2004-056 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5002 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040056 Date Issued: Monday, March 01, 2004
This-is to certify that work requested to be done as shown by Permit Number P20040056
has been completed.
Tax Map Number: 523400-302-008-0001-037-000-0000
Location: 278 QUAKER Rd
Owner: EDWARD & ROSE MARIE MURRAY
Applicant: QUEENSBURY GIFTS &MORE
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
Director of Building X Code nforcement
TOWN OF-QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)'761-8256
BUILDING PERMIT
Permit'Number: P20040056 Application Number: A20040056
Tax Map No 523400-302-008-0001-037-000-0000
Permission is hereby granted to:. 01TF,F,NSBTTRY•TTFTS &MORE
For property located at: 278 QUAKER,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: EDWARD &ROSE MARIE MURR
PO BOX 414 Certificate of Occupancy(COM)
Total Value
CHESTERTOWN,NY 12817
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-056 QUEENSBURY:GIFTS &MORE
CERTIFICATE OF OCCUPANCY ONLY.
$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 o uee r' ay,February 27, 2004
SIGNED BY for the Town of Queensbury.
r .y
Director of Building&Code Enforcement
BP File# 4:04 of .
IhMe $Asiness
Dept. of Community Development Certificate of
Town of Queensbury QCCA a�].0 per1111t
742 Bay Road p
Queensbury,NY 12804 T 4d�
(518) 761-8256 B WNOF 3 20ov
For occupancy only, with no work requiring building permit: no fee required for this permit.
OF
Name of Business:
Address: O u Ct
Person in Charge or Manager: Dag("1 ,4 2:) a /o r it
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
A/e-0 C� �-S c.o ems
Owner of Property:
p rtY:
Address: - l y C L� ST E�T Otri�tJ `✓ �/
Phone Number: g j q- Z 7 � 8
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet ofpaper.
Signature Date: -AS-O f
of person submitting this form:
Property Tax Map No 3 0'-& / l / 3 7
Notes/Comments:
-i
Town of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LMS 2000
TO: WARREN COUNTY-SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: rr-e b �o a 5.
BUSINESS NAME: u ins b�'�y fir' s IvJa
BUSINESS ADDRESS: , C 2.2f
BUSINESS PHONE:
HOME -2
CONTACT 1: 1/ y fa r s PHONE 96-/s 7-{ call
TOWN RESPONDING FROM: o u � ����J' ►/ cu Us
CONTACT 2:?, y-L L✓ Jam, PHOM(5'/b��ss sal
TOWN RESPONDING FROM: a "[S-10►-� Spy Y- .
HOME y_ 2 7 y?
CONTACT 3: e D PHONE
TOWN RESPONDING FRAM:
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205,FAX 745-4487
Town of Queensbury Cu o
Fire Marshal's Office
742 Bay Road N�P
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request �. SCHEDULE
Received: Permit# � OS(� INSPECTION ON:
- W, � `��;%
Name: ,3� C, 4` f s ' (Y f-l o t� ,'�l AM - ANYTIME
Location:
APPROVED
N/A YES 1 NO COMMENTS
EXITS
4—
AISLE WIDTHS
EXIT SIGNS—NORMAL
- BATTERY XI
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE —
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
_ FINAL
FIREPLACE
MASONRY ROUGH IN
®K THIS DATE FO C® NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN IN CTED BY
FINAL
COM[3EVICHR[Si/WORDILETTERS200'I/FIREMARSHALIN SIPECTIONREPORT11022001
YELL4W-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
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