2007-745 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. P20070745 Date Issued: Friday, February 22, 2008
This is to certify that work requested to be done as shown by Permit Number P20070745
has been completed.
Location: 45 MAIN St
Tax Map Number. 523400-309-010-0002-015-000-0000
Owner. DAVID & SANDRA BARLOW
Applicant: DAVID & SANDRA BARLOW
This structure may be ocgPAQACK CONSIGNMENT & TRUST
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the J4 00t
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: P20070745 Application Number. A20070745
Tax Map No: 523400-309-010-0002-015-000-0000
Permission is hereby granted to: DAVID & SANDRA BARLOW
ADIRONDACK CONSIGNMENT&TRUST
For property located at: 45 MAIN St
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: DAVID & SANDRA BARLOW
Certificate of Occupancy(COM)
121 SANFORD St
GLENS FALLS,NY 12801-0000 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2007-745
ADIRONDACK CONSIGNMENT &TRUST C/O ONLY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, December 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 l�daecember 17, 2007
SIGNED BY t_ for the Town of Queensbury.
Director of Building&Code nforcement
"onihj ni DeveDevelopment Officeown of Qrrrzueensburi/ • 742 Bair Road • Queensbury, Nev, York •:12804 f Date
Stamp
•David Hatin,Director of Building&Codes
,
Craig Brown, Zoning Administrator•Michael J.Palmer, Fire A4arshal
R
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# r BLDG. PERMIT FILE# 0�
o zr applicaule
Name of Business: It>+-od AK Ul-1 K;0,n9VTA
Address � n .� ,%' f��1� �
of Business: I'1�� �/ ( L�('�����h`f1L� "yl QUESTIONS? CALL 761-8256 OR
EMAIL codes(claueensburV.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: t i u(jci'f 01 KAv' C Cr k INFORMATION
www.aueensburr_net
r // �
Business Phone Number: 3 to I— ZZ (o � � �
Type of Business: 7 ✓ lC� J
Owner of Property: Phone
ls Phone Number(s):
Home Cell
Owners _
Address: 121 3ftFliit)(Z,ro S � _ 6_F j 2- )o f
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout Laseparpte,sheet of paper.
Signatur Date:
Of person submitting this forth
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
) ,
07 -
EMERGENCY ONT T UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: /Z_ 5
BUSINESS NAME:
BUSINESS ADDRESS:
BUSINESS PHONE: ..,51� 3� ( Zz O o 6-Fmpbz�guL�
CONTACT 1: PHONE t ✓ /,0�
ADDRESS: C l li% J� ( l�J� U `t
CONTACT 2: HOMEPHONE
ADDRESS: � �.
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 a n e: 518-761-8206 Fax: 518-745-4437
fireniarshaKGgueensbuej.net www.queensbu!2L.net
3bi- � -1
Inspection for Permit to Occupy
Fire Marshcl's Office Request Rec'd Permit No.
Town of Queensbury t-�
742 Bay Road 19
Queensbury,NY 12804 Scheduled Inspection Date: ✓ Time:
Phone: (518)761-8206 Business Name: ► )YJ i ►1 e 0 -SKj N eng-r
Fax: (518) 745-4437 Location: n,
TYPO of N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Si -normal
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
r V�
FIRE EXTINGUISHER:
Hun
Inspection of exiin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
fire Suppression-Ieitclnen Fits mamho`In "'amol r
Fire Suppression-Gas Islan ����IssueCertlT, 0(UCCUpat1CY
Generator
Hood Installation n
Elevator rtt0
Interior Finishes ( r
Stora e
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical TO
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sin
Emergency Evacuation Plan r' j
r
pproVed (If no other approvals apply,the B&C Office will issye t e er ificate of Occupancy)
a Denied / call for Recheck
r
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No.
Town of Queensbury
742 Bay Road Q
Queensbury,NY 12804 Scheduled Inspection Date: l�- 12-�7 Time:
Phone: (518)761-8206 Business Name: /ai4ke4-
Fax: (518) 745-4437 Location:
Type of Inspection N/A Yes No
EXITS:
Exit Access t^
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
-4-
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batter -aY ��/ , �j�y.� ��-.• - � � �r°)
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown ,1
Fire Sprinkler System
Fire Suppression-kitchen �(
Fire Suppression-Gas Islan
Generator
Hood Installation
Elevator
Interior Finishes -}
Storage Ac
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric WirinEnclosed/Labeled � � &P
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sin 4-
Emergency Evacuation Plan
❑ pproved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
Denied / call for Recheck
Inspected By:
L:\FireMarshal\New Folder\permitto occupyform.doc
I
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:
�l �S Time:
Phone: (518)761-8206 Business Name:
Fax: (518)745-4437 Location: Z?Z�/_; /[ _
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Seconds Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-batter
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Islan '
Generator 't•-(,�'-
Hood Installation I
Elevator
Interior Finishes
Storage
Compressed Gas
Clearance to S rinkiers
Clearance to Electrical
Electric Wiring Enclosed/Labeled ih WIhKVGt/
Combustible Waste
Vehicle impact Protection
Knox Box ep�14z�c2, 6ae,-L pt4
F.D.Si na e-Utility Rooms i� �
No SmokingSigns
Maximum Occupancy Sign, n
Emergency Evacuation Plan � S R �(,� UY i •-
❑ Approved (If no other approvals apply,the B&C Office will issue the Certlficate ccupancy)
enled / call for Recheck
lnspec d By:
L:\HreMarshal\New Folder\permitto occupyform.doc
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