2008-528 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20080528 Date Issued: Tuesday, October 21, 2008
This is to certify that work requested to be done as shown by Permit Number P20080528
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 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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080528 Application Number. A20080528
Tax Map No: 523400-302-006-0001-012-000-0000
Permission is hereby granted to: PARKER HAMMOND DEVELOPMENT, LLC
For properly located at: 717 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. Tyke 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 Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2008-528
PRISTINE LIMOUSINE SERVICES, INC
C/O ONLY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 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 T� ee u l ay, October 15, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Inspection for Permit to Occupy
Fee Marshal's Ofte Request Rec'd Permit No, U `�
Town of Queensbury
Bay Road i'�
Qu
Queensbury,NY 12804 Scheduled Inspection Date: � � r o Time:
Phone: (518)761-8206 Business Name: ��� �" r4 L w`d
Fax: (518)745-4437 Location: P� 0 /k S`fi
A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Sim-battery1
EVAC signs in rooms /
TRUSS ID SIGNAGE
EMERGENCY LIGHTING v
FIRE WINGU1SHER:Hun
inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Islan �.. .
Generator i�Fire Maroti'I f ns�ect�n Cmwlete
Hood Installation OK to tssm CAitificate of Occupamy
Elevator
Interior Finishes a
Storai3e ( 2008
Compressed Gas w
Clearance to Sprinklers
Clearance to Electrical - �---- -� --
Bectric Whin Enclosed/Labeled Fire Vlvshgl �
Combustible Waste �...__ � �I QUBenglIg�-J
Vehicle Impact Protection
Knox Box
F.O.Si e-Utility Rooms
No SmokJna Slans
Maximum Occupancy Sign
Emergency Evacuation Pion r
APProved (if no other approvals apply,the B&C Office will iss C�ertif+cot of Occupancy)
DenW 1 coil for Recheck
Inspected Or.
ir
L:\FIreMarshal\New Foider\permitto occupyform.doc
"T0111own
mzrrzity Development Office o/Queensbury - 742 Batt Road• Queensbury, jVev, York •12804Date St e
..
rrip
David Hatin,Director of Building&Codes f
Craig Brown,Zoning Administrator.Michael J.Palmer,Fire J Marshal
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# r" 2, BLDG. PERMIT FILE# ,y� '
G t'
—flapplicable
Name of Business: {l (
Address
of Business: � ® QUESTIONS? CALL 761-8256 OR
EMAIL codesCa2aueensburv.net
VISIT OUR T FOR MORE
Person in Charge or Manager: �� (; INFORMATION
I �y+� www.aueensbury.net
Business Phone Number: e5(2- t IZ �i
Type of Business:
Owner of Prope 00^ t4v )Phone Number(s): 0 q.,. )2
Home Cell
Owners
Address: J 000E'r We,
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a sqpa, te heet of paper.
Signature.' sf Date: /* Z/
Of pars 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
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: /0,// 6 V
BUSINESS NAME: �asfipe� lj'(Yous�ne
BUSINESS ADDRESS: l 1 �7 a.
BUSINESS PHONE:
HOME �-
CONTACT 1: I �1 S Cy�CL- PHONE
ADDRESS: �cJrant
HOME
CONTACT 2: ( J O ffiRA+, - PHONE -1
ADDRESS: 4k aY &MM
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 QiUEENSBLIRY FIRE MARSHAL'S OFFICE
P It o n e: 518-761-8206 F a x: 518-745-4437
iremarshal@gueensburj.net. www.quueensburt .t� yet
rear
exit
bathroom
main
entrance
rear
exit
bathroom
main
entrance