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2005-018
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 C ERTIFICATE OF OCCUP-A- -N- CY Permit Number: P20050018 Date Issued: Monday, January 31, 2005 This is to certify that work requested to be done as shown by Permit Number P20050018 has been completed. Tax Map Number: 523400-296-013-0001-023-000-0000 Location: 1011 STATE ROUTE 9 Owner: RONALD & JANIS JECKEL Applicant: CHAMPS CHIMNEY SWEEP, LLC This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COM) TOWN OF QUEENSBU Y r- )j 4 4 t Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050018 Application Number: A20050018 Tax Map No: 523400-296-013-0001-023-000-0000 Permission is hereby granted to: CRAMP'S CHIMNEY SWF,F,P. LLC 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: RONALD &JANIS JECKEL 1358 PILOT KNOB Rd Certificate of Occupancy(COM) Total Value P O BOX 20 KATTSKILL BAY, NY 12844-0000 Contractor or Builder's Name / Address Electrical Inspection Agency Plans&Specifications 2005-0018 CHAMP'S CHIMNEY SWEEP,LLC CERTIFICATE OF OCCUPANCY $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, January 25, 2006 (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 Tor7,,,.jj ensb ; T d y, January 25, 2005 SIGNED BYfor the Town of Queensbury. Director of Building& ode orcement BP File# Nt3��AS111 "SS Dept of Commm ty Development CCr�1:f1Ca."� " Of Town of QW ewe' Occxxpa11cy-Permit 742 Bay Road Queewla",lVf 12804 (518) 761-8256 For occupancy only, with no work requiring buildingpermit: no fee required for this permit. Fv rm-e t Lam/ L.►f�/sow {s �/�/1� yti $!� tic r-a r/7 e r Oe((a` !-;460 (.-/ /7 c rc C.I� p IV ED 114ty .4 , 2007 Name of Business: i Uh / e 5"e.g_ L� - ,,sBuRY Address: ee.,iS L,( n/ 020 11"Dtt�1� ;jai_ '_--=- Person in Charge or Manager. v L r t1 /,j Business Phone Number: (� �1 - 6 o� (519)3�z ° c e Type of Business: (Le.,mercantile,restaurant,hobby shop,pl u abing store): Owner of Property: ko/�Je,, Address: 04�['0 7` f 1Q d . l 5�`/J a A),L Phone Number. Please provide an accurate layout of your store owing all walls,exits,stockrooms,rest rooms, counters and fraure layout on a sep a sh ofpaper. Signature: Date. / b 7D C ofp grbisforn Property Tax Map No. Notes/Comments: r r • Town of Queensbury Fire Marshal's Office EMERGENCY CONTACT UPDATE LTRS 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 7 Rt9c: V D PLEASE PRINT TOWN OF t : - JSURY BUILDfNG�iV ��ppE DATE: l ( O S BUSINESS NAME: BUSINESS ADDRESS: © l ( 1� (�- �. Sb� l �< 0,f° r BUSINESS PHONE: .5& 3 CONTACT 1: A�ef--1 �^J HOME PHONEL-"IF)7 /e-Z3 -2 0 ADDRESS: /cJ 1,6u o o d Le Q 6, ee,J s� j HOME _ CONTACT 2 L- rta &'- L-J 64L PHONE_ ADDRESS: -e 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 Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205, FAX 745-4437 a 8 0 y S a n k 5 a J p S J a oo G f 3000 ClN V JNlni n8 "7�A 9 a 61 1"1 mnOSN3�(-ty �0 MQl 03�:I Litt�G aUcnc��f o-S Q Poo Town of Queensbury Fire Marshal's Office et 742 Bay Road Queensbury, NY 12804 2,9 '.�� Phone (518) 761-8205 Fax(518)745-4437 - _. Fire Marshal's Inspection Report Request SCHEDULE Received: Permit#_f_61 INSPECTION ON: - ; Name: � e f SiAJ AM PM ANYTIME Location: APPROV D N/A YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH Ix SECONDARY AISLE WIDTH EXIT SIGN-NORMAL EXIT SIGN-BATTERY j EMERGENCY LIGHTING .t, FIRE EXTINGUISHER HUNG ((,- FIRE EXTINGUISHER 1 V � V INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN - �-FIRE SPRINKLER SYSTEM `# 1 SUPPRESSION-KITCHEN 'FIRE.SUPPRESSION-GAS ISIAND` HOOD INSTALLATION 4NT9RIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN OK THIS DATE,/` OK,FOR CO. NOT OK INSPECTED BY ,r COMDEVICHRISJIWORDIL,ETTERS2001/FIREMARSHAUNSPECfiONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY