CO-000032-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000032-2017 Date Issued: Friday, September 1, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000032-2017
has been completed.
Tax Map Number: 295.12-1-4
Location: 1115 State Rte 9
Owner: GREAT ESCAPE THEME PARK LLC
Applicant: GREAT ESCAPE THEME PARK LLC
This structure may be occupied as a: Certificate of Occupancy Only(parking lot
use only and not use of the building) By Order of Town Board
Glenn Durlacher--wood sculpter TOWN OF QUEENSBURY
Cross Ref. Site Plan Review PZ-265-2016 approved 12/22/2016
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 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
OL Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000032-2017
Tax Map No: 295.12-1-4
Permission is hereby granted to: Glenn Durlacher
For property located at: 1115 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: GREAT ESCAPE THEME PARK LLC Certificate of occupancy $0.00
Owner Address: 1172 State Route 9 Total Value $0.00
Queensbuy,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only(parking lot use only and not use of the building)
Glenn Durlacher—wood sculpter
Cross Ref.Site Plan Review PZ-265-2016 approved 12/22/2016
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 6,2018
(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.)
(�'t'�
Dated at the Town Queens M arch 6,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
qL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000032-2017
Tax Map No: 295.12-1.4
Permission is hereby granted to: Glenn Durlacher
For property located at: 1115 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: GREAT ESCAPE THEME PARK LLC Certificate of occupancy $0.00
Owner Address: 1172 State Route 9 Total Value $0.00
Queensbuy,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only(parking lot use only and not use of the building)
Glenn Durlacher—wood sculpter
Cross Ref.Site Plan Review PZ-265-2016 approved 12/22/2016
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 6,2018
(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 ry; n Mond �17
SIGNED BY: C G,WR �•VJ/ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Onlv
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: C-0 _ 32 -2Z I�
Permit Fee: 53n\)o X 14'�
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business C-+/,.,•\ Ir1= •�"
Address 57 S4 It ),- Po e Cf
Type of Business LJ�,-r1 r� r� tt�� pp
Manager G (rn n ur )G c l.e D E C E 9 V I
OR
Person in chargt d B FEB 0 6 2017
Business Phone No. J�oZo�-l�Oa S
_ TOWN OF OUEENSBURY
��
Par BUILDING & CODES
Property Owner �x«k r ter.D- k P
Address Is to a Qom l�
Phone I226PC,I 1$ 3C,4-76,0/
Y (0SAP. CO r',
✓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: 7��G
Notes I Comments:
a pe6�,eo
17
gclttrlcxc�er71 yaG,00. ccm
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:
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
46'
7'
1
23' • a —�
Glenn's Space
8' 23'h 9'
F 36"-►
�- 6' �►