2003-602 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518,)761-8256
��R TIFICATE OF OCCUPANCY
Permit Number: P26030602 Date Issued:'- °Friday,February 27,2004
This is:to-cerd that-work re nested.to:be--done as-shown b Pexmit Number:: := - - -
q y P20030602
has been completed.
Tax Map Number: 523400-302-007-0001-021-000.0000
Location: 696 GLEN St
Owner. GLENS FALLS NATIONAL BANK &TRUST CO
Applicant: GLENS FALLS AREA HABITAT FOR HUMANITY
This structure may be occupied as a:
By Order of Town Board
Certificate 6f Occupancy(COMA TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSWRY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development Building&.Codes (518)'761-8256
t.
BUILD NG PERMIT
Permit Number: P20030602 Application Number: A20030602
Tax-Map No: 523400-302-007-0001'-022-000-0000-
Permission is hereby granted to: GLENS FAT.T,S AREA HABTTAT FOR HITMANTTY
For property located at: 696-GLEN 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: GLENS FALLS NATIONAL BANK
250 GLEN St Certificate of Occupancy(COM)
Total Value
GLENS FALLS,NY 12801
Contractor or Builder's Name f Address 'Electrical Inspection Agency
Plans&Specifications
2003-602 GLENS FALLS HABITAT FOR HUMANITY
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 06, 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 the wxi o uee ury n+esday,,August 06, 2003
SIGNED BY for the Town of Queensbury.
urY•
Director of Building&Code Enforcement
=� BP File.#
l�e�' �LiS111eSS
Dept. of Community Development C+E'.Y'�1fiCatE'. Of
Town of Queensbury •
742 gay Road Occup��.cy l�"t�1"]t]cilt
Queensbury..NY 12804 RECEIVED
(518) 761-8256"
For occupancy only, with no work requiring building permit: no fee required for this permit. _
TO
Name of Business: 1 Pis �A S. 4R eQ T7 ah t o - a 2, -110.-4 Aj 147
Address: 6 '76 0�410 � �P.� � = a e c..,��a cl�v / ` 1 Z:,?O V
Person in Charge or Manager:'
Business Phone Number: 37 fix'- ✓'q y -2 0 o o o x4' z o z
Type of Business: (i.e.,.mercantile,restaurant,hobby shop,plumbing store):
n/DT drz PA0F 7r ' 4j_ A41A.�t.S7r2y
Oumer of Property:
Address: 6 6 u n p e l-eAj v le eNs ���,, •'� `� , /2
Phone Number: r�'- "7.9 3 't 6 f 76
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.
Signature: e:.�...7 •
o person'suhmitt nA,this form• ram+
_. / .
Property Tax Map No. / 1
Notes/Comments:
C7�;N/C�" 1.S US E.ta "mac /z. /�c�.d2� ,.�2eT/^✓ �S A.r•�� ;�eC112� .<(r7tP,�!Tt -J
orr-IC-6 ?-el ms t5 6`18 -753-7VFV
Town of CRusensbury
Fire Marshal's Office
742 Say Road a` .
Queensbury, NY 12804 437
Phone (518)761-8205 Fax(518) 745_4
to !a
Fire Marshal's Inspection Report C)
Request ,, FE
Received. "71- —Permit# N 0N.
Name: 1 { ��'- -I- AM i�'M�NYTIME__
Location: � -
APPROVED
�I!A YES NO CCDMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL _
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM _
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPA14CY SIGN
CHIMNEY
MASONRY ROUGHIN
F114A1
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE' ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH 114 OK THIS DATA FOR CO OT OK
FINAL (�
FIREPLACE A O
FACTORY BUILT ROUGH IN INSPECTED Sy
FINAL _
COMD'r--VICHRISjIWORD/LETTERS200liFIREMARSHALINSPECTIONREPORT11o220a1
WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
L Towri of Queensbury
Fire Marshal's Office
EMERGENCY" CONTACT'. UPDATE
LTRS 2000
TO: WARREN COUNTY SHERIFF'S DEPT.. FAX:. 761-6210
PLEASE-PRINT
DATE: 7-30.
BUSINESS NAME: G 1_j�S FALLS ,A/z E A "As 1 �- y-c32 I v,M
BUSINESS ADDRESS:
BUSINESS PHONE:
HOME
- CONTACT 1: �5 €y y A c C-DAL.r-,e-H. ._.. ;.> PHONE
.TOWN RESPONDING J 'R.OIVI: -
HOME �a7�'
CONTACT 2• fC" A) W-v 6 o PRONE- � 9' �3
TOWN RESPONDING FROM: G A"'415 Vo a/Z-`1" � ,Al%' , � 2 � 3 �
HOME A'-- 7(7 .3_ 7 L/c?
CONTACT 3: r
TOWN RESPONDING FROM:" �e �s � - ' A-1 %.. ! Z .c�
Fire Marshal,Steve-Smith, Deputy Fire Marshal Mike Palmer
Phone 7618205, FAX 745-4437
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