2007-195
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TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070195
Application Number. A20070195
Tax Map No: 523400-309-014-0001-012-000-0000
Permission is hereby granted to: PATRICK MERRILL
For property located at:
108 MAIN St
in the Town of Queensbury, to constnut 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 QueensburyZoning
Ordinance. Type of Construction Value
Owner Address: PATRICK MERRILL
108 MAIN St
QUEENSBURY, N.Y. 12804
Contractor or Builder s Name /Address
Certificate of Occupancy (COM)
Total Value
Electrical Inspection Agency
Plans & Specifications
-195
& T HAIR DESIGNS CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 02, 2008
(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 T o ee ~ y, May 02, 2007
SIGNED BY ~ for the Town of Queensbury.
Director of Building & Code Enforcement
--
Community Development Office
Town of Queensbury • 742 Bay Road •Queensbury, New York •12804 ; y ~
Maril n IZ ba Executive Director -David Hatin, ~~
t/ y ~ Director of Building £~ Codes ~~'° ~' -- ~~~~~~
Craig Brown, Zoning Administrator • Michael J. Palmer, Fire Marshal ~ '
NEW B LISINESS CERTIFICATE OF
APPLICATION
TAX MAP #_~ ~ ~~-' /'"(~ BLDG
Name of Business: ~ ~/~ (~~
Address
of Business:
Person in Charge or Manager:,
Business Phone Number:
'79~ X35'7
Type of Business: ~ ~~ `~~i~~J
,~ ~
'.._~_E_. ~d_
OCCUIBI~I~T~~'-~ ,', ~`T
OUR WEBSfTE FOR MORE
INFORMATION
wvi-w.queensburv.net
s~
Owner of Property: L,~ Phone N
umber(s):
Owners
Address:
'~9~-~9~
Home
Cell
Please provide, an accurate layout of your store showing aU walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
~-
Signature: ` ~~~{e: ~
Of person submitting this
Notes /Comments:
PERMIT FILE# (~ ~'r~
If applicable
HUEST ~
IONS. CALL 761=8256 OR
EMAIL codes~pueensburv net
"Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
D~ -195-
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT.
FA X•
PLEASE PaRINT ~
DATE: / ~ ~`
BUSINESS NAME: ~! i ~~/~ ~~ ~_~~Q~~~D
.~ ,
TOVv+~~~ ~~~ ~~.:~.,~~w~~vRY
BUILD6h~~ ;=,`~±; CODE
/ ~j~ I
_ BUSINESS ADDRESS: ! Q ~ / (~z~--~
BUSINESS PHONE: ~~ ~~~~
is o-~°
~~
~~,,~ HOME .C/~'-DU~ `~
CONTACT 1: PHONE ~" J
ADDRESS~~~ ~~~~~( C Litt ~ `
~~
HOME ~/~
CONTACT 2: -
PHONE
ADDRESS:
~~ ~-. ~ i~~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 ANDJOR FIRE PERSONNEL.
TOWN OF QLIEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 Fax: 518-745-4437
firemarshalC~3queensbur-u net www.queensbur t~.net
Inspection for Permit to occupy
Ptre Marshal's Office Request Recd Permit No. ~~ , ~~~/
Town of Queensbury
742 Bay Road ~-Q'
Queensbury, NY 12804 Scheduled Inspection Date: ~ ~ Time: i"O A-
t
Phone: (518) 761-8206 Business Name:_~' ~~" '~A~~-~~'Sl~ N
Fax: (518) 745-4437 Location:_ [ C~ ~b JPY1+p+~N S~nlrf~~
T e of Ins ection N A Yea No
EXITS:
Exit Access
Exit Enclosure
Exit Dischar e
EVAC Pfan
AISLES:
Main Aisle Width
Secondar Aisle Width
EXIT SIGNAGE
Si n -normal
Si n -batter
EVAC si ns in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER: ~("
Hun
Ins action of extin uisher
H dro extin uisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire S rinkler S stem
Fire Su ression -kitchen
Fire Su ression -Gas Island
Hood Installation
'
Interior Finishes
Stora e
Com ressed Gas
Clearance to S rinklers
Clearance to Electrical
Electric Wirin Enclosed
Combustible Waste
Vehicle Im act Protection
Flre Lane
F.D. Si na e - Utilit Rooms
No Smokin Si ns
Maximum Occu anc Si n
Emer enc Evacuation Plan
COMMENTS
~w~ ~~~
~/~ ,
~ t ~sl i~tion Complete
sate of Occupancy
MAY
Approved (lf no other approvals apply, the B & C Office will issue the Ce iricate of cu ncy)
^ Denied
o Catl for Recheck
Inspected By: ~~ -_
L:\FireMarshal\insptopermitto occupyform.doc