2010-242 TOWN OF QUEENSBURY
wow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20100242 Date Issued: Monday, June 07, 2010
This is to certify that work requested to be done as shown by Permit Number P20100242
has been completed.
Location: 69 CONNECTICUT Ave
Tax Map Number. 523400-309-009-0001-080-000-0000
Owner. MARY JANE CANALE
Applicant C & C TRANS & DETAILING
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4
property owner of the responsibility for compliance with Site Plan, +Z
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
��` TOWN OF QUEENSBURY
`O 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100242 Application Number. A20100242
Tax Map No: 523400-309-009-0001-080-000-0000
Permission is hereby granted to: C & C TRANS &DETAILING
For property located at: 69 CONNECTICUT Ave
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: MARY JANE CANALE Certificate of Occupancy(COM)
28 FOX HOLLOW Ln Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-242
C & C Trans &Detailing
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, May 27, 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 To' - . eensb T rl+ay, May 27, 2010
SIGNED BY for the Town of Queensbury.
Director of Building& de Ell orcement
, ,
;t Community Development Office
' Town of Queensbury - 742 Bay Road - Queensbury, New York •12804 - ;
. .David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator-Michael J.Palmer, Fire Marshal ;
. - ,
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
307, 7-7 ---PD
TAX MAP# BLDG. PERMIT FILE# `(0 --24/2...._
If applicable
Name of Business: C-C 7 1.4100, c 04.4. 1 ‘ y
Address 6
of Business: q Co v.v\.el.,t_e.-1-- yf ti (fit v�e,,0,.‘04.;
r, 10.E E ESATIION s{CALLensburv.netR
—� VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: v ti 10 Ce)i.a INFORMATION
www.aueensburv.net
Business Phone Number: I 55-• 95 2.- :VI
Type of Business: 0e:h t:1 i,,y Ota.S.S 4 yr‘r kt,v- 12� 1 v' 9
Owner of Property: RI/ Cwl 4.Le Phone Number(s):
Home Cell
Owners
Address:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Ca--0 0 (AL Date: 51 I it• -16
Of person submitting this form
Notes /Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
/o- 4Z
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: J - IIS I6
BUSINESS NAME: C+ C 1 -A vs S — Choi,I
BUSINESS ADDRESS: 6i CO\, ,. � xi-t)e ela pow t
BUSINESS PHONE: - q�y
HOME
CONTACT 1: 17out& Cele PHONE 2W? - 302
ADDRESS: s 1, o cn;-0;r (-0,c‘ c k{ - 1-4 e,* .
HOME
CONTACT 2: PHONE
ADDRESS:
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 • Fax: 518-745-4437
firemarslual@queensbury.net www.queensbury.net
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.2)07 �
Town of Queensbury
742 Bay Road �1
Queensbury,NY 12804 Scheduled Inspection Date: L / /0 Time:
Phone: (518) 761-8206 Business Na e: ��' 3rri/''
Fax: (518) 745-4437 Location: 7 IP;yw.3
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System (FDC)
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Signage-Utility Rooms
No Smoking Signs
Maximum Occu•ancy Sign
Emergency •cuation Plan
■ Approved (If no other approvals apply,the B&C Office will issue the Certificate of Oc .•ancy)
❑ Denied / call for Recheck
Inspecte• By: ' AI
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. if,-2-‘4C-2----1
Town of Queensbury
742 Bay Road
SibtAti Queensbury.NY 12804 Scheduled Inspection Date: Z Time: ��,� >
Phone: (518)761-8206 Business Name: CI-C 7741(15'-' c:7z. gari4Z42tV,
Fax: (518)745-4437 Location: ' ` G'o - - 6
type of Inspection N/A Yes I No
EXITS:
Exit Access
Exit EnclosureCOMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width DI
EXIT SIGNAGE
Sign-normal Y
Sign-battery v/
EVAC signs in rooms ,
TRUSS ID SIGNAGE ✓
EMERGENCY LIGHTING ✓
FIRE EXTINGUISHER: I
Hung i E/
Inspection of extinguisher I/
FIRE ALARM SYSTEM LZ
Fan Shutdown �
Fire Sprinkler System (FDC) l
V
Fire Suppression-kitchen V
Fire Suppression-Gas Islan )l
Generator
l'.- 14
Hood Installation
Elevator ✓_
66
Interior Finishesj/
Storage i7
Compressed Gas ✓
Clearance to Sprinklers ✓
Clearance to Electrical
Electric Wiring Enclosed/Labeled %./Combustible Waste
Vehicle Impact Protection t/
Knox Box ✓
F.D.Signage-Wily Rooms /
No Smoking Signs II
Maximum Occupancy Sign i /
Emergency Evacuation Plan 1/'
❑ proved (If no other approvals apply,the B&C Office will issue , - C- . «fit of Occupancy)it'‘'
Denied / call for Recheck
Inspected : .41113 -
L:\HreMarshal\FM Forret Masters\permitto occupyform.doc
Page 1 of 1
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