2010-367 41` TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
vritio
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100367 Date Issued: Friday, August 27, 2010
This is to certify that work requested to be done as shown by Permit Number P20100367
has been completed.
Location: 1457 STATE ROUTE 9
Tax Map Number: 523400-288-000-0001-057-000-0000
Owner: BASKET BARN OF LAKE GEORGE INC
Applicant: SPIRIT HALLOWEEN
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or 4
other issues and conditions as a result of approvals by the Planning Board Directo wilding&Code nforc ent
or Zoning Board of Appeals.
" TOWN OF QUEENSBURY
copy 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100367 Application Number: A20100367
Tax Map No: 523400-288-000-0001-057-000-0000
Permission is hereby granted to: SPIRIT HALLOWEEN
For property located at: 1457 STATE ROUTE 9
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: BASKET BARN OF LAKE GEORG
25 MILLBROOK Rd Certificate of Occupancy(COM)
PUTNEY, VT 05346-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-367
CO only- SPIRIT HALLOWEEN
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 02, 2011
(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.)
4
Dated at the T of ee )u „,.."1 ay,August 02, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Community Development Office
Town ofQueensbury • 742 Road • Queensbury, New York •12804
Q J Bay � J
Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes
Craig Brown, Zoning Administrator•Michael J.Painter, Fire Marshal
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP# 2?S �� / 5-7 BLDG. PERMIT FILE# 1 D T
If applicaa
Name of Business: I /AIkOt,t;sk� /Nd._, M/4 52,i2 f W4116Wf_i_,N
Address (�G Q
of Business: '%✓7 5Th r.F l� I9 QUESTIONS? CALL 7614256 OR
EMAIL codesOqueensbury.net
/ CLII� ) VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: C.�/58 I,�/ k (.t)5!Ki -D g f 2 INFORMATION
c� q www.queensbury.net
Business Phone Number: / g 7 /(2 — L15L-f
Type of Business: S FAS ON A L i I A; L- tit t l O ui f_f Af S(OP J
Owner of Property:P/Il)1,itiE_ 1 5 C Phone Number(s): �O' -357-IA/69
Home Cell
Owners
Address: 025 WO b - edi PUT, J VT
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: /Cdal&J-1---ai-Li.t tit Date: 7/04 4 6
Of person submitting this form
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
e/z7,1) ,
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd /0/A Permit No. 7v
Town of Queensbury IIll _
742 Bay Road �!Z:1 l(fJ 'Ll
Queensbury,NY 12804 Scheduled Inspection Date: Time:
Phone: (518)761-8206 Business Namp: fj Wit' /. :'!.
Fax: (518) 745-4437 Location: l
Type of Inspection N/A Yes No
EXITS:
Exit Access /"
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal .
Sign-battery j/ i g C
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING LZ-
FIRE EXTINGUISHER:
Hung14, 11
Inspection of extinguisher
FIRE ALARM SYSTEM JC,0 .
Fan Shutdown
Fire Sprinkler System (FDC) 0(5k
Fire Suppression-kitchen
Fire Suppression-Gas Islan
Generator 1/
Hood Installation I/
Elevator 1/-
Interior
Interior Finishes
StorageV
Compressed Gas ✓ ✓
Clearance to Sprinklers
Clearance to Electrical !/
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box ✓
F.D.Signage-Utility Rooms V/
No Smoking Signs �,
Maximum Occupancy Sign •�j�
Emergenc vacuation Plan
• Approved (If no other approvals apply,the B&C Office will issue the Ce) cate of Occupancy)
u Denied / call for Recheck
4/ -
Inspect •y: .,rte.
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc
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