CC-000252-2017 TOWN OF QUEENSBURY
,•. 742 Bay Road,Queensbury,NY 12804-5904 (518)7.61-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000252-2017 Date Issued: Monday, June 26, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000252-2017
has been completed.
Tax Map Number: 278.-1-46
Location: 663 State Rte 149
Owner: Stranahan Industries,Inc.
Applicant: Phantom Fireworks Eastern Region,LLC
This structure may be occupied as a: Certificate of Occupancy for 20 ft.by 40
ft.TENT By Order of Town Board
June 22,2017 thru July 4,2017 TOWN OF QUEENSBURY
Temporary Structure
Cross Ref.P-SSE-0005-2017(Special Sales Event) jf
Issuance of this Certificate of Occupancy DOES NOT relieve the /1
property owner of the responsibility for compliance with Site Plan, Y
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.
41L
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-000252-2017
Tax Map No: 278.-1-46
Permission is hereby granted to: Phantom Fireworks Eastern Region,LLC
For property located at: 663 State Rte 149
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: Stranahan Industries,Inc. Certificate of occupancy $0.00
Owner Address: 5010 Dawson Way Total Value $0.00
Fort Ann,NY 12827
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy for 20 ft.by 40 ft.TENT
June 22,2017 thru July 4,2017
Temporary Structure
Cross Ref.P-SSE-0005-2017(Special Sales Event)
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 19,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury beforethe exp' ation dateOtfor
)
Dated at the Town of ueensb on17
SIGNED BY: the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Tax Map ID:
Received: 1 -7
_
ESTABLISHMENT OF A NEW BUSINESS _
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: 40 a-5 7
Permit Fee:— 0 — I,,).a i v�e cli
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business 6SIA97*41n FJ&9 W,5ZK•5
Address 4 6 5 3774
Tel R T
Type of Business kdqfft- 04400_ O_ AIV &R65K f%4jrAA0AK5-
Manager - m -•--
OR "V
�
1 I
Person in charge 1 a*;By u
Business Phone No. 4ri$-AI'7-O44e
9
Property Owner �S7" AfS5 / TO04%.' OF G IEEI SBURY
Address tiTV10 hA?WSOIJ Woq COlUid�ItlNiT'°r`t���'Et�iRll�bf�T
Phone �"1�' • 711 — 0 91V4
✓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: ��ja.o 3A
Signature: T/
Date: -/6 • .9 a L7
Notes!Comments: z 4 X►'+�• '�
278,11-46 CO 252-2017
Certificate of Occupancy for 20 ff. by 40 ff. TENT Phantom Fireworks
June 22, 2017 thru July 4, 2017 Tent at 663 State Route 149
Temporary Structure C/O June 22 thru July 4, 2017
Cross Ref. P-SSE-0005-2017 (Special Sales Event)
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-761-823B
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
EMERGENCY CONTACT UPDATE
Please print clearly
278,146 CO 252-2017
Phantom Fireworks
DATE: 6---/4--2w7 Tent at 663 State Route 149
C/O June 22 thru July 4, 2017
BUSINESS NAME: Pwgovrom �i,G�"woa�cS
BUSINESS ADDRESS: 47--/49
BUSINESS PHONE: 471 A07—6 VL e
PHONE -a.67-0y a4l
CONTACT 1: vi-*43 PHONE 2:
TOWN/VILLAGE RESPONDING FROM:
PHONE 1: SIF' ;512- 902-
CONTACT
02-CONTACT 2: JRSsot 0 bo.#K 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
Phone: 518-761-8206 - Fax: 518-745-4437
firemarshalfteensburrinet - www.queensbunixet
Fire Marshal Michael T Palmer Deputy Fire Marshal Garr K Stillman
20 x 40 Tent Layout and Table Bunting Guide .,
-- VERY IMPORTANT --
` This side towards street or busiest area of shopping center - See placement guide .
Dashed lines = Walls Open During Business
I
i
I
water Fire extiguisher on rear table
Entrance/Exit Entrance/Exit
I wrap bunting all the way on these tables because I
I Hang EXIT customers will see both sides of the tables Hang EXIT
I sign here sign here I
I I
Hang 1 fire wrap these tables 3/4 the way around because Hang 1 fire
I extinguisher on customers will not see the back tables extinguisher on I
either one of either one of l
these tent poles these tent poles "`
Employee
only area
O
N
N
L
N
O
Solid lines = walls closed U
Product should be placed according to price.Start with the lowest priced item and then work your way around the tent IN NUMERICAL ORDER.
All items that are priced the same should BE RIGHT NEXT TO EACH OTHER.This is VERY IMPORTANT to ensure a smooth buying experience. Q
D
� AL
O }Wt
all merchandise by price order 3
N H N
Green Table- Place your register and safety table information on this table as outlined on the IT E Z _
safety table document p
c0 Q c 0
Always comply with AL1.local fire department requests,even if it requires changes to this layout guide. N 0- � U