2002-998 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902' (518)761-8201
Community Development-Building&Codes (518)761-8256
CE DTIFIr A'TEft 1,
OF OCCUPANCY ,
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.Permit Number .` P20020998 DatelIssued: Friday,August 22,2003
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::This is;to certify that-:work requested.to.be.done as shown by.P"-' Number ; ; P20020998
: . :. has been completed.
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Tax Map,Nurnbcr;; �';�� ;523400-309.011-0002-�,013-000-0000
Location::. 13 MAIN' St
'Owner: PATRICIA,EVANS
Applicant: PATRICIA EVANS-This structure structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy(COM) 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 (518) 761-8256
BUILDING PERMIT
Permit Number: P20020998 Application Number: A20020998
Tax Map No: 523400-309-011-0002-013-000-0000
Permission is hereby granted to: PATRICIA FVANS
For property located at 13 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: PATRICIA EVANS Certificate of Occupancy(COM)
107 CORMUS Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-998 North Country Cat Hospital - C/O only
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 10,2003
(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- Tuesday,December 10,2002
SIGNED BY for the Town of Queensbury.
MAOIX Y V -Director of Building& de Enforcement
BP File#2—Z
r
N��Sus�iness
Dept. of Community Development Of
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
(518) 761-8256
For occupancy only, with no work requiring buildingpermit. no fee required for this permit.
Name of Business: N o(+�-. Co �-"t- C-Ozk-- 4o,5 o' —cl
---- - Address;
Person in Charge or Manager: VA- c i
Business Phone Number: -1 °l --O ct
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: V)o -" C i rti A S
Address: I y L2-2 p
Phone Number:
Please provide an-dccurate layout of your store showing all walls, exits, stockrooms, rest rooms;-
counters and fixture layout on a separate sheet ofpaper.
Signature-: � U-� Date: t-�-_"7-G Z
of person submitting this form:
Property Tax Map No. ! 1
Notes/Comments:
C,4 0
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# INSPECTION ON:
L)
Name: IN11, 04\W(Wf'11N (2'CA / AM* PM ANYTIME
Location: try) VTI 1-1�1 st - �- )
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
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS C�-
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE 61
EMERGENCY PLAN vx�
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINALWOOD
STOVE ROUGHIN
FINAL
VENTED GAS jT
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN
(K THIS DAT O/KF' O CO NOT OK
FINAL �
FIREPLACE
FACTORY BUILT ROUGH IN
FINAL
COMDEV/CHRISJIWORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
26 O-Z.
..9010001hum- —- - -64
Town of Queensbury 0/j/
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804 /A[�ff cl-ft 0
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# INSPECTION ON:
Name: OC &�t *-2&, AV—EM NYTIME
Location: '7
APPROVED
N/A YES NO COMMENTS
AXITS X
ISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM Cj
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS IK
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN TC
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN )"-T FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINALVENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN
OK THIS DATE OK FOR 7C7O( MOT OK
FINAL
FIREPLACE
FACTORY BUILT- ROUGH IN INSPEL"01-BY
FINAL
COMDEWCHRIS310 tS900liFIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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