2004-104 J ` 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: P20040104 Date Issued: Friday, May 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040104
has been completed.
Tax Map Number: 523400-288-000-0001-059-000-0000
Location: 1477 STATE ROUTE 9
Owner: DANIEL LOMBARD
Applicant: DESIGNERS WAREHOUSE
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
r:
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: P20040104 Application Number: A20040104
Tax Map No: 523400-288-000-0001-059-000-0000
Permission is hereby granted to: DF,STC'TNF,RS WAREHOTTSF,
For property located at: 1447 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: DANIEL LOMBARD
7 STONE PINE Ln Certificate of Occupancy(CO1VI)
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-104 DESIGNERS WAREHOUSE
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, March 23, 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�6!7�ees
sday, March 23, 2004
SIGNED BY for the Town of Queensbury.
r .Y
Director of Building&Co e Enforcement
Mar 16 04 03: 54p Robert Kana 518-686-5851 p• Z
. BP File# CF
New Susi��n�.ess ,��CRE `
Dept of Community Development �eY"tl ]Ca,'te
Town of Queensbwy •
742 Bay Road Q.Ccupa :Cy ►erm� t� 1 2004 .
Queensbwy,NY 12804
(518) 761-8256 TOWN fit 11 )ING NOD Go pE
For occupancy only, with no work requiring buildingpermit. no fee required for this permit.
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Name of Business: Aa
Address: U edW �Jd
4����
Person' Charge o anager:
Business Phone Number:
Type of Business: (Le,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: zc 4
Address: fL ROY
Phone Number: `✓!rU ���J
Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,
counters and fcxture layout on a separate sheet of paper.
Signa -Date:
ofpergthtsform: o
YO
Tax � I
Property Map No.
Notes/Comments:
Mar 16 04 03: 54p Robert Kana 518-696-5851 p• 3
Town of Queensbury C MM4-144
Fire Marshal's Office
EEGEN ' CONTACT UPDATE
LTRS 2000
TO: WARREN C0UNTY'SHERH7S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: IN
BUSINESS NAME: W1 L VaAoAe.
BUSINESS ADDRE
BUSINESS PHONE: �6 ` 701
LVZ!L
ea-,11
HOMECONTACT 1: � PHONE
TOWN RESPONDING FROM: K�
`� HOME
CONTACT 2: er PHONE
TOWN RESPONDING FROM: , '
r ell h/2 - HOME�6g6- '?/a y
CONTACT 3: 6 PHO �, 206-
TOWN RESPONDING FROM:
Fire Marshal Steve Smitk Deputy Fire Marshal Mike Palmer
Phone 76I--8205,FAX 745 4437
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 1)
Fire Marshal's Inspection Report
Request SCHEDULE
Received: --Permit# INSPECTION ON: '
Narpte: « il� AM PM ANYTIME
Location:: raLi,
APPROVED
---- N/A YES. NO J COMMENTS
EXITS ___
AISLE WIDTHS
EXIT SIGNS—NORMAL be- `�'
- BATTERY �U 1 u� ` Iv
)eJ
EMERGENCY LIGHTING _
FIRE EXTINGUISHERS4�8
FIRE ALARM SYSTEM _
FIRE SPRINKLER SYSTEM �,`
FIRE SUPPRESSION SYSTEM,
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE f4 CCu�
COMPRESSED
CLEARANCE TO SPRINKLER—
CLEARANCE TO HEATING
UNITS
CLEARANCE fO ELECTRICAL �� �V '1f11�'(,fJJla"�� t—!`
REQUIRED SIGNAGE �~
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
FACTORY BUILT ROUGH IN l
FINAL
_—.--
STOVE ROUGH_IN
----- FINAL P-0 /T
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN
--� OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE _
FACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMUEVIC HRISJ/WOP.DILETTERS2001lFIRE MARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
ow
Town of Queensbury
Fire Marshal's Office
742 Bay Road (iD
Queensbury, NY 12804
Prone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report .
Request
Received; Permit# - SCHEDULE p
�..�� INSPECTION ON:_ 5
Name: Q�y � s � �, AM PM ANYTIME
Location:_ c �-���2
APPROVED _
N/_ YES NO COMMENTS
---
AISLE --
EXIT SIGNS-_NORMAL_
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS �_
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM--
HOOD INSOR FINISHES �-
INTERIOR FINISHES - p
STORAGE _ l
COMPRESSED GAS
CLEARANCE TO SPRINKLERS �-
CLEARANCE TO HEATING
UNITSCLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN _
MAXIMUM OCCUPANCY SIGN
CHIMNEY -
MASONRY ROUGH IN f
_ FINAL _
CHIMNEY — - — 1
FACTORY BUILT ROUGH IN
1.-- FINAL
STOVE WOOD
STOVE ROUGHIN
FINAL
VENTED GAS _
APPLIANCE ROUGH IN ]
FINAL
FIREPLACE - — ------
MASONRY ROUGH INOK THIS DATE - F®R CO NOT OK
FINAL
FIREPLACE -- - --'- --
FACTORY BUILT ROUGH IN - .
IIVSP C SY
FINAL
COMDEV/CHRISJNWORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# 1�`� INSPECTION ON: •� —��, o
Name: AM PM ANYTIME
Location: LI-T)
AP OVED
N/A YES NO COMMENTS
EXITS P y
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM J
HOOD INSTALLATION
INTERIOR FINISHES X
STORAGE X _
COMPRESSED GAS
CLEARANCE TO SPRINKLERS �
CLEARANCE TO HEATING
UNITS X
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE X.
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY —
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE K FOR CO T OK-)
FINAL
FIREPLACE V ` f
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001OREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY