CO-0400-2020 dm CERTIFICATE OF OCCUPANCY ONLY LOffice Use Only
APPLIC 1I� E 0 d [ ermit#: ( O — D KGU—
�n
Permit Fee:$ I 00. 00)
742 Bay Road,Queensbury, NY 12804 JUL O 2U20 nvoice#:
P: 518-761-8206 or 518-761-8205 www. OF QUEENSBUR
BUILDING&CODES
**This application is for occupancy only, with no work requiring a building permit**
CONTACT INFORMATION:
• Applicant:
Name(s): Pregis-LLC - Queensbury 2 7(,� t>i X 4wf
Mailing Address, C/S/Z: 300 LowerWarren Street Queensbury, NY 12804
Cell Phone:( ) Land Line: (518) 480-2547
Email: Jspeta@pregis.com
• Business Owner(s):
Contact Name(s): Stephen W. Traver
Mailing Address, C/S/Z: 436 Quaker Road
Cell Phone: ( ) Land Line: ( x ) (518) 615-9788
Email:straver@caparcny.org
• Manager: M , �� ZZ Co p X
Contact Name(s): Alan Brunina _7 4S
Mailing Address, C/S/Z: 300 Lower Warren Street Queensbury, NY 12804
Cell Phone: ( ) Land Line: (518) 480-2565
Email: abrunina@pregis.com
• Property Owner(s):
Business Name: NYSARC Inc. Warren Washington & Albany County Chapter
Contact Name(s): Stephen W. Traver
Mailing Address, C/S/Z: 436 Quaker Road, Qeensbury, NY 12804
Cell Phone: ( ) Land Line: ( x ) (518) 615-9788
Email:straver@caparcny.org
Contact Person for Building & Code Compliance: Richard Lyons
Cell Phone: ( ) Land Line: ( 518 ) 935-4305
Email: Richard.Lyons@caparcny.org
Certificate of Occupancy Only Revised February 2019
EGEAVE
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7;33.4. ja 20 2020 s_i
TOWN OF QUEENSBU
RY
742 Bay Road,Queensbury,NY 12804 BUILDING&COD.ES
P:518-761-8206 or 518-761-8205 www.queensbury.net
BUSINESS INFORMATION:
Name of business: Pregis LLC
Address (including suite, space, etc.): 300 Lower Warren Street Queensbury, NY 12804
Type of business (i.e.: retail, car repair, etc.): Manufacturing Packaging Materials
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: John Speta; I
rik
Applicant signature: , H .;- I
t
Date: 15J U L2020
Certificate of Occupancy Only Revised February 2019
EC LSO V
I
JUL 202020 '
TOWN OF OUEENSr
BUILDING &
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: lick or tap here to enter text.
Business Name: Pregis LLC
Business Location (including suite, space, etc.): 300 Lower Warren Street Queensbury, NY 12804
Click or tap here to enter text.
Business Phone#: 518-480-2547
1. Contact name:John Speta
Main Phone: ( 518 ) 480-2547; Secondary Phone: ( 716 ) 498-0247
Coming from what town/village?Waterford, NY
2. Contact name: Merilee Wood
Main Phone: ( 518-480-2545 ); Secondary Phone: ( 518 ) 232-6858
Coming from what town/village? Glens Falls, NY
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 February 2019
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Pregis-LLC - Queensbury
276 Dix Ave
Certificate of Occupancy Only
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