1999-592 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ce.,re eA 19 99
This is to certify that work requested to be done as shown by Permit No. n ,
• , has been completed.
This structure may be occupied as a CERTIFICATE OF OCCUPANCY
Location. 2 7 8 QUAKER RD.
Owner nr1r°Valg1 TPV oT('eT,R £. pTpr.
TAX MAP NO. 10 7. ®1—5 8 By Order Town Board
TOWN OF QUE NS URY
r2a/11,
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ ; 0 TOWN OF :.QUEENSBURY No. 99592
TAX MAP NO 107. .-1-58::
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to. QUEENSBURY 'CIGAR & PIPE
OWNER of property located at 2,78 QUAKER RD Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a CERTIFICATE OF .OCCUPANCY
at the above location in accordance to application together with plot plans and other information hereto filed and.
approved and in compliance with the Town of Oueensbury.Building and Zoning Ordinance.
1.OWNERS Address is
278 QUAKER ROAD
QUEENSBURY, NY 12804.
2.'CONTRACTOR or BUILDERS Name •
3. CONTRACTOR or BUILDERS Address'
4. ARCHITECT'S Name
5. ARCHITECT'S Address
•
6 TYPE of Construction-(Please indicate by X) CERTIFICATE OF _:OCCUPANCY °:ONLY
. )Wood Frame ( I Masonry ( )Steel 6. )
7. PLANS and Specifications
CERTTFICATE.;.OF, OCCUPANCY,.`ONLY NO STRUCTURE„WORK. TO BE. DONE
8: Proposed:Use
•
CERTIFICATE OF, OCCUPANCY
0 ... September
23 200,1
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19,
(If a longer period is required an application for an,extension must be made to the Building and Zoning inspector of,the
town of Oueensbury before the expiration date,
23 September 1999
Dated at the Town of Oueensbury;this Day of 19'
SIGNED BY 1� N`^!��— •'
for the Town of Queensbury •
Building and;Zoning l Asps,,
401
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENTRE
� k
531 Bay Road975
V ®
Queensbury, NY 12804 SEP 1 6 7999
(518) 745-4447 TO N i OF
C UEENSBURY
NEW BUSINESS DUI`®ai�O k+�1D CODE
CERTIFICATE OF OCCUPANCY PERMIT
(For occupancy only, with no work requiring building permit)
No Fee Is Required For This Permit
PLEASE FILL OUT AND RETURN TO ABOVE ADDRESS
Name of Business: e-k-')k-ke e i'.5.Ov\Ar Cc f 1t6�2—
Ad dress: 01 a V 4 �� 1Z d / v`C e vz S b
Person in Charge or Manager: IL 1 c_ —3-cJ5 rl
Business Phone Number: ' ' (99 Co
Type of Business (i.e., Mercantile, Restaurant, Hobby Shop, Plumbing Store):
Owner of Property: kA (y' cl
Address: g Sc — t/ d. c LA-e-e,vi s't�✓�
phone Number:
' - • ' Co
Please provide a layout of your store showing all walls, exits, stockrooms,
rest rooms, counters and fixture layout on a separate sheet of paper.
Please try to make the drawing as close to scale as possible. -7
•
' Signature of person submitting this form:
Office Use Only
Property Tax Map Number: /07 , - Date Received:
"k4A
�� 1 152
FIRE MARSHAL
„• TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518)761-8205
FIRE MARSHAL INSPECTION REPORT
(
REQUEST RECEIVED `' J o/ Ise
NAME ��er kttj ' cif►�.. 4 j
LOCATION 7e CabcVa" PERMIT# Z'
SCHEDULE INSPECTION ON (3[ 501,Z
(�,MA )PM
APPROVED
N/A S NO
EXITS t
AISLE WIDTHS I` /
EXIT SIGNS 1
EMERGENCY LIGHTIN
FIRE EXTINGUISHERS ' di-°
FIRE ALARM SYSTEa) 11(
FIRE SPRINKLER SYSTEM
• 'FIRE SUPPRESSION A'STEM >
;; HOOD INSTALLATION/
Qr
INTERIOR FINISHES
' STORAGE: X
CLEARANCE TO SPRINKLERS
CLEARANICE TO HEATING UNITS 3e"
REQUIRED SIGNAGE • X
CHIMNEY
WOOD STOVE
-FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL X
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
FIRE MARSHAL
f. . TOWN OF QUEENSBURY
` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 91 301C/9
NAME e t (aq s12,
LOCATION 27q Iduarer PERMIT# 9951 z
SCHEDULE INSPECTION ON l:30
(11,g PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS '
EMERGENCY LIGHTING
FIRE EXTINGUISHERS _ >'
FIRE ALARMSSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST'M
HOOD INSTALLATION �Yl
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS X
REQUIRED SIGNAGE 'xt
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN '
❑FINAL
REMARKS: YIN OK TO THIS DATE
N.
11.)j
INSPSLIP,PUB INSFECTOR
a�
4
cbb RECEIVE',
SEP 1 6 7999
S-C)r �_ TOWN OF QUEENSBURY