2003-891 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: P20030891 Date Issued: : Wednesday,November 19,2003
This is to certiify that work requested to be done as shown by.Permit Number P20030891
has been completed,
Tax Map Number: 523400.288.020.0001-019.000.0000
Location: 1300 STATE ROUTE 9
Owner: DOUBLE S PARTNERS,LLC
Applicant: OLDE POST GRILLE
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupmcy(COM) TOWN OF QUEENSBURY
r'
Director o£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: P20030991 Application Number: A20030891
Tax Map No: 523400-288-020-0001-019-000-0000
Permission is hereby granted to: 01,DFP0STGR17JA
For property located at: 1300 STATE ROUTE 9
in the Town of Queensbury,to construct or place
ai 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. TWe of Construction Value
Owner Address: DOUBLE S PARTNERS,LLC Certificate of Occupancy(COM)
14 LONE TREE LOOP ' Total Value
DIAMOND POINT, NY 12824-0
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
A2003-891 OLDS POST GRILLE
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE AS PER
APPLICATION
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 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 TornZoen Th rsday, October 30, 2003
SIGNED BY for the Town of Queensbury.
Director of Building Code foicement
4
BP File#
.Dept. of Community.Development
Town of Queensbury �JCC'IRp'c�21CTE'1"11'�1f►
742 Bay Road
Queensbury,NY 12804
(518) 761-8256
For occupancy onIy,.with no work requiring building permit:_no fee required for this permit. .
RE
Name of Business:.. l/I�P� OS (�Ei C E V E D �0.
Address: 1300 Ide-Zule , A /99 QCT 2 7 .2003
j TOWN OF QUEENSSURY
Person in Charge or Manager; p�,3a c,!ryQ s .''; QO j
Business,Phone Number:
-Type of Business :(i,e.;mercantile;restaurant;.hobby shop,:plumbng staxe)
_.. _
Owner of Propertyt1ll1��
Address: 14 46)ne l;ie. 400p
Phone Number:
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.' "
Signature: Girt _ Date:
of perso'sub ttin,g th•s form:
Property Tax Map No. %` 1
Notes/Comments:
i J.
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: -Z1-/Z. -O 7
BUSINESS NAME: .�
BUSINESS.ADDRESS: ..........
d!�
BUSINESS PHONE:_ _ , -/ 7V,� G Spa V
HOME �' g
CONTACT 7 a
PHONEZfeal
ADDRESS: i 11gi2
HOME ` 71
CONTACT 2: — PHONE
ADDRESS.
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 PERSONNEL.
TOWN OF QUEENS.BURY FIRE MARSHAL'S OFFICE
P h a n e: 518-761-8206 Fax. 518-745-4437
remarshal@queensbury.net www.queensburrt.net
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518:745-4]437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: _. _ .__ Permit# -3 Ac INSPECTION ON:
Name: �� 0 , Ji V�1�, O _ M PM ANYTIME
APPROVED
IU r'A YES NO ®M fIENTS
EXITS
AISLE WIDTHS
EXIT SIGNS�-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINQUISI'IERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION t f 1 O CO'
INTERIOR FINISHES _ \ �.I
STORAGE �
COMPRESSED GAS
CLEARANCE TO SPRINKLER§
CLEARANCE TO HEATING
UNITS V
OLTEARANGE-TAXELECTRICAL �A
REQUIRED SIf3NAt3E
EMERGENCY PLAN OK
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
_ FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS-
APPLIANCE ROUGH IN
FINAL
FIREPLACE ^_T
MASONRY ROUGH 114 Olt THIS O T OK FOR CO NOT OTC
FINAL
FIREPLACE
FACTORY 13UILT _ ROUGH INOTEC!BY
FINAL - ----
COMDEV/CHRISJhVORDILETTERS20011FIREMARSHALINS ECTIONREPOR`f11022001
YELLOW..00CUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road 0144?
Q
Queensbury, NY 12804
LPhone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection,Report
Rce
s 1PE7evd:
DLEe Permit# L CION ON.
Name.. AM )EANYTIM]E
APMOVEb
N/A YES NO COMMENTS
EXI
AISLETS
WIDTHS
EXIT SIGNS--NORMAL jj
d�,k Jvvo
- ATTERY
EMERGENCY B LIGHTING
F 9w
IRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION
HOOD INSTALLATION I X :--Al
INTERIOR FINISHES
STORAGE 0-5.
COMPRESSED GAS Zz' 5 CLEARANCE TO SPRINKLERS Sikff -e55 i�wyl
t�
CLEARANCE TO HEATING F
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN If
MAXIMUM OCCUPANCY SIGNC tw
CHIMNEY "&let .te hof )v
MASONRY ROUGHIN
j it 4'
FINAL box a6ove �iiji� ate
CHIMNEY.
BUILT ROUGH IN ��� '
FINAL
WOOD
STOVE ROUGH IN 3T
FINAL
VENTED GAS ��S-f
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN CO NOT OK
OK THIS DATE OK FOR
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN
INSPEff-ED BY
FINAL
COMDEVICHRISJIWORDILETTERS2001MREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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