2010-313 Jj .
TOWN OFQ UEENSBURY
o 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY>
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100313 Date Issued: Tuesday, July 20, 2010
This is to certify that work requested to be done as shown by Permit Number P20100313
has been completed.
Location: 6 STATE ROUTE 149
Tax Map Number: 523400-288-012-0001-014-000-0000
Owner: AIJ, LLC
Applicant: FEMME FATALE BOUTIQUE
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 1
owner of the responsibility for compliance with Site Plan, Variance, or G' 1r
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100313 Application Number. A20100313
Tax Map No: 523400-288-012-0001-014-000-0000
Permission is hereby granted to: FEMME FATALE BOUTIQUE
For property located at: 6 STATE ROUTE 149
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: FIVEASIDE, LLC
C/O SILVER BUILDERS, INC. Certificate of Occupancy(COM)
3109 STIRLING Rd Suite 200 Total Value
FT. LAUDERDALE, FL 33312-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-313
FEMME FATALE BOUTIQUE - C/O only
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 20,2011
(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.)
Dated at the T rvn of pxee ryy u my 20, 2010
SIGNED BY C-1-'34' # 7:‘,/77 , for the Town of Queensbury.
Director of Building&Code Enforcement
411 Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 : I
/,
Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes `3 ;
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal i
....,.... . mar rys.NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
-- §I._3f
TAX MAP# 2W.. 12-/ /4 BLDG. PERMIT FILE#
If applicable
Name of Business: h'i n/I9 e /'GC hCi e (L.)-1-12,1)
Address C L I� r l-C1 6-.)azeri,,,t;o79
of Business: (:U J i<C�-r e 1i- I`� ` QUESTIONS? CALL 761-8256 OR
CEMAIL codesaciueensburv.net
to / / � � t� e VISIT OUR WEBSITE FOR MORE
Person in Charge or anagen: (` t y p J INFORMATION
www.queensbury.net
� t � -7 L,
Business Phone Number: ( 5 / g - /41:� �i 7
Type of Business: L a d 1 e s /3 i t (_,-(1.i C)
Owner of Property: l) i 0d T 1 e 6 41rnal ' Phone Number(s): 41.54) 6,7-6 G l?
Home Cell
Owners
Address: P_ I' Lit v' 64 t - I
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: dtii.Ji e--k, - Date: 6/1
I/ I t�
of person suWMtHILgi this form
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 6 laq I rc
BUSINESS NAME: rerhspe F;L titJQ 134)c)1710 e
BUSINESS ADDRESS: / C S/ it t i.' �T /`II C>Uef i 7S[2"1 y N / 76)<
17
BUSINESS PHONE: (5 r Lf - 77o
booHOME
t)
(.5/ Jp
CONTACT 1: 41►11P5 /aVkiev► b o t) PHONE a - ' 7 /
ADDRESS: / 3 L►►'l( 1 v► S/ 6/eco Vi L'i /1 e i y / / F 3 a
CONTACT 2: gt\t-; I y�� C < ,,/' � HOMEY/ PHONE` 7`�` 1
ADDRESS: 1`l"C1►1i,►'1C i Y.:f? 37 , c,fc` ✓ A. 51,7(.109 S
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Piton e: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net • uvww.queensbury.net
Inspection for Permit to Occupy
Fire Marshal's Office Request Reed Permit No. / 3
Town of Queensbury
742 Bay Road P °G
Queensbury,NY 12804 Scheduled Inspection Date: `ct! `0 Time:
`
Phone: (518)761-8206 Business Name: -} tet1- � 7(a1.�c
Fax: (518)745-4437 Location: i v 'f 1 /1/9
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge 1
AISLES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal ®'G'
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY UGHTING
FIRE EXTINGUISHER: `l _ 4 V
Hung
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown °
Fire Sprinkler System (FDC)
Fire Suppression-kitchen r
Fire Suppression-Gas islan i Fire iiiatn'xil insip ecie,o CQmplite
Generator CK to issue Cortificate of Orxtiparty
Hood Installation
Elevator
Interior Finishes J U L 1 9 2010
Storage
Compressed Gas r E
Clearance to Sprinklers .
Clearance to Electrical Fire �}I Silt.'
Electric Wiring Enclosed/Labeled L ,- T-- AC_Li Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Signage-Utility Rooms
No Smoking Signs
Maximum Occupancy •n
Emergency Evacuation Plan
- Approved (If no other approvals appy,the B&C Office will sue t- - •to of Occupancy)
❑ Denied /call for Recheck
Inspected By: `
L:\FireMarshal\FM Forms Masters\permitto occupyfarm.doc
i `
Inspection for Permit to Occupy
Fire Marshal's Office Request Rev'd Permit . ^ L�U 3 �3 .,
Town of Queensbury �..... _-----._.-.
742 Bay Road -11
( C/ ) `° .0
Queensbury,NY 12804 Scheduled Inspection bate: L/ Time:
Phone: (518)761-8206 Business Name: r1-1`^I` 47(A-kc,14 +'c.,
I
Fax: (518)745-4437 Location: V Cl,t 1t..%9
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure wk. COMMENTS
Exit Discharge
AISLES:
Main Aisle Width iDIL
Secondary Aisle WidthCSC,
EXIT SIGNAGE ) i"VS l4 r4
Sign-normal ?) C
Sign-battery -- Cat t`(-^1(�
EVAC signs in rooms _ of-
.
.TRUSS ID SIGNAGE
EMERGENCY LIGHTING 06
FIRE EXTINGUISHER:
Hung CAC
Inspection of extinguisher 04-
FIRE ALARM SYSTEM
Fan Shutdown ---
Fire Sprinkler System (FDC) —
Fire Suppression-kitchen .r-
Fire Suppression-Gas Islan I —
Generator
Hood Installation {'
Elevator '�
Interior Finishes ( �,
Storage �' _
Compressed Gas
Clearance to Sprinklers --- 1-----
Clearance to Electrical 01C,
Electric Wiling Enclosed/Labeled 0 G;11
Combustible Waste
Vehicle Impact Protection .....---
Knox Box
F.D.Signage-Utility Rooms --e
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan t
o Approved (If no other approvals apply,the B&C Office will issue -' - ' a.. e of Occupancy)
o Denied /call for Recheck ',
Inspected By: tit Nelaw__
L:\HreMarshal\FM Forms Masters\permitto occupyfarm.doc
Page 1 of 1
t
STBY I"
4011.11
....,
,...
•,4
1,/
111
Scaleshar length always=300feet
17 a 1101110111111111111111111111111111111=11111.3011ft
i
/O - /
Si;_ _ _