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CO-000140-2016 laTOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 L-1 Community Development-Building&Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CO-000140-2016 Date Issued: Thursday, April 14, 2016 This is to certify that work requested to be done as shown by Permit Number CO-000 1 40-20 1 6 has been completed. Tax Map Number: 296.13-1-22.1 Location: 989 State Rte 9 Owner: 697 UPPER GLEN STREET, LLC Applicant: Robin Getchell-Smith This structure may be occupied as a: C/O only Deliciously Different Specialty items 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, �1 Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000140-2016 Tax Map No: 296.13-1-22.1 Permission is hereby granted to: Deliciously Different Specialty Items For property located at: 989 State Rte 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 Owner Name: 697 UPPER GLEN STREET,LLC Certificate of occupancy $0.00 Owner Address: 989 State Route 9 Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications C/O only Deliciously Different Specialty Items $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (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 Town ueen ury; Fri a , ,2016 SIGNED BY: aj for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.:Co___oao 43-11)1 b Permit Fee: 1ng13%Csz, 59/5-. *Note: This application is for occupancy only,with no work requiring a building permit. f Name of Business l l I1'YlS Address Sbor Type of Business j>-e M Manager bbl i �_k OR Person in charge , Business Phone No. SI �S' La�/ / 9 Z- MAR Property Owner 2016 e_V C�Gk©S k ► Are- Address % ee v?s"bvr!� v,�, 0 I Phone S I �l �J z-l ✓Provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,counters,and fixture layout on a separate sheet of paper. Print Name: Signature: Date: lCo Notes/Comments: IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire extinguishers,fire sprinkler systems,and fire alarm systems require annual inspections by an outside contractor and the corresponding documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semi-annual inspections. Any violations noted durinq an inspection,require immediate corrective action. CONTACT NUMBERS: Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal-New Business Permit 518-761-8206. EMERGENCY CONTACT UPDATE Please print cle T Mn f, v/ i� 1Z nm�N MARI ATE: � 7 D I�O r UIL B DD BUSINESS NAME: leh000slci ►�� <J d� L C,- 'R BUSINESS ADDRESS: 0 l� QU e ell Sb2r-d , 41`2JR-0 BUSINESS PHONE: `_7 ^ L,/PHONE 1: �� X518,1 t q Z L,, CONTACT 1 ob V) anh -5 rK 11 fb HONE 2: TOWN/VILLAGE RESPONDING FROM: U e-evi Sou r VV . 1 Zf-01 1`�^ PHONE 1: �o� � Q2 D CONTACT 2. ICyr ++I�. SMk- PHONE 2: TOWN/VILLAGE RESPONDING FROM: i71/v Vv - 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 P h.o n e: 518-761-8206 F a x. 518-745-4437 firemarshal@queensburi� net zvzvw..queensbury net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman O _ -�yw �s -i-. i �1...S4e�l V�re.p i f J--