2004-010 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: P20040010 Date Issued: ,'- Wednesday, January 28, 2004
This is to certify that work requested to be done as shown'by Permit Number P20040010
has been completed.
Tax Map Number: 523400-289-020-0001-005-000-0000
Location: 169 HAVILAND Rd
Owner: BAY WEST ASSOCIATES
Applicant: BRENNAN & WHITE'ATTORNEYS AT LAW
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
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: P20040010 Application Number: A20040010
Tax Map No: 523400-289-020-0001-005-000-0000
Permission is hereby granted to: BRENNAN&WHTTE ATTORNF,YS AT LAW
For property located at: 169' HAVILAND Rd
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: BAY WEST ASSOCIATES
169 HAVE LAND RD Certificate of Occupancy(COW
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-010 BRENNAN&WHITE LLP
CERTIFICATE OF OCCUPANCY ONLY. (Law Firm)
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, January 28, 2005
(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 Towrf of Qu nsb n a January 28, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
01/06/2004 TUE 14:00 FAX _[�]001/002
BP File#
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rt �Te�13ue�ine�ss
Dept, of Community Development �ie1"f+1����.'t� 0jr-�--
Town ofQueensbury QCC11pa.riC`�' eY' 7.t
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this ermit.
JAN 12 2004
WN OF QUEENSBURY
J l ) /BUILDING AND CODE
Name of Business: � 1'�-h h C�� �W Yi � �-- (---�—l
Address: � ��� la+� � �u a ( �/l)22Y1S !�L(,�(,1 , v I'a804
Person in Charge or Manager: `J
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):r
Owner of Property: ''� ��IC'-5 t ss C e-4r-"�4) LL ----
� Vt1aK d 1\V-1 1 �s 0
Address: � (�cl � ��-�� ue.e-�5 �+✓
Phone Number: I 7 q Z' --
'lease provide an accurate layout ofyour store showing all walls, exits, stockrooms,rest rooms,
counters and fixture layout on a separate sheet ofpaper.
Signature: Date: 1_ 0 C�
ofparwa r6yubmitting this form.
Property Tax Map No.
Notes/Comments:
._ _......_ v •'-s; y. w .-�..sv, � •i.'z..-� ..::ti^1...:ter..a....-.,i-•.. .� —+-... r...T."-'.`.'i... .�i..'.. ...-...:��;-.u.-.....r..�,...r„ _
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
firemarshal@queensbury.net
Fire Marshal's Commercial Inspection:Report
��� k [[ __ 1
Name tJ��'rd a ���"CL Address � tll
° P SAS S
Date .Eq'` 0 t°" Time am�'
Inspector
Sprinkler System Suppression System - Fire Alarm System
Yes No Wet Dry Supervised Yes No Yes No Supervised Local
Inspection Date Inspection Date Inspection Date
NOTICE:As the property owner/manager,I understand that this inspection is required by law,and that I
have the right to refuse entry into/onto the property for the purposes of conducting this inspection.I further
understand that by granting permission to conduct this inspection,I agree to abide by all applicable laws,and
further agree to correct any violations of the law specified herein within a reasonable amount of time from
the date of this inspection.
Signed.
Applicable Code Section Comments
White—Castomer Yellow—Fire Marshal Pink-FD