1999-573 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENS3URY
WARREN COUNTY, NEW YORK
Date 99
+Juaarr iN
3Urk5L �
This is to certify that work requested to be done as shown by Permit No. g 5
. has been completed.
• This structure may be occupied as a CERTIFICATE OF OCCUPANCY ONLY
Location 756 GLEN ST.
Owner a r. t ".nnar
•
By Order Town Board
TAX MAP NO. 1 @ 3. --1-1 . 2
TOWN OF QUEENSBUURY
Director of Bldg. do Code Enforcement
BUILDING . PERMIT •
VALUE. .$ 0 ., TOWN OF QUEENSBURY No. 99573
TAX: MAP .NO.. 103 . -L 2WARREN COUNTY, NEW YORK' .
•
PERMISSION is hereby granted to H & R BLOCK:
OWNER of property located at . 756 GLEN ST. Street,Road or Ave.
in the Town of Oueensbury,To Constructor place a -- CERTIFICATE OF OCCUPANCY 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 Town of Queensbury Building and Zoning Ordinance.
t' "Nrirg STREET
QUEENSBURY', NY... 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by XI .: CERTIFICATE,. OF•'-OCCUPANCY .ONLY„:._
( I Wood Frame 1 )Masonry ( I Steel 1 I
•
7. PLANS and Specifications
CERTIFICATE OF. OCCUPANCY.. ONLY.. NO, STRUCTUAL- WORK TO BE DONE
No.
•
8. Proposed Use
CERTIFICATE OF OCCUPANCY' ONLY
0:= • September 10 . 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration data.)
1.0 September... 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY - for the Town of Oueensbury
Building and Zoning inspector
/03
- Oak' TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT a,
531 Bay Road n
Queensbury, NY 12804 (
(518) 745-4447
NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT
(For occupancy only, with no work requiring building lote,rraiW
No Fee Is Required For This Permit
SEP 0 7 1999
PLEASE FILL OUT AND RETURN TO ABOVE ADDRESS TOWN OF QUEENSBURY
II �UILDINC AND CODE
Name of Business: - V y� i0 -k
Address: at.ee,/t Ioi,tr
� � y
Person in Charge or Manager:
Business Phone Number: `' 5 '7- //
Type of Business (i.e., Mercantile, Restaurant, Hobby Shop, Plumbing Store):
/Cam' ��--
Owner of Property: f /tee ,-) Th ge„ ,3AV,L-177-t
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.
Please try to make the drawing as close to scale as possible.
Signature of person submitting this form. /2/au/
Office Use Only
Property Tax Map Number: /03 - 1 - /, Date Received:
0 On\
k FIRE MARSHAL
`0 TOWN OF QUEENSBURY
Noj QUEENSBURY, NY 12804
(518)761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 1 01 13 1 Ciq
NAME 2. OdC
c .PERMIT#M�
: LOCATION 7 J
SCHEDULE INSPECTION ON 16V3 ira.
AM PM
APPROVED
N/A YES NO
EXITS �/
AISLE WIDTHS V,
EXIT SIGNS /
EMERGENCY LIGHTING Li
FIRE EXTINGUISHERS ,\/*/)
g V/
FIRE ALARM SYSTEM V
_
FIRE SPRINKLER SYSTEM V
FIRE SUPPRESSION SYSTEM b�
HOOD INSTALLATION V
INTERIOR FINISHES I/
STORAGE: LL V,
CLEARANCE TO-SPRINKLERS ? ,_0 Vi
CLEARANCE TO HEATING UNITS �`` _ "i
REQUIRED SIGNAGE
CHIMNEY I
" .WOOD STOVE ✓
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN .
, ❑FINAL
REMARKS: „:610..sOK TO THIS DATE
Q..‘ -41.3) C:)..,
INSPSLIP,PUB IN$rPECTc
tee' FIRE MARSHAL.. ............
f TOWN OF QUEENSBURY
l° QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED \fl\
NAME 4 T liocg.
LOCATION 6-7— PERMIT# D)9 �73
SCHEDULE INSPECTION ON
D AM PM
APPROVED
N/A YES NO
EXITS NV 1
AISLE WIDTHS
EXIT SIGNS ''101
EMERGENCY LIGHTING
FIRE EXTINGUISHERSA .�-
`; FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
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H&R BLOCK office plan layout - scale I /4" = 1'
ceiling height LQ --,ADDRESS: 0, 67 !11
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