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2007-412 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: P20070412 Date Issued: Monday, July 16, 2007 This is to certify that work requested to be done as shown by Permit Number P20070412 has been completed. Tax Map Number: 523400-302-008-0001-008-000-0000 Location: 313 BAY Rd Owner: 9832 BAY PARK, LLC Applicant: 9832 BAY PARK, LLC 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 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: P20070412 Application Number. A20070412 Tax Map No: 523400-302-008-0001-008-000-0000 Pennission is hereby granted to: 9832 BAY PARK, LLC For property located at: 313 BAY 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. Tyne of Construction Value Owner Address: 9832 BAY PARK, LLC 1399 PILOT KNOB Rd Certificate of Occupancy(COM) KATTSKILL BAY,NY 12844-0000 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-412 Lazio Bakery&Cafe- Cetificate of Occupancy $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 10,2008 (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 To eensbiYes ay,July 10, 2007 SIGNED BY s 4 for the Town of Queensbury. Director of Building&Code Enforcement NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP #_ ©Z , '" =0 BLDG. PERMIT FILE#___D -/< If applicable Name of Business:'_a=%' 1 f_-' _ E?AK_e v Address _ QUESTIONS? CALL 761-8256 OR Of Business: i= �C — _-- —�-- EMAIL - VISIT OUR WEBSITE FOR MORE Person in Charge or Manager:_— � �' -- '!i� - INFORMATION Business Phone Number:— ��1 � 1C--A C` Type of Business: ey __ `��-L �f\✓ — — ------- ----------- Owner of Property: _��� _�_� _� _ Phone Number(s): Home Cell Owners Address: ,t SignatureXX CCi =�c ___ ate:Of person submitting this form Notes / Comments: �Z EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: `7 I -J I C)r� BUSINESS NAME: I-A-7_ I O --4- c-A V70 BUSINESS ADDRESS: :1 R!tL! a / CA BUSINESS PHONE: (1511i) "1 Z_`1C(Ci0 HOME CONTACT 1: PHONE 4�-'q 2-- ADDRESS: 10 (Lt CV, ATE ( 1 14 FT- , A N cam, j t-)y IZ.'Z`—( HOME CONTACT 2: C jY�i2 rQ Q PHONE '7 qf-hb� ADDRESS: 3 Z- �f�7T �n' 1� fZ; C�� ti y )Zz __IA 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 P h o n e: 5.18-761-8206 E F a x: 518-745-4437 firemarshal@queensburrn.ziet. wwzt�ueensbury.net Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. 0-7 'C4(:-,' Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date: _ Time: Phone: (518) 761-8206 Business Name: Zt � q Fax: (518) 745-4437 Location: Type of Inspection N/A Yes No EXITS: Exit Access COMMENTS Exit Enclosure Exit Discharge EVAC Plan - AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-batter / EVAC signs in rooms i TRUSS ID SIGNAGE c� EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher" Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Fire Marshal Inspection Complete Hood Installation OK to Issue Certificate of Occupancy Interior Finishes Storage JUL 1 07 Compressed Gas Clearance to Sprinklers NA) Clearance to Electrical Fire Marshal Electric Wiring Enclosed Town of bu Combustible Waste Vehicle Impact Protection Fire Lane F.D.Si na e-Utility Rooms No Smokina Sians Maximum O u anc sign E c mer enevacuation Plan Approved (If no other approvals apply,the B&C Office will issue th rt to Occupancy) ❑ Denied o Cali for Recheck Inspected By: L:\FireMarshal\insptopermitto occupyform.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. 7 Town of Queensbury 742 Bay Road / Queensbury,NY 12804 Scheduled Inspection Date: I�t Time: Phone: (518)761-8206 Business Name: L/1 2/v of�' A2* 7 Fax: (518) 745-4437 Location: 31 F, -4z-x7 d,(Ig� Type of Inspection N/A Yes No EXITS: Exit Access .41 COMMENTS Exit Enclosure Exit Discharge ,�- EVAC Plan AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Sign-normal Sign-batter EVAC signs in rooms r TRUSS ID SIGNAGE EMERGENCY LIGHTING lii�71+L- L!�►1f-) ��I �t � i1t ' FIRE EXTINGUISHER: C n Hung � -` -rio i k ection of extinguisher Inspection �`rSG,SSC Hydro extinguisher FIRE ALARM SYSTEM Fan Shutdown PC Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Island Hood Installation Interior Finishes All Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical I Electric Wiring Enclosed seerhz� L G* Combustible Waste Vehicle Impact Protection -r- Fire Lane F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sin Emergency Evacuation Plan ❑ pproved (If no other approvals apply,the B&C Office will issue the Certificate of Occupancy) Denied ❑ Call for Recheck Inspect By: L:\FireMarshal\insptopermitto occupyform.doc Fx i FjL)i rT I e 6'4/Z�,�/ �7