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2007-714 (2) TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20070714 Date Issued: Thursday, January 10, 2008 This is to certify that work requested to be done as shown by Permit Number P20070714 has been completed. Location: 369 BAY Rd Tax Map Number. 523400-296-019-0001-03 1-000-0000 Owner. 369 BAY ROAD HOLDINGS, LLC Applicant: METRO BLUE ENTERPRISES INC This structure may be occupied as a: Certificate of Occupancy(COM) By Omer 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&CodikrinforceAent 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: P20070714 Application Number. A20070714 Tax Map No: 523400-296-019-0001-03 1-000-0000 Permission is hereby granted to: METRO BLUE ENTERPRISES INC For property located at: 369 BAY Rd 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: METRO BLUE ENTERPRISES INC NANCY SAWYER, PRES. Certificate of Occupancy(COM) 369 BAY Rd Total value QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 28, 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 r7ee urn d){)f �ay,November 28,2007 SIGNED BY '` for the Town of Queensbury. Director of Building&Code Enforcement F'T O-D7- �Q 7/ ....................... Community Development Office ' Town of Queensbury - 742 Bay Road - Queensbury, New York -12804 Marilyn Ryba,Executive Director-David Hatin,Director of Building&Codes ; ; Craig Brown,Zoning Administrator-Michael J. Palmer,Fire Marshal NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP # i2 � BLDG. PERMIT FILE# If applicable lam' Name of Business: 16 Address �_ QUESTIONS? CALL 761-8256 OR of Business: a69 T EMAIL codes@gueensbury.net VISIT OUR WEBSITE FOR MORE Ff "-�Person in Charge or Manager: soyleg (1/1 � ' INFORMATION www.gueensburv.net Business Phone Number:' c s-(& Type of Business: 1F �'-212 c I one Numbers : Owner of Property: {� Q 1D n s-t �a^�� ( ) Home Cell Owners Address: 2 t4),q i Please provide an accurate layout of your store showing a walls, exits, stockrooms, rest rooms, counters and fixture layout on a sep ate s et of paper. Signature: Date: person submitti fo 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: BUSINESS NAME: 1Z-IA l,,.n(JoS`S/ � 10�� J BUSINESS ADDRESS: 3 C q BUSINESS PHONE: HOME CONTACT 1: �Vlr?��.u ��-t l,� 7� f,,b,TT PHONE 7�7 93-1'22,� ADDRESS: 2 W 60 ��-w �� . oaeZ4 S ,t--, � HOME � CONTACT 2: ktA G !'1,� P_ .O l-C , PHONE ADDRESS: 0 wa5-� lam! R-6 �i 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 P h o n e: 518-761-8206 F a x: 518-745-4437 firemarshal@queensbury.net www.queensburk.net NI'V Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. ✓ j Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: U� Time: Phone: (518)761-8206 Business Name: 1/� >G 1 Fax (518) 745-4437 Location: !ype of Ins action N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-batter EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUtSHER: Hun Ins ection of extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Isian Generator Hood Installation Elevator Interior Finishes Storage Compressed Gas Clearance to ESprinklers Clearance to Electrical Electric Widng Enclosed/Labeled . Combustible Waste Vehicle Impact Protection sl( Knox Box F.D.Si na e-Utility Rooms No Smoking Signs i Maximum Occupancy Sign ` Emergency Evacuation Plan Approved (it no other approvals apply,the B&C Office will issue the Certificate of Occupancy) v Denied / call for Recheck Inspected B LAF1reMarshal\New Folder\permitto occupyform.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. 0 7 Town of Queensbury 742 Bay Road oZi O Queensbury,NY 12804 Scheduled Inspection Date: r 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 AISLES: Main Aisle Width Secondary Aisle Width a v►dam. �U�� L EXIT SIGNAGE y Si n—normal �,a.�g' — ��'�" �►1 —�s/fit f� Sign-battery EVAC signs in rooms f 4r TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER:Hung ✓ inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown �c Fire Sprinkler System Fire Suppression—kitchen Fire Suppression--Gas Islan Generator Hood Installation Elevator d Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed/Labeled Combustible Waste Vehicle Impact Protection Knox Box F.D.Si na e-Utilit Rooms No Smoking Signs Maximum Occupancy Sin Emergency.Evacuation Plan ❑ ,.Approved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy) Denied / call for Recheck j�. Inspecte By: L:\HreMarshal\New Folder\permitto occupyform.doc Page 1 of 1 �0 � r Oil 4as -3(A f 1 a� a http://gby2svr/GIS/RPSI/T000039/523400296019000103100000000001.JPG 11/20/2007 . 1 .. ................... .. .. PGA Cl