2004-161 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE O.Y.r OCCUPANCY
Pernut Number. P20040161 Date Issued: Tuesday, June 28, 2005
This is to certify that work requested to be done as shown by Permit Number P20040161
has been completed.
Tax Map Number. 523400-296-013-0001-001-000-0000
Location: 11 SWEET Rd
Owner. RICHARD PENNOCK JR
Applicant: KITCHEN BATH SHOWROOM
This structure maybe occupied as a:
Certificate of Occupancy (COM)
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
` Variance, or other issues and conditions as a result of approvals by the Director of Building Code Enforcement
Planning Board or Zoning Board of Appeals.
�r1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community'Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040161 Application Number: A20040161
Tax Map No: 523400-296-013-0001-001-000-0000
Permission is hereby granted to: KTTC TTFN BATH SHOWROOM
For property located at: 11 SWEET 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: FLOYD SHOVAH
R.D. #1 HADLOCK POND Rd Certificate of Occupancy(COIvi)
Total Value
FORT ANN,NY 12827
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-161 KITCHENS &BATH SHOWROOM
CERTIFICATE'OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 12, 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 Queensbury; Monday,April 12, 2004
SIGNED BY for the Town of Queensbury.
Bu' g e forcement
BP File 0-()Y�JM
Nevv IE3uminess
Dept. of Community Development Certificate of
Town of Queensbury Occupancy Permit
742 Bay Road
Queensbury,NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
OID
Name of Business: i -��t�`��u �a/�'�
2004
Address: / _ �z���✓ e�, lJ ToyyAl n ;
_ UIL®I�l�
Person in Charge or Manager: r dAal..7 ��/ F-'
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
lei G' ��,y�- �' Z�44
Owner of Property:
Address:
Phone Number: 76 S^
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: � Date:
ofpersonsubmittingt isform:
Property Tax Map No. �
Notes/Comments:
Town of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY:SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT RECEIVED
DATE: G APR U 3 2004
TOWN OF WEENSBURY
BU° .DIN f��D CODE
BUSINESS NAME: I T2 44j,
BUSINESS ADDRESS:
BUSINESS PHONE: sa
6
CONTACT 1: j c �� PHONE
TOWN RESPONDING FROM: .�
HOME
CONTACT 2: PHONE
TOWN RESPONDING FROM:
HOME
CONTACT 3: PHONE
TOWN RESPONDING FROM:
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205, FAX 745-4437
t 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#—t4)61 --tom'1 INSPECTION ON: (/7'
Name: '�Iell n �!- A (�n i(��j11� �j/ AM PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS _
EXIT ENCLOSURE
EXIT DISCHARGE _
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH _
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING `
FIRE EXTINGUISHER HUNG �,� e4. �.�V,IA i � jeof
FIRE EXTINGUISHER r
INSPECTION
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM /� c'
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS -
ISLAND
HOOD INSTALLATIONOK INTERIOR FINISHES 0 15
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN ^�
OK THIS DATF O FOR CO NOT OK
INSPECTE BY
COMDEV/CHRISJIFIORDILETTERS20011FIREMARSHALINSP TIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
LOD
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# INSPECTION ON. - 9ANYTIME
Name: ��J- Cc Ic `��"(7-� 5-rr �c�� o� P
Location:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS 1<
EXIT ENCLOSURE K
EXIT DISCHARGEv�-t
MAIN AISLE WIDTH X
SECONDARY AISLE WIDTH
EXIT SIGN—NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING —
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO X
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION—GAS
ISLAND
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE
VEHICLE IMPACT PROTECTION N —
FIRE LANE
F.D.SIGNAGE—UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DAT4OR CO OTOK
INSPECTED BY
COM DEVICHRISJIWORDILETTERS2001IF IRE MARS HALINSPECTIONRE PORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY