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CO-0171-2021 CERTIFICATE OF OCCUPANCY ONLY office Use only Permit#: COJ O1`�-1•2021 APPLICATION ISO Town o(Qucenshuq Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 Invoice M P:518-761-8206 or 518-761-8205 www.gueensbury.net "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: Name of business: � c k �Y�r�\�c� �.e�N.�. e��c NA Business Address (including suite, space, etc.): Detaillred explanation of business (attach a separate piece of'paper, if necessary): **Please provide an accurate layout of your space 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 corres d" must be provided to the Town of Queensbury Fire Marshal's office i n sA found in kitchens and gas stations require semi-annual inspections vidations noted during an inspection require immediate corrective action and a re- AgelctiNV 73 2021 TOWN OF QUEENSBURY A licant name: - �r� x,, BUILDING& CODES Applicant signature: f fvLe.c� _ .i�..i�-�� Date: �' `��5/ �� Property Owner name: The Outlets at Lake George Property Owner signature: Date: 03/17/2021 Certificate of Occupancy Only R. Ge ese/Landlord's Representative P Y Y Revised December 2020 3/17/2021,RG - Landlord acknoFvledges that Tenant will need to submit for an electrical permit for Tenant's POS/low voltage work. Toism of Qymn.. 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensburv.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Mailing Address, C/S/Z: D-U-7 ; t li i nvx✓; Ile 79 Z Z Cell Phone: ( _) Land Line: Email: +TOSC-vL�a,-p- CuVZ&r"CaVv' CD .Cory • Business Ow er s . Contact Name(s): D vA v-r- MailingAddress, C/S/Z: 0 (C-1 i Y-Z- ,-Tiq �!)79 Z 2 Cell Phone:_( Email:Q C,f�►/AA C��Y",cC c 14_1 eC , •� Manager: Contact Name(s): Mailing Address..C/S/Z: 0 )Av`I 1 I TA J N7 2-�2- Cell Phone:_(�- q ) �C� 9 -59 as- Land Line: _( ) Email: • Property Owner(s): Business Name: 6-e_ �� L LC Contact Name(s): -Irj' ye Mailing Address, C/S/Z: 2-��0 We-sic, NVQ �c, �_i�� L,� _,_�� (�5 7-7 Cell Phone:_( ) - Land Line: _((2-0 (_)` b U Qi (��53 E m a i 1: c y lg'� v,6 e � e S 'e-OL d C��C'A-C S, C'c I Contact Person for Compliance in regards to this project: �ec� ©ce.,� Cell Phone:�_) Land Line: 9 CPCP- Email: �V,osP,VO<pe✓Cip/y Cc� 0.aLt.,UUVO O-D Crny'�-p Certificate of Occupancy Only Revised December 2020 ToNm of Quccnsbuly 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: " �� 'c� "`� I CI L LC T Business Location (including suite,space,etc.): C�-elw-eu' W-\ �' Business Phone#: � 1 1. Business contact name: C�� Main Phone:_( Secondary Phone:_( ) Coming from what town/village? CA, a Vl_ 2. Business contact name: Y Ct ✓L 1 \ \ r Main Phone: Secondary Phone:_( ) Coming from what town/village? Te-yi vk-e5sex-- 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 December 2020 eiiiiiiielslllllllillsliieil �. .�,lllllllllillllseeeeen I grid Moot 3900 SQUARE FEET eieeeee�■son■■■■■.........■.■...... ■■ .......■.■■..■■� ��...................■■MOM MIME .■.. iiii ...----......-..� soon■.•:::■■■■■■ .•.•iiiiiiiiiiiiiiii::.•:■■ion■ ■■■� ee�ee� e■■::::illlll::::iilliillilllllle::::eilie neeeeee� eieeeeeel eon■■■■■■llllliiiillilllllllllllli■■■■lllli Meeeeeon MOMeeee®sue eiiiiiiiiiisissii■iii■i■■■iiiieieeiiii■iie ue® elilelllllllili■■■liiliiiillillliliill■■■■ ■ieeeeeel �elilillllllliiilllllllillilliiiil■■illllli�neeeeen ,GONDOLA LAN MILLS.:..` GLP4'. _ 34 eliielll�■llllilliiliilllllllllilillllllle i■eeeee� ... .... ■■l■■■■■■■■■■■■■iiii■ionill■■■■■■.._._.■■■■O Y� a s WALL u Lr.5LDE:SHELVES ExHle T B eon■iii■®ililllllilld■lle MEN[ x elllie �O axa DUMP BINS F,HIBIT D r B eiiiiiiiii■iiii■iilll■lillelelll■■llilllle ll® ��= eleiilllllliieiillliilillllilellelllllllle fe11 elelllllllliiee■liillllllllillliilllllllle neeeeeel ' eliliiiiillilisiii■lllliiiiiliiisits■Nile Heee® i°lioi❑oioii iiiams 111sii011 Imm mo� � eeeeeeeeeeeeu elili■■■.11lli■es■hill■■■■iil■■si■i■lle eael� eieeeee■ e1e1111lllllllllll■ll■llill■llilliiell■■■e ■leeeee� elects ■ell■■■■lllllllilillllllellllilili■l■llllle neeeee® SO eieeeee■ eleli■■1■llllillilllllllllllllllili■lllili e■eeeeeeel I MENOMINEE HUM�enlMMENEEN eieeeee■ eleleiillllll■i■iii■■1■ililllllli■■lllllle ear eieeeee� eliliilllllllle eiii■i■■■iilli ■leeeeeel ei� eieiiilllllllii ® illlllllili■llllle 8 nese■e■■ �®. e1e1e111111111e iiiii elllllll■llillllle eleeeee® eieeee� ellllllllllllii illle eilllllliil■i■lile Yeeeeei �eeeeeel elelilllll■iiii illle e■llill■illellllle uueeeeees e MMM mil■■llll■lli■iielle, eill■li■111111i■le fleeeeen eieeeeeY eleliilllllllllllillle, iiliillllllllll■le e9eee■■■s eieeeee0 ■ell■iilllllllllllsiisso 'eillili■■iiidl eieeeeeeel eieeeeeel eieliillllllillle nllllllillliil■le peeeeee� iliiillllllllllle� eiililllllllllldi fly eliliilllllllllli■■■■■■■■lllllillllil■l■le e■eeei �eeeeeel elect■■ililillsi■i■l■■■lllllllilllllll■llle m MIME ei��eliliillllllllllllelellllllliiilil■iilllleBue® ®_®_ iiMIME an mum I i n�� NiMiiiiiiieiiiiij iii MEMO LL`iiEiiiiiilno a 1111111 Hill. smson . 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A Good Place to Live " PLAN REVIEW Book Whse of Lake George 1424 Route 9 CO-0171-2021 3/31/2021 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • CO detection required • Verify location and operation of exit/Emergency lighting. • Lock/ latches shall comply with Chapter 10 of 2020 IFC. • Verify paths of egress • Verify storage • Provide entry key for Knox Box Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office o Phone: 518-761-8206 Fax: 518-745-4437 (iremarshal@queensbitrit.net - 7MMqueensbury.net