2003-295 3 9 DA:�S
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# INSPECTION ON:
Name: \ \ I AM PM ANYTIME
Location: (� 7
A►PPROV D
N/A YE NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY !�
LIGHTINGEMERGENCV
FIRE EXTINGUISHERS RS �, n� C 4 I�i� j� I ��
FIRE ALARM SYSTEM ? v`
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS X/
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FIREPLACE FINAL
' MASONRY ROUGHIN
OK THIS DATE FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMDEV/CHRISJIVIIORD/LETTERS20011F IREMARS HALT NSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Fee Paid: / 0 '
TOWN OF QUEEVSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #: r
(518) 761-8256
SIGN PER141T APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED
1. Detailed drawing or photo of sign. MAY 1 9 2003
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land. TOWN OF OUEENSBURY
BUILDING AND CODE
OWNER OF PROPERTY ��_� y ILJ , LA L 17 2
ADDRESS 3 y' H I L e fJ :D2 U is,3U o TEL. 9Z -7 SS
NAME OF APPLICANT `f 3��
ADDRESS A v-, TEL.
BUSINESS NAME IF DIFFERENT: E -0 0 Y C- 0 t K o C" R-P G G
TYPE AND LOCATION
Check What Applies: Existing __ Permanent _ Projecting Sign
Temporary Non-conforming Existing
Free-Standing _�, Wall __ New
Location: Tax Map Number _ Oq 7_02 - I-Sy
Address
0
Proposed Setbacks from Property Line (front) j (side) _
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 3 ft. Length � � �� ft.
Total Square Footage:
Sign Copy: _E 02 �.� ; r -o Q r G, L fi J <- 0O n n-t- 6 L J J „
Color and Material To Be Used:
Signature: ^-�-�
Circle One: - pplican , owner, contract Ur or agent.
I HEREBY AUTHORIZE APPLICA TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property O�ner: L_J'k�
ORIGINAL-Office Copy Y-Applicant
CA
ISO
2003
O�
-,k3 CODS
To ItAG
-y
J,
RECEIVED
MAY 1 9 2003
TOWN OF QUEENSBURY
r ' tOUILDING AND CODE
.p
r
of P aB� ►
{ 3 6
S
k
J
F
t
1
t
F'