CO-000598-2017 ,g... 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-000598-2017 Date Issued: Friday, October 13, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000598-2017
has been completed.
Tax Map Number: 302.6-1-43
Location: 797 State Rte 9
Owner: William Hotaling,Northgate Enterprises Inc
Applicant: Sticky's Graphics LLC
This structure may be occupied as a: Certificate of Occupancy Only
Northgate Plaza Suite 7 By Order of Town Board
Tenant: Sticky's Graphics LLC 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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000598-2017
Tax Map No: 302.6-1-43
Permission is hereby granted to: Sticky's Graphics LLC
For property located at: 797 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
Tvne of Construction
Owner Name: William Hotaling Certificate of occupancy $0.00
Owner Address: Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Northgate Plaza Suite 7
Tenant:Sticky's Graphicc LLC
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,September 26,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expir tion date.)
Dated at the Town offnsb2) 11esdOter6,2017
SIGNED BY: the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY office use only
Permit#: LQ " 516 I6 - 20 V'+-
APPLICATION
Permit Fee:$ 9-)0
742 Bay Road,Queensbury,NY 12804 Invoice#: Z 2
P:518-761-8206 or 518-761-8205 www.clueensbury.net
"This application is for occupancy only, with no w ��i� unit*�
CONTACT INFORMATION:
SEP 21 2017
TOWN OF QUEENSBURY
o Applicant- LL� BUILDING&CODES
•
Mailing Address, C/S/Z: .I e- /078
Cell Phone: (r)l g Land Line: 669' 61) -UQcDQ
Email: ' on )
® Business Owner s : I r `
Contact Name(s): �+1J (ICA
Mailing Address, C/S/Z: )) Q C
Cell Phone: _( ) :Z�jCt mk�' Land Line: _( ) 1 h1.•�
Email: "
Manager:
Contact Name(s): L
V-ich�f-y-
Mailing Address, C/S/Z: V
Cell Phone: _( ) a r'11 Land Line: _( ) SC9 M-e
Email: 2(' -III
Pro ert owners • 1
Business Name: — Li essfe r
Contact Name(s): Pn�:+ - 1--L L11 102kC0
Mailing Address, C/S/Z:
Cell Phone:_(b)C4 -600 Land Line: _( )
Email:
Certificate of Occupancy Only Revised June 2017
742 Ray Road,Queensbury, NY 12804 SEF 2 12017
P:518-761-8706 or 515-761-8205 -,;,u,x.g ;eensbury.net
T BWN OF Ul DING g CNSBURY
BUSINESS INFORMATION' ODES
Name of business: aS �i i� C� �h ��� , L L .
Address (including suite, space, etc.): 1CUixv_r LAP_nS . 'z, I
Type of business (i.e.: retail, car repair, etc.):
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest
rooms, counters and fixtures on a separate sheet of paper.
II\ PORANT- 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.
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Applicant name: 1`� A\(_-Aa_ ►'1
Applicant signature:
Date: 0
302.6-1-43 CO-000598-2017
Sticky's Graphics LLC
Certificate of Occupancy Only 797 State Route 9, Suite 7 Revised June 2017
Certificate of Occupancy Only
P .DES
adLC 2017ENSBURY742 Bay Road,Queensbury,NY 12804 C
P: 518-761-8206 or 518-761-8205 www.gueensburV.net
EMERGENCY CONTACT INFORMATION
"THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE 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.
Dater
Business Name:� C 1`�� L(ci , v) I c!� LC
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Business Location (including suite, space,etc.): j -1 L,V of
Business Phone#:� �G x �-� — L
1. Contact name: icl1 1 al �.
Secondary
Main Phone:_( (D-L � econdar Phone:_(
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Coming from what town/village? �� 1m bJ rn
2. Contact name: ,f l El_ _ ' _,_ hy:e Y
Main Phone:_( ) �-t r� ; Secondary Phone:
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
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CO-000598 2017
302.6-1-43
Sticky's Graphics LLC
797 State Route 9, Suite 7 }
Certificate of occupancy Only ';<.•