2005-222 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: P20050222 Date Issued: Tuesday, May 03, 2005
This is to certify that work requested to be done as shown by Permit Number P20050222
has been completed.
Tax Map Number: 523400-309-010-0001-047-000-0000
Location: 79 MAIN St
Owner: ROBERT & ROXANNA GOODWIN
Applicant: BETTER WAY REALTY
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
q�w-P
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: P20050222 Application Number: A20050222
Tax Map No: 523400-309-010-0001-047-000-0000
Permission is hereby granted to: BETTER WAY RF,ALTY
For property located at: 79 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: ROBERT &ROXANNA GOODWIN
PO BOX 3297 Certificate of Occupancy(COIv)
Total Value
GLENS FALLS, NY 12801-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-222 BETTER WAY REALTY
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 03, 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 Quee , May 03, 2005
SIGNED BY sday for the Town of Queensbury.
Director of Building&Co Enforcement
,_ ♦ BP File#
Nezar Business
Dept.of Community Development Certi�ieate of
TOM Of&"W&"'' Occupancy Permit
742 Bay Road
Queensbury,IVY 12804
(518) 761-8256
For occupancy only, with no work requiring buildingpermit. no fee required for this permit.
Name of Business:
Address: 7�' �l/� N) I. �i�/� 1 Ltxe -Sb,q-�a
. Rkcitn -
Person in Charge or Manager. I 1 �Ck r R�CEIRECEIVEDRECEIVED
APR 18 2005
Business Phone Number: 3(ot -y'1 7 -0,1-
7V3' 1'1/V
TOWN OF OUEENSBURY
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
BUILDING AND CODE
2.eo ( f safe
Owner of Property W► '-j
- Address. d 9o7 k e N e1 R c-V%-
PhoneNumler:-- `7 9 y Xcl)9
--- --------------------
Please provide an accurate layout of your store showing all walls,cdfs,stockrooms,rest rooms,
counters and fixture layout on a separate sheet ofpaper
Signature: Date:
ofpa=submitting this or .
Property Tax Map No.Sb�dl
Notes/Comments:
Town of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTM 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: ____U
BUSINESS NAME: - P
BUSINESS ADDRESS:
BUSINESS PHONE: .,.,. Sig - i /CI/ -1 ne S-j f-3(i l -0 93 7
CONTACT 1• i HOME
PHONE .S�/� �'.�a - /A0 3 8
ADDRESS: a E-U 41WV,A Da
HOME
CONTACT 2 - _ - PHONE - --
ADDRESS:
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
1
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Town of QueensburyS
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# a� INSPECTION ON: a�
Name: *�ql-rK W!!j 0504,rY
136
AM &M )ANYTIME
Location: n c) (YNu'^ C,>
APPROVED
N!A I YkS NO COMMENTS
EXIT ACCESS (EXIT ENCLOSURE t G,r..t 1 t �(F j V Von,,
P
EXIT DISCHARGE _
MAIN AISLE WIDTH D�
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG L U
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM , V
FIRE ALARM -FAN SHUTDOWN 1
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND /� 1
HOOD INSTALLATION _ l�
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS C I
CLEARANCE TO ELECTRICAL 4 ( I
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 4OR CO (NOT K
INSP CT ED BY
COMDEV/C HRISJJWORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY