CO-000757-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000757-2016 Date Issued: Friday,November 4, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000757-2016
has been completed.
Tax Map Number: 296.13-1-18
Location: 959 State Rte 9
Owner: Ray Hippele,Kristin Hull
Applicant: Kristin Hull
This structure may be occupied as a: C/O only
Mount Royal Plaza,Space A By Order of Town Board
Tenant:Grace Salon&Bridal Boutique TOWN OF QUEENSSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the — �/ 4 A,
property owner of the responsibility for compliance with Site Plan, �yjt'
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-000757-2016
Tax Map No: 296.13-1-18
Permission is hereby granted to: Kristin Hull
For property located at: 959 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: Kristin Hull Certificate of occupancy $0.00
Owner Address: 959 State Rte 9 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O only
Mount Royal Plaza,Space A
Tenant:Grace Salon&Bridal Boutique
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 2,2017
(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 of Q ensbury ( / dn4k,70!
r 2,2016
SIGNED BY: (�-N�('/ 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.: GO ZO\b
Permit Fee: � �f �t"Noica 121
'N� This application is for occupancy only,with no work requiring a building permit.
Name of Business gdf[r-`<�Y�(Dn stBn�laC �pt �iQ!«
Address qsq -Syr P40 9 r
Type of Business �
Manager
OR
Person in charge I
Business Phone No.
Property Owner V IXSA�
Address
Phone JCR—CCC—)t 4
✓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;
Notes I 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 during an inspection,require immediate corrective action.
----
CONTACT NUMBERS:
ure
Director, Building and Codes-761-8253 Zoning Administrator-761.8218 Zoning 8
Fire Marshal-761-8206 Planning-761-8220 NOV O j 2016
T t+ i►`pr
8U1W1f G 8 CO; Y
Town of Queensbury Fire Marshal—New Business Permit 518.761.8206
EMERGENCY CONTACT UPDATE
Please print clearly
296.13-1-18 CO-000757-2016
Grace Salon & Bridal Boutique
DATE: 41311 959 State Route 9, Space A
C/O` only
BUSINESS NAME:
BUSINESS ADDRESS:`�,65Lj pnJly_-1 ?�L A
BUSINESSPHONE:
PHONE 1: S
CONTACT 1. �21 PHHO�NE 2:
TOWN/VILLAGE RESPONDING FROM:
^
c-,!%\
1'L> c PHONE 1: ng)�
CONTACT 2. PHONE 2:
TOWN/VILLAGE RESPONDING FROM: l�
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-hourspIt#fiolgeir /Rr.'f'
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST GYE�t �
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING O (tkl it T 'L. Y
9,. r6vC;&
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbunl.net • zvzuzu.queensburilnet
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
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