2001-765 _��'` OF QUEENSBURY
,, TOWN
NY 12804-5902 (518) 761-8201
�� 742 Bay Road,Queensbury,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCTJPANCY
Permit Number: P20010765 Date Issued: Monday, October 15, 2001
This is to certify that work requested to be done as shown by Permit Number P20010765
has been completed.
Tax Map Number: 523400-3.03-019-0001-042-000-0000
Location: 1 WARREN St
Owner: EDWARD & SBEREE LENTZ
Applicant: FORK AND BEERS, INC
This structure may be occupied as a:
By Order of Town Board
Certificate of Occupancy (COM) TOWN OF QUEENSBURY
Director of Building&Code E free-m�vt
TOWN OF QUEENSBURY
Fos 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010765 Application Number: A20010765
Tax Map No: 523400-303-019-0001-042-000-0000
Permission is hereby granted to: FORK AND BEERS,INC
For property located at: 1 WARREN 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: EDWARD & SHEREE LENTZ Certificate of Occupancy(COM)
10167 BLACK CREEK Rd Total Value
BREWERTON,NY 13029
Contractor or Builder's Name/ Address . Electrical Inspection Agency
Plans &Specifications
2001-765 FORK AND BEERS INC.
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday, October 15,2002
(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 th o f Q n ury.; i .:•:'.�, October 15,2001
SIGNED BY 1111 for the Town of Queensbury.
Director of Building&Code Enforcement
BP File tt.racz
New Business
Dept. of Community Development CertlfiCatte Of
Town of Queensbury
T o Bay Road COCCupancy Permit
Queensbury, IVY 12804 f�, Ca r. ED
(518) 761-8256 —
For occupancyonly, with no work requiring building permit: no fee require*Srlig Peoit.
TOWN OF OUEENSBURY
BUILDING AND CORE__
Name of Business: l Ul i ,,6 &14 1 .
Address: 6 G(JG A_", A 1 (Pit.e.g4tsdo/t/ )1.y
Person in Charge or Manager: �� / / /4 - � 2 //v7
/
Business Phone Number: 74 7A) ,
I.
Type of Business: (i.e.,mercantile,restaurant, hobby shop, plumbing store):
Ai4/61-am-/Li4/.44
Owner of Property: i ! rizi ik 21-, -1Lly----
S �0 I ta,/_„40:-
Address: /G J ��,15 ai/' 2 , •
Phone Number: 79c- 066
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: 1 ///)c�/G �ijl gate: �O /� G
o person ubmitting this for
Property Tax Map No. /0 l 3 / 3
Notes/Comments:
,, 1-iic'1 e�ift 1-01 I L15 7Qn4,
'`xy* ..
FIRE MARSHAL
u, f, �TOWN OF QUEENSBURY .•."
FIRE MARSHAL TOWN OF QUEENSBURY
f_. 41 3 . QUEENSBURY, NY 12804 � j QUEENSBURY, NY 12804
vdr ••,,,.- (518) 761-8205 (518) 761-8205
CO ii3 dioil
FIRE MARSHAL INSPECTION REPORT
FIRE MARSHAL INSP CTION REPORT
REQUEST RECEIVED tO iZ 01 PERMIT# ;PAW' 945 REQUEST RECEIVED /O 10 b/ PERMIT#
NAME ro(1( ,. -Pee( NAME (K A ee?-f
LOCATION CO 1.0124- Wax-cm f, LOCATION (? t,L7aileA\
SCHEDULE INSPECTION ON lo- 11...-f SCHEDULE INSPECTION ON 1O'1I-0
. i6 A 0 ANYTIME i 1 00 9 PM ANYTIME
<t7Qt 'ki. APPROVED �0r a ?)4144'5 Vat Q' APPROVED
N/A YES I NO L 524J N/A YES I NO
EXITS EXITS IA UMb- oe,k, a 04
AISLE WIDTHS AISLE WIDTHS
EXIT SIGNS \ EXIT SIGNS X
EMERGENCY LIGHTING X EMERGENCY LIGHT! 'G VOL ! X
FIRE EXTINGUISHERS lilt 10 01 K FIRE EXTINGUISHERS Al, ••I X
FIRE ALARM SYSTEM FIRE ALARM SYSTEM X
FIRE SPRINKLER SYSTEM i FIRE SPRINKLER SYSTE K
FIRE SUPPRESSION SYSTEM j P .0 l . X FIRE SUPPRESSION SYS M .it giami It X
HOOD INSTALLATION / HOOD INSTALLATION X
INTERIOR FINISHES / INTERIOR FINISHES I
X
STORAGE: J STORAGE: I
CLEARANCE TO SPRINKLERS CLEARANCE TO SPRIN`LhRS X .
CLEARANCE TO HEATING UNITS CLEARANCE TO HEATIN • UNITS )C '
REQUIRED SIGNAGE MAX.®cL. X REQUIRED SIGNAGE mil( • A ► ° x
i Emel• EvAe. + E " Vic. . • 1
CHIMNEY CHIMNEY X
WOOD STOVE WOOD STOVER
FIREPLACE-MASONRY FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT FIREPLACE-FACTORY BUILT X
REMARKS: X OK TO THIS DATE REMARKS: I ❑ OK TO THIS DATE
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