2003-612 TOWN OF QUEENSBURY
.
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building c4c Codes (518) 761-8256
BUILDMG PERMIT
Permit Number: p20034612 Application Number: A20030612
Tax Map No: 523400-309-010-0002-028-000-0000
Permission is hereby granted to: CHAMPTON STCrN CRAFT
For property located at: 52 MAIN St
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: 52 MAIN S'T. WEST GLENS FALLS Certificate of Occupancy(COM)
52 MAIN St .Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-612 SIGN CRAFT
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE.
$0.Q0 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 27,2004
(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 th exowncf Que sbury; nednesday,August 27,2003
SIGNED BY i41n zz for the Town of Queensbury.
Director of Build g& e Enforcement
BP File#
Mevv
Dept. of Community Development CUnLW.t1.E1Cate C&
Town of Queensbury
742 Bay Road OcctzpancPer1�1-t
Queenshury,AT 12804 AECEIVED
(518) 761-8256 AUG a 5
For occupancy only, with no work requiring buildingpermit: no feg(5Wi or this permit.
sui��Ar��Sao co®�
Name of Business:
Address: ZI
Person in Charge or Manager:
Business Phone Number: nk-)7 `"
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: `y
Address: ��- i'1'Y}�7 N s T (,/�; 2 '� AlYj
Phone Number: 3—
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper:
Signature: Date:
of pe submitting this form:
Property Tax Map No.
Notes/Comments:
17)
3
Town of Q ueensbury I
Fire Marshars Office
EMERGENCY" CONTACT UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 761-6210
PLEASE PRINT
DATE: D
BUSINESS NAME:
BUSINESS ADDRESS: 157 Z" � � �r
BUSINESS PHONE- .
i
HOME
CONTACT 1: I �I�- � L PHONE—
TOWN RESPONDING.FROM: 0 Q l
CONTACT 2; / � l HOME. 196
�� PHONES`/ "ji 7J
TOWN RESPONDING FRONT
� y
-HOME CONTACT 3: A16 �1�//✓�IS� PHONE .-
7 �-&n
TOWN RESPONDING FROM:
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
.Phone W-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
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# SCHEDULE
ON:
Name: 1 .40(616A L AM M NYTIME
Location:
APPROVED
-IN IA YES INO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL A Adt
Ivt
- BATTERY ck A)of fdah
EMERGENCY LIGHTING
FIRE EXTINGUISHERS cu lf,. '7
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS 16"V46CAL 00 Ak
eteARAW.E.T.Q,ELECTRICAL
REQUIRED SIGNAGE e,,,tr(vyee ire-�;+%r
cck
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY VjOrWr- Al ka ke�
MASONRY ROUGH IN •
FINAL
CHIMNEY jAigac 5k
FACTORY BUILT ROUGH IN v0oo
FINAL C\j of lut" tC416 6
WOOD C'm o,+
STOVE' ROUGH IN
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APPLIANCE ROUGH IN 0-oj a- t,) U0 i A3 9 a f CO MV tr
FINAL A .A ,4
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FIREPLACE ROUGH MASONRY 0 T
OK THIS D;ATE K FOR C
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJNVORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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