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2007-377 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CEIK"LIFICATE OF OCCUPANCY Permit Number. P20070377 Date Issued: Monday, November 26, 2007 This is to certify that work requested to be done as shown by Permit Number P20070377 has been completed. Location: 234 QUAKER Rd Tax Map Number. 523400-302-008-0001-045-000-0000 Owner. ALBANY ENERGY, LLC Applicant: KING SERVICE, INC., THE 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 '0 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: P20070377 Application Number. A20070377 Tax Map No: 523400-302-008-0001-045-000-0000 Permission is hereby granted to: KING SERVICE, INC., THE For property located at: 234 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: KING SERVICE, INC., THE FOOT OF MAIN Certificate of Occupancy(COM) TROY, NY 12180 Total value Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2007-377 CERTIFICATE OF OCCUPANCY- COBBLE POND FARMS - GRJH INC. $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 17,2008 (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 I/Q ee ury� Tupsday,July 17, 2007 NSIGNED BY u � for the Town of Queensbury. Director of Building"&Code enforcement EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: BUSINESS NAME: _ (2�uZ\t.SL✓ BUSINESS ADDRESS: BUSINESS PHONE: S t 3' HOME CONTACT 1: �✓ ��y tips r PHONE S i7 5f?q S-,Yq) ADDRESS: to Lil�or, Wq,� k4s ��`tG, L:��:,na IL AJ HOME CONTACT 2: 4_�, PHONE q(y �G y 5"4 3J ADDRESS: ':2-S V`1��=�i.¢� c.w cN CZ� �(A,>f ors C.l v(�v �y 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 iremarshal@queensbuty.net www.queensbuty.net ---------------------- Community Development Office ' Town of Queensbury - 742 Bay Road - Queensbury, New York -12804 ' 0 ate, Sty Marilyn Ryba, Executive Director-David Hatin,Director of Building&Codes ; ; Craig Brown,Zoning Administrator-Michael j. Palmer,Fire Marshal --------------------- NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP # BLDG. PERMIT FILE# If applicable Name of Business: Address , ✓ �� V? �.a, QUESTIONS? CALL 761-8256 OR of Business: EMAIL codes@queensbury.net VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: Cs i. INFORMATION -1 / www.gueensbury.net � Business Phone Number: 49 �!i S-b Type of Business: Ccjny�L V-8Z CQ" Ssk�r"v G, �;4�� Owner of Property: &(-� 'A zfn c.. Phone Number(s): 6v 3(�.L( Sri11 3� Home Cell Owners c� Address: Po �S� X �i�5 �lUr1 c; Z��,i��2 Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate eet of Daper. Signature: Date: 617.-.?, 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. © /— 3-7 -7 Town of Queensbury p� 742 Bay Road a 5 d Queensbury,NY 12804 Scheduled Inspection Date: I v , Time: ` P Phone: (518) 761-8206 Business Name: �+ tb�lEt� P arnS Fax: (518) 745-4437 Location: tk"J!'tG-- 'fib Type of Inspection N/A Yes No EXITS: Eat Access COMMENTS Exit Enclosure Exit Discharge EVAC Plan AISLES: Main Aisle Width �v Secondary Aisle Width EXIT SIGNAGE Sign-normal "c� Sign-batter EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING y r a FIRE EXTINGUISHER: Hung >IrI Inspection of extinguisher Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island re Mat1 Ins "M Ists Hood Installation 0Q t7 Ij$U# Mot eupaney Interior Finishes Storage JUP z 5 2007 Compressed Gas Clearance to Sprinklers Clearance to Electrical 196 Marshal Electric Wiring Enclosed x Town of Quembury Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan X Approved (If no other approvals apply,the B&C Office will'ssue the rtificat of Occupancy) ❑ Denied o Call for Recheck Inspected By: L:\FireMarshal\insptopermitto occupyform.doc t a N � � t g G i 9