approvals apply,the B&C Office will issue he Ce 'is to o Occupancy)
❑ Denied / call for Recheck
Inspected By:
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
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