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CO-0543-2018 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-0543-2018 Date Issued: Thursday, September 6, 2018 This is to certify that work requested to be done as shown by Permit Number CO-0543-2018 has been completed. Tax Map Number: 296.13-1-18 Location: 959 State Rte 9 Owner: Mount Royal Plaza, LLC Applicant: Forest Hill Lodge & Cabins LLC This structure may be occupied as a: Certificate of Occupancy Only, space AAA Tenant: The Big Moose Furniture Co Queensbury By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the ,/� ‘Igt property owner of the responsibility for compliance with Site Plan, /d 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. };v - TOWN OF QUEENSBURY :` �` �' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 4 igaK -- -,; Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: CO-0543-2018 Tax Map No: 296.13-1-18 Permission is hereby granted to: The Big Moose Furniture Company Queensbury For property located at: 959 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: 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,space AAA Tenant:The Big Moose Furniture Co Queensbury $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 29,2019 (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 th expiration d..e.), Dated at the Townuee . " ,Q ury; 4Wei , ugust 29,2018 o � SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement 7 CERTIFICATE OF OCCUPANCY ONLY Office Use Only Permit#: 8 051,3 APPLICATION Permit Fee:$ 100.03 742 Bay Road,IQueensbur NY .'2804 Invoice#: b$a3 R�518-76182O6(or 518-76:1'8205 www.queensbury.net **This application is for occupancy only, with no work requiring a building permit** CONTACT INFORMATION: • Applicant: Name(s): Forest Hill Lodge & Cabins, LLC Mailing Address, C/S/Z: PO Box 1605 Bolton Landing NY 12814 Cell Phone: 518 ) 848 0601 Land Line: ( ) n/a Email: foresthilltradingcompany@gmail.com • Business Owner(s): Contact Name(s): Maureen Sawyer &James Campione Mailing Address, C/S/Z: PO Box 1605 Bolton Landing, NY 12814 Cell Phone:_( 518 ) 848-0601 Land Line: ( ) Email: foresthilltradingcompany@gmail.com • Manager: Contact Name(s): same as business owners Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( Email: • Property Owner(s): Business Name: Mt Royal Plaza, LLC Contact Name(s): Andrew Laasko Mailing Address, C/S/Z: 959 State Rt 9 Queensbury NY 12804 r., N‘n Cell Phone:_( ) Land Line Lr(--VA- 0F 1111 I Email: andrewlaakso@zimdeveloprnent.com n I line ri nn+o I II 11 I (I I MAO 1. L L.UIU It) W TOWN OF QUEENSBURY &CODES • Certificate of Occupancy Only Revised June 2017 7 742 Bay Road,Queensbury,NY 12804 P:1518-761 8206 or 518-7618205 www.queensbury.net BUSINESS INFORMATION: Forest Hill Lodge&Cabins, LLC dba The Big Moose Furniture Company Queensbury Name of business: Address (including suite, space, etc.): 959 State Rt 9 Suite AAA,Queensbury, NY 12804 Type of business (i.e.: retail, car repair, etc.): Furniture, home accessories&gifts retail store 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. e Applicant name: James Campiorl'� Applicant signature: August 21, Date: Certificate of Occupancy Only Revised June 2017 742 Bay Road,Queensbury„NY 12804 IPA 51.8,761 8206 ror5188761 S205 www.queensbury.rtet 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: August 21,2018 Business Name: Forest Hill Lodge&Cabins, LLC dba The Big Moose Furniture Company Queensbury Business Location (including suite,space,etc.): 959 State Rt 9 Suite AAA Queensbury, NY 12804 Business Phone#: 518 848 0601 1. Contact name: James Campione Main Phone: ( 518 ) 848 0601 ;Secondary Phone:_( Coming from what town/village? Lake George 2. Contact name: Maureen Sawyer 518 401 7517 Main Phone:_( ) ;Secondary Phone:_( Coming from what town/village? Lake George TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 518-7 61-8206 F: 518-745-4437 FI REMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 i k FIRE MARSHAL'S OFFICE ,_� Town of Queensbury iFir 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW The Big Moose Furniture Co 959 State Route 9 CC-0543-2018 8/23/2018 The following comments are based on review of drawings: • Verify fire extinguisher locations • Verify paths of egress • Verify storage • CO detection required • Locks and latches shall be compliant w/ Chapter 10 IFC • Provide key for master Knox Box at the location • NFPA 13 letter of compliance required for any sprinkler system • modifications i\irs,%ge ---3- Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 V firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • www.queensbury.net