2004-225 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:._ . P20040225 Date Issued: Thursday, May 13, 2004
This-is to-certify that work-requested to.be done as-shown by Permit Number P20040225
has been completed.
Tax Map Number: 523400-302-008-0001-008-000-0000
Location: 313 BAY Rd
Owner: F. T. &E. P. COLLINS
Applicant: BAY STREET DINER
This structure may be occupied as a;
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QuEENSBURY
)lie W A-
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: P20040225 Application Number: A20040225
Tax Map No: 523400-302-008-0001-008-000-0000
Permission is hereby granted to: RAY STRF,F,T D NFR
For property located at: 313 BAY 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: F. T. &E. P. COLLINS
PO BOX 64 Certificate of Occupancy(CO1V1)
Total Value
GLENS FALLS, NY 12801
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans,&Specifications
2004-225 BAY STREET DINER
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 29, 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 TOV4 of Q ensb r pril 29, 2004
Queensbury.
SIGNED BY for the Town of Q r .y
Director of Building&Code Enforcement
BP File# —
6
� r Ne�sr Susi�n-ess
Dept. of Community Development Certificate o
Town ofQueensbury QCCApabcy Permit
742 Bay Road
Queensbury,AT 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
Name of Business: i
Address:
Person,in Charge or Manager:
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
owner of Property: • • C" 1 \ s
Address: �f �t }C
Phone Number: -7 9.3 —77
Please provide an accurate layout of your store showing all walls, exits, stockrooms,rest rooms,
counters and,fixture layout on a separate sheet ofpaper.
h
Signature: Date: V Q�
Z7�e
ofperson submitting this form:
Property Tax Map No.
Notes/Comments:
Town of Queensbury
Fire Marshars Office
EMERGENCY CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. 'FAX: 761-6210
PLEASE PRINT
DATE: �-
1 �
BUSINESS NAME:
BUSINESS ADDRESS:
BUSINESS PHONE:
HOME _
CONTACT 1: �Y�S n aS PHONE 7 q� c V
TOWN RESPONDING FROM: F 6 A- ct-)
CONTACT 2..ct l'� f Cc G� d C1 PHONE `7
TOWN RESPONDING FROM: �D 4 9- ujc-c
HOME
CONTACT 3: PHONE
TOWN RESPONDING FROM:
Fire Marshal Steve Smith,Deputy Fire Marshal Mike Palmer
Phone 76I--8205, FAX 745-4437
BAY ST. DINER
EMERGENCY&EVACUATION PRODEDURES
If small fire, use afire extinguisher noted on 'fl
E C i��
diagram below to put out, NOTE:for grease ire `
use the fire extinguis er in the kitchen. q pq ?004
Call 911 if the emergency is out-of-hand and TOWN OF CKKJE, r��SBURY
evacuate the building through the closest BU!�,�'"� -09 CODE
marked exits.
All staff will meet in the back of the building in the
parking lot, take a head count of personnel.
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Town of Queensbury
Fire Marshal's Office OD 742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report Q L1-,2A5
Request L _ SCHEDULE
Received: Permit# INSPECTION ON: .zA, C
Name:�4A-5 - +�Q b� AM PM ANYTIME
Location:
APPROVED _
NN/A - YES NO COMMENTS
EXITS
AISLE WIDTHS_ — —'
EXIT SIGNS-_NORMAL_-
- BATTERY _ ✓UJ►,{Q
EMERGENCY LIGHTING Cl '
FIRE.EXTINGUISHERS
FIRE ALARM SYSTEM b[
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM__ b�ea Kjo FOVVI
HOOD INSTALLATION _
INTERIOR FINISHES
STORAGE _
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELI+-CT RIC'AL
REQUIRED SIGNAGE
EMERGENCY PLAN_
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY _ ,ROUGH IN
FINAL
f
FACTORY BUILT ROUGH IN
_FINAL
WOOD
STOVE ROUGH IN
FINAL _
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE `-- -- —
MASONRY ROUGH IN
---- - OK THIS D TE JjOK F Q CN O:T OEC
FINAL
FIREPLACE
FACTORY BUILT ROUGH I�
------- IN PELTED NY
FINAL
COMDEV/CHRISJlWORDILETTERS2001/FIREMARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
Fire (Marshal's Office
742 Bay Road t
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
I _
Fire Marshal's Inspection Report
Request -
Received: _ Permit# SCHEDULE
INSPECTION ON: _ «
Name: ( .)_AM PM ANYTIME
Location. °7 d _� t'��•� i��
-- -- -A- -— -- - APPROVED __ - -
_ — N/A YES NO —COMMENTS
AISLE WIDTHS
EXIT SIGNS--NORMAL
_ _BATTERY `------
EMERGENCY LIGHTING
FIRE EXTINGUISHERS --- -_—
FIRE ALARM SYSTEM
x
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM �^ �•B Q'✓� ✓ .; I jam' I' "` q``, ,r' -
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE --
COMPRESSED GAS __ I
CLEARANCE TO SPRINKLERS — ,+
CLEARANCE TO HEATINCs'----�- --
UNITS
CLEARANCE TO ELECTRIvAL —
REQUIREDSIGNAGE
EMERGENCY PLAN_
MAXIMUM OCCUPANCY SIGN k`
CHIMNEY — --- -- —
MASONRY ROUGH IN f
FINAL
FACTORY BUILT ROUGH IN
— FINAL
j1
STOVE .--- ROUGH IN
/ q �
FINAL_
VENTED GAS --` -- - --
APPLIANCE ROUGH IN i
FINAL
FIREPLACE
MASONRY ----- ROUGH INS--
_ —FIN
_ OK THIS DATE- �^ �K-FOR CO NOT OK
S ~`"
--------------- FINA
FIREPLACE —� t
FACTORY BUILT ROUGH IN
---------- - }-- -- INSPECT E® BY
FINAL }
COMUEV/CHRISJMORDILETTERS2001/FIREMARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY