2010-408 TOWN OF QUEENSBURY
IF4W742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100408 Date Issued: Wednesday, September 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20100408
has been completed.
Location: 756 GLEN St
Tax Map Number: 523400-302-006-0001-051-000-0000
Owner: THE HOWARD GROUP
Tax Map Number: 523400-302-006-0001-051-000-0000
Applicant: SMOKE N SAVE
Owner: FLAUM, ILENE
This structure may be occupied as a:
Tax Map Number: 523400-302-006-0001-051-000-0000
Certificate of Occupancy (COM)
Owner: ILENE FLAUM 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 other issues and conditions as a result of approvals by the e
Director of Building&Code En orcement
Planning Board or Zoning Board of Appeals.
��` TOWN OF QUEENSBURY
`O 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
N
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100408 Application Number. A20100408
Tax Map No: 523400-302-006-0001-051-000-0000
Permission is hereby granted to: ILENE FLAUM
For property located at: 756 GLEN St
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: ILENE FLAUM
400 ANDREWS St Suite 500 Certificate of Occupancy(COM)
ROCHESTER,NY 14604-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2010-408 C/O ONLY Smoke and Save, Space 6
Queensbury Plaza.
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 23,2011
(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 rlYio August 23,2010
1/ 4
SIGNED BY7 id 4:7
/ for the Town of Queensbury.
Director of Building&Code Enforcement
Community Development Office
Town of Qi..ensbuny • 742 Bay Road • Queeushuri , New York •12804 #41 t
'Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes G ,
Craig Brown, Zoe-nig Administrator•Michael J. Palmer, Fire Marshal Ill
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
.: .. ,171 /I/
50
TAX MAP # 2 — / BLDG. PERMIT FILE# JAI [
ff applicable
Name of Business: 5 m 0 I \ A/
Quee.1 bury r1�Ze--
Address
of Business: 7 5 / /'
C� ()f p �' c✓1 1 c✓1 5'7lbti— QUESTIONS? CALL 761-8256 OR
EMAIL codesAqueensbury.net
/ VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 71176-f"f e;.v k I _S INFORMATION
www.queensbury.net
Business Phone Number: 1 � 3
Type of Business: / c bc C Q .5 -To e
i h WO' i,ui .r ) rOz
Owner of Property: 7 L ?f) e_ M Phone Number(s): 415 2-
Home
Home Cell
F.16,,Vr
( � ) 6-n0. e ( m
e„-r Co1J n /
Owners n 67l-ter r ,N ' 1'f (�01-i
Li- � � c�l-c uv5 chc�s 7�
Address:
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: 7r4eAr_2weiy-1).-u)
Date: , ` i
Of person submitting this form
Notes I Comments:
`No : 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 Recd Permit No. II b - v
Town of Queensbury
742 Bay Road Q ,�'I 1 —�'
Queensbury,NY 12804 Scheduled Inspection Date: ` / (� Time:
Phone: (518) 761-8206 Business Name: S lL:- - N - al c
Fax: (518) 745-4437 Location: '--)5-(.9 'v pP z* 6
Type of Inspection N/A Yes No
EXITS:
Exit Access ('j_
Exit Enclosure CAL. COMMENTS
Exit Discharge Ct"
AISLES:
Main Aisle Width ek,--
Secondary Aisle Width C
. i Fire Marl*Ins�pp: CortipleSe
EXIT SIGNAGE OK to issue Cortific`ate of 1' c1:poat ry
Sign-normal bt--
Sign-battery C'U
EVAC signs in rooms �----- ��� 110
TRUSS ID SIGNAGE
N
EMERGENCY LIGHTING elf--- _ ,.
Fire Meirshr;l
FIRE EXTINGUISHER: L____ _ Tt11_�910( eep22)
Hung ,,
Inspection of extinguisher �E-
FIRE ALARM SYSTEM dL , Z_XY1 Ctv 4 0
Fan Shutdown 1,••••••..-
Fire
�Fire Sprinkler System (FDC) —...—
Fire
�Fire Suppression-kitchen -
Fire Suppression-Gas Islan _...---
Generator
Generator yHood Installation —' -.-----1Elevator .----- �/�
InterioFinishes �( � L :- -- 1 .— 0
Storage
Compressed Gas -,---- Q/C
Clearance to Sprinklers CYC_
Clearance to Electrical _C,.,✓
Electric Wiring Enclosed/Labeled t�
Combustible Waste _
Vehicle Impact Protection --- `�
Knox Box -_--
F.D.Signage-Utility Rooms
No Smoking Signs -.---
Maximum
^Maximum Occupancy Sign
Emergency Evacuation Plan _,----, ,
-- -"Approved (If no other approvals apply,the B&C Office will issue the ertificat- .f Ocupancy)
❑ Denied / call for Recheck
Inspected By: 1�m w
L:\FireMarshal\FM Forms Masters\permitto occupyform.doc