CO-000510-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Mme.
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000510-2017 Date Issued: Monday, August 28, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000510-2017
has been completed.
Tax Map Number: 302.8-1-7
Location: 6 COLLINS DR
Owner: Eileen Collins
Applicant: ONE Fitness and Wellness
This structure may be occupied as a:C/O only
Tenant: ONE Fitness and Wellness By Order of Town Board
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.
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-000510-2017
Tax Map No: 302.8-1-7
Permission is hereby granted to: ONE Fitness and Wellness
For property located at: 6 COLLINS DR
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: Eileen Collins Certificate of occupancy $0.00
Owner Address: 14 Dix AVE Total Value $0.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O only
Tenant:ONE Fitness and Wellness
$50.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Wednesday,August 22,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ofeensbiesd , u 017
SIGNED BY: Ov;?�/t`r/ for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office UseOOn'l�yr� r
�.. Permit#: c..w
APPLICATION_--T--�--
i�Fee:$ ✓U
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s IBJ l I,� #: 21-�
742 Bay Road,Queensbury,NY 12804 11
P:518-761-8206 or 518-761-8205 www. ueensb :rift
**This application is for occupancy orTy,wif�i�� rk regiiring a building permit**
CONTACT INFORMATION: ` �IYW d 36.-�.F-/- 7
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• Applicant: _
Name(s): ME 1-t--}"he5s arNd W elt r es s
Mailing Address, C/S/Z: U 0'o liiv1S lam. r%,JC_ Qb_4MA
Cell Phone: �_) Land Line: ( s►g ) (�1�� " 4'110
Email: e�ne �tr�tssartclw:eil�css amail �to�
• Business Owner(s):
Contact Name(s): c ��ell� Sty �r�s
Mailing Address, C/S Z:
Cell Phone: 8 )3U- g3 q+a-Uq'13 Land Line: _( )
Email:
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• Manager:
Contact Name(s): Soy int ds abL'4<-
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email: 0t C o ke na c cAr- -ISR a V, m
• Property Owner(s):
Business Name: ('QII�r�S OW-W
Contact Name(s): F i l e ek C-011 mS
Mailing Address, C/S/Z: 't"�c x -A`4 e
Cell Phone: _( '�Iq_) �a� - �'�33 Land Line: _(!519 ) ' q 3—�'�LlG
Email:
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Certificate of Occupancy Only Revised June 2017
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742 Bay Road,Queensbury,NY 12804
P: 518-761-8206 or 518-761-8205 www.gueensbury.net
BUSINESS INFORMATION:
Name of business: O W F itn cSs a-� cl �)el\n css SLG
Address (including suite, space, etc.): (Q Go tims y-I de
oLA
Type of business (i.e.: retail, car repair, etc.): �'�"htSS SA\lA1 u
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: � role ra Cl
Applicant signature: 4 it& & fit-, fiko— -
Date: g I$ oig
Certificate of Occupancy Only Revised June 2017
tin+tt c t jaK°artstwr
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.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: $
Business Name: e SSY1( AAL W e-Mi ?s S
Business Location (including suite, space, etc.): 10 Co
Business Phone#:—t E�y ,) b IS –1 1 �e
1. Contact name: KI I COt
Main Phone:_LS11 ) 3�e t-«g 6 ; Secondary Phone:_( )
Coming from what town/village? QS Dq
2. Contact name: Kll�a�C <' -Aa e_ns
Main Phone:_( _) q`t�-&L[. 3 ; 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 June 2017
302.8-1-7 CO-000510-2017
ONE Fitness and Wellness
6 Collins Drive I
Cert. of occupancy Only
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TOVVil OF QUEENSE-3URY
11-101'4MUNiTY DEVEI
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FIRE MARSHAL'S OFFICE
Toznn of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
One Fitness and Wellness
6 Collins Drive
CO-000510-2017
8/22/2017
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
• Install Knox Box and main entrance for FD use
1Aichael almer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fi r e M a r s h a l 's Off i c e - P h o n e: 518-761-8206 - F a x: 518-745-4437
iremarshal@queensbun,.net - 1V7V7V.queensbury.net