2009-309 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090309 Date Issued: Friday, July 24, 2009
This is to certify that work requested to be done as shown by Permit Number P20090309
has been completed.
Location: 79 GLENWOOD Ave
Tax Map Number. 523400-296-019-0001-042-000-0000
Owner. PRIME GLENNWOOD, LLC
Applicant: GEO EXPRESS INC
This structure maybe 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
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090309 Application Number. A20090309
Tax Map No: 523400-296-019-0001-042-000-0000
Permission is hereby granted to: GEO EXPRESS INC
For property located at: 79 GLENWOOD 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: PRIME GLENNWOOD, LLC
79 GLENWOOD Ave Certificate of Occupancy(COM)
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-309
GIO EXPRESS - C/O ONLY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 09,2010
(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 T o ee ury� /Trhu rsday,July 09,2009
SIGNED BY E' �' :�`£ for the Town of Queensbury.
Director of Building Code nforcement
I fVx-
Community Development Office
Tow of Queensbury • 742 Bay Road • Queensbury, New York •12804
,�farf a, ,,ecutive Director•David Hatin, Director of Building&Codes W ,�;p �
Craig Brown, oning Administrator•Michael J.Palmer, Fire Marshal S
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # - ;,� BLDG. PERMIT FILE#
, .
If applicable
Narnle of Business: 1 C
Address n1(� {1� At
of Business: t , `� F,. Q u ns e j ES 10 S? C LL 76 -8266 OR
QEMAIL codes(ftueensburv.net
�� r i A 1 VISIT OUR WEBSITE FOR MORE
�J
Person in Charge or Manager: IV �j�jll C L INFORMATION
-� www.aueensbury.net
f/
Business Phone Number: l03I _ U7 2210
Type of Business: C
Owner of Property:
.,�4.� k-Whone Number(s): U / F-90W
Home Cell
Owners
Address — L'�-N M(0D c6 NN M, "MkpC� . _ e ' Nk/
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of� Date:paper.
.
Signature: � U
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
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No._ 30
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: a Time: �✓V
Phone: (518) 761-8206 Business Name:
Fax: (518) 745-4437 Location: �7� G I Ea wo-o Alm
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery signs in rooms
TRUSS ID SIGNAGE n C�
EMERGENCY LIGHTING �\
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem 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.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
)(Approved (If no other approvals apply,the B&C Office will iss a th rt icate of Occupancy)
o Denied / call for Recheck
Inspected By:
L:\FireMarshai\FM Forms Masters\permitto occupyform.doc
07/06/2009 13:15 FAX 6316762813 GIO EXPRESS [A001
TUN-26-2009 15. 9 F'r r m.TD BANI:NORTI I 5187450919 P.212
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