2004-126 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: P20040126 Date Issued: Friday, July 02, 20.04
This is to certify that work requested to be done as shown by Permit Number P20040126
has been completed.
Tax Map Number: 523400-302-008-0001-045-000-0000
Location: 234 QUAKER'Rd
Owner: KING SERVICE, INC., THE
Applicant: THIRSTY JOES
This structure may be occupied-as a:
.Certificate of Occupancy (CO1VI)
By Order of Town Board
TOWN OF QUEENSBURY
;, 4 .
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: P20040126 Application Number: A20040126
Tax Map No: 523400-302-008-0001-045-000-0000
Permission is hereby granted to: KTNCT SF,RVTC F,_ TNC'.. TTTF,
For property located at: 234 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: KING SERVICE, INC., THE
FOOT OF MAIN Certificate of Occupancy(COM)
Total Value
TROY, NY 12180
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-126 234 QUAKER ROAD KING FUELS
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,April 06, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Qu nsbt ,, s , ril 06, 2004
SIGNED BY ~� for the Town of Queensbury.
Director of Building&Code Enforcement
BP File
New$ASineSS
Dept. of Community Development CertlflCate Of
Town ofQueensbury Occupancy Permit
742 Bay Road
Queensbury, NY 12804 RECEIVED
(518) 761-8256
MAP
c, 4
For occupancy only, with no work requiring building permit: no fee required for this permit.
TOWN UV
BUILDING AND CODE
Name of Business: CCJ
Address:
Person in Charge or Manager: A,d (00 — /�
l
Business Phone Number: �Y)t
Type of Business: (i.e.,mercantile,re taurant,hobby shop,plumbin store):
� t
lv�
Owner of Property: �j,i
r/�e3
Address: 7"
7 ZS (
rx(co)
Phone Number:
Gz-S 07 -
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout o4epar a sheet of paper-
Signature: ate: UL
ng this form:
Property Tax Map No.
Notes/Comments:
Town of Queensbury 'V D
Fire Marshal's Office
MAR ?,.� 2004
EMERGENCY CONTACT UPDA � ,ON QUEE SBUCOD Y
G ANDLTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: �. (20
A
- -- :-BUSINESS NAME:
BUSINESS ADDRESS:
BUSINESS PHONE:. 7 9 ') J
71
HOME
CONTACT 1: PHONE t� 0 r
TOWN RESPONDING FROM:
HOME
CONTACT 2: � sal 1 q q�
TOWN RESPONDING FROM: SCE
HOME
CONTACT, 3: PHONE -
TOWN RESPONDING FROM:
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205, FAX 745-4487
Town of Queensbury Fire Marshal C
742 Bay Road
Queensbury,NY 12804 N
761-8205/761-8206
fax 7454437
firemarshal@queensbury.net
Fire Marshal's Commercial Inspection Report
Name Address
Date �u
_�'I'ime m Inspector_ ocn
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
ov—
White—Customer Yellow—Fire Mershal Pink-FD
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# 4-ats INSPECTION ON:
// l a T
Name: U 2-S� �m� C � by AM PM ANYTIME
Location: I��q 4K. ►—
APPROVED _
--^_--- N/A YES NO COMMENTS
EXITS _---�
AISLE WIDTHS -_..—..
EXIT SIGNS-BAATT RY ,— N^
EMERGENCY LIGHTING ` 1 i� o
FIRE EXTINGUISHERS -__- I�ri, G �CLL �'c� CLf-o
FIRE ALARM SYSTEM _
FIRE SPRINKLER SYSTEM _ �` 6GIC i r-0 Li�C
FIRE-SUPPRESSION SYSTEM__ F
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN_ _--
MAXIMUM OCCUPANCY SIGN
CHIMNEY i
MASONRY ROUGH IN
-- - FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
_
VENTED GAS FINAL_
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN
OK THIS DATE ® CO ®T ®K
----FIREPLACE ---- -^�- FINAL --
FACTORY BUILT ROUGH IN
—�_ INSPECTED BY
FINAL
COMDEV/C HRISJMORD/LETTERS2001lF IREMARS H ALINS PEC TIONREPORT11022001
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 I q /� SCHEDULE _��-r
Received: Permit# ( � � /
_._ INSPECTION ON:
�--(
Name: AM ANYTIME
Location:
APPROVED
------- N/A YES NO COMMENTS
EXITS i
AISLE WIDTHS
EXIT SIGNS-NORMAL
-BATTERY
EMERGENCY LIGHTING c n
FIRE EXTINGUISHERSJ�
FIRE ALARM SYSTEM _ _ J l
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM _ T-t� jj� a�
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE -_
COMPRESSED
CLEARANCE TO SPRINKLERS ��.
CLEARANCE TO HEATING
UNITS JJJ 9f�CLEARANCE TO ELECTR[CAL Nl� �L� 1L^C '( n-c-?
REQUIRED SIGNAGE
EMERGENCY PLAN_ -
CHIMNEY OCCUPANCY SIGN _ co cc,,� ��vw� � � 4/L,
CHIMASONRY 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 DAT, ® R Co OT OK
FINAL
EPLACE FIR ------ -_ __ _
FACTORY BUILT ROUGH IN
- ---------.. ___ INSPECTED BY
FINAL
COMDEU/CH RISJ/WORD/LETTERS2001/FIRE MARSHALINS 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# �i— INSPECTION ON:
v�
Name: a,ICi,1 5 �� I j6C. u AM PM ANYTIME
Location: Gc "71 1 I� 16-
APPROVED
N/A YES NO COMMENTS
EXITS IM P �v P? ;2v Sr��. �r ,2gao-
AISLE WIDTHS
EXIT SIGNS-NORMAL ►►SC� `���I C>`�� �' ;S•" ^''
- BATTERY
EMERGENCY LIGHTING FIRE EXTINGUISHERS — ,� � I,A���((;,,
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE x
COMPRESSED GAS �JL-�- 7±-S 1011(>
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS X
CLEARANCE TO ELECTRICAL 5�
REQUIRED SIGNAGE _
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL �"c, ct h wC r
CHIMNEY. k w
FACTORY BUILT ROUGH IN t 1D if S -C> 4-f
w®®D
FINAL �I�i rY�1dC�
�
STOVE ROUGHIN
FINALC!✓E✓�S j �U
VENTED GAS ;,�St'
APPLIANCE ROUGH IN
�+C i `�'.�`- N Sid•
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS D/AT° K FOR CO N®T
FIREPLACE FINAL
FACTORY BUILT ROUGH IN L
INSPECTED BY
FINAL
COMDEV/CHRISJIWORD/LETT RS2001/FIREMARSHALINSPECTIONREPCST11022001
WHITE-BUILDING DEPARTMENT COPY, YELLOW-OCCUPANT COPY
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