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