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CO-0662-2018 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-0662-2018 Date Issued: Monday, November 26, 2018 This is to certify that work requested to be done as shown by Permit Number CO-0662-2018 has been completed. Tax Map Number: 296.13-1-18 Location: 959 State Rte 9, Unit K Owner: Palazzo's Pizzeria Applicant: Palazzo's Pizzeria This structure may be occupied as a: Certificate of Occupancy, Space K Tenant: Palazzo's Pizzeria By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (-- aysa' 4 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-0662-2018 Tax Map No: 296.13-1-18 Permission is hereby granted to: Palazzo's Pizzeria For property located at: 959 State Rte 9,Unit K 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: Justin Harvanek Certificate of occupancy $0.00 Owner Address: 442 Coolidge Hill RD Total Value $0.00 Diamond Point,NY 12824 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy,Space K Tenant:Palazzo's Pizzeria $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 18, 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 befor the expirat•o dae.) Dated at the To of Q sbu4 �.y,October 18, 2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY Office Use Only Permit#: C 0—00.6 2-ZOt r APPLICATION Permit Fee:$ I DO, DO Town of t_rccn .un ."m.,,�_v. 742 BayRoad,Queensbury,NY 12804 L' ; 7- Invoice#: 0?&C) P:518-761-8206 or 518-761-8205 www.queensbury.n t it OCT 1 5 2018 Iii) 1 **This application is for occupancy only, with no work requiring a building permit** 3ui .,L)u'K a. ;OL)F-8 CONTACT INFORMATION: " • Applicant: , Name(s): JU,*A_% +ol 1 c%rz1CP Y\E Mailing Address, C/S/Z: '- 4 k Coo 1, _ h t l , Qo ' CNO11,41d- la `0Ak- \OA \/ Cell Phone: (5/$ ) c) S0 - ,.),(-60 and Line: ( ) Email: &,.>_A cx) (- ei k- - Cr-v. • Business Owner(s): Contact Name(s): •Q USA--0 \ 9 .t`V CA_Ae-t Mailing Address, C/S/Z: cA S 4-2 ( v-4-e, CA On +'4- K Queet.ts0,,,ziiivii Cell Phone:_( - /? ) -7 - 3.)-G;(7 Land Line: _( 572 ) !q �3 Q i IA Vo, Email: ' 1 LZSe.,‘ � tfD tku t, • Manager: Contact Name(s): \i \( _ LA eLC- A: 2 o-^ O(\(�, P ��� cI Mailing Address, C/S/Z. 4-1 4-1 A., (�11O l r c, .-,-A l (� � 0 � G Cell Phone:_( ( „„;(•\, ) 2"`6 ) 00 �C\ Land Line: _( ) Email: V�.c. Gto ', &14c�-vw:l1•C,C),V • Property Owner(s): n Business Name: eo.i®� Q0, 3tAVA Contact Name(s): ' cesatLvIJ L.KS® Mailing Address, C/S/Z: et, At (1,, 1 CI 0,s4.,..AS Cell Phone: _(,Silt ) 1Q ` a'4161 Land Line: _(,5 ) '791-C () Email: Ce.104l ,vC 7l14) 'OP_ga,,vRfruAirti, Contact Person for Building & Code Compliance: Cell Phone: ( tq ) -)01(o- jek.1 Land Line: (S4 ) '7°L .' d04,(1 Email: e,v.1 I6.lC v 0 ,INV\ 0031 e_o\4tV.A\A--`CJ° Certificate of Occupancy Only Revised December 2017 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net BUSINESS INFORMATION: Q� z��r ; Name of business: � ICZO, � �^i 0 P- C-71vP. e./As Address (including suite, space, etc.): C CA' ..5`4- A e_c,t2+c C\ K. •isJt( iVLItk ' - OL Type of business (i.e.: retail, car repair, etc.): 6cci -5cr 4t ce -c uft„tio- 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: Tu54-'n Applicant signature:pp g Date: f o 115I i Certificate of Occupancy Only Revised December 2017 rir14, Town of t treen.sbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensburv.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: 10 Its I I Z Business Name: 0•\(Az.2.(- 3 P oVZ2 Business Location (including suite,space, etc.): SCA— ,S Or GI U At I' C Jc sb t C\ Business Phone#: it " 7� '- &x.r.) 1. Contact name: c,t.6k-V` \.\4'um & _ Main Phone:_(61% ) ;Secondary Phone: ( Coming from what town/village? O CAMC4 9ovik' 2. Contact name: 419\C‘itAA) Main Phone:_( ) ;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 December 2017 OW FIRE MARSHAL'S OFFICE i Town of Queensbury 742 Bay Road, Queensbury, NY 12804 411111. " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Palazzo's Pizzeria 959 Route 9, Space K CO-0662-2018 10/15/2018 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 • Provide current report of inspection for suppression system • Provide current record of cleaning for both hoods 'T:(9..„ Ni\C\,e ——S. 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 firemarshal@queensbury.net • www.queensbury.net