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2008-160 TOWN OF QUEENSBURY IrP4iN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE CIF OCCUPANCY Permit Number. P20080160 Date Issued: Wednesday, September 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20080160 has been completed. Location: 360 QUAKER Rd Tax Map Number. 523400-303-005-0001-086-000-0000 Owner, NORTHGATE ENTERPRISES INC Applicant: QUEENSBURY CHIROPRACTIC 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 (—cDa41) 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 `O 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 N Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080160 Application Number. A20080160 Tax Map No: 523400-303-005-0001-086-000-0000 Permission is hereby granted to: NORTHGATE ENTERPRISES INC For property located at: 360 QUAKER 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: NORTHGATE ENTERPRISES INC PO BOX 4514 Certificate of Occupancy(COM) QUEENSBURY,NY 12804-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, May 05, 2009 (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 of Queensbury; Monday, May 05,2008 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement ._ Coininunity Development Office F - :° Town of Queeusbury • 742 Bay Road • Queensbury, New York •12804 Marilyn Ryba, Executive Director• David Hatin, Director of-Building&Codes js APR' 22O08 Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal --T WN-GF-QUE,ENSBUR4: BUILDING & CODES NEW BUSINESS CERTIFICATE OF OCCUP ' 1 . APPLICATION j _ 1 TAX MAP# �� /- r • Cam' BLDG. PERMIT FILE# lit if ppN Name of Business: tie_ilsb,-vji .umiIy 0-6rO��``c'ri� Address l of Business: 3 S 3 0! 'e tAAKer -C QUESTIONS? CALL 7614256 OR EMAIL codes(iZq ueensbury.net Person in Charge or Manager: VISIT OUR WEBSITEFOR MORE tit CC_ �'� i n 19 ("'� INFORMATION www.queensbury.net Business Phone Number. (57 7 5.8 —II 11 Type of Business: all r re 1 l- c e.- Owner of Property: I-I'n C TI e ss (e.r Phone Number(s): Gl '[V 6Z.) Home Cell Owners 1 9 �1 - Address: r 1 1 ff(=e - f,Sly ofr Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separ sh of paper. Signature: Date: 1-� `1`-t 70‘1 Of person submitti is form Notes !Comments: *Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit VIIMPOIMOR BC) 611161 e-- /( c) EMERGENCY CONTACT UPDATE Please print clearly TO: WARREN COUNTY SHERIFF'S OFFICE FAX: 743 2502 DATE: `�/7 BUSINESS PHONE: Cs 18) 79 X - /t BUSINESS NAME: ((w tens .�r %1 y Cis c 7R cti C r m BUSINESS ADDRESS: 35 < HOME CONTACT #1: 3 o c-.2- PHONE: (5 i8) G S C 2 ADDRESS: //a :pc' ,�e 1(2-d 4est6 id- 4ls Se, HOME CONTACT #2: V a I. .�-E,�; PHONE: (Si k) 1/3 7 ADDRESS: 110 5:tokl(ite- 24 4O/ - 3 I - 4‘HcilAi 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 QueensburyeFire Marshal's Office Phone: 518 761 8206 Fax: 518 745 4437 fiiremarshaVei'queensbury.net Fire Marshal Michael J Palmer - Deputy Fire Marshal Gary K Stillman Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. t/u /A) Town of Queensbury 742 Bay Road / Queensbury,NY 12804 Scheduled Inspection Date: 9/" Time: Phone: (518)761-8206 Business Name: O.t 6.'1$bra oty ! 1dy CA (518) 745-4437 Location: 3 sz3 'hrz- 12e> k Type of Inspediion N/A Yes No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal OIL 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 Fire Suppression-kitchen Fire Suppression-Gas Islan Generator Hood Installation Elevator Interior FinishesSt / 1_�. ope //// :i1c�/ /Compressed Gas jig/ Clearance to Sprinklers Clearance to Electrical Electric Wiring Enclosed/Labeled Combustible Waste Vehicle ImpactctProtection Knox Box F.D.Signage-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan _pproved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) o Denied / call for Recheck Ins By: L:\FireMarshal\New Folder\permitto occupyform.doc Code Compliance and Informational Sheet for Permit Use Queensbury ept. of Community * Project for: D ar--P a BP - f (o Applicant Name: 4.._. / r • Ff Tax MapNo. 303 S—/-4' >` i._,.; Ap licatior, S?1,1_a&er"Ret---"Lot# House # ��.g2v � 0 ' road, street j Lot Size: �� _ oning Adminis?,ato, Mobile Home Park: _ TOWN OF QUEFN..iJURY Business Plaza: Planned Unit Dev. Subdivision: • Phase/Section t Effective Year Zoning Designation Zoning Ordinance _ Prior to 1967, July 10 Subject to current setback requirements at time of development. Section 179-20-10,B Subsequent to Development of lots within subdivisions subsequent to July 10, 1967 July 10, 1967 shall use the setback requirements in place at the time of the approval of the subdivision. 1967 19 2,June 11 88,September 19 Corner lot rule Prior to N���23 J 99 approved subdivisions* (see note on back of form) 2002,April 9 Noy. 1/)t. Road Name Setbacks Existing Required _ Proposed Difference Front 1 _ Front 2 _ Side 1 Side 2 Rear 1 , - Rear 2 Shoreline Travel Cooridor Overlay Zone Buffer Yes No meets depth,width, &square footage requirements preexisting,nonconforming lot with proper setbacks required frontage on public road has required off-street parking permeable area is adequate (Requirement is %) — building does not exceed maximum height (Max. ff.) Is lot in a Flood Zone? Floor Area Ratio worksheet required?Zone: WR-1A Town of Queensbury Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development a a V) Z *Corner Lot Information for Subdivisions Approved Prior to November 23, 1992 Section 179-30.1 which requires front yard setbacks on both roads for a corner lot was not enacted until November 23,1992. Therefore,prior to November 23, 1992 parcels within approved subdivisions have one (1)front yard,two (2) side yards,and one (1) rear yard setback. Review Type File No. Action Resolution Date Zoning Board of Appeals Planning Board • Town Board Check List Yes No Recreation Fee Paid Engineering Fee Paid Site Plan Maps on File Subdivision Mylar Signed and Filed with County Application appears to conform to the requirements of Section(s) of the local Town Code: Application requires additional review for the following: Zoning Board of Appeals Planning Board Town Board of Health Town Board for Mobile Home Outside of a Mobile Home Park Other Rev! by S Dat oZs d Notes Town of Queensbury .'....Art* ‘150910 do gio,vilOt 0 tV I.S. ct.sek 0 { x«y foil L24 :..., 0,64,v‘ 71 1 . k ----St" N r)(0cfc'1 ai . C ^ i,y„ 0 a ) , Pc4111 s 1 (71 otre", rooiuk t 3'4,".4 - ), oVFIce ropes „...............2 —— i .....___J 6,for 7i > f 77- L h .. -k ik-fe-ck tin 7, © ' - to 0K� fix;+