CO-000665-2017 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-000665-2017 Date Issued: Friday,November 17, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000665-2017
has been completed.
Tax Map Number: 302.6-1-43
Location: 797 State Rte 9, 613
Owner: Lucci's Fashion
Applicant: Lucci's Fashion
This structure may be occupied as a: Certificate of Occupancy Only
Tenant:Lucci's Fashion, Space 6B By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 44t
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-000665-2017
Tax Map No: 302.6-1-43
Permission is hereby granted to: Lucci's Fashion
For property located at: 797 State Rte 9,6B
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: Lucci's Fashion Certificate of occupancy $0.00
Owner Address: 797 State Rte 9 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Tenant:Lucci's Fashion,Space 613
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 26,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ofeensb /�'h4t:r
,2017
SIGNED BY: /11J the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office Use OnIv
APPLICATION #: Co `" 0�v�'&S -2v1-7
Permit Fee:$ b a 00
Invoice#: a3sJ-
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 w vw.gueensbury.net
"This application is for occupancyn r ..mss-a g a building permit"
CONTACT INFORMATION:
7� OCT
2 4 2017
E
TOWN OF QUENSBURY
® Applicant. BUILDING_ &CODES
Name(s):
Mailing Address, C/S/Z: 6q1 IAPDer &ter
Cell Phone: ( 2R ) 5�h- 3(A 2 Land Line:
Email: � ak'u'1 1_ �}n Q� a� cow
® Business Owner(s):
Contact Name(s): Yue- kurrt�
Mailing Address, C/S/Z: 33140bgri c�-nf L Q imo'e,Ls'bUQ
Cell Phone: _( -54 ) g 6- t Land Line: _( )
o
Manager:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
Property Owner(s):
Business Name:
Contact Name(s): �-
Mailing Address, C/S/Z:S _� 0 , _ 1� ��'�� 6
Cell Phone: _( _)y0�- bn l Land Line: _�( )
Email:
Certificate of Occupancy Only Revised June 2017
302.6-1-43 CO-000665-2017
Lucci's Fashion
797 State Route 9, Space 6B
Certifficate of Occupancy Only
742 Bay Road,Queensbury, NY 12804
P: 518-761-8206 or 518-761-8205 ,,,,,,1;v.,,.queensburV.net
BUSINESS INFORMATION'
Marne ofbusiness: Lam(, L'S
Address (including suite, space, etc.): M MeK QF5
Type of business (i.e.: retail, car repair, etc.): n-63k 4
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: , Y
Applicant signature:
Date: 2.0
Certificate of Occupancy Only Revised June 2017
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 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.
Date: 1017,o I 1
BusinessName:
Business Location (including suite, space, etc.): 7 q] 'Uk P!eI' (7(en �thmt 4B
Business Phone#:
1. Contact name: Lra Wu J
Main Phone:_( 6(9) ;Secondary Phone:_( )
Coming from what town/village?
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
f_IREMAR.,[iAL@QUL LN-,BURY.NE i
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
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TOWN OF QUEENSBURY
BUILDING&CODES
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FIRE MARSHAL'S OFFICE
Tozvn of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Lucci's fashions
797 State Route 9
CO-000665-2017
10/25/2017
The following comments are based on review of drawings:
• Verify fire extinguisher location and inspection
• 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
ichaeZ 1 al er
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fi r e M a r s h a l 's Off i c e - P h o n e: 518-761-8206 - F a x: 518-745-4437
firemarshal®queensbuni.net - zazazu.queensbury.net