2005-354 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: P20050354 Date Issued: Thursday, May 26, 2005
This is to certify that work requested to be done as shown by Permit Number P20050354
has been completed.
Location: 1498 STATE ROUTE 9 - DUNHAM SHOES
Tax Map Number: 523400-288-012-0001-015-000-0000
Owner: LAKE GEORGE ASSOCIATES
Applicant: FAMILY FOOTWEAR CENTER
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
owner of the responsibility for compliance with Site Plan, Variance, or
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other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
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: P20050354 Application Number: A20050354
Tax Map No: 523400-288-012-0001-015-000-0000
Permission is hereby granted to: FAMILY FOOTWEAR CENTER
For property located at: 1498 STATE ROUTE 9 - DUNHAM SHOES
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: LAKE GEORGE ASSOCIATES
Certificate of Occupancy(COM)
C/O GORDON MANAGEMENT CO.
50 STATE STREET 6TH FLOOR Total value
ALBANY,NY 12207-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-354 FAMILY FOOTWEAR CENTER
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 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 Town of Queensbury; Wednesday,May 25,2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
F BP File# (�
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]We-mr lEtwm un ess
Dept of Community Development Ce1' ica a Of
Town of Queensbwy (7cc�pancy permit
742 Bay Road
Queensbwy,NY 12804
(518) 761-8256
For occupancy only, with no work requiring btiildmgpermit: no fee required for this permit.
RECEIVED
MAY , 4 2
Name of Business: —Q M+1T �-cso 1- w ia-e.r C.exakar
Address: 1 5 UO 5�- d o -L R l--
T BUILDING AND CODEY
Person in Charge or Manager. o Y u�-rx e,V�-
Business Phone Number: S I g - "I g Z- 9(0 5`� ;�� (.�Co L1 1
Type of Business: (i.e.,mereantile,restaurant,hobby shop,plumbing store):
Owner of Property Gorc64 garz�4N e-z c Gu G�6n w arT4 K� G Ga A�dCJA�
- Address: 3 g y ro Ltd 1, - - u i:'i ,-- A t b c+n ti �n► -� 1�a. a
Phone Number:
- - ---------- —
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.
Q
Signature: d Q � '�a J' — Date: 5- a
ofpa=subMU ng&&form:
Property Tax Map Nou g , 14 dL 11 r �S
Notes/Comments:
• Town of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: S
BUSINESS NAME: Fa M f 1 ti
BUSINESS ADDRESS:__j�v 9
La �.�
BUSINESS PHONE: . 6-18- 7 9 S- 4 ee 58
HOME
CONTACT 1: PHONE 8 -Ge_ 8 - 17 r t
ADDRESS:_ IS 6o 1 d UJ u 1 A--le- R fe 1- ^J y
HOME
CONTACT 2 _ a u I bus - PHONE -6_1 8'
5-7 TG.3)� Gha�.ctls ✓tea
ADDRESS: Quunsbu.� IU`1 )AS015
.
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
RECEIVED
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TRMISSION VERIFICATION REPORT
299117
DATE,TIhE 01/11 15:27
FAX NO./NAME BEEBEESHOESTORE
DURATION 00:00:24
PAGE(S) 01
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Town of Queensbury ; �l
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request
Received: Permit#C) INSPECTION ON: )
Name: PM ANYTIME
�J
Location:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE A/uc -' /EXIT DISCHARGE
GZ Ilv1G.,
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCYUGH71NG Y.,
FIRE EXTINGUISHER HUNG
J
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 Jjb �Y
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 ! +�
I
OK THIS DAT OK FOR CO (NOT OK \
I INSPECTED BY
COMDEV/CHRISJ!WORD/LETTERS2001/FIREMARS HALINSPECTIONREPORT 11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
r
Town of Queensbury
Fire Marshal's Office C
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:
(ty,�1<
Name: -77) AM �PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS _
EXIT ENCLOSURE
EXIT DISCHARGE _
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH _ yy
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
OK THIS DATE AC'
OR C N T OK FOR
BY
COMDEVICHRISJNVORD/LETTERS20011FIREMARSHALINSPECTIONRE PORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. D
Town of Queensbury C%
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: _ Time: v t�
Phone: (518)761-8206 Business Name:
Fax: (518) 745-4437 Location: ` T
Type of Inspection N/A Yes No
EXITS:
Exit Access x COMMENTS
Exit Enclosure
Exit Discharge
EVAC Plan
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sian-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher X Fire Marshal I eC n Co
UK 0 Issue C
FIRE ALARM SYSTEM X
Fan Shutdown
Fire Sprinkler System 9 2007
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation Fwe bu
'�pWit Of
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed
Combustible Waste
Vehicle Impact Protection
Fire Lane
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Lerffific
Emer enc Evacuation Plan
Approved (If no other approvals apply,the B&C OfFce wilccupancy)
❑ Denied
❑ Call for Recheck
Inspected By:
l:\FireMarshal\insptopermitto occupyform.doc