2003-210 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: P20030210 Date Issued: Friday, May 02, 2003
- This is to certify that work requested to be done as shown by.Permit Number P20030210
has been completed.
Tax Map Number: 523400-295-008-0001-002-000-0000
Location: 1161, STATE ROUTE 9
Owner: MITCHELL A COHEN
Applicant: STORYTOWN ICE CREAM
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
Director of Building&Code Enforcement
i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030210 Application Number: A20030210
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: STORYTOWN ICE CRF,AM
For property located at: 1161 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: DONALD J DANIELS Certificate of Occupancy(COM)
1 GILMORE Ave Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2003-210 STORYTOWN ICE CREAM
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 30,2004
(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 ZTIQUeens ry; esday,April 30,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
BP File#
Ne-sr $usiness
Dept. of Community Development Certificate of
Town of Queensbury Occupancy Per133At
742 Bay Road RECEIVED
Queensbury,AT 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this:rQ ermQF it. IRY
BUILDING AND CODE
Name of Business: �/ y 7�LJit� �'�� cte-oAm.
Address: AS7Z S% 100
Person in Charge or Manager: (���ox f J `✓y /+�
V
Business Phone Number: 7 -1 - a2 �o
Type of Business: (i.e., mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: �/�J�'j G� ZG L�� i✓
Address:
Phone Number:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: — Date: �{ o�
of per ub Uting this form:
Property Tax Ma No.
P Y P
Notes/Comments:
Town of Queensbury �
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
File Marshal's Inspection Report
Request /1 SCHEDULE
Received: _Permit#
-t� I INSPECTION ON:
Name: �� _ I"�'4�y � Gl Ea�W� AM P�M J.ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY l� ��� S CMY\ Crt`Y,
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES _CH ``J'
STORAGE U
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
:O ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN °
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL 1
CHIMNEY �
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DA►T O O CO OT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/C HRISJMIORD/LETTERS2001/F IRE MARS HALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
C
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804 f, J
Phone (518)761-8205 Fax(518)`745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit## ��3 1 INSPECTION ON:
Name: AM (PM )ANYTINIE
Location: /
APPROVED
N/A YES NO COMMENTS
EXITS 1
AISLE WIDTHS _` � 4�
EXIT SIGNS-NORMAL
- BATTERY X
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
Cit-
FIRE SPRINKLER SYSTEM "- II rJQ ^� IfC�
FIRE SUPPRESSION SYSTEM X A
HOOD INSTALLATION V1 w'-CE—
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS S -5-4-,Z4 L;r C
CLEARANCE TO HEATING
UNITS
LECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY COc nS—K r
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL C�� �1 C�!(7 i'► ' v, Cc F P 4
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE O / F R CO (NOT OK
r\
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJMIORD/LETTERS2001/F IRE MARS HALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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APR 2. 5 2003
TOWN OF QUEENSBURY
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BUILDING AND CODE
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