2002-419 TOWN OF QUEENSBURY a
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING•PERMIT
Permit Number: P20020419 Application Number: A20020419
Tax Map No: 523400-288-016-0001-001-000-0000
Permission is hereby granted to: BRANDNAMF,CLOSE OUT
For property located at: 1424 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 fled
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: LAKE GEORGE PLAZA LLC Certificate of Occupancy(COM)
C/O GREENRIDGE MANAGMENT Total value
701 WESTCHESTERAve
WHITE PLAINS,NY 10604
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-419 BRANDNAME CLOSE OUT
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE.
$0,00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 30,2003
(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 thvTM pf Qu sb Pursday,May 30,2002
SIGNED BY for the Town of Queensbury.
S Q �Y•
Director of Building&Code Enforcement
BP File#
Dept. of Community Development Of
Town of Queensbury Occupancy Per�riit
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiting building permit: no fee required for this permit.
RECEIVED,.
MAY 2 3 2002
TOWN OF QUEENSBURY
Name of Business: e_ C/, a ou BUILDING AND CODE
A L
Address: KT zq)e 1�eovl?e_
Person"in Charge or Manager: e Nr e _.a M S
Business Phone Number:
Type of business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
mg
eT 9 q 4
Owner of Property: r e-e h
Address: a_Zee C I,.. -7;7!Q im
Phone Number: Ma— �1 3
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate Beet ofpaper.
Signature: Date:J"-11-11-�2
of per mitting this form:
Property Tax Map No.
Notes/Comments:
1
EmergencyO)A cua , 7' ,
call 911 if ffwe&titre
exitbuildh7g
Try to help ct cstbrners out
.ALL ;reset h7 back next to
ck cuic` crn t tie heart rot �
breaker'
4-J
`"!t cash cut
Fire Extinguish
Exit Exit
raceme Closeout
Bargain Basement
kN E=
FIRE MARSHAL
r(Z>VVM OF CD.FUaE--=ME3E3UF1'")r
C4UIF-=F-=M---:;E3UF::Z-Y-, P4-Y 12804
C518) 701-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED -!5wl1j5-- PERMIT0
-419
NAME 13 i�vvik
LOCATION
SCHEDULE INSPECTION ON
f�F�� M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT Sl<:3N8
EMERC3ENCY LI<3HTfN<3
FIRE EXTINC3U[SHEI:ZS
FIRE ALARM SYSTEM
FIRE SPRINKLER. SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNI S
REQUIRED St NAGS
CHIMNEY
WOOD STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: OK -rO THIS DATE
� - - - C y
INS CTOR
F=IF:Za MARS FAAiL-
-r(=WVM <::>r-= ClLJr-=l=N BE3LJF;,,Y
CMJr-=F=M,4:3aUF;,'N% M*"',e 12804
(518) 76-1-8205
FIRE MARSHAL INSPECTIC>N REP(DRT
REQUEST RECEIVED P E R M I T 0
1
NAME 7T a,%& MWW�- fn
LC>CATIC>N L'o-16&
SCHEDULE INSPECTIC:)N CAN
A6&M NYTIME
APPR40VED
N/A YES NO
EXITS
AISLE WIDT
,
EXIT SIGN
EMERC3ENO LI(3H IN(3
FIRE F-XTIN(2; ISHE S
FIRE ALARMS ST
FIRE SPRINKLE STEM
FIRE SUPPRES N SYSTEM
HOOD INST ON
INTERIC:)R. FINISHE
STO RAGE:
CLEARANC, TO SPRINKLERS
CLEARANC TO HEATINVUNITS
<3 R.EQUfRED SIONA
CHIMNEY
WOOD STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: F--j OK TO THIS E)A.TE
6
L Ari C- sac, + -fiaa--V� c6t
V-epu
JNSPSLIP.PUB INS kOF,'
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