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CO-0312-2020CERTIFICATE OF OCCUPANCY ONLY|offceuse only mit#:_CD+OS\2-ZozAPPLICATIONFerme Gp=02E28 Town of Queensbury Permit Fee:$100 742 Bay Road,Queensbury,NY 12804 Invoice #:__2Ao2- 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):Adirondack Car Wash,Co LLC/Michael Seale Mailing Address,C/S/Z:203 Broad Street,Glens Falls,NY 12801 Cell Phone:()Land Line:(518 )761-0430 S/8-36/~2222(cele) Email:adkcarwash@aol.com Business Owner(s): Contact Name(s):Michael Seale Mailing Address,C/S/Z:203 Broad Street,Glens Falls,NY 12801 CellPhone=t )Land Line:(518)761-0430 S/®-3@/-2222.-(eY Email:adkcarwash@aol.com Manager: Contact Name(s):Paul and Jennifer Pinkerous Mailing Address,C/S/Z:69 Lakeview Circle Drive,Lake George,NY 12845 Cell Phone:(845 )701-6013 Land Line:() Email:thesealking@hotmail.com Property Owner(s): Business Name:(419oBQueteeAenbLC,Contact Name(s):(GaHoffmnanen Mailing Address,C/S/Z:M oRipecke 4 gp Queensbury uy Cell Phone:()Land Line:() Email:Celhoftrnan @oakbrook commons.Cory Contact Person for Building &Code Compliance:Michael Seale - Cell Phone:(_)Land Line:518-761-0430 51¥~-3(o9/-2222.~ Email:adkcarwash@aol.com Certificate of Occupancy Only Revised February 2019 Town of Queensbury 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:6/16/20 Business Name:Adirondack Car Wash,Co LLC Business Location (including suite,space,etc.):203 Broad Street,Glens Falls,NY Business Phone #:518-761-0430 1.Contact name:Michael Seale Main Phone:(518 )761-0430 ;Secondary Phone:() Coming from what town/village?Lake George,NY 2.Contact name:Paul or Jennifer Pinkerous Main Phone:(845 )701-6013;Secondary Phone:(_) Coming from what town/village?Lake George,NY TOWN OF QUEENSBURY FIRE MARSHAL’S OFFICE P:518-761-8206 —_F:518-745-4437 marshal@queensbury.net Fire Marshal Mike Palmer Deputy Fire Marshal Gary Stillman Certcate of Occupancy Only Revised February 2019, Tomas of Queensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net BUSINESS INFORMATION: Name of business:Adirondack Car Wash,Co LLC Address (including suite,space,etc.FRX IPL MeDEIOKINK DEK ATRoute 9,Queensbury,NY eR 14 Type of business (i.e.:retail,car repair,etc.):Retail sale of fireworks 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 mustbe 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:MichaelAeApplicantsignature:AKL, Date:6/16/20 Cenitcate of Occupancy Only Revised February 2019 Sagoo yoNInS | Adnagnagno 30 NMO:(jEijaaa et .Parr of Havel eves |Pee]ea]rey 7 sae TT Trae Ente 2 T aN tT oc —_ E z 4 Todi |[aesa |[ease {ha asic]{badsich | 1 296.17-142 €0-0312-2020 ADK Car Wash/Sparking Device Sales 919 State Rte 9 Certificate of Occupancy Only FIRE MARSHAL’S OFFICE Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Home of Natural Beauty...A Good Place to Live” PLAN REVIEW Adk Car Wash 919 Route 9 CO-0312-2020 6/22/2020 Plan Review The following comments are based on review of drawings: Verify fire extinguisher locations 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 +Phome:518-761-8206 +Fax:518-745-4437 firemarshal@queensbury.net = www.queensbury.net BROAD STREET MAIN STREET TOUCHLESS TOUCHLESS 203 Broad St.3669 Main St. Glens Falls Warrensburg Next To Hannaford Plaza Next To McDonalds Town of Queensbury 742 Bay Rd Queensbury,NY 12804 Planning Dept: Application for a Certificate of Occupany Only Permit. Location®919 State Route 9,Queensbury,NY Sales Date:6-26-20-7-05-20 Hours of operation:9am to 9 pm Building tunnel:Approx.90 x 25.see attached location on site and floor plans for merchandise displays,cash register,etc. Building area will have all appropriate items including exit signs .no smoking signs and fire extinguishers. Any questions,please call Mike Seale at 518-361-2222 ZAZAMichaelSeale