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2005-560
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050560 Date Issued: Thursday, July 28, 2005 This is to certify that work requested to be done as shown by Permit Number P20050560 has been completed. Tax Map Number: 523400-303-019-0001-054-000-0000 Location: 4 HIGHLAND Ave Owner: WAYNE KELLOGG Applicant: ARCA, INK. 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 Enfo ement 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: P20050560 Application Number: A20050560 Tax Map No: 523400-303-019-0001-054-000-0000 Permission is hereby granted to: ARCA_ 1NK For property located at: 4 HIGHLAND Ave 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: WAYNE KELLOGG 4 HIGHLAND Ave Certificate of Occupancy(COM) Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-560 ARCA, INK CERTIFICATE OF OCCUPANCY $50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, July 27, 2006 (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 th Town Qu sb#y; edn stay, July 27, 2005 SIGNED BY /V for the Town of Queensbury. Director of Building&Code Enforcement - Town of Queensbury Fire Marshal's Office �0 EMERGENCY CONTACT UPDATE LTM 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 . PLEASE PRINT RE _n JUL 2 0 DATE: 16,105 BUSINESS NAME: ARcA J-(J Y,� BUSINESS ADDRESS: 4 I\ 1 W H LAO D && . BUSINESS PHONE: . 41 o - O-i-a A C ce-L- - HOME CONTACT 1: I �D6"T PHONE 70'©7 31 ADDRESS: 8� fJCAnf� f� �• �IL7"b� HOME CONTACT 2iNA �rC1L PHONE ADDRESS: SAnE di A �� 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 Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205, FAX 745-4437 BP File# C �Te'3�t'�iS1�3.eSS Dept of Community Development C '`1`tIricvLte Of Town ofQueensbwy OccupaO.cy Permit 742 Bay Road Queensbwy,NY 12804 (518) 761-8256 For occupancy only, with no work requiring buildingpermit. no fee required for this it. ¢ d JUL 2 0 2005 Name of Business: IT Address: `-I r Person in Charge or Manager: �v !' ( �l(:• Wit. �� r 1Ci �� Business Phone Number: Type of Business: (i.e.,mereantile,restaurant,hobby shop,plumbing store): Owner of Property. Address-.-- - - Phone Number. Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest roomst counters and jbdtvre layout on a Vskede,of oper.Signature: Date.• O�J submongthfsfonn: Property Tax Map No. Notes/Comments: 4A Av-e- SEAR - F6ftT RE JUL 2 0 2005 C C Town of Queensbury , Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# Q INSPECTION O — Name: C 44N(�- ii 4 � AM i''y ANYTIME Location: -- '�! -46 iy f#I NC-3 6AVE WIN APPROVED N IA YES NO COMMENTS EXIT ACCESS _ EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH EXIT SIGN-NORMAL _ EXIT SIGN-BATTERY EMERGENCY LIGHTING _ 1 FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER / INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN 11 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS y ISLAND l HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE _ VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN_ EMERGENCY EVAC PLANT OK THIS DATE IF CO NOT OK INSPECTED BY COMDEINCHRISJIW ORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY