2003-720 IN
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERTIFICATE DEOCCUPANCY
Pennit-Number: .P20030720 Date Issued:', :Tuesday; September 02,2003
:. ..,�.This is:to-cerdf,that wo'r Oequested.to-be done as shown by Permit Number . °a P20030720
has been completed.
Tax Map Number
:; '.` ., 523400.309-014-0001=012-000-0000
E
Location:` 108 MAIN St
PATRICK MERRILL;
-Applicant WINDOWS,DOORS,ETC.
This structure may be occupied as a:
By Order of Town Board
Ce tifiCat6 of Occupancy(CO" - _ .": 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 (51.8) 761-8256
BUILDING VERMIT
Permit Number: P20030720 Application Number: A,.20030720
Tax Map No: 523400-309-014-0001-012-000-0000
Permission is hereby granted to: XVMOWS_ DOORS. RTC;.
For property located at: 108 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: PATRICK MERRILL Certificate of Occupancy(CONi)
108 St Total Value
QUEENSBURY, N.Y. 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-720 WINDOWS &DOORS, ETC.
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCUAL WORK TO BE DONE
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 02, 2004
Of 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 Town of Queensbury; Tuesday, September 02, 2003
SIGNED BY for the Town of Queensbury.
Director of Buil ing 4*%dnforcement
[BP File# _
- Newt $LiS111E'.SS
Dept. of Community Development
Town of Queensbury QCCA�3° 1C`�7' �'C�"1111�
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
03 .Name of Business: -#e.
1
Address: J a `b M 4 t 4 Sr CSLkL e A tSbk ti c..
Person in Charge or Manager: t' !,p„iJP I-
Business Phone Number: G($) W 57- 639 01
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Propertyk �/�,�•2/t�` � _
Address: 104 M.41A) S'r-- que4A.1J buA&
Phone Number:
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a sepa heet of paper.
Signa e: Date: g- a?- d3
of person subm: i his form:
So
Property Tax Map No.
Notes/Comments:
Town Of Queensbury
Fire Marshal's Office
EMERGENCY CONTACT UPDATE
LWS 2000
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 76I-621.0
PLEASE PRINT
A1% 7. 2003
DATE: � J�tiSY
AWN OF . u
9-
BUSINESS NAME:
BUSINESS ADDRESS: Og M A/A) S� �r tE�,vSbu r , ill.l�i • l
BUSINESS PHONE�,S a) 7l
- _ �- HOME- =-
- -- T : : 9 PHONE ` 7
CONTAC I '03a .
- {I'ON:RESP{IND►ING FR03V . Iu.Sr _
ROME
CONTACT 2: 1 e QA) SO c A/ tb' PHONE('Sf g) 7t6 '03oZ-
TOWN RESPONDING FROM: U
HOME
CONTACT 3: PHONE
TOWN RESPONDING FROM:
Fire Marshal Steve Smith, Deputy Fire Marshal Mike Palmer
Phone 761-8205, FAX 745-4487
Town of Queensbury
Fire Marshall's Office
742 Bay Road
Queensbury, NY 12804
Phone(518)7 81-8205 Fax(518) 745-4437
Fire Marshal's Inspection Reporttj
Request SCHEDULEq-2--
Received: Permit# INSPECTION!ON:,
Name: �.i ^� AM PM ANYTIME
Location: Q �+ ,
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING ?
FIRE EXTINGUISHERS -
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION j
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS j f`
UNITS
TO HEATING �f{ ,� ZO E� (g ( �L e w-
CLEARANCE TO ELECTRICAL {,IvC� nY Phi l�
J
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS ATE NOT OK
FINAL !
FIREPLACE Moz x
FACTORY BUILT ROUGH IN I PECTED BY
FINAL
COMDEIO/CHRISJNVORD/LETTERS20011FIREMARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
k)v5
r
o, 7 ZM3
Tic�
URY
-TCWN Cyr U E" SEI.AW
F:GILDING & ITT.
THIS n 0 C'ZZ ON REVIEWED BY
PROJECT SITE r .)ATE
ALL E O
/7—
THEDURATION Cr TOWN OF QUEENSBURY 01UL ING DEPARTMENT
si
Based on our limited examinauan,
NST ''t,:U it,"9'T Pt0 N compliance with qoT comments shall
not be construed as indicating the
plans and spedfications are in full
compliance vrith the Building Codes
of New York State,