CO-0647-2018 TOWN OF QUEENSBURY
P ' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-0647-2018 Date Issued: Friday, October 26, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0647-2018
has been completed.
Tax Map Number: 296.9-1-8
Location: 1088 State Rte 9
Owner: Thomas McDonough
Applicant: James Joseph
This structure may be occupied as a: Certificate of Occupancy Only
Tenant: Sharp Presents By Order of Town Board
Space A TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the /f
)dlit
property owner of the responsibility for compliance with Site Plan, v
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
'P' 3 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building& Codes (518) 761-8256
... _ .sue
BUILDING PERMIT
Permit Number: CO-0647-2018
Tax Map No: 296.9-1-8
Permission is hereby granted to: Sharp Presents LLC
For property located at: 1088 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: Thomas McDonough Certificate of occupancy $0.00
Owner Address: 1088 State Route 9 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Tenant: Sharp Presents
Space A
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, October 28, 2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qu bury befo the xpira •. ./e.)
Dated at the To of e b •J' October 26, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office Use Only
APPLICATION Permit#: O &L/ 7 - L.
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Permit Fee:$ /U(,)G-.
742 Bay Road,Queensbury,NY 12804 Invoice#: 461/
P:518-761-8206 or 518-761-8205 www.queensbury.net C� Q
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**This application is for occupancy only, with no work requiring a building permit**
CONTACT INFORMATION:
�• Applicant: l I OCT 0 2018
i
Name(s):
Mailing Address, C/S/Z: �� �,' ,!�u�Gtis t/v / /�'Y( P I-
Cell Phone: (S/8 ) �s� 77 Land Line: L'/g r1Z3 - D79t7
Email: , 1y/p(vS T4® pI4f / t'odr1
• Business Owners : CJ
Contact Name(s): . 4es
MailingAddress, C/S/Z: ‘tv/n e 5eAtvs '� velrrs�iv N.)! /•&OG/
Cell Phone: (S/q ) 9sS- 90? Land Line: _(
Email: i e . i7'f & '44a /C o�.✓'`
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• Manager: /
Contact Name(s): Lij',CS Ce/S
Mailing Address, C/S/Z: < YUG,C S.b�iyt// Ns.IT T J7 /26707
Cell Phone: _(S/8) � Land Line: _(519 ),2,23- 07690
Email: c v at,/ 43 w144A .C.t
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• Property Owner(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _(:5'/,j ) �33(�^ 8'S Land Line: _(
Email:
Certificate of Occupancy Only Revised June 2017
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
BUSINESS INFORMATION:
Name of business:
Address (including suite, space, etc. : a. ,P o� �
6.e)/Afeiis //• 28W
Type of business (i.e.: retail, car repair, etc.): am'?` ?' Za�slC (51
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: 2
Applicant signature. O 4
Date:
Certificate of Occupancy Only Revised June 2017
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.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: / �20/9
Business Name: c___ I. Zga
Business Location (including suite, space, etc.): ��49 C nPl , // ate,
Pei e.Pl,/s. y, /C/7 /2690/
Business Phone#: I s/g) ?� L(/ d7
1. Contact name: ( 4es CI 4d
Main Phone:_(S/g ) /v"s"--‘9o`' ;Secondary Phone:_( ' ) ? 7cPi 0
Coming from what town/village? C /�.eljj,sl�(/1//
2. Contact name: �f.t/ifiyt (S1/1;1 y
Main Phone: ; Secondary Phone: ? O2:
Coming from what town/village? Ql'z Phi. Ze.,/,.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
` FIRE MARSHAL'S OFFICE
4111-101.- Town of Queensbury 742 Bay Road, Queensbury, NY 12804
11
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Sharp Presents
1088 Route 9
CO-0647-2018
10/5/2018
The following comments are based on review of drawings:
• Verify fire extinguisher locations
• Verify function of exit and emergency lighting
• Verify paths of egress
• Verify storage
• CO detection required
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@queensbunj.net • www.queensbunj.net