2002-376 SBURY
TOWN OF QUEEN
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERT IFICATE OF OCCUPANCY
Permit Number: P20020376 Date Issued; Friday,May 17,2002
This is to certify that work requested to be done as shown by Permit Number P20020376
has been completed,
Tax Map Number: 523400-295-008-0001-002-000-0000
Location; 1161 STATE ROUTE 9
Owner: DONALD T DANIELS
Applicant: ELLIPS CAFE
This structure may be occupied as a:
By Otder of Town Board
Certificate'dOccupancy(COM) TOWN OF QUBENSBURY
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: P20020376 Application Number: A20020376
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: ELLTE'S CAFE
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)
I GILMORE Ave Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-376 ELLIE'S CAFE
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$0.00., PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 17,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qncensbury before the expiration date.)
Dated at the To 792002
SIGNED BY e7 z for the Town of Queensbury.
Director of Building&Code Enforcement
a a a a a
BP File —
Dept. of Community Development C+ertlficate of
Town of Queensbury
742 Bay Road Occupancy Permit >`,
Queensbury, AT 12804
(518) 761-8256 fi
For occupancy only, with no work requiring building permit: no fee required for this permit.
ECEVED
MAY 10 2002
Name o'fBusiness: Z. L I E 1:1 - C 9 F r. TOWN OF QUEENSBURY
1'� _�+�CQQE
Address:'
Person in Charge or Manager: A r p h
Business Phone Number: D104 ) ce'-C I
Type of Business: (i.e.,mercantile,restaurant, hobby shop,plumbing store):
PC
o
Owner of Property: _ )on La n I P,f
Address: 1 GI ImoCe Ave- GlApQ ns61 t eA
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: 5 0 �
of per# submitting this forr
i
Property Tax Map No. I
Notes/Comments:
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(518) 701-8205
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FIRE MARSHAL INSPECTION EPORT
REQUEST RECEIVED .�::- ).-t' PERMIT 0 -37
NAME EF-llh
LOCATION
SCHEDULE INSPECTION ON
PM NYTIME
to +A tA) APPRaVED leaAjac N/A, YES Na
EXITS
AISLE WIDTHS
EXIT S14GNS
EMERGENCY LIC31-ITIN<3 4Q
FIF,3E EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER. SYSTE JS rS
FIRE SUPPRESSION SYS m
HOC)ID INS-IFALLAL-ATIC)N
fNTERIC:)F;,' FlNISI-jES
ST(DRA(3E:
CLEARANCE T(D SPRIN ERS
CLEARANCE T40,,�� UNITS
VIX.
REQUIRE[? SIONAC3E
CHIMNEY
WOC>D STONE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: (DK TO THIS DATE
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FIRE MARSHAL INSPECTIC>N REP(DRT
REQUEST RECEIVED 25/1 PERMIT 0 J~,ZL,-f-
NAME
LC)CATIC)N
SCHEDULE INSPEOTI(DN C)N
AK< PM ANYTIME
APPROVED
N/A YFp NO
EXITS
AISLE WIDTHS
EXIT SI<3;NS
EMERGENCY 1-101-ITINC4
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLEIR. SYSTEM
FIRE SUPPRESSIONSY
HOOD INSTALLATION
INTERIOR FINISHES
S-T<:)RAC3E:
CLEARANCE TO SPRI14KLERS
CLEARANCE TO HEAj-tIN(3 UNITS
REQUIRED St NA<3E
CHIMNEY
WOOD STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: OK TO THIS DATE.
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