CO-000555-2016 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-000555-2016 Date Issued: Tuesday, August 30, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000555-2016
has been completed.
Tax Map Number: 288.8-1-14
Location: 1540 State Rte 9
Owner: Flintlock Corp.
Applicant: Spirit Halloween
This structure may be occupied as a:C/O Only
Spirit Halloween By Order of Town Board
Opening Date: Saturday,August 27,2016 TOWN OF QUEENNSSBURY
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
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000555-2016
Tax Map No: 288.8-1-14
Permission is hereby granted to: Spirit Halloween
For property located at: 1540 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
Tvce of Construction
Owner Name: Flintlock Corp. Certificate of occupancy $0.00
Owner Address: 1702 Central AVE Total Value $0.00
Albany,NY
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O Only
Spirit Halloween
Opening Date: Saturday,August 27,2016
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 25,2017
(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 eensbury• [ / lursd A 016
SIGNED BY: L�ftiLlr/ � 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.:
p'Note: This application Is for occupancy only,with no work requiring a building permit. Permit Fee:
Name of Business .5 r R r I KA I-LO W E a/\/
Address 15 L( a STATE 2T c1 , LAIC GE046E NY
Type of Business S EA 5 o/vq L 2a-1741`L
Manager _ ,L__i sA 1—/4, I<O WS k r
OR AUG 2 2 2016
Person in charge
Business Phone No. 619 Z 4-1 5 Li0
Property Owner F L j N r Lo c k 06910
Address 141A,4nIV
Phone 51 R S l 7 12-2,3
✓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: �ppL, S A / A/r V 8 W S/k r
Signature: >Zt a ne, �IrJ�d u, a 1cr
Date:
Notes 1 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:
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 clearly
AUG 2 2 2016
DATE: ��-' �
BUSINESS NAME: S p 12i + HALLOWEEN
BUSINESS ADDRESS: )5L-(D J 1 A I >< 2.7— if (Ay-E c-E_oP_&E
BUSINESS PHONE:
PHONE 1: y 13 S 2-F– 0 $/ 2
CONTACT 1: LISA -ni,pow5kI PHONE 2:
TOWN/VILLAGE RESPONDING FROM: 6a�/2 (j GE
SCo ,— 7�<F ��o�d5�<< PHONE 1: L1i 3 - 85y - _)75 I/
CONTACT 2: PHONE 2:
TOWN/VILLAGE RESPONDING FROM:
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 u e: 518-761-8206 • Fax: 518-745-4437
fireiazarshal@queeitsbunl.net • W707(l.queensbu7•u.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
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Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: CO-000555-2016 Case Module: Permit
Inspection Date: 08/30/2016 Inspection Status: Passed
Inspector: Mike Palmer Inspection Type: General(Fire Marshal)
Job Address: 1540 State Rte 9 Parcel Number: 288.8-1-14
Lake George,NY 12845
Contact Type Company Name Name
Applicant [Spirit Halloween]
Primary Owner [Flintlock Corp.]
Granted Permission [Spirit Halloween]
„--_ ---
Checklist Item Passed Comments
Main Aisle Width YES
Clearance to Electrical YES
Interior Finishes YES
No Smoking Signs YES
Fire Extinguisher I-lung YES
Exit Discharge YES
Exit Access YES
Inspection of Extinguisher YES
Secondary Aisle Width YES
Locks and Latches YES
Energency Lighting Interior YES
Combustibles in Equipment Rooms YES
Exit Enclosure YES
Clearance to Sprinkler/Ceiling FC 18/24" YES
EVAC Plan YES
Storage YES
Sign:Normal YES
Electric Wiring Enclosed YES
CO Detectors YES
Sign:backup YES
f
Lisa Palmer,Mike(Inspector)
Aug 30,2016
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FIRE MARSHAL'S OFFICE
Tozon of Queensbunj
742 Bay Road, Queensbury, NY 12804
(DW " Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Spirit Halloween
1540 Route 9
CO-000555-2016
Plan review based on submittals:
• Verify function of exit/ emergency lighting.
• Locks /Latches to be compliant with Chapter 10 of the NYSFC. Levers
or paddles required, no key locks or thumb turns
• Verify FE location and inspection
• Carbon Monoxide detection is required
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshalQtieensbunt.net • zye Mqueensbun/net