2007-636 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (."I"Y' OCCUPANCY
Pemut Number. P20070636 Date Issued: Wednesday, December 19, 2007
This is to certify that work requested to be done as shown by Permit Number P20070636
has been completed.
Location: 1011 STATE ROUTE 9
Tax Map Number. 523400-296-013-0001-023-000-0000
Owner. FRANK PARILLO
Applicant: FRANK PARILLO
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 �J
property owner of the responsibility for compliance with Site Plan, �d
Variance, or other issues and conditions as a result of approvals by the Director of Building&CXde EnNternent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queembury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070636 Application Number. A20070636
Tax Map No: 523400-296-013-0001-023-000-0000
Permission is hereby granted to: FRANK PARILLO
For property located at: 1011 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: FRANK PARILLO
215 BALLARD Rd Certificate of Occupancy(COM)
WILTON,NY 12831-0000 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-636
C/O only Saratoga Boatworks
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, October 12, 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 Quee urr, 1F ctober 12,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
�ttt�t341ti44 p. 4
OCT 1 P-20P- ------
Conrnzrrrtity Development Office
Town of Queensburi/ - 742 Pray Road - Queer;shrcry, New 'urki»�a'$04
David Hatin,Director r/Building&G ,
Craig Brown, Zoning Administrator-Michael 1, Palmer, Fir A4arshal
ESTABLISHMENT OF A NEVI'BUSINESS
CERTIFICATE OF OCCUPANCY PER.MI F APP
TAX MAP# BLDG. PERMIT FILE# ` �
003-000-0000
Name of Business:tsmyLaA -At wz < -L-2p LAf- 4 RRf A oKkS
Address I1
OR
of Business: l ( ( c f '� '► , iyU r f�T QUESTIONS? CALL nsbur . et
EMAIL codes(o�auecnsburv.net
3.�1 f pt�l b`kan VISIT OUR T FOR MORE
Person in Charge or Manager: INFORMATION
—T www.aueensbury.net
Business Phone Number: 5 1 s-
Type of Business: 'InA--',Z (�_
Owner of Property: ) 6l 1kD Phone Number(s):
Nome Cell
Owners la ^�
Address: 1 _ � , l j t 1: Q 1'�a&l I
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a spar a shee
Signature: Date: (d /o/Oz�
Of parso u M s
Notes/ Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
i
S 1 RSR41 R44 P. 3
BP 2007-636
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: ,, 101 0,0-
BUSfNESS NAME: C)9Vi4 D�2,�
BUSINESS ADDRESS:
BUSINESS PHONE:
HOME
CONTACT 1: , ILCC:ef !son PRONE 518-591 - (AQ
ADDRESS: 14 LAoR-A _Ln , ��A,
IIOME
CONTACT 2: /? Q1 PHONE.-5 9- 33'8 -37)I 1�
6 (AS- DQ3`7 ft
ADDRESS: 31 AAMO BIJ8,
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 I-o 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 T,D FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBIIRY FIRE MAR ,"HAL'S OFFICE
P It o n e: 518-761-8206 F a x: 518-7-45-4437
flreniarshnlCgueenshury nel wwz! umnsburt .net
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road t
Queensbury,NY 12804 Scheduled Inspection Date: `a l�C� Time:
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location: 14
Type of Ins action N/A Vas No
EXITS:
Exit Access Enclosure COMMENTS
Exit
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batter
EVAC signs in rooms _
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
� l
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
FireSprinkler System Fire Marshal Ins,p�e Complete
Fire Suppression-kitchen OK to ISSUe 0ertlilGa cupancy
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas ni of Q iYlB[5hSl
ensbu
Clearance to Sprinklers
Town of ue
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Im act Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occu anc Si
Emergency Evacuation Plan
Approved (if no other approvals apply,the B&C Office will issue the Ce e of Occupancy)
o Denied / call for Recheck
Inspected By:
LAHreMarshal\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. '✓ 7 6//- 3(�e-
Town of Queensbury
742 Bay Road i ICi Time: ,
Queensbury,NY 12804 Scheduled Inspection Date:
Phone: (518)761-8206 Business Name:,,
A-hz,g �
Fax: (518) 745-4437 Location: • ` ° �� T
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width Ar-
Secondary Aisle Width Af
EXIT SIGNAGE
Si n-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wirin Enclosed/labeled
Combustible Waste
Vehicle impact Protection
Knox Box
F.D.Si na a-Utility Rooms
No Smoking Signs
Maximum Occu ancy Sign
Emergency Evacuation Plan
o Approved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
Denied J call for Recheck
Insp fed By:
L:\HreMarshal\New Folder\permitto occupytorm.doc
Inspection for Permit to Occup
Fire Marshals Office Request Rec`d Permit No. '
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: ` Time:
Phone: (518)761-8206 Business Name
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure -�-
Exit Discharge
EVAC Plan
AISLES:
Main Aisle Width \ �
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal %Y
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
0
FIRE EXTINGUISHER:
Hung /4Inspection of extinguisher0-
Hydro extinguisher FIRE ALARM ALARM SYSTEM X
Fan Shutdown
Fire Sprinkler System 1" S�L�` �' �
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation
Interior Finishes
Storage
CompressedGas -4 � 4°
7
Clearance to S rinkiers -�' �
Clearance to Electrical i
Electric Wiring Enclosed
Combustible Waste
vehicle Impact Protection
Fire Lane
F.D.Si na e-Utifit Rooms
No Smoking Signs
Maximum Occupancy Sign
Emeraency Evacuation Plan
❑ Approved (If no other approvals apply,the B&C Office will issue the rtific a of Occupancy)
-Denied
❑ Cali for Recheck
Inspected y:
L:\FreMarshal\insptopermitto occupyform.doc
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