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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 tt t� r Ttl ROOM 1 Q At If td TN ok � r i { 14 E f z e.