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2004-034 t' TOWN OF QUEENSBURY 742 Bay Rbad,Queensbury;NY 12804-5902' (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE .OF OCCUPANCY Permit Number:--- P20040034-.: Date,Issued: Monday, March 22, 2004 This is to certify that work requested to be done as shown by Permit Number P20040034 has been completed. Tax Map Number: 523400-296-018-0001-005-000-0000 Location: 63 QUAKER Rd . Owner: OMALL FANIILY LTD. PARTNERSHIP, THE Applicant: NORTHEAST PARENT & CHILD SOCIETY 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: P20040034 Application Number: A20040034 Tax Map No: 523400-296-018-0001-005-000-0000 Permission is hereby granted to: NORTHEAST PARF,NT & C;TM D SOC T-F,TY For property located at: 63 QUAKER 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: OMALL FAMILY LTD: PARTNERS 3 5 ORCHARD Rd Certificate of Occupancy(CON) Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-0034 NORTHEAST PARENT& CHILD SOCIETY CERTIFICATE OF OCCUPANCY ONLY (Mark Plaza) $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, February 05, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tpwn of ueen • sd February 05, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 01/12/2004 MON 16:30 FAX 518 372 6818 NPCS TFFP 003/007 12/22/03 MON 16:18 FAX 518 798 4077 NORTEEAST PARENT & CHILD 444 SHELTER 1@003 icicc�zuua,mvr► 40:XL rr►a [A002/005 BP File# EMS Dept.of Cw nmwvrity Development Og Tam ofQueensbury QC.* Pe�-t 742$ay Road �P nam Quee abW.NY 1.7804 (S18) 76I-S156 For occVancy only, with no work requiring building permit: na fee required for this permi- Name ofBusiness: s+- o,� L °E- cij CA Address: Co 3 L�ar �) Clk we-e..v,z loin'a 1 a 8-0q Person in Charge or Manager: --7k yxn Q,ccln e-4 - Business Phone Numborr `q"ts RECEIVED e Type of Business: (Le.,mercantile,rest=mt,bobby shop,plumbing store): f M G r JAN 3 0 2004 ----TOWN OF QUEENSBURY BUILDING AND CODE Owner of Property: (� . Address: _-� - -o ICU Phone Number: PlerrseFrovide an accura&layout ofyoar store showing all walls,ezdS,stockrooms,rest room cmaters acrid fware layma on a separate sheet of paper. Sigaatwce: 1� �•^�.,_�,�wL Aate: cPt � • ofpe.soe arbnturingttsJs�6rnr. Property Tax Map No. NoteslCommzntS: 01/12/2004 MON 16:31 - -FAY 518 372 6818 NPCS TFFP R 005/007 _12/22/03_ hiON 18;19 FAX 798 4077 NORTHEAST PARENT & CHILD SHELTER [I�� WA UUMU3 Town of Queensbury PSre Mersha2's O�'ice ��" (�� j EMERGENCY CONTACT UPDATE Lens two TO: WARREN COUNTY' < s S DEPT. FAX: 761-6910 PLEASE PRINT RECEIVE® DATE: 4 01 JAN 3 0 2004 TOWN OF QUEENSBURY BUSINF19.5S NAm: r P BUILDING AND CODE BUSINESS"DPXSS: 3 r S v r _EMSnvEss PHO]q& HOME CONTACT 1: HONE TOWN RRSPONDn FROM CONTACT 2: _ = - _ : �Om TOWN RESPONDING FROM: nomm CONTACT 3: PHONE TOWN RESPONDING FROM: .Rre Mamh al Steue Sad th,Deputy kite Ma-mh4c Z Mike Palmer- Phone 76"205,FAX 745-4487 EVACUATION PLAN RECEIVED FOR NORTHEAST PARENT & CHILD SOCIETY'S JAN 3 0 2004 THERAPEUTIC FOSTER FAMILY PROGAM AND INTENSIVE AFTERCARE AND PREVENTION PROGRMt OF QUEENSEURY DING AND CODE AT 63 QUAKER ROAD In case of fire or other emergency that requires evacuation, staff and clients will immediately,proceed to the nearest safe exit. The program secretary will call 911 to report the emergency. They will go down either the front stairs or through the back of TV 8 to the exit stairs on the side of the building and proceed to the edge of the parking lot. All persons are to meet on the edge of the parking lot by Passano Paints. The Site Supervisor for TFFP and the Program coordinator for IAPP programs are to ensure that all persons have safely evacuated the building. Town of Queensbury s Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request L SCHEDULE Received: �-�---_Permit# 1 3 INSPECTION ON: r��! Name: f; \��14 ry� c �� l i M PM ANYTIME Location: APPROVED N/A YES i NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL G- - BATTERY t } C (M n EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION (v" INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY. FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN ®K THIS DATE F R QO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN IN PECTED SY _ FINAL COMDEV/CHRISJI WORD/LIETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury Fire Marshal's mice 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 � Fire Marshal's Inspection Report Request SCHEDULE � Received: Permit �" -031 INSPECTION ON: Name: Koc �''�,��`'Pi'1�` 51 �2�?�� ' �� ,�i1A PM NYTIME Location v I�_ tL c� — APPROVED N 1A YES NO Y COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL EMERGENCY LIGHTING FFIRE ALARM(SYSTEM _ bt' LC FIRE SPPJNKLF-R SYSTEM FIRE SUPPRESSION SYSTEM HOOP INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY FLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY M� FACTORY BUILT ROUG14 IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN M OK THIS DATE 1 OK F0 � NOT®� FINAL FIREPLACE _ FACTORY BUILT ROUGIJ IN INSP C'TED BY— FINAI - COMDEVJCHRISJMdORDILETTERS2001/FIREMARSHALINSPEC ONREPORT11022001 WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY c ' o F-� GV N o � C N ` O �l O O 1 � :�p Office Office Office Office � rn 4 pp �-4 _ - 44 74-4 N T Hall Dffice o c� z� Cz -- L I y Reception Not our Area b cn Space Office Conference Room EA z 0 o Office 00 ` WO 3 Office Opp fs, ! Z m rJ M DC o j z m mOW N �, .-� W m;U ® Office IEP 0 Bath Bath Hall o= R Room Kitchen � o W rtheast Parent & Child Society o o 63 Quaker Road Oueensbuiv. NY 12804 1