2007-753 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
(I]ERTIFICATE OF OCCUPANCY
Permit Number. P20070753 Date Issued: Friday, January 25, 2008
This is to certify that work requested to be done as shown by Permit Number P20070753
has been completed.
Location: 369 BIG BAY Rd
Tax Map Number. 523400-309-017-0001-012-000-0000
Owner. ROSEMARY & WILLIAM THREW
Applicant: ROSEMARY & WILLIAM THREW
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QT TP ENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4
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: P20070753 Application Number. A20070753
Tax Map No: 523400-309-017-0001-012-000-0000
Permission is hereby granted to: ROSEMARY&WILLIAM THREW
For property located at: 369 BIG 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: ROSEMARY &WILLIAM THREW
21 EAGAN Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-753
adirondack truck repair
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,January 14,2009
(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 TofW
of eens nuary 14, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
-----------------------
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•Micluzel J. Palmer, Fire Marshal ;
-------------------'
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP# BLDG. PERMIT FILE# ^
It 8ppliCable
Name of Business: \-.)r ru e Ac-& i y—u 'RQ{J(l►
Address 2 /� ,a
of Business: Cj .�`a+ -�-1 ,G QUESTIONS? CALL 761-8256 OR
EMAIL codes(&gueensbury.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: "L �� �J INFORMATION
www.gueensbury.net
Business Phone Number: S, E3
Type of Business: I rug<,
Owner of Property: Z21 /7l,et z,,j Phone Number(s):
Home Cell
Owners
Address: �� ►'1
Please provide an accurate layout o your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date:
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
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. �
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: Timer"
Phone: (518)761-8206 Business Name:.. f2-
Fax: (5]8) 745-4437 Locafiion:< �Q l�
T of ins ecfion N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Ins ection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator r f
Interior Finishes 5
Stora e
Compressed Gas
Clearance to Sprinklers /d /
Clearance to Electrical j •f Cy
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs,
Maximum Occu anc Si n
Emergency Evacuation Plan
Approved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
o Denied / call for Recheck
Inspect r� y:
L:\FireMarshai\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy _
Fire Marshal's Office Request Rec'd Permit No.�
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 _ Scheduled Inspection Date: Z 1 L� ���1 Time:
Phone: (518)761-8206 Business Name: c� JG G 1 '
Fax: (518)745-4437 Location: G1 j?Zj .
T of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batters 5/d•� lt�►�`� L 2a ��
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung �
Inspection of extinguisher +�Zy tx-6n �i�kz S j l t/1 f1'�4
J
FIRE ALARM SYSTEM -aC (3)
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Isian �-
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers C. L.b i e— IA L
Clearance to Electrical fir'
Electric Wiring Enclosed/Labeled .„) Ce,
Combustible Waste 1
Vehicle impact Protection1'r�4[� /Z ',►�r
Knox Box jr^
F.D.Si na e-Utility Rooms
Je-
No Smoking Signs E
Maximum Occupancy Sign
Emergency Evacuation Plan
❑ Approved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
Denied / call for recheck
Inspect By:
L:\FireMarshal\New Folder\permitto occupyform.doc
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