2004-165 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: P20040165 Date Issued: Wednesday, April 21, 2004
This is to certify that work requested to be done as shown by Permit Number P20040165
has been completed.
Tax Map Number: 523400-295-008-0001-002-000-0000
Location: 1161 STATE ROUTE 9
Owner: MITCHELL A COHEN
Applicant: NYC ITALIAN ICES
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
G 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040165 Application Number: A20040165
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: MTTC ITFT,T, A C ORF,N -
For property located at: 1161 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: MUTCBELL A COBEN
PO BOX 21 - Certificate of Occupancy(COM)
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-165 NYC ITALIAN ICES
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 14, 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 T wn o ueee4ay,April 14, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
BP File
Ne�Q�ASiYleSS
Dept. of Community Development Certificate of
Town of Queensbury Occupallc�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.
CD
A PP 7 2004
'Oft BO LDIN `SUENSBU RY
�—
Name of Business: / � C e-S 0/GNU COpE
Address:
Person in Charge or Manager: 7 "e�! 'lL re.
Business Phone Number: pkjY-e 7�47
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
�a c
Owner of Property:
Address:
� 5Phone Number: r-aeJ�-
Please provide an accurate layout of your A e owing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature. �� - a e: / 7 (�
ofperson submitting thisfotS
a? --�-�
Property Tax Map No. A�
Notes/Comments:
Y
- I v
Pool Inspection
Queensbury Building&Code Enforcement
Office No.(518)761-8256
742 Bay Road,Queensbury,NAY 12804
Date received: '(& 'L0- U`F
INSPECTED ON: f q 1,4b`{' am/pm
Arrive: anylpW 1.1jepart: am/pm
Inspector's Initials:
NAME: u/��Q►�t/lQ�►/��—f���
PERMIT#:
LOCATION:
Above Ground: In-Ground:
Y N N/A
Pool enclosure around pool
or yard
4 feet above grade
2 inch maximum clearance
to grade from underside of
fence
4 inch maximum clearance
in fence pickets
Wall or Doors have self
closing device or alarms (30
second Alarm time
Ladder secured in place and
latched
Gate opens outward, self
closing
Padlock provided on gates
or ladder
Indoor pool all doors self
closing or alarmed per
AG105.2 Item 9
Timer on pool pump (no
plug in timer allow d)
Final electrical, d 7/ V ✓�
Vehicle access kA closed
&locked
COMMENTS:
�.�y'
Town of Queensbury
Fire Marshal's Office
742 gay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: _ Permit# 4� E" �— INSPECTION ON:
Name,. G 3 PM ANYTIME
Location:
—.T.� ------ N/A YES NO — _COMMENTS
EXITS
AISLE WIDTHS _
EXIT SIGNS-_NORMAL
- BATTERY '`� '"
C�-
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS!-
CLEARANCE TO SPRINKLE!
CLEARANCE TO HEATING— IJ
UNITS x
CLEARANCE TO ELECTRII 1 ___
REQUIRED SIGNAGEw X CO !�=
EMERGENCY PLAN _ _- ; LL
MAXIMUM OCCUPANCY SIGN 1 `
CHIMNEY
MASONRY ROUGH IN
�l
-- _ _FINAL_
CHIMNEY V
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL _
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
---- --
MASONRY -- DOUGH IN iOK THIS ®AT OK F R O NOT OK
FINAL
FIREPLACE -�-----�-- `-- —� _ _
FACTORY BUILT ROUGH IN
----------..----}-- — INSPECTED BY
FINAL
COMDEVlCHRisit oRDILETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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