2005-930 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: P20050930 Date Issued: Friday, December 09, 2005
This is to certify that work requested to be done as shown by Permit Number P20050930
has been completed.
Tax Map Number: 523400-3.03-020-0001-049-000-0000
Location: 42 BOULEVARD
Owner: 'FRANK & GAIL CASTIGLIA
Applicant: ULTIMATE IMAGE
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 Enforcemen .
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
i
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
J
Permit Number: P20050930 Application Number: A20050930
Tax Map No: 523400-303-020-0001-049-000-0000
Permission is hereby granted to: I]T,TTMATF,TMAGE,
For property located at: . . 42 BOULEVARD
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
Ordnance. Tyne of Construction Value
Owner Address: FRANK& GAIL CASTIGLIA
42 BOULEVARD Certificate of Occupancy(COM)
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-930 ULTIMATE IMAGE SALON
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, December 09, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbu ; Fri ay,December 09, 2005
SIGNED BY for the Town of Queensbury.
Director of Building& e orcement
I
BP File#
Dept of Community Development ®�
Toxin ofQueenshwy ®CCmLp.naxC..-'3Pex-malt
742 Bay Road
Queensbury,NY 12804
(518) 761-8256
For occupancy only, with no work requiring buildingpermit. no fee required for this permit.
Name of Business: Ur i im A-r E ACz E S-4Lck-,) E E N E D.
Address: y GguLE \/A r2O QuFcNS 8 P- )J �12ffO$EC 0 ,6 2005
Person in Charge or Manager: C��f rL l4s7-16-14-11-t r TOWS! OF OUFENSBURY
BUILDING AND CODE
Business Phone Number: 51 -64- 15 1/"6 g
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: 11 /-9-nJ ►< I L 1 {
Address:A-714
Phone Number:.: ��.
Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,
counters andfibrtirre layout on a separate sheet ofpaper.
>� 12-
Signatur Date: 6 D S
of mittin
Property Tax Map No.303,,I0
Notes/Comments:
Town of Queensbury 0
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S-'DEPT. FAX: 743-2502 -
PLEASE PRINT
DATE: /2
BUSINESS NAME: uL i, 1-()i i e- _L_)yAcr L
BUSINESS ADDRESS: 8ne)LE-U.42l) A)
BUSINESS PHONE: -,/09 7y6 - 1,19 5
G�13 -
HOME
CONTACT -1: o i L s r!G Ll.� PHONE
ADDRESS: �Y 7'l ����.y � r� �� aRRE'US6L) T !V `l 12S-F 15
HOME
CONTACT 2 .. /� / i!IU�J ----- --PHONE
ADDRESS:
This form is used to assist Emergency Service personnel who may be i
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
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd _ Permit No. v
Town of Queensbury ( ��742 Bay Road (0,A /
Queensbury,NY 12804 Scheduled Inspection Date: _ Trne:
1
Phone: (518) 761-8206 Business Name: 6'
Fax: (518) 745-4437 Location:
i
Nr--C-
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-.normal c�_
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher
FIRE ALARM SYSTEM 1/
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Island
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.Si na e-UtilityRooms
No SmokingSigns
Maximum Occupancy Si n
Emergency Evacuation Plan
Approved (If no other approvals apply,the B &C Office will issue the Certific of Occupancy)
❑ Denied
❑ Call for Recheck
Inspected
L:\Sue Hemingway\Fire Marshals Office Inpsection 08.17.2005.doc
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