2007-528 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CE R T I F I C AT E OF O CCU PAN CY
Permit Number. P20070528 Date Issued: Tuesday, September 04, 2007
This is to certify that work requested to be done as shown by Permit Number P20070528
has been completed.
Location: 1457 STATE ROUTE 9
,Tax Map Number. 523400-288-000-0001-057-000-0000
Owner. BASKET BARN OF LAKE GEORGE INC
kpx,lna Number. BASKET BARN OFILAKE GEORGE INC
Owner. BASKET BARN OF LAKE GEORGE INC
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
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 CQUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building.,&Codes (518) 7.61-,8256
BUILDING PERMIT
Permit Number: P20070528 Application Number. A20070528
Tax Map No: 523400-288-000-0001-057-000-0000
Permission is hereby granted to: BASKET BARN OF LAKE GEORGE INC
For property located at: 1457 STATE ROUTE 9
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: BASKET BARN OF LAKE GEORG
PO BOX 710 Certificate of Occupancy(COM)
PUTNEY, VT 05346-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-528
SPIRIT HALLOWEEN(costumes & decorations &other ghoulish delights)
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 27,2008
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the own o ee 71'
ty,
August 27, 2007
/)
SIGNED BY for the Town of Queensbury.
Director of-Building&Code Enforcement
Comn"ity Development OfficeQ -.--
Toms orQamisbury•742 Say Road; Quernsbary,New York-12804 � t8 ��
�Daaid tietfq.Director of$tdtding&CorksP
Craig armom ZMOg Aib;r�or.Mrda N J.Pahw.rim Marshal
..................:
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCYPERMIT'APPLICAnON C Q'
TAX MAP#_J o BLDG.PERMIT FILE#,___�� L/ V
� ( e
Name of Business: L 15 } l f't 1 `t tw 5k t- fV C.
address `
of Business:./y 57 5, QUESTIMS?CALL 7e1-M OR
Parson in Charge or Meneger: L i 6 q l f 1IW W 1t` i vtstT OUR YM MA�Pat MORE
Business Phone Number:1:3r O — 7 t"l — ✓ `o 92-
Type Of Business: J tJ� tt "� �C =U S.
Owner of Property J G'S r` r Phan Number{sr
Owners
Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,
counters and fixture layout on apparate sheet of paper.
Signoture: _ `�-t Date.*PL7
a rama�ai�ieraeatan
Notes/Comments:
'Kota:TRfs app(icetion is for aoatpancy o*wrth no work requcing a twift permit. No tee"ired for this penng
EMERGENCY CONI kCT UPDATE
TO:WARREN COUNTY SHERIFF'S DEPT, FAX:743-2502
PLEASE PRINT
DATE;
BUSINESS NAME:LiSO
BUSINESS ADDRESS: W62 -,5tq+E--
110INESSPHONE
CONTACT 1: -)4 k-o WS HOMEF�13-92-F-92qll
PHONE
Cf 11 4-, �41j3)q2q --6633
ADDRESS:-q/� 6. ,S+, (jr M+o
HOME
CONTACT 24-18k!� &YVON,
ADDRESS:
This form is used to assist Emergency Service )ersonnel who may be called to
your business after hours.Please be sure tho the persons listed on this form*0
be willing and available to respond during c F-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND P ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR B ILDING TO FACILITATE ENTRY BY
POLICE AND/Olt FIRE PERSONNEL.
TOWN OF QUEENSBURY FIR MARSHAL'S OFFICE
Phone: 518-761-8206 rix: 518-745407
firenun-shal0gueensbuty.net wuny.gueensbuMmet
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. i
Town of Queensbury
742 Bay Road I I'
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location: 1Z'�
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure ly
Exit Discharge
EVAC Plan
AISLES:
Main Aisle Width x
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery X
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER: �•
Hun
Inspection of extinguisher X
Hydro extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation
Fire Marshal l�of Occupancy
lete
Interior Finishes OK toIssua Ce fx
Storage
Compressed Gas AUG 3 QT
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed
Combustible Waste I
Vehicle Impact Protection Tp Of Qt122nsbU
Fire Lane
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 ue the C ate of Occupancy)
❑ Denied
❑ Call for Recheck
Inspected By:
L:\FireMarshal\insptopermitto occupyform.doc
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