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2001-077
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256. CERTIFICATE OF COMPLIANCE Permit Number: P20010077 Date Issued: Wednesday, February 28, 2001 This is to certify that work requested to be done as shown by Permit Number P20010077 has been completed. Tax Map Number: 523400-302-008-0001-028-000-0000 Location: 115 EVERTS Ave Owner: ADELPHIA COMMUNICATIONS Applicant: ADELPHIA COMMUNICATIONS This structure may be occupied as a: By Order of Town Board Removal Of Underground Storage Tanks TOWN OF QUEENSBURY ,--'‘bairiP Director of Building&Code Enforcement TOWN OF QUEENSBURY gib claw 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010077 Application Number: A20010077 Tax Map No: 523400-107-000-0001-002-002-0000 Permission is hereby granted to: ADELPHIA CABLE WAREHOUSE For property located at: 115 EVERTS Ave in the Town of Queensbury, to constructor 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: HARRON CABLEVISION OF NEW Removal Of Underground Storag 1 N MAIN St Total Value COUDERSPORT, PA 16915 Contractor or Builder's Name/ Address Electrical Inspection Agency TYREE ORGANIZATION LTD 4 NORTHWAY Ln LATHAM,NY 12110 • Plans &Specifications 2001-077 REMOVAL OF UNDERGROUND STORAGE TANKS (SUSPECTED TO BE 2-1000 GALLON) FORMER GASOLINE $100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,February 28,2003 (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 Town off Queensbury; Wednesday,February 28,2001 SIGNED BY for the Town of Queensbury. Director of Building ode nforcement .� r Pc) 100• U `J .-D-00 I ---0 7 13j2j — r:3:NrN:09T1 :. TOWN OF QUEENSBURY gypCOMMUNITY DEVELOPMENT DEPARTMNT ��VW • FIRE MARSHAL531 IIAY ROAD 200� QUEENSBURY, NY 12804 �0WN OF t� _BUILDING�D�BUR� FIRE MARSHAL SPECIAL PERMIT APPLICATI '"°p° PERMIT MUST BE OBTAINED BEFORE 13EGGINNING WORK. ALL APPLICABLE SPACES ON TIIIS APPLICATION MUST BE COMPJJfTED AND THE SIGNATURE OF THE A PPI.ICANT MUST APPEAR ON TI{E APPLICATION FORM. BUSINESS NAME (WHERE WORK/USE PROPOSED) C)Lt r63. OWNER OF PROPERTY: MAILING ADDRESS: W7 1)k Avt- G( ixlts,NY l ago/ TELEPHONE NUMBER(S): -733 y,s� PROPERTY LOCATION: _ /07 Eu&+1 At. [TAX MAP NUMBER: Section /07 Block I Lot. a-7 DESCRJPTION OF PROPOSED WORK OR SPECIAL USE: — of S'1br'a52 (S�Svzc -1 ,4c .r I 1 vp„-, re.,„_0,pa - c�llz�h�. o- s; I sq.-rid.) ON REVERSE SIDE, SKETCH LOCATION OF PROPOSED WORK OR SPECIAL USE, ON THE PROPERTY. SHOW MEASUREMENTS IF APPLICABLE. PERSON(S) RESPONSIBLE FOR SUPERVISION OF WORK/SPECIAL USE, REGARDING COMPLIANCE WITH CODES: NAME: 1 yl, 0r7v4n1Z•"1�r MAILING ADDRESS: , ,(,'), 1.2 (id TELEPHONE NUMBER(S): NAME: MAILING ADDRESS: TELEPHONE NUMBER(S): DECLARATION To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work/special use on the described premises and that all provisions of the NYS Uniform Fire Prevention and Building Code, Code of the Town.of Queensbury, and all other laws pertaining t t ! p • posed or 1 II be complied with, whether specified or noted,.and.that c i `v k is at t or e by the owner. Signature � Ownef O wner s Agent, fact rc iltect r. FIRE MARSHAL TOWN OF QUEENSBURY `*j QUEENSBURY, NY 12804 • (518) 761-8205 FIRE MARSHAL IN PECITION REPORT REQUEST RECEIVED j r 0PERMIT#420(,)1-61 j NAME -Oble `,� --hcu� LOCATION 1 J bVcA j J VC-- SCHEDULE INSPECTION ON I I��"' ZcO AM PM ANYTIM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS \ EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM I FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO PRINKLERS CLEARANCE TO EATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE Cz3 Z000 GA1 IoJ Ste I +(kr S eftvel TO e3 bk. G re)o COni'FamiY c t.i©ii • conz59 INSPSLIP,PUB INS CTOR