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2003-973 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY . Permit Number: P20030973 Date Issued: Friday, April 23, 2004 This is to certify that work requested to be done as shown by Permit Number- P20030973 has been completed. Tax Map Number: 523400-308-016-0001-003-000-0000 Location: 398 CORINTH Rd Owner: CHARLES &BARBARA SEELEY Applicant: LONE BULL PANCAKE HOUSE This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COND JDZN OF QUIEENSBURY 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: P20030973 Application Number: A20030973 Tax Map No: 523400-308-016-0001-003-000-0000 Permission is hereby granted to: C',HARLES &BARBARA SF,ELEY For property located at: 398 CORINTH Rd 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: CHARLES &BARBARA SEELEY Certificate of Occupancy(COM) 398 CORINTH Rd Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-973 LONE BULL PANCAKE HOUSE CERTIFICATE OF OCCUPANCY ONLY $0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, December 04, 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 Town of Queensbury; Sunday,December 07, 2003 SIGNED B ` '; for the Town of Queensbury. Director of Budcg&&e Enforcement BP File# 0 — Nemw $amines Dept. of Community Development CertlflCate Of Town of Queensbury Occupancy Permit 742 Bay Road Queensbury,NY 12804 (518) 761-8256 For occupancy only, with no work requiring building permit: no fee required for this permit. Name of Business: Leh e &LL PrIhe,14 Gb U S;� Address: 1n �C� =4 1 � Person in Charge or Manager: AA- 10A) Business Phone Number: 51 C—" 7 9 e- Type of Business: (i.e., mercantile,restaurant,hobby shop,plumbing store): Owner of Property: �Q PS Address: Co &tp—In 0- Phone Number: 3 ® (Q(Q f 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: r6 Date: o person submitting this orm: Property Tax Map No.�()S—[L77 1 -3 Notes/Comments: Town of Queensbury Fire Marshal's Office 742 Bay Road QueensCury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request 017 SCHEDULE Received: Permit#��?-- � � INSPECTION ON: Name: at( _a. Z-q ,5� AM PM ANYTIME Location: APPROVED - _ _----- N' N/A - YES NO COMMENTS - EXITS ..---- AISLE WIDTHS -- - - - EXIT SIGNS NORMAL - BATTERY ^_ - i e'lo ' Jr / "' f p EMERGENCY LIGHTING 1 �\ � �Z �� /'� FIRE EXTINGUISHERS ,( FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM _ 1�.� aid Apie','l, acYv �/ [U// FIRE SUPPRESSION SYSTEM- HOOD INSTALLATION `_ INTERIOR FINISHES STORAGE ---_ COMPRESSED GAS_____ - `v CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING` AlJf)t4l- UNITS ® d CLEARANCE TO ELECTRICAL e f/tJy L REQUIRED SIGNAGE __ Ilu V-G EMERGENCY PLAN MAXIMUM OCCUPANCY SIGiV ) 1 CHIMNEY MASONRY ROUGH IN 6 __-__ FINAL. CHIMNEY I FACTORY BUILT ROUGH IN FINAL Sell STOVE ROUGH IN ` FINAL _ VENTED GAS A - APPLIANCE ROUGH IN FINAL FIREPLACE -T--- -- MASONRY ROUGHIN ---�._. _. OK THIS ATE � FO O NOT OK FINAL FIREPLACE ----~� /> FACTORY BUILT ROUGH IN C• ------_--- — NSPECTED BY FINAL COMDEVICHRISJ/WORDILETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury v Firs Marshal's Office 742 Bay Road Queensbury, NY 12804 � Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request 17 SCIiEDULE L Received: Pe mi�t# _ IMSPECTION ON: h' J; r�- Name: �Gc2 , - AM P ANYTIME Location: APPROVED MIAYES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL r , BATTERY ... ``� ley" EMERGENCY LIGHTING AA FIRE EXTINGUISHERS FIRE ALARM SYSTEM _ l FIRE SPRINKLER SYSTEM <�t2 y FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO HEATING IDS HEATING CLEARANCE TO UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNA13E �} L� �• �J`c�z�/l �5. L(��l D� EMERGENCY PLAN fV 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 DATE OK F I CO NOT OK FINAL _ FIREPLACE FACTORY BUILT ROUGH IN INS EC _ FINAL COMf EVICHRISJAVORDILETTERS2001/FIREMtiR.SHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury Fire Marshal's Office 742 Bay Road eueensbury, NY 12804 I Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshall's Inspection Report Request SCHEDULEReceived: Permit# - -2 INSPECTION ON: �� 03 Name: r.4�12xli �G: r Q� �(' —// PM ANYTIME Location: n �� APPROVED I+I/A YES NO C MENTS EXITS AISLE WIDTHS _ (� EXIT SIGNS-NODRMAL -^ - 15 Lr orXl i/�5� �•1 �X �v�Lrv�1 - BATTERY 11 EMERGENCY LIGHTING r�to L,� FIRE EXTINGUISHERS 4 FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES 1 STORAGE - 'o "'�1.1�j Lit COMPRESSED GAS ✓ i CLEARANCE TO SPRINKLERS. rr (., (Jt l i'c'cAfl Y CLEARANCE TO HEATINGUNITS vl�ea av�rflTi,9yC-`�ELECTRICAL. 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