2002-617 F
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f iLl E P1
Community Development-Building&Codes (518)761-8256
CE RT IFICATE OF OCCUPANCY
Permit Number: P20020617 Date Issued: ' Monday,July 22,2002
This is to certify that work requested to be done as shown by Permit Number P20020617
has been completed,
Tax Map Number: 523400-288-000-0001.058-000-0000
Location: 1471 STATE ROUTE 9
Owner: BABARBA WHITE
Applicant: LORI&COMPANY
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy(COM) TOWN OF QUEENSBURY
Director of Building&Code Enforcement
BP File#
INToamw IE3-axmjU' mtemm
Dept. of Community Development C`ex t!Xlc=be 4DT
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for tA*rIniP
TOWN OF QUESNSj3Ujjy
%L"-QI-[YqA_ND CODE
Name of Business:
Address: LW�L Q-egy') BL15
Person in Charge or Manager:
Business Phone Number: 143-&S�o
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
067-
Owner of Property:
Address:
Phone Number: I b k-0 a CG
Please provide an accurate layout of your store showing all walls, exits, stockrooms, r stooms,
counters and fixture layout on a separate sheet ofpaper.
Signature: 42 'Uca'0 Date-/T"�"f
ofperson submitting this form:
d.
Property Tax Map No.
Notes/Comments:
Town of Queensbury 7
Fire Marshal's Office c 00�
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: -T-
JUL
���10
BUSINESS NAME Lon' or -pan
x, OVT h�j 98C I5
BUSINESS ADDRESS: L4-1 9 �bA oae- Qt L-av
BUSINESS PHONE L4 S - B *&v
CONTACT 1: Loy- AUbkb HOME
acck PHONE-1 W-1-0'300'
TOWN RESPONDING FROM: 4, tAdSOV) V7(AM- , 1-awq
HOME
CONTACT 2NOMC-L ci)v--,en PHONE U048
TOWN RESPONDING FROM:
CONTACT 3 bbayd HOME
PHONE- 1% 61
TOWN RESPONDING FROM: (al
Fire Marshal Chris Jones, Deputy Fire Marshal Steve Smith
Phone 761-8205, FAX 745-4437
Town of Queensbury 1 fl��
Fire Marshal's Office
742,Bay Road
Queensbury,NY 12804 {
LPhor
Received: e(518)761-$205 Fax(51$)745-4437 jf�M1�271 % �1
�,� Fire Marshals Inspection Report
Request SCHEDULE
` ° Permit�� INSPECTION ON:
LO'�1 AM PM NYT[NtE
Name: '
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL,
- BATTERY 6
EMERGENCY LIGHTING
FIRE EXTINGUISHERS IX 1. i,4t 0 44 , ,
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM x !'
FIRE SUPPRESSION SYSTEM `
HOOD INSTALLATION
INTERIOR FINISHES x _
STORAGE x
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING p�t `'�
CLEARANCE TO ELECTRICALITS V
REQUIRED SIGNAGE X ' ,�1
EMERGENCY PLAN t
MAXIMUM OCCUPANCY SIGN ,/� wt
CHIMNEY �r
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL '1
WOOD .
STOVE ROUGH IN ?�/W�►Yt]3 liCl
FINAL
VENTED GAS
APPLIANCE ROUGH IN
' FINAL-
FIREPLACE
MASONRY ROUGH IN dK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE f
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEVICHRISJIWORDlLETTERS2oo 1/FIREMARS HALINSPECTIONREP"ORT11022001
YELLOW-OCCUPANT COPY
WHITE--BUILDING DEPARTMENT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road Q d
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
!Fire Marshal's Inspection Report
Request SCHEDULE
Received!: Permit# 9cc;l(j1,.2_._. INSPECTION ON: )7 a .�...
Name: �--4�� AM PM ANYTIME
Location.
APPROVED
N/A ES NO rr -- COMMENTS
EXITS "•- �tg�z .U� S
AISLE WIDTHS
EXIT SIGNS-NORMAL ` y�
- BATTERY ,— I't t�l~ G t
EMERGENCY LIGHTING
FIRE EXTINGUISHERS Cd
FIRE ALARM SYSTEM --
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE � �CcY\3 �)o—:ME-D
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL �`o``-
CHIMNEY (rj,ryt �t [�
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE R C NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECT
FINAL
COMDEVICHRISJNVORD/LETTERS20011FIREMARSHALINSPECTIONREPORT1111022QUO -OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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