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2008-481 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Pen-nit Number. P20080481 Date Issued: Thursday, September 23, 2010 This is to certify that work requested to be done as shown by Permit Number P20080481 has been completed. Location: 717 GLEN St Tax Map Number. 523400-302-006-0001-012-000-0000 Owner. PARKER HAMMOND DEVELOPMENT, LLC Applicant: PARKER HAMMOND DEVELOPMENT, LLC This structure maybe oc 'i'egQjq.& JEWELRY Certificate of Occupancy tYER 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. �Town ofnmrescity Development Office of Queensbury - 742 Bay Road Queensbury, Nev, York -12804 Date Stamp David.Hatin,Director of Building&Codes Craig Broom, Zoning Administrator-Michael J. Palmer,Fire Alarshal F , --------------------- ESTABLISHMENT OF A NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP# 'C�,J_ .,' f BLDG. PERMIT FILE# f aP canle — Name of Business: Address of Business: 217 t/% QUESTIONS? CALL 767-8256 OR - EMAIL codes(ftueensburV.net VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: /' INFORMATION �7'/ www.aueensbury.net / Business Phone Number: �I� `�S� '2© o Type of Business: Owner of Pro ae;L_ Phone Numbegs): Home cell Owners 1� Address: Please provide an accurate layout of your store showin all walls, exits, stockrooms; r t rooms; I z8d counters and fixture layout on a se crate sh paper. Signature: Date: rSf ° OF person subm' o 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: fl S �% BUSINESS NAME: BUSINESS ADDRESS: 7/ 0"e�/l2- BUSINESS PHONE: HOME CONTACT 1: PHONE 26 o ADDRESS: �` ✓ w °jam HOME CONTACT 2: 1XA PHONE d(- ADDRESS: / 2Ao 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 F a x: 518-745-4437 firemarshal@queensbunI net - www.queensbury.net TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804- 902 (518)761-8201 I� Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080481 Application Number. A20080481 Tax Map No: 523400-302-006-0001-012-000-0000 Permission is hereby granted to: PARKER HAMMOND DEVELOPMENT, LLC CSA COIN &JEWELRY For property located at: BILL-AYWEN 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: PARKER HAMMOND DEVELOPM 2868 COUNTY RD 46 Certificate of Occupancy(COM) FT. EDWARD,NY 12828-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-481 CSA Coin&Jewelery- coin&jewelery dealer $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, September 17, 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 of Que b/u, , ry. / / dnesday, September 17, 2008 SIGNED BY for the Town of Queensbu Director of Building&Code Enforcement On - n - Fire Marshal's Report Fire Marshal's Office Applicant Name: CS P- 0 Town of Queensbury 742 Bay Road Location: _ Queensbury,NY 12804 j Scheduled Inspection Date: )`� Time: Phone: (518) 761-8206 Fax: (518) 745-4437 T of InspecHan Date Date Date EXITS: Exit Access Exit Enclosure Exit Discharge _ AISLES: Main Aisle Width Secondar Aisle Width EXIT SIGNAGE _ ,ter Sign-normal 14 L Sign-batter SMOKE DETECTOR TRUSS ID SIGNAGE EMERGENCY UGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher UFE SAFETY EQUIPMENT Fire Alarrm System_ Fan ShutdownFite Marshal f ton Complete Fire S rinkler S stem OK to ISSN C4rate of Occupancy Fire Suppression-kitchen Fire Suppression-Gas Island Generator 20 Hood Installation Elevator --^ Interior Finishes Storage Compressed Gas T of QUeensbuoy Clearance to Sprinklers Clearance to Electrical Hectk Wiring Enclosed Combustible Waste I Vehicle Impact Protection Fire Lane --� F.D.Si na e-Utility Rooms No Smoking Signs_ Maximum Occu an--y Sin r Emergency Evacuation Plan Approved Denied ❑ Recheck days Inspected By: LAFireMarshal\New Folder\reinspection forcn.doc y3 I y agf z ' r 511c ., IgT �� J Cron E.S