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2004-416 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: P20040416 Date Issued: Friday, June 25, 2004 This is to certify that work requested to be done as shown by Permit Number P20040416 has been completed. Tax Map Number: 523400-296-019-0001-044-001-0000 Location: 71 GLENWOOD Ave Owner: GLENS FALLS INDEPENDENT LIVING CENTER INC Applicant: ASSOCIATION FOR THE HEARING IMPAIRED 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: P20040416 Application Number: A20040416 Tax Map No: 523400-296-019-0001-044-001-0000 Permission is hereby granted to: ASSOC;TATION FOR THE HF,ARTNC'T IMP ATRED For property located at: 71 GLENWOOD Ave 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: GLENS FALLS INDEPENDENT LI 67-71 GLENWOOD Ave Certificate of Occupancy(COM) Total Value QUEENSBURY, NY 12804 � 1 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-416 Association for the Hearing Impaired CERTIFICATE OF OCCUPANCY $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 15, 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 Queensb ; T esday, June 15, 2004 SIGNED BY y for the Town of Queensbury. Director of Building Code forcement Jun 07 04 O2: O9p GFILC 518 792 0979 p. 2 10003/004 BP File# Q -L11 �E��7'�11l3tA1`lt�lg#3 Dept. oj•Community Developmenr ToW11 ofQueeirsbuTv 742 Ray Road . Queensbury,NY 12804 (518) 761-8256 For occupancy only,with no work requiring building permit: no fee required for this permit. Name of Business: k cc I'e, a n Yor f rlPc+C�%lo Address: I (n l-v nwn 11)d f I u e n yQ. Person in Charge or Manager: C(G r k Business Phone Number: 1v�®. Type of-Business: (i.e.,mercnatile,res(aurant,bobby shop,plumbing store): 1 SUN � g 2004 SAWN pF QUE OBliRy p CODE BUILDING 1 Owner oflImperty: Address: I Cc I e h wou cl A ve , je- Phone Number: cif 3-,3 Pleas,-Provide an accurate layout ofyour store showing all walls, exits,stockrooms,rest rooms, counters and fixture layout on a seParate sheet of paper. Signature: 41 a, C�v-,' Date: (o - 7-0 ofperson.rubndaingthis)6rm. Property Tax Map No d-771—L— Zlq' Notes/Comments: 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 II SCHEDULE ( r Received: - --Permit# 00 -j`f �� INSPECTION ON: � - �� 7 Name: �JS�c�. �.'(h� ��tuit� J-rh rn4� Loo cJo Location: � l j4t�iuu� � `� AM PM ANYTIME APPROVED- - _ _ -- --- --- N/A YES NO COMMENTS EXITS -- — EXIT SIGNS_NOR_MAL --- • =BATTERY �CC EMERGENCY LIGHTING _ FIRE EXTINGUISHERS - FIRE ALARM SYSTEM —j- FIRE SPRINKLER SYSTEMS FIRE SUPPRESSION SYSTEM D I _I ]� HOONSTALLATION � ` INTERIOR FINISHES STORAGE — - - - COMPRESSED GAS-- --- _ CLEARANCE TO SPRINKL tRG -- CLEARANCE TO HEATING UNITS _ CLEARANCE T®ELECTRId-AL REQUIRED SIGNAGE EMERGENCY PLAN_ MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL FACTORY BUILT ROUGH IN FINAL ----- STOVE ROUGHIN FINAL_ _ VENTED GAS APPLIANCE ROUGH IN FIREPLACE FINAL --- ----- MASONRY ROUGH IN OK THIS DATE F R CO NOT OK --__—__ -__ _ FINAL - FIREPLACE -- ___._ FACTORY BUILT ROUGH INJIV INSPECTED BY FINAL CO MDEV/CHRIS JMIORDILETTERS2001/FIREMARSHALI NS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY SUN-24-2004 04 :52 PM P 0a Ss, S� v�. 'Doo 1, P. 02 JIJN-24-2004 04 :52 PM c V� CAL' F r7 } o �r J� f /J- �r Town of Queensbury 3 Fire Marshal's Office 742 Bay Roads Queensbury, NY 12804 Phone (518) 7E1-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE 7 Received: _—Permit#� �� INSPECTION ON: .r U c� Name: S`60L �`�^- tm��atp nQacA�O � `� AM ANYTIME Location: 7 -- -- APPROVED N/A YES NO COMMENTS EXITS _ ---~ AISLE WIDTHS__ EXIT SIGNS _NORMAL_ BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS xI' FIRE ALARM SYSTEM _ — CY- `L-C l FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM___ HOOD INSTALLATION INTERIOR FINISHES STORAGE _ COMPRESSED GAS___ _ CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING — UNITS x CLEARANCE TO_ELECTRICAL_ REQUIRED SIGNAGE ^^ . EMERGENCY PLAN_ MAXIMUM OCCUPANCY SIGN_ CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY—+—�— -- I FACTORY BUILT ROUGH IN _ _FINAL — STOVE ROUGH IN FINAL _ VENTED GAS � APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE FOR CO NOT OK —��— FINAL FIREPLACE FACTORY BUILT ROUGH IN --------------�— INSPECTED BY FINAL � - COMDEVICHRISJIWORDILETTERS2001/FIREMARSHALINSPECTIONREPOR YELLOW—OCCUPANT COPY WHITE—BUILDING DEPARTMENT COPY