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CO-000447-2017 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-000447-2017 Date Issued: Wednesday, August 30, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000447-2017 has been completed. Tax Map Number: 288.20-1-19 Location: 1300 State Rte 9 Owner: Ross Schlinger Applicant: Deric Buck This structure may be occupied as a: Certificate of Occupancy Only Tenant: Bucks Tavern LLC 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, 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 qL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000447-2017 Tax Map No: 288.20-1-19 Permission is hereby granted to: Bucks Tavern,LLC For property located at: 1300 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: Ross Schlinger Certificate of occupancy $0.00 Owner Address: 398 QUAKER RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy Only Tenant:Bucks Tavern LLC $50.00 PERMIT FEE PAID-TRIS PERMIT EXPIRES: Tuesday,July 31,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of?Queef ury before expiration dateDated at the TooQue n bury; e&1,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY office use Only APPLICATION Permit#: Permit Fee:$.�^� 742 Bay Road,Queensbury, NY 12804 Invoice N: P:518-761-8206 or 518-761-8205 www.gueensbury.net "This application is for occupancy only, with no work requiring a building permit" CONTACT INFORMATION: • Applicant: Name(s): Deric Buck Mailing Address, C/S/Z: 52 Blind Rock Rd, Queensbury NY 12804 Cell Phone: 518 ) 683-5531 Land Line: �) Email: buckstavemllc@gmail.com • Business Owner(s): Contact Name(s): Bucks Tavern, LLC Mailing Address, C/S/Z: 52 Bling Rock Rd, Queensbury NY 12804 Cell Phone:_(518 )683-5531 Land Line: _( ) Email: buckstavemllc@gmaii.com • Manager Contact Name(s): Adam Luaces Mailing Address, C/S/Z: 39 Franklin St, Glens Falls, NY 12801 Cell Phone:_( 518 ) 2604100 Land Line: _( ) Eri luaces@gmail.com • Property Owner(s): Business Name: Contact Name(5): Ross Schlinger Mailing Address, C/S/Z: 398 Quaker Rd, Queensbury NY 12804 Cell Phone:_( 518 ) 792-2222 Land Line: _( ) Email: JUL 2 7 2017 TOWN C; -,, EENSP. gLil Dit,j�= .. _....._... Certificate of Occupancy Only Revised June 2017 288.20-1-19 CO-000447-2017 Bucks Tavern LLC 1300 State Route 9 Ibwn dflinrn.hun- CSO Only 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbury.net BUSINESS INFORMATION: Name of business: Bucks Tavern, LLC (dba"Bucks Tavern") Address (including suite, space, etc.): 1300 US 9, Lake George, NY 12845 Type of business (i.e.: retail, car repair, etc.): Restaurant Please provide an accurate layout of your store shoaling 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: Applicant signature: Date: Certificate of Occupancy Only Revised June 2017 /uhn,J(Linrn. un 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbury.net EMERGENCY CONTACT INFORMATION "THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAYBE CALLED TO YOUR BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN GAINING ENTRY TO YOUR BUILDING." PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL. Date: 71Z Business Name: Bucks Tavern Business Location (including suite, space,etc.): 1300 US 9, Lake George NY 12845 Business Phone#: 518-747-8897 1. Contact name: Deric Buck Main Phone:_( 518 ) 683-5531 Secondary Phone:_( ) Coming from what town/village? Queensbury 2. Contact name: Adam Luaces Main Phone:_( 518 )260-4100 ;Secondary Phone:_( ) Coming from what town/village? Glens Falls TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 518-761-8206 F: 518-745-4437 FI REMARSHAL@QIJEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 288.20-1-19 CO-000447-2017 Bucks Tavern LLC 1300 State Route 9 C/O Only Wornen's eaNraam Men's Mr.Cooler Gtltltlle GNI F, Maul System Range Range 10 Are Suppression Units OauEle Coola SanAyldi Cooler S.S Courter . DW 55 Caunta WingDoor 7E C EE u JUL 7 7 2017 i0wii011-QUEE!i CLFIRE MARSHAL'S OFFICE Tonin of Queensbunj 742 Bad Road, Queensbury, NY 12804 " Horne of Natural Beauty ... A Good Place to Live " PLAN REVIEW Buck's Tavern 1300 Route 9 CO-000447-2017 7/28/2017 Walk thru w/ Owner this date The following comments are based on review of drawings: • Verify fire extinguisher location • CO detection required • Verify operation of exit / Emergency lighting. • Lock/ latches shall comply with Chapter 10 of 2015 IBC. • Verify paths of egress • Verify storage • Install Knox Box and main entrance for FD use • Provide report of inspection for hood suppression • Provide report of cleaning of hood, duct, fan • Verify all electrical and panels closed up ,,� 4 iL 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 firenmrshal fteensbunt.net • rvTvw.gaeensbunJ.net