2010-406 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100406 Date Issued: Monday, August 23, 2010
This is to certify that work requested to be done as shown by Permit Number P20100406
has been completed.
Location: 123 DIXON Rd
Tax Map Number. 523400-302-014-0002-027-000-0000
Owner. BAYVIEW PROJECTS LLC
Applicant BAYVIEW PROJECTS LLC
This structure may be occupied as a:
Certificate of Occupancy (COM) By On ler of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 6
property owner of the responsibility for compliance with Site Plan, f
Variance, or other issues and conditions as a result of approvals by the Di c sr of Building& r,• ` >, ement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100406 Application Number. A20100406
Tax Map No: 523400-302-014-0002-027-000-0000
Permission is hereby granted to: BAYVIEW PROJECTS LLC
For property located at: 123 DIXON Rd
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: BAYVIEW PROJECTS LLC
123 DIXON Rd Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-406
C/O only Dr. Jay Wasserman- Dental Office
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 23, 2011
(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 the Town o ensbur '1 mu + i a/ A •ust 23,2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. ill-4Z6
Town of Queensbury
742 Bay Road �I
Queensbury,NY 12804 Scheduled Inspection Date' 1 Time: �7IV—
Phone: (518)761-8206 Business Name:I/ .� *k.1-i57,i✓
Fax: (518)745-4437 Location: /. 3 ArlX�
Type of Inspection N/A Yes No
EXITS:
Exit Access s COMMENTS
Exit Enclosure
Exit Discharge
17
AISLES:
Main Aisle Width p
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal � .
Sign-battery j/171
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING t el. ✓
r' ✓ '/ a'
FIRE EXTINGUISHER:
Hung k" Cid J
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown I/'
Fire Sprinkler System (fDC) L/
Fire Suppression-kitchen s-
Fire Suppression-Gas Irian 1/.
Generator �/'
Hood Installation Ir
Elevator !✓
Interior Finishes 1.
61.1
Storage
Compressed Gas
Clearance to Sprinklers t '
Clearance to Dectrical ✓'
Electric Wiring Enclosed/Labeled
Combustible Waste ✓ ( 6,..-, CIL."
Vehicle Impact Protection
Knox Box 1/
F.D.Signage-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Ev •lion Plan
Approved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
ci Denied /call for Recheck
Inspect: . By: I.�.� '
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