CO-000382-2017TOWN 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-000382-2017 Date Issued: Thursday, June 29, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000382-2017
has been completed.
Tax Map Number: 296.17-1-42
Location: 919 State Rte 9
Owner: Kenneth Ermiger
Applicant: Michael Seale
This structure may be occupied as a: Certificate of Occupancy Only
Temporary Sale of Fireworks thru July 5,2017,using one bay of former car By Order of Town Board
wash TOWN OF QUEENSSBBURY
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
QSW 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000382-2017
Tax Map No: 296.17-1-42
Permission is hereby granted to: Michael Seale
For property located at: 919 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: Kenneth Enniger Certificate of occupancy 0.00
Owner Address: 3494 Lake Shore DR Total Value 0.00
Lake George,NY 12845
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Temporary Sale of Fireworks tbru July 5,2017,using one bay of former car wash
50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 29,2018
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:thetionAdate.)
Dated at the Town of ueensb t
if
d ne 29,2017
SIGNED BY:
Q
for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201qLCommunityDevelopment- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000382-2017
Tax Map No: 296.17-1-42
Permission is hereby granted to: Michael Seale
For property located at: 919 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
Tyne of Construction
Owner Name: Kenneth Ermiger Certificate of occupancy 0.00
Owner Address: 3494 Lake Shore DR Total Value 0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Temporary Sale of Fireworks thru July 5,2017,using one bay of former car wash
50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 29,2018
Of 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 ex/. ation
datAdneDatedattheTownofueensbf/ hu29,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office UseOnIV
APPLICATION
Permit#: Co - 003VZev (`(
rN n d cLwrnnte,n
Permit Fee:$ 50• 00
742 Bay Road,Queensbury, NY 12804
Invoice#: I F k 7
P:518-761-8206 or 518-761-8205 www.gueensbury.net
FEC E 0 VIE
This application is for occupancy wl i g a building permit"
JUN 2 8 2011
CONTACT INFORMATION: l
TOWN OF QUEENSBURY
BUILDING& CODES
Applicant:
Name(s): U ,cCja-.A so-ola—
MailingAddress, C/S/Z: '!l 011iivtd ar. , f 11a,an5lan, f1e.,' S ri la.Bnu
Cell Phone: (,''_Ig ) j(a)-aaaj Land Line: )
Email: 0— j2o1.coyy\
Business Owner(s):
Contact Name(s): -Vl Ick)a-Q Sa e—
Mailing Address, C/S/Z: to8 D , nx, Rorer, Qltn sb v 4 {
Cell Phone: _( 'i1 ) _1. 1 . 9999 Land Line:
Email: 04AKC0ri.1044, E Cwl,CQM
Manager:
Contact Name(s): J fl2n DI;dG
Mailing Address, C/S/Z: log Qj-O Zit tesla r , fa8w
Cell Phone:_(S\i ) 8Sr7- 1973 Land Line: _(
Email:
Property Owner(s):
Business Name:ViQ i 6rnnm6.e-e-
Contact Name(s): Vem Cxyt-y&y-
MailingAddress, C/S/Z: 31+44 QKQS _ `li. I.RK 9-g..g U IdRVS
Cell Phone: _( Land Line: _( I ) "X- a78$
Email:
Certificate of Occupancy Only Revised June 2017
296.17-1-42 CO-000382-2017
Adirondack Car Wash LLC
919 State Route 9
C/O Only (to sell fireworks)
742 Bay Road,Queensbury, NY 12804 D E C 0 Ct J'
DP: 518-761-8206 or 518-761-8205 www.gueensbury.net
JUN 2 8 1011
BUSINESS INFORMATION: TO WN OFQUEENSSURY
J I
BUILDING& CODES
Name of business: /{d,7Und Cic FC Cll(- IJO-,5(1 C .lac
Address (including suite, space, etc.): I Oa 5' #Cru1 Otln t 6h tv, Nv Ir ov
011(2
e hof Ate °I
Type of business (i.e.: retail, car repair, etc.): &Aps ne fUa_kd pCcdhefs Ctei 'r>rKS'
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest
rooms, counters and fixtures on a separate sheet of paper.
IMPORANT: 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 Town of Queensbury 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 and a re-inspection.
