2010-322 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20100322 Date Issued: Thursday, July 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20100322
has been completed.
Location: 1048 STATE ROUTE 9
Tax Map Number. 523400-296-009-0001-012-000-0000
Owner. GAM OF THE ADIRONDACKS, LLC
Applicant: HUDSON RIVER TRADING CO.
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
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Issuance of this Certificate of Occupancy DOES NOT relieve the
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property owner of the responsibility for compliance with Site Plan,
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
Foro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100322 Application Number. A20100322
Tax Map No: 523400-296-009-0001-012-000-0000
Permission is hereby granted to: HUDSON RIVER TRADING CO.
For property located at: 1048 STATE ROUTE 9
in the Town of Queens bury,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: GAM OF THE ADIRONDACKS, L
PO BOX 95 Certificate of Occupancy(COM)
KATTSKILL BAY,NY 12844-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-322
Hudson River Trading Co - CO only
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 15,2011
(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 f Queetr ; �', rsday,July 15, 2010
SIGNED BY ,/ , / for the Town of Queensbury.
Director of Building&Co. Enforcement
7 ‘ - tW ;,0 to - 3a- --.
# Community Development Office
Town of Queensbury • 742 Bay Raad • Queensbury, New York •128 ; % ;; ii ( iE1 1
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-David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal '
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ESTABLISHMENT OF A NEW BUSINESS
'LP/ CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
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TAX MAP# 2 V ?-- 7BLDG. PERMIT FILE# /0� 3 _ 2_
If applicable
Name of Business: u a S c,it I V GR. L.ta:1>t vIci CO I
Address , '/ -iF- - -t�S ) U tr Li k 1 euq
of Business: ?0 Ur J ` q QUESTIONS? CALL 7 -8256 OR
EMAIL codes(a'2aueensburv.net
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Person in Charge or Manager: /°1-c, i•• I I- 2,n���, L e VISIT OUR INFORWEBSITEMATIONFOR MORE
www.aueensburv.net
Business Phone Number: V ( A . ,eac - (4. (I& r
r
Type of Business: l E- (--0:-.l„
- ff
Owner of Property: Number(s): 5 - ' - a a 6 (
P rtY= , Phone
‹ i' +-rD S Home Cell
Owners ((�� t I
Address: V 1 L)(.::-;l )�?? �;v\ �, ` ( ? �� k
Please provide an accurate layout . our store showing all walls, exits, stockrooms, rest rooms,
counters and#xt .r o• a separat• sheet of per.
4I‘ k-' / _ rJ l 6
ISignatur- _ , / D:t- , 4 —`�
Of perso�submitting this fo
Notes / Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
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)3f) Q010 - 3aa
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 12— q — c.9,. 0 ( 6 -__--1
BUSINESS NAME: Ar;c� 1 U -e leba-b\kryi O
BUSINESS ADDRESS: JO Q, 1 " q 0 " _ •� 0
j Z Ccs
BUSINESS PHONE:
1_,
_ HOME � ( 4�
CONTACT 1: Lr -uE21 (�.v1 PHONE S i 0 Z SP ) (T g`
ADDRESS: VoIE 17 Lt)e_0(------ca.k-ouon. (._t4, -.( 1 � c
CONTACT 2: \ HOME\,..)\ ie- znn PHONE cc
1 - -5-(
ADDRESS:, l0 ` eciLeCuA \(c.ai ----- c\)?._ C)Nt-OhCaree L U1Y,` , I 3
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
Ph o n e: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road r'7't�(�v 312
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518) 761-8206 Business Name: -tubs-,- i�tu`n" Inetmo:
Fax: (518) 745-4437 Location: 0-/c( ('1
Type of Inspection N/A Yes No
EXITS:
Exit Access JL...
Exit Enclosure ot_ COMMENTS
Exit Discharge C -
AISLES:
Main Aisle Width
Secondary Aisle Width GL
EXIT SIGNAGE
Sign-normal
Sign-battery blf_
EVAC signs in rooms -�-
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hung OC
Inspection of extinguisher 0K.
r
FIRE ALARM SYSTEM „,.,,
own
Fire SprinFan kler System (FDC) GSI”" ete
Ate of Occupancyt (
Fire Suppression-kitchen
Fire Suppression-Gas Isfan -, JUL ,
Generator — L _ �: 10
Hood Installation
Elevator -- . ..
Interior Finishes ire Md+'sh4) ---�
Storage 8lelu
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical IL
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Signage-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan -►�
Approved (If no other approvals apply,the B&C Office will is : -rtificate of Occupancy)
❑ Denied / call for Recheck
Inspected By: „k.
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
illIlk Community Development Office .
Town of Queensbury • 742 Bay Rd.
,, Queensbury, New York •12304 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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