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2010-273 TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20100273 Date Issued: Tuesday, June 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20100273 has been completed. Location: 543 QUEENSBURY Ave Tax Map Number. 523400-297-008-0001-026-000-0000 Owner. 543 QUEENSBURY AVE., LLC Applicant: HANG ON US 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, `� � 'Gl GJ Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enfoitement Planning Board or Zoning Board of Appeals. " TOWN OF QUEENSBURY F4r0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100273 Application Number. A20100273 Tax Map No: 523400-297-008-0001-026-000-0000 Permission is hereby granted to: HANG ON US For property located at: 543 QUEENSBURY Ave 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: 543 QUEENSBURY AVE., LLC C/O PROCAPS DIRECT Certificate of Occupancy(COM) 543 QUEENSBURY Ave Total Value SUITE 1 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-273 HANG ON US - C/O only $50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 10,2011 (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 Td(n of eens ry ' ' . . June 10, 2010 SIGNED BY I \ for the Town of Queensbury. Director of Building&Code Enforcement i .lir _ ,... , 0 Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12SO4 -111.7i, Marilyn Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes . Craig Brown, Zoning Administrator•Michael J. Palmer, Fire Marshal �... , NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP# 27-7--. a— / 2 ' BLDG. PERMIT FILE# /073 If applicable Name of Business: `'\C e\f OV\ U.% Address -� ' ►. of Business: 'S`hh t"3 (ZuC.1-f- w�. iAkn c. Ck;WL, V&A .e_ 3 QUESTIONS? CALL 761-8256 OR \ EMAIL codes(a pueensbury.net VISIT OUR WEBSITE FOR MORE �� A Person in Charge or Manager: V V V.L . L -e U ra L1 L.-e . INFORMATION www.pueensbury•net Business Phone Number: 5 k, C�-)— L,-42- 2_` U 0 Type of Business: Z.1ST v- ‘, "J�r�A 0 L 1.1 M 0". e-S� Owner of Property: S43 Quiff _ Phone Number(s): 24_B-' ,0" Home Cell Owners n A Address: -S4-Q.L,lt-C iLSr.r�I C s SLI ( ��i. tt-6t 3t,,L.,a r t�,c--1e I 7d 7' �f Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a se rate sheet of paper. Signature: _t �1-__ Date: "_ \0 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 Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. /O77Z 7 Town of Queensbury tiny Road Qu / �� it Queensbury,NY 12804 Scheduled Inspection Date: ! ff Z�'Time: 1t2'/, Phone: (518)761-8206 Business Name: 7/2 Fax: (518)745-4437 Location: I. . /, % _ 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 EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hung X Inspection of extinguisher t� FIRE ALARM SYSTEM /( Fan Shutdown Free Sprinkler System (fDC) Fire Suppression-kitchen Fire Suppression-Gas Won Generator Hood Installation Elevator Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wiling Enclosed/Labeled Combustible Waste Vehicle Impact Protection Knox Box F.D.Signage-Utthly Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan izi' Approved (ff no other approvals apply,the B&C office wi issue the Certificate of Occupancy) o Denied /call for Recheck tt/ _ v Ins• - . ed B' ISSN's% , L:\FireMarshal\FM Forms Masters occupyform.doc / ..i. 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