2001-470 BP File# ]_ I0
New $71s111e8
Dept. of Community Development Certificate Of
Town of Oueensbury Qccupancy permit
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required f P; v
RY
JUN 2 9 2001
TOWNS QUEENSBU
BUILDING
AND CODE
Name of Business: 4% / /I ti e C o�►1.+-,�-,-.?tom �'�
Address: % /7 ► ,-./O e)X L - ,
Person in Charge or Manager: "/� -.�/ =�� �%Gif�d✓
Business Phone Number: 7f,- .5'77 2?
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: /�/1J _-e
Address:
Phone Number: 3/.S- /V l
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: % Dater �` %—O/
of person submitting/this form:
thre
Property Tax Map No. b . /
Notes/Comments:
^ a1-147& ;
BLDG. PERMIT N�
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby:requested for the property ,� `
located at; 7 T�i/�c4rook �'i(.‹... Al(70 &o 6M.,,U,,,� c‘v plod LAM
J
for the following uses: Ck,, L'/ /ass )14P S4 0 CC fil 7
129/0/A \ 7"/' c_,-------- rl--7,":----'7'
DATE \ SIGN'-1TURE OF APPLICANT e..-.-17 ,, �f/GC
i
t
I ) .
TEMPORARY CERTIFICATE OF OCCUPANCY
\ \
f. }
1 /The TEMPORARY CERTIFICATE,OF OCCUPANCY is hereby APPROVED
( )DISAPPROVED
)4 \ ,
with the followiny6 / s conditions; _/ ra v.,/ /./.0r o 5- iffAer" ‘-' S k,A ,,, ratil‘awfri It,. A40 i f �fc?4 ,;/�
c(,//i�lr1 Gle Ge acepp,/ 4/ ,,J 71/rA4 47/ 00,24 7OT4
r
TEMPORARY CERTIFI ATE OF OCCUPANCY FEE: (a$10.00DEPOSIT: 0$100.00
received on. (p 1-9'h/ --;/ • ,/J`J
Date of Iss ance Director of Bldg.V& Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE. ;
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee. .,.
FIRE MARSHAL
trimp TOWN OF QUEENSBURY
` 41 QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT .
REQUEST RECEIVED C 1..z q 6
NAME NVAA 6 c, COVArntAnt i V . (h1) edk
LOCATION CS P 0imC t( ERMIT#aat___V
SCHEDULE INSPECTION ON i
t ii1c AM
APPROVED
E N/A YE NO
:.a. EXITS
AISLE WIDTHS1.11
EXIT SIGNSVic
',. EMERGENCY LIGHTING
i FIRE EXTINGUISHERS / J
FIRE ALARM SYSTEM ' I
f
FIRE SPRINKLER SY TEM 43 ,/
r FIRE SUPPRESSION ST � V
HOOD INSTALLATION
d3 , ii,
,INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPIFINKLERS 1 v
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE J
CHIMNEY J ______---,-,
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT. -
El ROUGH-IN
❑FINAL
REMARKS: `1 El OK TO THIS DATE
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INSPSLIP.PUB INSPEC R
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FIRE MARSHAL
�� TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL IN PECTION REPORT
REQUEST RECEIVED 'LC 0
NAME Q `-
LOCATI lA icL1 K101T PE M1T
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SCHEDULE INSPECTION ON t zct o
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APPROVED
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EXITS 1� C.iY?1 1 :Upee:, to 44 J
AISLE WID HSI
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FIRE SPRINKLER SYST -to I/15+41
FIRE SUPPRESSION SY EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO PRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: ii ElOK TO THIS DATE
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TOTAL AREA = 270 SO. FT.
• MAX \OCCIPANTS = 3
TOTAL AREA = r" 30. FT. TRAINING
MAX OCCUPANTS = 16 III o
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CLERICAL AREA
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