2004-523 ior
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: P20040523 Date Issued: Tuesday, November 16, 2004
This is to certify that work requested to be done as shown by Permit Number P20040523
has been completed.
Tax Map Number: 523400-302-008-0001-037-000-0000
Location: 278 QUAKER Rd
Owner: EDWARD & ROSE MARIE MURRAY
Applicant: ADIRONDACK WINE MERCHANTS
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: P20040523 Application Number: A20040523
Tax Map No: 523400-302-008-0001-037-000-0000
Permission is hereby granted to: ADIRONDACK WTNR MF,RC;HANTS
For property located at: 278 QUAKER 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: EDWARD &ROSE MARIE MURR
Certificate of Occupancy(CON)
C/O VELOCITY EXPRESS INC. Total Value
BLDG. B SUITE 300
1 MORNINGSIDE Dr N
WESTPORT. CT 06880-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-523 ADIRONDACK WINE MERCHANTS
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, July 08, 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 To of u d July 08, 2004
eens
4
SIGNED BYpv' for the Town of Queensbury.
Director of Building&Code Enforcement
J
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 t- -Z. SCHEDULE
Received: Permit# � INSPECTIO. ON:
6A—M
Name: l PM ANYTIME
Location: al`A ICS y:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH CVW
SECONDARY AISLE WIDTHt/�1���
EXIT SIGN-NORMAL -�
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER )INSPECTIONFIRE EXTINGUISHER HYDROC)[C'
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
FIRE LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE- O CO NOT OK
INSPECTED BY
COM DEV/CHRISJMlORDILETTERS2001/F IREMARSHALINSPECTIONREPORT11022001
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
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# ,��6�� INSPECTION ON: t 0,)1G��
ov
Name: 'Poo bj I �� �m&ndlo g, `� AM M ANYTIME
Location: Qoar<yl, 4
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE _EXIT DISCHARGE n ck�. .� \` �'i kU..��
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO
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
FIRE'LANE
F.D.SIGNAGE-UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
' K/ NOT OK
OK
OK THIS DATE `# FO CO )
I
INSPECTED BY
COMDEVICHRISJMIORDlLETTERS20011FIRE MARS HALI NS PECTIONREPORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
~' Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queen§bury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE l
Received: Permit# l 7 INSPECTION ON:
Name: f fl m ��1�I= �' + L�I��"�j 01 3U AM PM ANYTIME
Location: ,A�t5 \- ��
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE L:J
EXIT DISCHARGE .
MAIN AISLE WIDTH
SECONDARY AISLE'WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHER'HUNG. r,
FIRE EXTINGUISHER fS� �L� `� IsGb�fC�-lL�
INSPECTION
FIRE EXTINGUISHER HYDRO
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
FIRE LANE
F.D.SIGNAGE—UTILITY ROOMS
NO SMOKING SIGNS
MAXIMUM.OCCUPANCY SIGN
EMERGENCY EVAC PLAN
OK THIS DATE K OR CO OT OK
INSPECTED BY
COMDEV/CHRISJ/WORD/L.ETTERS2001/FIRE MARS HALINS PECTIONREPORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
Town of Queensbury
-�
Fire Marshall'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: '
Name• _. Y�r l�� 1 c�' r�C�'r V Y�111, I� �(2 ANf PM ANYTIME
Location: __ t 3 o^1 f P,�,
APPROVED
--�-� FIANO COMMENTS
EXITS __ �_____— -AISLE WIDTHS U t�t, t - � i h i� '� NA�EXIT SIGNS-NORMAL i S (R��. �j \pS5BATTERYEMERGENCY LIGHTINGFIRE EXTINGUISHERSFIRE ALARM SYSTEM ✓ _
FIRE SPRINKLER SYSTEM _
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION --- _-
INTERIOR FINISHES
STORAGE �-
COMPRESSED GAS__
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATINGUNITS
—
CLEARANCE TO ELECTRICAL C SAS
REQUIRED SIGNACGE
EMERGENCY PLAN_ t Ski
MAXIMUM OCCUPANCY.SIGIV X r-' V l
CHIMNEY
MASONRY ROUGH IN
FINAL lvP�
CHIMNEY
FACTORY BUILT ROUGH IN
-- FINAL E L-I
WOOD
STOVE ROUGHIN
FINAL _
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE -_T—.---W
MASONRY ROUGH IN OK THIS DATE OR CO (OT OK
FIREPLACE
FACTORY BUILT ROUGH IN IN ECTED BY
---_—FINAL -
COMDEV/CHRISJANORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
1U�
�n N CL)s1��Ct r-S Y1�1 �C
Town of Queensbury
Fire Marshal's Office �8
EMERGENCY CONTACT UPDATE
3
f Lrms 2000
TO: WARREN COUNTTSHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: o 4 \'
BUSINESS NAM: �
BUSINESS ADDRESS: 7v � �
BUSINESS PHONE: .��� g ' 7 9,3 c3(-v 4
CONTACT l: HOME—
PHONE .I-/g
TOWN RESPONDING FROM:
n HOME
CONTACT 2: t 14' , r{ PHONE 5c 9 793 E-30 9
TOWN RESPONDING FROM:
HOME
CONTACT 3: _ 4AZZ—i,-o S K—c PHONE
n
TOWN RESPONDING FROM: < Let,,S -7'! 4 (S
Fire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer
Phone 76I--8205, FAX 745-4437
. BP File# �} —
IWe-%mr$AS111eSs
Dept. of Community Development Cew tlflCate 4 f
Town of Queensbury Occupancy Permit
742 Bay Road
Queensbury,AT 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
r
Name of Business: A6je_C'1L16AC_4 6J'1'1�
Address: 27 0U4'iCLyz_ V:X-6
Person in Charge or Manager: e,U,
Business Phone Number: 1 7E3 RECEIVED
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing stW&)&) U 7 2004
TOWN OF QUEE ANDCODEY
Owner of Property:
Address: 1 7�_
Phone Number.
Please provide an accurate layout of your store showing all walls, exits, stockrooms,-rest rooms,
counters and fixture layou;on a s arate sheet of paper.
.t
Signature: _ Date: 7 L
ofperson submitting this orm:
Property Tax Map No 0 U I/
3 -1
Notes/Comments: