2000-074 'ertif"
U Occu
panov
n
'own of Queensbury
Warren County, New York
Date March 13 , 2000
2000074
This is to certify that work regested to be done as shown by hermit No,
has been completed.
This structure may be occupied as a CERT"ICATE OF, OCCUPANCY ONLY
Location 4 SUITE 1 WESTERN AVE. SOUTH
TAX MAP NO. 117 o -11-2 By Order Town Beard
'ram OF QUBB x . Y
,r
Director ofBd ing Code Enforcement
BUILDING PERMIT
Town of Queensbury,742 Bay Road, Queensbury,NY- 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 9 0 00 m i d
TAX MAP NO. 117 . -11-2
Permission is hereby granted to POMEROY PUB LLC
Owner of property located at 4 uTTF, 1 WESTERN AVE. SOUTH
in the Town of Queensbury,to constructor place a rrERT 1 V TrATE OF OC4UP unlr.Y ONLY
at the above location in accordance to 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.
Owner's Address:
BERRY MILL PLACE SUITE 1 4 SOUTH WESTERN AVENUE
UEENSBURY,- NY 12804
Contractor or Builder's Name:
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
CERTIFICATE OF OCCUPANCY ONLY
Plans and Specifications:
ERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL' WORK TO BE DONE
Proposed Use:
ERTIFICATE OF OCCUPANCY ONLY
$ PEMT:FEE PAID—TMS PERMIT EXPIRES March 8 2002
(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 this 8 Day-of March 2000
SIGNED BY S �Gc.t ke for the Tows.of Queensbury
Code Enforcement Officer
BP File# '` M--
Dept. of Community Development `�el' 1f140ate Of
Town of Queensbury 430
742,Bay Road
Queensbury, NY 12804 ,
(518) 761-8256
For occupancy only, with no work requiring Building permit.- no fee required for this permit.
LIAR 0 8 2000
BIURY
Name of Business: PA III mm—, conE
Address: ��,�1.5�� �1�- Qa� I "►/.
Person in Charge or,Manager:
Business Phone Number: cz m-- _0(03
Type of Business: (i.e„mercantile,restaurant,hobby shop,plumbing store):
Owner of Property: .
Address:
Phone Number: t �--
Please provide a layout of your store showing all walls,,exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.
I G
Signature: Date: �(Q
of person submi ft s orm:
Property Tax Map No.
Notes/Comments:
THE NEW YORK BOARD OF FIRE ' .I MEPWRITERS
4001,442 BUREAU OF 9LECTRICITY ° "T
40 FULTON STREET, NEW YORK, NY 1.0038
Date I" r Application No,Qh
`�f61 ` ` t:
THIS CERTIFIES THAT1 � 99
"
only the electrical equipment as described below and introduced by t�i'e � nt on the above application number is in the premises of
jb
in the following location; Basement Xst Fl. 0 2nd Fl. GAR ;,Section Block Lot 86
was examined on INCH 31 r 2M and found to be in compliance with the-Na.tional Electrical Code., ..
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT I K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P, GAS H.P. AMT, NO, A.W.G. AMT. AMP. AMT. AMPS. TRANS., AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO-OF .... . . y. _ ,.g.�_.. . E..r-_. -R V - I C -E
METER No.OF CC COND, A,W.G:
AMT AMP. TYPE EQUIP. 10 2W 10 3W 30 3W 30 dW PER 0 OF CC.COND. NO.OF HIAEG OF HIAEG N0.OF NEUTRALS OF NEUTRAL
a
OTHER APPARATUS:
E18Cn R ER Ef$Yr
GxeF4M1'"7
24
POTTER HILL RD GENERAL MANAGER
BOLTON WDINGr HY'r 1, U1,4-3;1 7
Per
This certificate must not be altered in any manner;return to the office of the Board it Incorrect.Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,
FIRE 1�lIARS{-1lAL
-rc:>VVN CIF (:::oU;EENtSElUR_lNr*'
NY. 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUES- .E EIVED
NAME
LOCATION'
SCHEDULE INSPECTION ON
KAM') PM
APPROVED
N/A ES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
-EMERGENCY LIGHTING
FIRE EXTIIN(3
FIRE ALARM SYSTEM
FIRE SPRINKLER SY EM
Y 3 S
LIGHTING
SYSTEM
H
E TIN
M
G/
SPRINKLER Sy
FIRE SUPPRESSIO SYST7M
HOOD INSTALLATITI N 2nrlrki
INTERIOR FINIS ES
STORAGE:
CLEA NOE TO SPRINKLERS
CL:�tNCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE = MASONRY = FACTORY BLT.
ROUGH-IN oT
FINAL
REMARKS: M"OK TO THIS DATE
C f<� C:
lk %
INSPSLIP.PUB lN,4EC&(2(R
2
EXIT SIGNS MUST BE OF THE
BATTERY BACKUP TYPE
NYS CODE SECTION IOU 32 REQUIRES - �
"POWER FOR ELECTRICALLY ILLUMINATED
EXIT AND DIRECTIONAL SIGNS BE SUPPLIED
FROM A SEPARATE CIRCUIT, OR CIRCUITS,
WHICH SUPPLIES NO OTHER OUTLETS
ANO IS _ LOCAnOCONTROLLED FROM A CENTRAL' tr
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