Applicant name: l
Applicant signature: L
Date:
Certificate of Occupancy Only Revised lune 2017
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JUN 28 2011 1 L' c
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742 Bay Road,Queensbury,NY 12804 3TOWNOFQUEENS3 ,` O tya OP:518-761-8206 or 518-761-8205 www.gueensbury.net BUILDING&CODE3 U
EMERGENCY CONTACT INFORMATION 0
N Y
THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO Yl VL
BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND O
AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL ]CD 0) 0
GAINING ENTRY TO YOUR BUILDING." N Q rn U
PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT
DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL.
Date: a8 17
Business Name: n-( a0/< Car 11jazA JJLC
Business Location (including suite,space,etc.): 709 QIt(116_P_ ?04 ,4,
Vnyl la o4-
Business Phone#: 543-7&A -W30
1. Contact name: j'rj v2-
Main Phone:_( 18 ) 351 - I Z1 73 ;Secondary Phone:_(
Coming from what town/village? ai,-,tS
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2. Contact name:
Main Phone:_( Secondary Phone:_(
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FIREMARSHALeOUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised lune 2017
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296.
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CO-
000382-
2017
Adirondack
Car
Wash
LLC
919
State
Route
9
C/
O
Only (
to
sell
fireworks)
State of New York
Office of Fire Prevention and Control
1220 Washington Avenue, Bldg 7A
Albany, NY 12226
Phone#: (518) 474-6746
Fax#: (518) 474-3240
C
rG
v
fRKLING DEVICE
2 $-A/T TE OF REGISTRATION
it Number : 17-000980
LjtLJU
QUEENSBURY
Location of Ac kQ Nash LC
102 Weeks Road, Queensbury,NY, 12804
Phone: (518) 761-0430
Type of Activity: Certificate of Registration- Sparkling Devices - Temporary Retailer
Date of Activity: 06/20/17
Expiration Date: 07/05/17
The above applicant is hereby granted permission to conduct the above described activity in accordance with
provision of the 9 NYCRR 225 and the Fire Code of New York State. Approval is contingent on payment of Fee of
250.00 and adherence the following conditions:
It is the Applicant's responsibility to comply with other applicable health, police, building or construction
requirements for such matters as electrical, plumbing or mechanical activities.
06/08/17
Date
THIS CERTIFICATE MUST BE CONSPICUOUSLY POSTED
AT THE SITE FOR THE DURATION OF THE ACTIVITY,
FAILURE TO COMPLY WITH THE FIRE CODE
REQUIREMENTS OR ANY CONDITION SET FORTH
ABOVE IS CAUSE FOR REVOCATION OF THIS CERTIFICATE
296.17-1-42 CO-000382-2017AdirondackCarWashLLC
919 State Route 9
C/O Only (to sell fireworks)
Homeland SecurityYo•
SS and ControlTATEandEmergencySeMces
SPARKLER SAFETY 149"
SAFETYFeEtiorN 2 s 20 7 ACTS:
Always follow the located on Sparklers burn at temperatures of about 2,000 F
the packaging TOWN OF QUEENSBURY It is illegal for anyone under the age of 18 to buy or use
All sparklers are I FS sparklers in NY State
never use indoors In 2013 there were 8 deaths and 11,400 reported injuries
Always wear eye protection when using in the United States related to fireworks. Sparklers
sparklers accounted for 31% of these injuries. Many of these
Never light more than one sparkler at a injuries were to people under the age of 18.
time Sparklers and certain novelty devices are the only
Never point a sparkler tube towards consumer fireworks that are legal in certain parts of NY
anyone or any part of your body State. Learn more at:
Keep sparklers and novelty devices in a www.dhses.ny.gov/ofpc/news/sparklingdevices.cfm
safe secure location when not in use All consumer fireworks including sparklers, remain illegal
Never use sparklers when under the in the City of New York
influence of alcohol or drugs
Always keep an approved fire
extinguisher nearby during a display
Never try to relight or handle
malfunctioning fireworks. t
Douse malfunctioning and spent devices 5
with water before discarding to prevent a
plofirei_ f
Purchase sparklers and novelty devices
from NY State registered retailers 1 x p'e
LINKS
Z•
In 4 Ir
IF Ic
Fireworks Safety Information Consumet Product Safety Consume, PIrOuLict Safely Device Information
from the National Fire Commission(CPSC)Reports Commission(CPSC) from the Office of Fire
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TOWN OF NOQUEE-N-S-B_lilY
BUILDING K CODES
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