2005-546 TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (.3IFF7 OCCUPANCY
Permit Number. P20050546 Date Issued: Thursday, January 04, 2007
This is to certify that work requested to be done as shown by Permit Number P20050546
has been completed.
Tax Map Number. 523400-296-017-0001-051-000-0000
Location: 870 STATE ROUTE 9
Owner. ALEXANDER POTENZA
Applicant: ALEXANDER POTENZA
This structure maybe 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 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: P20050546 Application Number: A20050546
Tax Map No: 523400-296-017-0001-051-000-0000
Permission is hereby granted to: ALEXANT)ER POTENZA
For property located at: 870 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: ALEXANDER POTENZA
FRANK BORK Certificate of Occupancy(CO1V)
Total Value
403 GLEN St
GLENS FALLS, NY 12801
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-546 R& T COLLECTIBLES
CERTIFICATE OF OCCUPANCY FOR TENT SALE
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 26, 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 Tow Queensb ; Tuesday, July 26, 2005
SIGNED BYJAA for the Town of Queensbury.
Director of Building ode forcement
BP File#
��t3�'�►AS17[leSS
Depi of Community Development 43&
Town ofad hwy X
42B eZ'1](11t /�j
Ray Road
Queenshury,NY 12804
(518) 761-8256
For occupancy only, with g permit: no fee required for this permit.
JUL 1 8 2005
t iLD iC AND CODE
s"1 _
Name of Business: � I C 1
Address: _ L -7 1)
Person m Charge or Manager.
Business Phone Number: 7 5 Z - L t v
Type of Business: (i.e.,mercan_ 'Tee restaurant,hobby shop,plumbing store):
e
Owner of Property.
Address:-
Phone Number
Please provide an accurate layout of your store showing all walls,exrts,stockrooms,rest rooms,
counters and fixture layout on a separate sheet ofpaper.
Signature: -`7'� Z �-��-�- Date:
(S cL-!z
of person submitti�eg thisform
Property Tax Map No.tee% jl
Notes/Comments:
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. 2-00
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518) 761-8206 Business Name: 4FIvI Tlr /
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES: r ' �1
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE �?
Sign-normal
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun ,
Inspection of extinguisher (41
Hydro extinguisher
FIRE ALARM SYSTEM
Fan Shutdown Fire Sprinkler System lo-5
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.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
o Approved (If no other approvals apply,the B&C Office will issue the Certificate of 0,
❑ Denied
a Call for Recheck
Inspec:tod By:
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc