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2004-912 TOWN OF QUEENSBUIRY - 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4E L - Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040912 Date Issued: Monday, December 20, 2004 This is to certify that work requested to be done as shown by Permit Number P20040912 has been completed. Tax Map Number: 523400-303-016-0001-061-000-0000 Location: 438 DIX Ave #32391 Owner: MAPLEWOOD ICE CO., INC. Applicant: MAPLEWOOD ICE CO., INC. This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COM) TOWN OF QUEENSBURY 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: P20040912 Application Number: A20040912 Tax Map No: 523400-303-016-0001-061-000-0000 Permission is hereby granted to: MAPT,RW00D TCF, CC).. TNC. For property located at: 438 DIX Ave 432391 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: MAPLEWOOD ICE CO., INC. #32391 Certificate of Occupancy(COM) PO BOX 62 Total Value WHITEHALL, NY 12887-0000 Contractor or Builders Name /Address Electrical Inspection Agency Plans&Specifications 2004-912 MAPLEWOOD ICE CO. INC. CERTIFICATE OF OCCUPANCY $0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, November 29, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T wn o ueen ovember 29, 2004 4c!�� SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Nov 15 04 04: 41p MAPLEWOOD ICE 4992347 p. 1 Town of Queensbury Fire Marshal's Office ��Q EMERGENCY CONTACT UPDATE LTRS 2000 TO: WARDEN COUNTY SBERIFF'S DEPT. FAX: 761-6210 PLEASE PRINT DATE: / I S� �2—vu L1 BUSINESS NAME: IW 4' ''L e Cc j&c'D �'E 6—�e BUSINESS ADDRESS: _ BUSINESS PHONE-.— .� �1�7 J S �+.� HOME CONTACT 1: r.VI ' Jr' PHONE /J-�1�-7 4�29" TOWN RESPONDING FROM: _ now 7 Y �--� � 7j Cw/ CONTACT 2: 4 G (Y s �r' /-� Gl�"j<r !� pgONE t`��' --t ! H) TOWN RESPONDING FROM: A�ry �ti r(-% f , HOME r7` -7-137I � CONTACT 3- �� PHONE 7 11 7- IFn 7 TOWN RESPONDING FROM: Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer Phone 761-8205,FAX 745-4487 r BP File �1�--- Ne�$ASi11eSS Dept. of Community Development CeY'tlflCate Of Town of Queensbury Occupancy Permit 742 Bay Road Queensbury,NY 12804 (518) 761-8256 For occupancy only, with no work requiring buildingpermit: no fee req NOV 16 2004 'OWN OF QUEENSBURY BUILDING AND CODE Name of Business: 4114-,de ty Lo n �- Address: q.3,�- Z)IIY 1171e. uz%f t O Person in Charge or Manager: 0"10/ (V o 0 c Business Phone Number: 43 S= 2SI S L -ed 3eW s-3 6 Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): Owner of Property: 1W,011eziva e,0 G Address: Phone Number: FO6 - 3�- 2 S 7'S ^e Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout 7onZsep;Qsheet fpaper. Signature: ate:Uopersform: Z r Property Tax Map No. J d3 / 16 l / f� 6 a Notes/Comments: / L Ce S,— 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 G �/ SCHEDULE I I Received: Permit# INSPECTION ON: ` =tie' Name: iM�1n'�4�-�(�'�% AM ANYTIME Location: `✓ `�...` �' APPROVED N/A, YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH UAo&( EXIT SIGN-NORMAL N Nv— EXIT SIGN-BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG FIRE,EXTINGUISHER v INSPECTION FIRE EXTINGUISHER HYDRO v FIRE ALARM SYSTEM n -FIRE ALARM -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.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN OK THIS DATE OK - CO NOT OK INSPECTED COMDEV/CHRISJMIORD/LETTERS2001/F IREMARS HALINSPECTIO NREPORT11022001 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# "� w INSPECTION ON: i� Name: . �'nd10��, LUv C- 1 a� AM PM ANYTIME Location: `� 'p`y 1�. APPROVED N/A. YES NO I COMMENTS EXIT ACCESS EXIT ENCLOSURE �.a c N UK�Cz+ t.E{ 2� EXIT DISCHARGE MAIN AISLE WIDTH U4 Ct SECONDARY AISLE WIDTH EXIT SIGN—NORMAL EXIT SIGN-BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG �}•�i � �. �v+ '�%� FIRE EXTINGUISHER j INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM FIRE ALARM -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.SIGNAGE—UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN OK THIS DATE ® OR CO NOT OK INSPECTED BY COMDEVIC HRISJIW ORDILETTERS2001/F IREMARS HALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY -in 31viS frrnts }fit r?bo•.98 N N. wao.2� va3l�ta�9. a'?�� ► ,�� .,,,�s �'� ''�� a�� as (1»M�.ox�,3� f t W R -t %�vx0Jva aqa v1t�«H ' lK sir+*■''+ .. i S S '{o��'1 4 L\ �1 ., •ra c�� 0 2 i 5\ � igw•�l 1t �y o �r+1 I5� � 353H _ n ibis RECEIVED4: .i� Q= pp`yy,, TOWN OF QUEENSBURYr PLANNING OFFICE ��l vwa 8.= Ills yyp� x. el s: