97-402 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK •
July 30 97
Date 19 _
97402
This is to certify that work requested to be done as shown by Permit No.
has been completed.
CERTIFICATE OF OCCUPANCY ONLY
This structure may be occupied as a
5 COLLINS DRIVE
Location
ROYALTY SERVICES
Owner
TAX MAP NO e 105. - 1--11 By Order-Town`Board
TOWN OF QUEENSBURY
Director of Bldg. do Code .Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 97402
TAX MAP NO. 105 . —1-11 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ROYALTY SERVICES
OWNER of property located at 5 COLLINS DRIVE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a CERTIFICATE OF OCCUPANCY ONLY
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 Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
5 COLLINS DRIVE
QUEENSBURY, NY 12804 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDER'S 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 ( 1 Steel (
7. PLANS and Specifications
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE
8. Proposed Use
CERTIFICATE OF OCCUPANCY ONLY
July 16 19 99
$ 0 PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
16 July 97
Dated at the Town of Queensbury this Day of
19
SIGNED BY _
for the Town of Queensbury
Building and Zoning Inspector
Or i l____(-7/169____
/0 , s-
TOWN- _OFQUEENSBURY /— l
/of
•
0,1 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY, NY 12804
(518) 761-8256
NEW BUSINESS �
CERTIFICATE OF OCCUPANCY PERMIT ;r
(For occupancy only, with no work requiring a buildingpermit) oi
No Fee Is Required For This Permit ACy 4\12P ,n:
�.t%v. •" = ;
PLEASE FILL OUT AND RETURN TO ABOVE ADDRESS , , ,5 -
Name of Business: N\ h\[(G �P (' V I C P_St
Address: c C .c 11 I fR c V \(- ilre
Person In Charge or Manager: Ath\Nati\l VCR \ I(,>(Th
Business Phone Number: (7 V9 3 ; Q sg
Type of Business (i.e., Mercantile, Restaurant, Ho by Shop, Plumbing Store):
--1T)- IP m ck E'V e_i ' / /i At I P r
Owner of Property: / , Y r , Cis f I/ a-
Address: -/,01 Xrn u <-,',c-c7/),-5 ;.-4/2--3- i A: ,",
d
Phone Number: U-2S r .� '- V-'
Please provide a layout sketch 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 t scale as possible.
Signature ofperson submittingthis form: --- i !%,,�
g .
Office Use Only /
Property Tax Map Number:/ S - l - i( Date Received:
TOWN OF QUEENSBURY.
{
,N' FIRE MARSHAL. .
`'' QUEENSBURY, NY 12804
• (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 7 - -°t 7
NAME 9NOL \;� -VAr)
Q�}�'t•�C 12.- )
LOCATION V^_iv-0 ��`I y l
_.--
DATE PERMIT # 7 9 - (- . \
APPROVED
N/A YES NO
EXITS ✓ .Z
AISLE WIDTHS /
EXIT SIGNS ✓
EMERGENCY LIGHTI
FIRE EXTINGU ER'dill
AUTO. EXTINGUIS EM f
HOOD INSTALLATIfiN
AUTO. SPRINKLER.•YSTEM ,.7ALARM SYSTEM
!/
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS 1
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY 7
WOODSTOVE f
FIREPLACE-MASONRY f
FIREPLACE- FACTORY BUILT
REMARKS:. ❑ OK TO THIS DATE
•
C* 61�
INSPSLIP.PUB I PECTO
s, TOWN OF QUEENSBURY
��VFIRE MARSHAL. -
`' ' ;; < QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTIO : REPORT
REQUEST FOR INSP TION RECEIVED
NAME /
3 6 LOCATION' /C�f 0
DATE PERMIT)# .7ji j 9-/--'/Dr
APPROVED
tt N/A YES NO
EXITS
AISLE WIDTHS ‘. I
EXIT SIGNS V f
EMERGENCY LIG TING
FIRE EXTINGUISHER ,
AUTO. EXTINGUISHI G SYSTEM
HOOD INSTALLATION''
AUTO. SPRINKLER SYS EM
ALARM SYSTEM \
INTERIOR FINISHES \
STORAGE:
CLEARANCE TO SPRINKL'RS
CLEARANCE TO HEATINGtUNITS
REQUIRED SIGNAGE .
CHIMNEY
WOODSTOVE I
FIREPLACE-MAONRY \.
FIREPLACE- FAS TORY BUILT
REMARKS: 0 OK,TO THIS DATE
i \\,
, N,, ,,- TK,ii Z-6/6
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