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CO-0365-2021 CERTIFICATE OF OCCUPANCY ONLY office Use only APPLICATION Permit ff: Ce D eJ _� Totvn of(2 rzmen;,'�,r)• Permit Fee:$ 1 C 742 Bay Road,Queensbury,NY 12804 Invoice N: P:518-761-8206 or 518-761-8205 www.aueensbury.net **This application is for occupancy only,with no work requiring a building permit** BUSINESS INFORMATION: Name of business: Business Address (including suite,space,etc.): 14(44 '$�. � � •� + �—" Detailed explanation of business (attach a separate piece 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 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 insr)ectionl re uire immediate corrective action a ita imMe—UO-W D Applicant name: MAY. 18 2021 Applicant signature: BUILDING&CODES Property Owner name: Property Owner signature: �Q""'LD1 as Date: 5/17/2' 0, Certificate of Occupancy Only Revised December 2020 pE ,CE0VE MAY 18 2021 To TOWN OF QUEENSBURY BUILDING& CODES 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: Business Location (including suite,space,etc.): %�l.ELl c_ L Business Phone#: �® 1. Business contact name: Main Phone: ; Secondary Phone: Coming from what town/village? 2. Business contact name: Main Phone: ;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 December 2020 T(�� 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbury.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL 9 Applicant: n Name(s): v?o,,,��s mac% e tx Mailing Address, C/S/Z: '�v . -3�'r 3 4lQs n� �1 — 75 Cell Phone: Land Line: Cam-(<1S Email: ��,YSGa�s�p:n��+ti�� . �w� / �,a w«� 7�Lo/''za c. c—®''"- • Business Owner(sh Contact Name(s): Mailing Address, C/S/Z: Let Cell Phone: Land Line: Email: • Manager: Contact Name(s): Mailing Address, C/S/Z: �� t'4— Cell Phone: Land Line: Email: • Property Owner(s): Business Name: �fGGr� Contact Name(s): (�a•�ti khd�5 Mailing Address, C/S/Z: Cell Phone: Land Line: b J Email: Contact Person for Compliance in regards to this project: ,S �, Cell Phone: Land Line: Email: Certificate of Occupancy Only Revised December 2020 S � � r IF �lQ- DECIEgdE NAY 18 2021 TOWN OF QUEENSBURY BUILDING&CODES \ ay a 288.1.2-122 C0-0365-2021 �Sr� Artie's Camping& More 1444 State Rte 9 �k Nrc.— Certificate of Occupancy FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " LA I�Vy� Artie's Camping & More 1444 State Route 9 CC-0365-2021 5/18/21 I have reviewed the submitted drawings for the above project; and offer the following comments: 1) Verify Fire extinguisher locations & inspection. 2) Locks / latches shall comply with 2020 NYSFC. 3) Verify operation of existing exit/ emergency lights. 4) Verify Knox Box key, (if Plaza KB is Installed). 5) Verify aisles & storage. 4Duty Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 Fax: 518-745-4437 fireniarshal@queensbury.net imumqueensbury.net EMERGENCY CONTACT UPDATE . Please print clearly DATE: 5/17/21 BUSINESS NAME: Artie's Camping & More BUSINESS ADDRESS: 1444'State Route 9,,Lake George NY 1280 BUSINESSPHONE: .(518)-260-7601 PHONE 1: (518) 260-7601 CONTACT 1: James Benedetti 2: PHONE 2: TOWN/VILLAGE RESPONDING FROM: Glens Falls PHONE 1: CONTACT 2: PHONE 2: TOWN/VILLAGE RESPONDING FROM: This form is used to assist Emergency Service personnel who may be called to your business after hours: Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police.and/or Fire personnel in gaining entry to your building. PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE PERSONNEL. TOWN OF QUEENSBURY FIRE MA-RSHAL'S OFFICE Phone. 518-761-8206 - Fax. 518-745-4437 firemarshal@queensburU.net - www.queensbu!y.net .net Fire.Marshal Michael J Palmer- Deputy Fire Marshal Gary Stillman