2005-767 TOWN OF QUEENSBURY
742 Bay Road,Queensburp,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUP-A-N- CY
Permit Number: P20050767 Date Issued: Tuesday, October 18, 2005
This is to certify that work requested to be done as shown by Permit Number P20050767
has been completed.
Tax Map Number: 523400-302-006-0001-043-000-0000
Location: 797 STATE ROUTE 9
Owner: NORTHGATE ENTERPRISES INC
Applicant: A WIRELESS SOLUTION
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 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: P20050767 Application Number: A20050767
Tax Map No: 523400-302-006-0001-043-000-0000
Permission is hereby granted to: A WIRELESS SOLUTION
For property located at: 797 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. Tyne of Construction Value
Owner Address: NORTHGATE ENTERPRISES INC
Certificate of Occupancy(COM)
PO BOX 4514
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-767 A WIRELESS SOLUTION Suite No. 7
Northgate Plaza - CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 a Tow of Q ns uesday, September 27, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r. BP File# -
eft'�►AS7t7�.CSS
Dept of Community Development
Town ofQueenshwy QCCAp:�.�3C�'�P�'�t117lt
742 Bay Road
Queensbwy,IVY 12804
(518) 761-8256
For occupancy only, with no work requiring buildingpermit: no fee required for this permit.
Name of Business: 4e;� Ff o,`'j
Address: `� `- " " -u eeX s `�-
Person in Charge or Manager.
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Uj
Owner of Property:
-�Address:.
Phone Number: 7 �C/)
Please provide an accurate layout of your store showing all walls,cdts,stockrooms,rest rooms,
counters and fixture layout on a separate sheet ofpaper.
Signature:. Date:
oIP��8 thisform:
Property Tax Map No.
Notes/Comments:
t
Town of Queensbury � - 7
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTM 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE:
BUSINESS NAME:
BUSINESS ADDRESS: -2 9 D
BUSINESS PHONE:
HOME G Z H
CONTACT 1: � ''`� �'`� PHONE S 1 C c� 3
ADDRESS:
_-
_ L - PHONE
CONTACT 2:
,�
ADDRESS: i 1 - C' 1 l��� ., U -I 4 t ,_
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
Inspection for Permit to Occupy
Fire Marshal's office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road 1
Quee sbury,NY 12804 Scheduled Inspection Date: ( J I + Time:
Phone: (518) 761-8206 Business Name: Wo r���- S�(��
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Seconds Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM
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.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
' ! Approved (If no other approvals apply,the B&C Office will issue the Certifi ate of Occupancy)
P Y)
❑ Denied
❑ Call for Recheck
Inspected By: ? �'
4
LASue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. LS
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518) 761-8206 Business Name: +1 in,;-/fS S &�,61 J-1�
Fax: (518) 745-4437 Location: !Ili::? I-r
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure X
Exit Discharge
I '?
AISLES:
Main Aisle Width _ t ,n )Q
Secondary Aisle Width'
EXIT SIGNAGE
Sign-normal
Si n-battery1
TRUSS ID SIGNAGE
0Cie,EMERGENCY LIGHTING �� v
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM bat J C
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.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sian
Emergency Evacuation Plan
°a
❑ Approved (If no other approvals apply,the B&C Office will issue the ertilic e of Occupancy)
cs� Denied
❑ Call for Recheck
Inspected By:
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
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