CO-0151-2018 TOWN OF QUEENSBURY.
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f 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--- Community Development-Building& Codes (518) 761-8256
CERTIFICATE .OF OCCUPANCY
Permit Number: CO-0151-2018 Date Issued: Thursday,.May-24, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0151-2018
has been completed.
Tax Map Number: 296.13-1-18
Location: 959 State Rte 9
Owner: Mount Royal Plaza, LLC
Applicant: Lawrence Boutillette
This structure may be occupied as a: Certificate of Occupancy Only
Tenant: Asian Spa . By Order of Town Board
Space W at Mount Royal Plaza TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT.relieve.the .,
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.
i
:.TOWN OF QUEENSBURY
7.42 Bay Road,Queensbury;NY 12804-5904.(518)761-8201 .
Community Development-.Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-0151-2018.
Tax Map No: 296.13-1-18
Permission is hereby granted to:. Asian Spa
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:. Mount Royal Plaza,LLC. Certificate of occupancy $0.00
Owner Address:. 959 State Route 9 Total Value $0.00-
Queensbury,-NY 12804
Contractor or Builder's Name/Address Electrical'Inspeciion Agency
Plans&c Specifications
Certificate of Occupancy Only
Tenant:Asian Spa
Space W at Mount Royal Plaza
$ 100.00 PERMIT_FEE PAID -THIS PERMIT EXPIRES: Thursday,April 11,2019
(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 the expiration date.)
Dated at the Town Que bury; We s it 11,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
I .
Office Use Only
i Town of Queensbury Fire Marshal
Received: 416, K
k
ESTABLISHMENT OF ANEW BUSINESS Tax Map ID:
. .CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No,: ,
::Permit Feb:
*Note: This application is for.occupancy ,only,with no work requiring.a building permit.
Name of Business'
Address 1 , -Q V"r E P n)-L) �-
Type of Business Q 0 0 N eC . . F=ti 14) C/"t =-✓ S I L: ' `s`� ,�@p. T; z
Manager
OR- . _
wP,lr=.y-CE . iS o U I li-"'I-C- i'1'E APR: 6 20
Person in charge
Business Phone No. 3U S �6 (f'�( �c Tr�gnr;;t C t 14 4 a ;
�' 3 J 4
Cr:�ui�lll•Nlls "'s DEV 5.:�'iP.10EF:j-k
Property Owner ID F-U'C L-0 P'm E
Address c1b RT 9, yC6_,vs f y()Y
Phone
i ✓Provide an accurate layout.of your store showing all walls, exits,stockrooms, rest rooms, counters, and fixture layout:on a
separate sheet of paper. �(�w IN E-.j C Z&O c't LLB
Pint Name: CtitCE t3 aLl 1 JLLG i rE
Signature: '
Date:
i
Notes 7 Comments:.
('r-c f F-0 N'117 9. ( c
IMPORTANT:. 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'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:
i CONTACT NUMBERS:.
,1
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
296.13;pa
1-18
CO-0151-2018
EMERGENCY C®NTACT UPDATE Asian
9F59 State Route 9, Space W I
T0: Warren;County Sheriff's Department Certificate of Occupancy Only
1. This form.is used to assist Emergency Service personnel who may be called to your business after hours. Please
be sure that the persons listed on this form.will be willing and available to respond during off-hours to assist Police
and/or Fire personnel in gaining entry to your building.
2. Please be advised that failure to respond to assist emergency service,personnel may result in damage.to your
building to facilitate entry by police and/or.fire personnel.
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PLEASE PRINT
G
DATE:
S+ �''�
BUSINESS NAME:. � S �R
t
r
r.
:, . . BUSINESS.ADDRESS: ? `��
BUSINESS PHONE: ��`�� �3� 50
CONTACT 1: L (�� {�,C CF TDO U'�( LLC2 HOME PHONE ? Oq3oiS�c��
ADDRESS: �C�S- /U a"_)j (j(— , (�o n p/a l_i3 i
CONTACT 2: 1144 LJ r�ti' r`r�Gs HOME PHONE �G — so&-e3C1
ADDRESS: � � d11-1 600, '.
1
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
FIRE MARSHAL'S OFFICE
,Town of Queensbury
742.Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Asian, Spa
959 State Route 9, space W
CC-000151-2018
3/8/2018
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) Fire extinguisher locations to be discussed.
2) Locks /latches,shall comply with 2015 IFC.
3) CO detection is-required per NYS Part 1228
4) Verify operation of existing Exit/Emergency lights is space. A function test
will be required prior to CO. (Note: no plan.submitted-addition may be
.required.)
5) Provide a key for the Knox Box/key box. -
6) Verify storage and,aisles
Deputy Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net.
Fi re Marshal 's Office P h o n e: 518-761-8206 Fax: 518-745-4437
-flremarshal@queensburij.net wwmqueensbunt.net