2004-549 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: P20040549 Date Issued: Tuesday, July 20, 2004
This is to certify that work requested to be done as shown by Permit Number P20040549 -
has been completed.
Tax Map Number: 523400-288-012-0001-002-000-0000
Location: 1499 STATE ROUTE 9
Owner: OCSAP LTD. A MAINE CORP.
Applicant: DEXTER SHOES
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
Director of Building&Code Enforcement
BP File# O — 5Z
Nt��T'B�11S11'1ESS
Dept. of Community Development Of
Town of Queensbury QCCZ1 a11C peY'1111t
742 Bay Road p y
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee req
Api4ication
AL 1 24
Name of Business: ofnxLevt? 6 Q —5 'Administrator
N F DUEENSBURY
Address: Q
Person in Charge o Manager:
Business Phone Number: .7�'��- qZ_2
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
-71
Owner of Property:
Address:
Phone Number:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a se rat eet of paper.
Signature: Date:
o Person s bm g this form:
Property Tax Map No.
Notes/Comments:
Town of Quaensbury Zvi
Marshal's Office
742 Bay Road
Queensbury, NY 12804 J�PC kOl
Phone (518) 761-8205 Fax(518) 745-4437
now. 11
Fire Marshal's inspection Report
Request SCHEDULE t�
Received; --Permit# — IIVSPECTI®N C�fil: / 'G `J
Name: � i� h Y10 p AM PfVi ANYTIME
Location.•
APPROVED -
�.�_ A ES NO COMMENTS
EXITS
AISLE - � LeEXIT SIGNS NORMAL �
- BATTERY _ `
1
EMERGENCY LIGHTING
FIRE EXTINGUISHERSW�(-,1�(�vV
FIRE ALARM SYSTEM � 1!
FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM -- � [jejHOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS_—
CLEARANCE TO SPRINKLERS r .
CLEARANCE TO PLEATING!
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN'
MAXIMUM OCCUPANCY SIGNt j� j C lll"-C-CC
CHIMNEY —
MASONRY �ROUGH IN
FINAL
CHIMNEY _ - I
FACTORY BUILT ROUGH IN0
FINAL
WOOD --- _� _.�_
STOVE ROUGH IN DK {
FINAL_
VENTED GAS __
APPLIANCE _ ROUGH IN
FINAL J�,
FIREPLACE
MASONRY! _ _ ROUGH IN ► = OK THIS DATE OK R CO NET ®K
-- FINAL _
FIREPLACE
FACTORY BUILT ROUGH IN SPECTE
------
FINAL -
-`-� COMDEV/CHRISJNVORD/LETTERS2007/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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