2003-011 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: P20030011 Date Issued: Friday, January 17, 2003
This is to certify that work requested to be done as shown by Permit Number P20030011
has been completed.
Tax Map Number: 523400-288-000-0001-058-000-0000
Location: 1471 STATE ROUTE 9
Owner: MITCHELL COHEN
Applicant: SILVERWEAR
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: P20030011 Application Number: A20030011
Tax Map No: 523400-288-000-0001-058-000-0000
Permission is hereby granted to: STT.VF,RWFAR
For property located at: 1471 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. Tine of Construction Value
Owner Address: MITCHELL COHEN
P.O. BOX Certificate of Occupancy(COM)
Total Value
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-0011 SLIVERWEAR
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,January 17,2004
(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 ueens , ry; 1 y,January 17,2003
SIGNED BY for the Town of Queensbury.
Iv-
Director of Building&Code Enforcement
BP File#z1: 003- O/!
New Business
Dept. of Community Development Certificate 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.
RECEIVEM
JAN 17 2003
RY
Name of Business: 1 VLT��-� T�UILDIN A D CODE
AND CODE
��y
17/ sJ(fe- W, 70 Address: L k, G2- ,
Person in Charge or Manager: gc,!0_1 c-m r (SPA e- d\
Business Phone Number:
Type of Business: (i.e., mercantile,restaurant,hobby shop,plumbing store):
1 50.le S
Owner of Property: Or- l lc lcl.11
Address: V.7 9 C,,
el U
Phone Number: 7 0-0 ZD�
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a sepa e l: t of pa er.!"'
/.
Signature: Date: al /71 3
_fperson submitting this form:
�g$1606-1-��
Property Tax Map No.
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 SCHEDULE
Received: Permit# ,� r I2// INSPECTION ON:
Name: CkN/ _ AM PM ANYTIME
Location; Lt
APPROVED
N IA YFqS NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS—NORMAL ,,11` /,
- BATTERY J�Y� V G V la Ul(��✓ l + 414,i
✓�EMERGENCY LIGHTING ---. Gt..
FIRE EXTINGUISHERS l
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM _
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE
p L
COMPRESSED GAS`
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING _
CID
UNITS OK
CLEARANCE TO ELECTRICAL J V�
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN x
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL-
WOOD
STOVE ROUGHIN
FINAL `
VENTED GAS
APPLIANCE ROUGH IN
FINAL ! —
FIREPLACE
MASONRY ROUGH IN ®K THIS DATE ®fit FOR CO NOT OK
FINAL ��`�_
FIREPLACE v--r-- -
FACTORY BUILT ROUGH IN IN PE E 13Y
FINAL ZN
COMDEV/CH RISJMMORD/LETTERS2001/FIRE MARSHALINS PECTIONREPOR`r11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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