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2004-104 J ` 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: P20040104 Date Issued: Friday, May 07, 2004 This is to certify that work requested to be done as shown by Permit Number P20040104 has been completed. Tax Map Number: 523400-288-000-0001-059-000-0000 Location: 1477 STATE ROUTE 9 Owner: DANIEL LOMBARD Applicant: DESIGNERS WAREHOUSE This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COM) TOWN OF QUEENSBURY r: Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040104 Application Number: A20040104 Tax Map No: 523400-288-000-0001-059-000-0000 Permission is hereby granted to: DF,STC'TNF,RS WAREHOTTSF, For property located at: 1447 STATE ROUTE 9 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: DANIEL LOMBARD 7 STONE PINE Ln Certificate of Occupancy(CO1VI) Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-104 DESIGNERS WAREHOUSE CERTIFICATE OF OCCUPANCY $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, March 23, 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�6!7�ees sday, March 23, 2004 SIGNED BY for the Town of Queensbury. r .Y Director of Building&Co e Enforcement Mar 16 04 03: 54p Robert Kana 518-686-5851 p• Z . BP File# CF New Susi��n�.ess ,��CRE ` Dept of Community Development �eY"tl ]Ca,'te Town of Queensbwy • 742 Bay Road Q.Ccupa :Cy ►erm� t� 1 2004 . Queensbwy,NY 12804 (518) 761-8256 TOWN fit 11 )ING NOD Go pE For occupancy only, with no work requiring buildingpermit. no fee required for this permit. ��T Name of Business: Aa Address: U edW �Jd 4�� Person' Charge o anager: Business Phone Number: Type of Business: (Le,mercantile,restaurant,hobby shop,plumbing store): Owner of Property: zc 4 Address: fL ROY Phone Number: `✓!rU ��J Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms, counters and fcxture layout on a separate sheet of paper. Signa -Date: ofpergthtsform: o YO Tax � I Property Map No. Notes/Comments: Mar 16 04 03: 54p Robert Kana 518-696-5851 p• 3 Town of Queensbury C MM4-144 Fire Marshal's Office EEGEN ' CONTACT UPDATE LTRS 2000 TO: WARREN C0UNTY'SHERH7S DEPT. FAX: 761-6210 PLEASE PRINT DATE: IN BUSINESS NAME: W1 L VaAoAe. BUSINESS ADDRE BUSINESS PHONE: �6 ` 701 LVZ!L ea-,11 HOMECONTACT 1: � PHONE TOWN RESPONDING FROM: K� `� HOME CONTACT 2: er PHONE TOWN RESPONDING FROM: , ' r ell h/2 - HOME�6g6- '?/a y CONTACT 3: 6 PHO �, 206- TOWN RESPONDING FROM: Fire Marshal Steve Smitk Deputy Fire Marshal Mike Palmer Phone 76I--8205,FAX 745 4437 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 1) Fire Marshal's Inspection Report Request SCHEDULE Received: --Permit# INSPECTION ON: ' Narpte: « il� AM PM ANYTIME Location:: raLi, APPROVED ---- N/A YES. NO J COMMENTS EXITS ___ AISLE WIDTHS EXIT SIGNS—NORMAL be- `�' - BATTERY �U 1 u� ` Iv )eJ EMERGENCY LIGHTING _ FIRE EXTINGUISHERS4�8 FIRE ALARM SYSTEM _ FIRE SPRINKLER SYSTEM �,` FIRE SUPPRESSION SYSTEM, HOOD INSTALLATION _ INTERIOR FINISHES STORAGE f4 CCu� COMPRESSED CLEARANCE TO SPRINKLER— CLEARANCE TO HEATING UNITS CLEARANCE fO ELECTRICAL �� V '1f11�'(,fJJla"�� t—!` REQUIRED SIGNAGE �~ EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL FACTORY BUILT ROUGH IN l FINAL _—.-- STOVE ROUGH_IN ----- FINAL P-0 /T VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN --� OK THIS DATE OK FOR CO NOT OK FINAL FIREPLACE _ FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMUEVIC HRISJ/WOP.DILETTERS2001lFIRE MARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY ow Town of Queensbury Fire Marshal's Office 742 Bay Road (iD Queensbury, NY 12804 Prone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report . Request Received; Permit# - SCHEDULE p �..�� INSPECTION ON:_ 5 Name: Q�y � s � �, AM PM ANYTIME Location:_ c �-��2 APPROVED _ N/_ YES NO COMMENTS --- AISLE -- EXIT SIGNS-_NORMAL_ - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS �_ FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM-- HOOD INSOR FINISHES �- INTERIOR FINISHES - p STORAGE _ l COMPRESSED GAS CLEARANCE TO SPRINKLERS �- CLEARANCE TO HEATING UNITSCLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN _ MAXIMUM OCCUPANCY SIGN CHIMNEY - MASONRY ROUGH IN f _ FINAL _ CHIMNEY — - — 1 FACTORY BUILT ROUGH IN 1.-- FINAL STOVE WOOD STOVE ROUGHIN FINAL VENTED GAS _ APPLIANCE ROUGH IN ] FINAL FIREPLACE - — ------ MASONRY ROUGH INOK THIS DATE - F®R CO NOT OK FINAL FIREPLACE -- - --'- -- FACTORY BUILT ROUGH IN - . IIVSP C SY FINAL COMDEV/CHRISJNWORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 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# 1�`� INSPECTION ON: •� —��, o Name: AM PM ANYTIME Location: LI-T) AP OVED N/A YES NO COMMENTS EXITS P y AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM J HOOD INSTALLATION INTERIOR FINISHES X STORAGE X _ COMPRESSED GAS CLEARANCE TO SPRINKLERS � CLEARANCE TO HEATING UNITS X CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE X. EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY — MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE K FOR CO T OK-) FINAL FIREPLACE V ` f FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJ/WORD/LETTERS2001OREMARSHALINSPECTIONREPOR 11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY