2000-223 MIN
"fin
UV^...rtIfIU^ate
pa"
Town of Queousbury
Warren County, New York
:Date June 2,200 0
"'A�" t z' 7rrr1�9w{k1it�'x.(tityr
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This is to certify th(at work reqiested to be done as shown.by Permit No, 200@223
has been completed,
This structure play be occupied as a� CERTIFICATE OF OCCUPANCY
Location 16. HAUTLAND RD o
Owner
TAX MAP NO, 46. -1 a 5. 1 By Order Town,Board;
TOWN aF
a
Director of Building& Cade Enforcement
.r�a
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2000223
TAX MAP NO. 46 . -1-5 . 1
Permission is hereby granted to BAY WEST ASSOCIATES, LLC
Owner of property located at 163 HAVILAND RD.
in the Town of Queensbury,to constructor place a CERTIFICATE OF OCCUPANCY
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:
169 HAVILAND ROAD
. QUEENSBURY, NY -12804
Contractor or Builder's Name:
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
CERTIFICATE OF,.00CUPANCY ONLY
Plans and Specifications:
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE
AS PER APPLICATION
Proposed Use:
CERTIFICATE OF OCCUPANCY
0 April 24 2002 .
$ PERMT FEE PAID—TFHS PERMIT EXPIRES
(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 24 Pay Of April 2000
SIGNED BY for the Town of Queensbury
Code Enforcement Officer
BP File.
- . Ne:I3usi�e�ss
Dept. of CommurrityDevelopmem ►"�: jL ;ig�►" O
?'own of Queensbury
742 Bay Road OCcupanCy Permit
Queensbury,NY 12804
(518) 761-�8'256
For occupwxy only, with no work requiring huilding permit.- nofee required for thispermit
APR J qL2Q00
OF QUEENMURY
Name of Business:
Address: 1� ,'9' �!� d j�� C
Person in Charge or Manager � 2ce
Business Phone Number: . -19•- -7 4 S 4¢d 4
Type of Business: (Le.,mercantile,restaurant, hobby shop,plumbing
store)-a, C�o
Owner of Property �jc me `pis c�t.,a Je
Address:
Phone Number:
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.
Si tur8s�t~ Date: " c�
ofperson submitting&isform:
Property Tax Map No. cp
Notes/Comments;
-T-C)W" OF C2UeF-=PsISE3UFR,'Y
C)UE=-aN,-=5I3UF;Z-V-, "-w- - -12804
(5-18) 7e-1-8:205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED j z;--o Z> eo
NAME
LOCATION �>ERMIT
SCHEDULE INSPECTION ON Ac?
AM PM
APPROVED
N/A YE
NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
—
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIN LERS
CLEARANCE TO HEATI G UNITS
REQUIRED SIONAC3E
CHIMNEY
WOOD STOVE
FIREPLACE F-1 MASONRY F-I FACTORY BLT.
ROUGH-IN
FINAL
REMARKS: OI< TO THIS [DATE
U4e_ C C)
INSPSLIP.PUB 4INEECT64
FIRE MAF2SH^I -
TOWN OT (:;kUTTNSE3UFZY
CtUEENSBURY, NY 12804
(51 8) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME `-' AL! S-1
LOCATION _IA-qEA�JPERMIT c)n
SCHEDULE INSPECTION ON
` AM PM
APPROVED
N/A Y� NO
EXITS
AISLE WIDTHS
EXIT SIGNS F�c
EMERGENCY LIGHTING
FIRE EXTING SHTRS ' �
FIRE ALARM SY M
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST M
HOOD INSTALLATION tiC
INTERIOR FINISHES
STORAGE:
CLEARANCE TO PRINKLERS
CLEARANCE TO EATING UNITS
REQUIRED SIGNAGE
CHIMNEY '
WOOD STOVE _
FIREPLACE 0 MASONRY O FACTORY BLT.
O ROUGH-IN
= FINAL
REMARKS: E-1 OK TO THIS DATE
C.O
iNSPSL}P.PUB I N ECT
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rz 0
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CD
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SECON FLOOR PLAN
i
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FIRST FLOOR PLAN
SCALE: 1/4"'= V-099
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TOWN 0f: QUEEOURY BULDING DEPARTMENT
Erased on our limited examination.
c3mpliancevAh our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
URY
T.
F, Elv'i E WE
DATE
BAY WEST
ASSOCIATES,
169 HAVILAND ROAD
QUEENSBURY, NY 12804
LLC