2004-915 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040915 Application Number: A20040915
Tax Map No: 523400-303-016-0001-031-000-0000
Permission is hereby granted to: ITF,T DEVELOPMENT CORP.
For property located at: 473 DIX Ave
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: MULIAM& CHRISTIE A BENNET
CHRISTIE A. Certificate of Occupancy(COM)
Total Value
473 DIX Ave
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-91.5 HEI DEVELOPMENT CORP.
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, November 18, 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 To of eensb T r ay, November 18, 2004
W
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
11/18/2004 15:57 5187925302 HEI DEVELOPMENT CORP PAGE_03 _
i1-118:'XIM THU 14:23 FAX C�10041'01)7
BP File# f
-Dept,of ComMUn#y Development OJ'
Town af'Qaeettsbury Q�3Cii�t�11[3��®1'11131�
742BayAoad
Queensbury,AT 12804.
(M)761-8256
1"ar occupancy only,with W werk requtrft bufddtng permit: no fee requtrea for this permit.
Name ofBusinass. W. 0 c JV Ali t„/
A.ddr=: �S �'J u r� �,�+ to J LL
Parson in Charge or Manger. 0 oL a �� S
Business Phone Number: S-► 7_
Type of Business: (i.e.,mawantilc,restaurant,hobby shop,plumbing store);
owner of rwpQty: W .(�[y�.�..�..f��.'G J!A S C`�1�n P.�n!/�\� G�
I" '
Address: I .�3Phone Number.
Pteam provUe an accurate layout of your store show4mg all Walls, exits,stockrooms,restreoins,
e anters and f bawre layout on a separate rheas of paper.
x
Sipature: - - Date:
ofpwa'wi.�bmi [kirjoarn:
Propaity T=MV No. 'S 0 , a
NoteslCommants:
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 d SCHEDULE f
Received: Permit# �00 - INSPECTION ON:
Name: �� ��tr 30 AM CM ANYTIME
Location: 4730iX
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN—NORMAL
EXIT SIGN-BATTERY
EMERGENCY LIGHTING 11 (0LO
�
FIRE EXTINGUISHER HUNG V
FIRE EXTINGUISHER .
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 OK FOR CO NOT OK
INSPECTED BY
COMDEVICHMSJMIORDILETTERS2001lFIREMARSHALINSPEC O REPORT11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY
S7 - 79y
� n1_,
Town of Queensbury
Fire Marshal's Office Il�
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON: -
Name: . E f , AM (1CM
ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE
EXIT DISCHARGE
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH J
EXIT SIGN—NORMAL a (,5 1 �,�� `-A
EXIT SIGN-BATTERY Ilr�t ��tt v
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER e t tINSPECTION W V put
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN J "J
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 1 OK FOR.CO.. NOT OK /
e
I PECTED BY
COMDEMICHRISJIWORDILETTERS2001IFIREMARSHALINSPECTION PO12T11022001
WHITE—BUILDING DEPARTMENT COPY YELLOW—_OCCUPANT COPY
4-7 j
6-f`� p_ �.� ECEIVED
NOU 18 2004
TOWN OF QUEENSBURY
p CC-,c.e I BUILDING AND CODE
f aV�r�+Pa� t7oa( aU�r•�B�,Z b�,� ia3�yo ,�
11/18/2004 15:57 5187925302 HEI DEVELOPMENT CORP PAGE 02
11/18/2004 THL? 14:24 FAX �JOoeroo7
Town of QZ:Ieensb11u
Fare M"sharis Office
EMERGENCY CONTACT UPDATE
LTM 5000
TO: WARREN COUNTY*SRER ws DBm. FAX; 761-6210
PLEASE PRINT
D ATE,
STJSTNFM NAME � r
n
B'USINms ADDYLFBS:—�LZ1-..- �1
BUSINM PRONT; "
CONTACT I;. n's^� 4� _ `ROB ��`7�S► y/
TORN RESPONDING FROAL•
wCONTACT 2,- ,n;�� W%)l�s _PHONME -po66
TOWN RESPONDING FROM:
HOME
CONTACT a: 1 a. PHONE
'DOWN RESPONDING F OM
rye,l aMhal bW VC Smith,DOPUt ►FYre Marshal Mlle Palm"r
Phone 7614,905,PAX 74"07