2004-286 r
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: P20040286 Date Issued: Thursday, May 20, 2004
This is to certify that work requested to be done as shown by Permit Number P20040286
has been completed.
Tax Map Number: 523400-302-00670001-012-000-0000
Location: 717 UPPER GLEN PAINTSHOP
Owner: MJD MJD LLC
Applicant: GIRL SCOUTS OF THE ADIRONDACK COUNCIL, INC.
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: P20040286 Application Number: A20040286
Tax Map No: 523400-302-006-0001-012-000-0000
Permission is hereby granted to: GMT, SCOTJTS OF THE ADTRON-DAC'K COTJNC;TT,
For property located at: 717 UPPER GLEN PAINTSHOP
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. Tyne of Construction Value
Owner Address: MJD MJD LLC
JOHN& ANNE DOTY Certificate of Occupancy(COM)
Total Value
21 JUNIPER Dr
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-286 GIRL SCOUTS OF THE ADIRONDACK COUNCIL, INC.
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 19, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T wn of eenO ay, May 19, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
BP File#8 00 LI_a$
�E=�"B.U.S1Z1eSS
Dept. of Community Development Certificate of
Tmm of Road sbury
742B ®CCL1�Jab.C37'Permit
Bay
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee require iserm it.
fyiH�' 0 6 2004
TOWN OF QUEENSRURY
CODE
Name of Business: 49
�—� 7/7 v A,"X6�i�.t.�57� Le�i�i� �/�es�yr AY /az a'*1
Person in Charge or Manager:
Business Phone Number: 79a7 egI17
Type of Business: (i.e., mercantile,restaurant,hobby shop,plumbing store
5e7-'V-Ir 4�Llewe'- 0 7 we�� VED
NIA/ n 2004
M a-- - T�Wr�►CF Owner of Property: /,` --j �� �- �- �FI_I !n���C'LIEFNSf3URY�'E
_ C -DE-
Address:
Phone Number: g J 15-d
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet ofpaper.
r
Signature: * _Date: `7
ofperson sub ttfn his rm:
Property Tax Map No.
Notes/Comments:
Town of Queensbuxy
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY--SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT lRec ,V
DATE: 0 6 2004
TOV�DIN Q IEF�SBU�Y
B( A JD Gnn
BUSINESS NAME:
BUSINESS ADDRESS: a l
BUSINESS PHONE:
I
/ r��e.J� HOME
CONTACT I: PHONE
TOWN RESPONDING FROM: 4),
HOME
CONTACT 2: r� �r�-�f G PHONE � V7g,
TOWN RESPONDING FROM: ROME
CONTACT 3: PHU
TOWN RESPONDING FROM:
Fire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer
Phone 76I--8205, FAX 745-4487
Town of Queensbury
Fire Marshal's office
742 Bay Road 10
- - Queensbury, NY 12804 5 437
Phone (518) 761-8205 Fax(518) 74 -4
Fire Marshal's Inspection Report
Request � SCHEDULE
Received: _—Permit# ys��. INSPECTION ON: 5 ,-20 "
Name:� i (,z71•�.4� FJ; kdo- W-)i, �AM PM NYTiME
7�nOR It 16.
Location: - 1
AVPR VET
-------- N JA S NO.. C®MMENTS
EXITS
AISLE WIDTHS_
EXIT SIGNS—_NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS_
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM _
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION _
INTERIOR FINISHES _ ` (\ �,
STORAGE l
LAJ
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATINd__:�_ —
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN_
MAXIMUM OCCUPANCY SICI V
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN &�.00bvook FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE - __
MASONRY ROUGH IN = OK THIS DA I I K FOR CO NOT OK
_ FINAL
FIREPLACE - -- \
FACTORY BUILT _ ROUGH IN i�
— ------ INSPECTED E6Y
_ FINAL -
^� COMI)EV/CHRISJMIORa/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
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 v r�'
A
File Marshal's Inspection Report
Request _._._ SCHEDULE
Permit# ��-f-�---
Received: (: � INSPECTION ON: '
Name:�i f L c,1�G A c llided______ .-i A11 PN1 ANYTIME
Location.
PPROVED -
���-�- N/A YES NO COMMENTS
EXITS ----�
AISLE WIDTHS Ex
-
EXIT SIGNS--NORMAL
- BATTERY y_
EMERGENCY LIGHTING X. !� u�- ,t
fi J
FIRE EXTINGUISHERS - _ Q 'I�� �w �,o t� v
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM a
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE ~_ Y
COMPRESSED GAS _
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING~
UNITS _
CLEARANCE TO ELECTRICAL _
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY _------
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL _
VENTED GAS
APPLIANCE ROI)(s'H IN
FINAL
FIREPLACE ---~- ------
MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK
{E _ FINAL
FIREPLACE -! �-
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL -
COMt)EV/CHRISJNVORD1LETTERS20071FIREMARSHALINSPECT1ONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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