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CERTIFICATE OF OCCUPANCY ONLY [oficeuseon APPLICATION Perit O-O120-2055__Permit Fee:$[6 ~ Invoice #:120% Town of " 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net **This application is for occupancy only,with no work requiring a building permit** CONTACT INFORMATION: ©Applicant: Name(s):___MATHEW BAgeeiy Mailing Address,C/S/Z:__Po Box%109,GLENS Finers AN)1280\ Cell Phone:(5/&)_955-7372 Land Line:) Email:__at7 @ barcettavte.Com *Business Owner(s): Contact Name(s):Same fle Aove Mailing Address,C/S/Z: Cell Phone:_{Land Line:_() Email:Ea ial! Wale©Manager:|Contact Name(s):Same As ABévE 8a 2 Mailing Address,C/S/Z:(og —— Cell Phone:_()Land Line:_()\ Email:=r *Property Owner(s): Business Name:Bageet Rerated Rewmes Contact Name(s):Tames “Bageet Mailing Address,C/S/Z:__FO_330X 104,GLENS Faces AY /28/ Cell Phone:(S!IB_)4/5 -845 Land Line:_() Email:__jien@ leaGarr.net Contact Person for Building &Code Compliance:__/MAITHEW)Bare Cell Phone:(51B_)P55 -737 Land Line:) Email:watt ©baclettavto .Com Centifiate of Occupancy Only Revised December 2017 Towa of Queensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or S18-761-8205 www.queensbury.net BUSINESS INFORMATION: Name of business:ARGENT.“igomsmeranon Seevices,ne - Address (including suite,space,ete):437 Nix fe iT HZ Queenspuey NY (2804 Type of business (i.e.:retail,car repair,etc.):Vewere Renee HicLé ALECS HP 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:__[Y\arttte 7 “BARRE Applicant signature: Date:_.3//6/2019 Certificate of Occupancy Only Revised December 2017