2004-420 TOWN OF QUEENS,BURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &`Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY.
Permit Number: P20040420 Date-Issued: Wednesday, June 09,-.2004
~- This is to_certify-that`work requested to be done as shown by Permit Number _ P20040420
has been completed. - - -
Tax Map Number: ----._
..._
523400-296-013-0001-062-000-0000
Location: .1012 STATE ROUTE 9
Owner: PETER SHABAT
Applicant: SWEET BASIL
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
Director of Building&Code nforce ent
BP File# C —
Ne�Business
Dept. of Community Development CG-'1''tiCate 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.
Name of Business:
Address: 1 0 I Z
� - 71ZECEIVED
Person in Charge or Manager:
c� UN
Business Phone Number: j(- � TOWN J NOF 0 8 2004
— 1
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store .
BUILDING AND CODE Y
Owner of Property:
Address:
Phone Number: 9 ' -7 G —
Please provide an accurate layout of your store showing all walls, exits, stockrooms,rest rooms,
counters and fixture layout on a se arate she of paper.
Signature: Date: y
ofperson mi ng hisf
Property Tax Map No. Oj�61
Notes/Comments:
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�~ Town of Queensbury
Fire Marshal's Office
742 Bay Road 'C
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
r:
Fire Marshal's Inspection Report
Request] ' �j'J� rINSPECTI
EDULE
Received; _ Permit#_ r2 O .ON:- E>NYTIME
Name: t AM/
Location• 1 . V"
APPROVED
NN/A _ YES i NO COMMENTS
EXITS _
AISLE WIDTHS__
EXIT SIGNS-_NORMAL_
~- BATTERY
EMERGENCY LIGHTING _ �� ca-
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE _
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING fi
UNITS _
CLEARANCE Td ELECTRI AL
REQUIRED SIGNAGE
EMERGENCY PLAN_
MAXIMUM OCCUPANCY SIGN v
CHIMNEY `
MASONRY ROUGH IN
FINAL
CHIMNEY -- _-- - I
FACTORY BUILT ROUGH IN
_ _FINAL
WOOD _ -
STOVE ROUGHIN
FINAL_
VENTED GAS _
APPLIANCE ROUGH IN i
--- -- FINAL .�
FIREPLACE
MASONRY ROUGH IN CTHIS OK FOR OI-VOT OK
FINAL
FIREPLACE -
FACTORY BUILT _ G ROUH IN �! INSPECTED 13
-------
_ FINAL -
11022001
COMUEVICHRISJ1WORDILETTERS20011FIREMARSHALINSPECTIONREPOR YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Town of Queensbury
Fire Marshal's Office 742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
1����► �, �i(gyp{ �7 g {i,�e ii��:��Yire Marshal's Inspection Report
;9 ast
Received: Permit# O tq A4 SCHEDULE -
INSPECTION ON:
Name: ���- 5' 3�
A OPM
ANYTIME
Location: '( C
APPROVED
EXIT N!A YE No — COMMENTS
S --
AISLE WIDTHS V
EXIT SIGNS_NORMAL_ _ �(�reLvO � V
- BATTERY ' ' I
EMERGENCY LIGHTING
FIRE EXTINGUISHERS _ t
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM__
HOOD INSTALLATION �_ X S�a" t G Vt
INTERIOR FINISHES
STORAGE _
COMPRESSED GAS 04
CLEARANCE TO SPRINKLERS
UNEARANCE TO HEATING`
CLEARANCE TO ELECTRI&AL._ _
REQUIRED SIGNAGE y ��n� �FEMERGENCYPLAN ()� Roo r"W
MAXIMUM OCCUPANCY SIG _I11
CHIMNEY — - - o e-eA`7
MASONRY _ROUGH IN
----- FINAL
11
FACTORY BUILT _ ROUGH IN
FINAL
K�
STOVE ROUGH IN
FINAL _ I
VENTED GAS i
APPLIANCE ROUGH IN t
'FINAL - ' �������
FIREPLACE &Q&rcm WI lri�C / q MASONRY R4 UGHIN
OK THIS DATE FOR OT OK
I FINAL • .4
FIREPLACE � �v FACTORY BUILT ROUGH IN (-7
lk---�-- INS E TED BY
FINAL
COMUEVIC HRISJIWORDILETTERS2001lF IREMARS HALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY