2005-490 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
(Z)w Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050490 Date Issued: Tuesday, July 05, 2005
This is to certify that work requested to be done as shown by Permit Number P20050490
has been completed.
Tax Map Number: 523400-288-000-0001-055-000-0000
Location: 1439 STATE ROUTE 9
Owner: L. & M. ASSOCIATES L.L.C.
Applicant: DELIA'S (NORTH SHORE SALES, INC.) FRENCH
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ®�
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
y
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050490 Application Number: A20050490
Tax Map No: 523400-288-000-0001-055-000-0000
Permission is hereby granted to: L. & M. ASSOCIATES L.L.C.
For property located at: 1439 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: L. & M. ASSOCIATES L.L.C.
1439 STATE RT. 9 SUITE 16 Certificate of Occupancy(COM)
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
DeLia's
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, July 05, 2006
(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 uee ury; ueW7r
05
Y the Town of ueensbu .
SIGNED BYQueensbury.
Director of Building&Code Enforcement
BP File#
New�i RS121eSS
Dept of Community Development Ce11Cate Of _
�2 y wdb'"'' OCCupaa►zcy PermI ' IVED
&eensbury,IVY 12804 JUN 3 0 2005
(518) 761-8256
T
_ EtJRl'
For occupancy only, with no work requirin buildin it: no ee r uired or this 11-0 !' IG,,A L)CODE
S gP f f 1'e --- .._... �- ---�
�—i S /�(OIZ 4 S oR s _ L�
Name of Business:
Address: G 'Z
Person in Charge or Manager. .�0 /►�. (� E
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: �-- YYt 0 SS o(- ( A TC'
_ - Address: 1 � S � .-Qo,° LIB,.. �ofL( K. 2-9 kf f-
Phone Number. -
Please provide an accurate layout of your store showing all walls,ctWs,stockrooms,rest rooms,
counters and fartare layout on a separate sheet ofpaper.
Signature: Date. L-29 -o f
f erne submittingthisfo
Property Tax Map No.
Notes/Comments:
Town of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE:
BUSINESS NAME: A)0 o4
BUSINESS ADDRESS: 2y R6,y A,_ kmN®�; 3 l 1) �`� G j
BUSINESS PHONE:
HOME
CONTACT 1: 1�00AJ ICCrJFDvl PHONE W I S14-g2ts
ADDRESS: 1 �f P►t . 1�b�- �rLT 1v ►��,
HOME �51 f5 '7y
CONTACT 2: -6 E-n4 PHONE S 1 b
ADDRESS: 4 j
This form is used to assist Emergency Service personnel who may be
called to your business after hours. Please be sure that the persons listed
on this form will be willing and available to respond during off-hours to
assist Police and/or Fire personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST
EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO
YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE
Fire Marshal Steve Smith, Deputy Fire Marshal Make Palmer
Phone 761--8205, FAX 745-4437
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11 V IE D
JUN '3 0 2005
T 0 BAl N 0 8 U R Y
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Town of Queensbury
Fire MarshaPs Office
742 Bay Road
Queensbury,NY 12804
Phone 513 761$205 Fax 518 745 4437
Facts about inspections: The hire Marshal's office conducts
inspections periodically, to assure compliance with NY State Fire
Prevention and.Buildiang Code.
Self check help sheet—
r
Exits and paths to exits must be maintained clear of obstructions and free of
types of locks.
Exit Si must be illuminated. Test battery if backup is provided.
� �'y �P
Emergency Lights must function when the power is out. Battery backup is
provided, and should be tested regularly.
Sprinkler Systems require annual testing. Risers must be accessible,and
storage must be 18"below_sprinkler.heads, on a level plane.
l' ti
Electric Panels must not be obstructed._tQpe_r_circuit labeling should be
affixed. All circuits should be filled.No storage in these rooms.
Aisles must be maintained clear of all obstructions.
Fire Extinguishers must be hung and be clearly visible. Extinguishers
require annual inspection by qualified service personnel.
y-F e System-fo wWa m&al-components require-annual-inspestion -—
by qualified service personnel.
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 r
Request SCHEDULE
� � INSPECTION ON:
Received: Permit#
Name: i-in AM PM ANYTIME
Location: 1
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH a
SECONDARY AISLE WIDTH
EXIT SIGN—NORMAL
EXIT SIGN-BATTERY �f
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG—i
FIRE EXTINGUISHER
INSPECTION
FIRE EXTINGUISHER HYDRO S
FIRE ALARM SYSTEM _ a/
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 DAT FOR CO NOT OK
�--INSPIMTED BY
COMDEVICHRISJNIORD/LETTERS2001/FIREMARSHALINSP IONREPORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY