2005-069 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(E)w Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050069 Date Issued: Thursday, March 10, 2005
This is to certify that work requested to be done as shown by Permit Number P20050069
has been completed.
Location: 39 MAIN St
Tax Map Number: 523400-309-010-0002-017-000-0000
Owner: ROBERT DALEY
Applicant: ALLSTATE
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 property O '� I -
owner of the responsibility for compliance with Site Plan, Variance, or
-1 Rv4f---
other issues and conditions as a result of approvals by the Planning Board Di6Wr M,ilding&tulde En rcement
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: P20050069 Application Number: A20050069
Tax Ntap No: 523400-309-010-0002-017-000-0000
Permission is hereby granted to: ALLSTATF,
For property located at: 39 MAIN St
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: ALFRED & AMY MERCHANT
39 MAIN St Certificate of Occupancy(COM)
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-069 ALLSTATE INSURANCE
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 10, 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 TowiLd Queensbury; Thursday, March 10,2005
SIGNED BY ' for the Town of Queensbury.
Director of Building) Code forcement
BP File# --O
New Sasiness
Dept.of Community Development Ce2"�1�1Cc7.te Of
Town°fQ"eensbwy OCC11pa11c� Permit
742 Bay Road
Queensbwy,IVY 12804
(518) 761-8256
For occupancy only, with no work requiring bsaldingpermit: no fee required for this permit.
Name of Business: 4 be rT S Qcte �/�-rS-0-11.c44'c cx. C-e-) -
Address: 3Cl �'JCtiyt Qf�eur S�ur� /(/� l —
Person in Charge or Manager. Y�
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): 200
TC
y-a/; e— —r Y
A c
Owner of /�b e✓t
Property.
Address: - �1• `7Z-7 LJ w- Cl lc�. S �uee�es�i� ` AV y _
7Z3 -S�BI
Phone Namber.
Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,
counters and fixture layout on a separate sheet of paper
Signature: Date. -2 -�-oS
of su tlusfonor.
Property Tax Map No.
Notes/Comments:
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� 17
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Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON: a a3
Name: AM PM,- NYTIME
Location:
APPROVED
N/A YE NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG .--
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO `
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND
HOOD INSTALLATION
INTERIOR 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
5
OK THIS DATE tK FOR C NOT OK
INSPECM BY
COMDEVICHRISJMIORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY