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2004-130
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFI CATE O.F OCCUPANCY Permit Number: P20040130 Date Issued: Tuesday, April 06, 2004 - This is�to certify that-work requested to be done as shown by Permit Number P2.0040130 has been completed. Tax Map Number: 523400-302-006-0001-053-000-0000 Location: 736 GLEN St Owner: ABRAHAM RUDNICK INTER VIVOS TRUST Applicant: ABRAHAM RUDNICK INTER VIVOS TRUST 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: P20040130 Application Number: A20040130 Tax Map No: 523400-302-006-0001-053-000-0000 Permission is hereby granted to: ABRAHAM RTTDNTC;K TNTRR VIVCIS TRTTST For property located at: 736 GLEN St 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: ABRAHAM RUDNICK INTER VIV 1 RUDLEY PI Certificate of Occupancy(CO1VI) Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-130 SARATOGA DREAMSLEEP 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 To,4 of ns , ril 06, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement BP File# New Business Dept. of Community Development Certificate of Town of Queensbury Occupancy 1�erYlilt 742 Bay Road Queensbury,NY 12804 (518) 761-8256 For occupancy only, with no work requiring buildingpermit: no fee required for this permit. Name of Business: Address: -1 - c L RE� I v Person in Charge or Manager: MAR 2 9 2004 TOWN OF QUEENSBURY Business Phone Number: s\% BUILDING AND CODE Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): Owner of Property: �_bc- Address: e Phone Number: Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet ofpaper. Signature: S',. ,,,w.CL,,,..� Date: '3-30-o y ofpe on submitting t form: Property Tax Map No. Notes/Comments: Town of Queensbury Fire Marshars Office EMERGENCY CONTACT ACT UPDATE LTRS 2000 TO: WARREN COUNTF-SHERH7S DEPT. FAX: 761-6210 PEE PRINT DATE: BUSINESS NAME: BUSINESS ADDRESS: BUSINESS PHONE: HOME CONTACT 1: pc. s. c,{v PHONE Sty-5M.X- TOWN RESPONDING FROM: SrATo�a Sor;sxs HOME CONTACT 2: TOWN RESPONDING FROM: HOME CONTACT 3: PHONE . ........ TOWN RESPONDING FROM: Fire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer Phone 76I 8205,FAX 745 4437 KA- 1'OWIn 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 2 f, SCHEDULE Received: _-- _ Permit# 0 INSPECTION ON: Name: q cL. _ ,o5 Gs w)S PPUi ANYTIME Location: J L'C) �,,(�)rPf r\ S T APPROVED N OA YES NO COMMENTS EXfTS AISLE WIDTHS EXIT SIGNS-NORMAL x -� - BATTERY J EMERGENCY LIGHTING (� v FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING ,e UNITS JC CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY — MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN WOOD FINAL STOVE ROUGH IN FINAL _ VENTED GAS APPLIANCE ROUGH IN FIREPLACE FINAL MASONRY ROUGH IN OK THIS DATE K OR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPE FINAL F—L COMBEV/C HRISJMIORDILETTERS2001/FIREMARSHALINS PEC TIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Description: Section/Page Numbers: Problems: Date: Page 4 3 4 L I I yy CO Y[ Z V •O ' O It ,b Uco J Form 4C-BW. ©2000 Mathematics Help Central. Ap Rights Reserved. http://www.mathematicshelpcentrat com