2004-059 TOWN OF QUEENSBURY
742 Ba Road ueensb NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040059 Date Issued: Friday, February 27, 2004
This is to certify that work requested to be done as shown by Permit Number P20040059
has been completed.
Tax Map Number: 523400-296-020-0001-054-000-0000
Location: 345 BAY Rd
Owner: AAA NORTHWAY, INC.
Applicant: AFLAC NEW YORK
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
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Director of Building&Code Enforcement
� TOWN OF QUEENSBURY
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` TN 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040059 Application Number: A20040059
Tax Map No: 523400-296-020-0001-054-000-0000
Permission is hereby granted to: AFT,AC NEW YORK
For property located at: 345 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. Type of Construction Value
Owner Address: AAA NORTHWAY, INC.
112 RAILROAD St Certificate of Occupancy(COM)
Total Value
SCHENECTADY, NY 12305
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-059 AFLAC NEW YORK
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, February 27, 2005
(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 own of uee 771 / : , ebruary 27, 2004
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SIGNED BY 'kifor the Town of Queensbury.
Director of Building&Code Enforcement
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BP File# c)O L -09}
New Business
Dept. of Community Development Certificate of
Town of Queensbury Occupancy Permit
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
RECEIVED
r"FE t 2004
URY
Name of Business: i-t�L-/ /(� ( Jv L TOWN DINGF ANl)CODE
C T r� BUI� ��n CODE
Address: 1
Person in Charge or Manager: DSck
Business Phone Number: 7 ? g- y/3_3
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
SLA ?mt._ iery,V_W Ou-/ nSt_Kfrlio
Owner of Property: 19 A i`-i d r+ L,U
Address: // (RCU, 1 t V Q •SCA,`e.,vt/fl i 630
Phone Number: 5'? q - 45-7
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signatur LLAASISur axi, Date:01 a 7 Q5
of person submitting this form:
Property Tax Map No. t o /r710 I /
Notes/Comments:
02,0.0,qf05q RECEIVED
Town of Queensbury F E B 2 5 "7t10
Fire Marshal's Office
TOWN OF QUEENSBURY
EMERGENCY CONTACT UPDED CODE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: V-O y
BUSINESS NAME: ii i 7 ,4 C k)e) �n
BUSINESS ADDRESS: 3 (J 2ci nS6u.rY Al V
BUSIESS PHONE: L( 8" Y/3
HOME
CONTACT 1: - k_Sn.( y C___;_, [rn v PHONE 79 (7S3
C°e -0007
TOWN RESPONDING FROM: Oi-o-12 r\ bu-ry
HOME
CONTACT 2: Z v CL k ro - PHONE Sim Z 79/"aa6 6 e_e I
TOWN RESPONDING FROM: C s2 HOME
S br�r
CONTACT 3: l o f t i PHONE 79 3-sys
Lc If 79Z, - / 3 2
TOWN RESPONDING FROM: CD o
y
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205, FAX 745-4437
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Town of Queensbury / r�
`,t Fire Marshal's Office
742 Bay Road f/���� /
Queensbury, NY 12804 / lJ
Phone (518) 781-8205 Fax(518) 745-4437C)J \`�
1
Are Marshal's Inspection Report O y - . '1 / - c o 7
Request n C SCHEDULE
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Received: permit# V ` '- y INSPECTION ON: ♦_ • (0--
Name:__Lc - C1 Q, \jft A > (ps--t PM ANYTIME
5Location: 314 ids - Rd C) „iik_ _
42A-ROVED
1 YES NO — COMMENTS
EXITS � !
AISLE WIDTHS
EXIT SIGNS-NORMAL - /� r (,,,)
- BATTERY
EMERGENCY LIGHTING 3(
FIRE EXTINGUISHERS P
FIRE ALARM SYSTEM _
6L
FIRE SPRINKLER SYSTEM 'C L/
FIRE SUPPRESSION SYSTEM T
HOOD INSTALLATION X
INTERIOR FINISHES X
STORAGE � _
COMPRESSED GAS �C
CLEARANCE TO SPRINKLERS '
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL,
REQUIRED SIGNAGE ,<
EMERGENCY PLAN ' X
MAXIMUM OCCUPANCY SIGN 1 _..
CHIMNEY '
MASONRY ROUGH IN
FINAL.
CHIMNEY --_
FACTORY BUILT ROUGH IN
FINAL •
WOOD
STOVE _ROUGH IN
FINAL _1
VENTED GAS
•
APPLIANCE ROUGH IN
ANAL
FIREPLACE ..___ -.--.-- (-)f_____________, : ______
MASONRY ROUGH IN OK THIS DATE FOR CO NOT OK
FINAL._
_._
FIREPLACE_.__.. .-__ ___. _. (�f
FACTORY BUILT ROUGH IN •
1 ' INSPECTED BY
_ ANAL_ -----
- ____COMDEV/CHRISJNUORD/LETTERSR001/FIREMARSHAUNSPECTIONREPORT/1022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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