CO-0508-2021 e
> CERTIFICATE OF OCCUPANCY ONLY Office Use Only.
WOW V E Permit#: C ��
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Toti,m of Qtrccnat�un Permit Fee:$
742 Bay Road,Queensbury,NY 12804 JUL 0 Z 2021 Invoice#: 3 /
P:518-761-8206 or 518-761-8205 w w. ue
TOWN OF QUEENSBURY
BUILDING& CODES
"This application is for occupancy only, with'no work requiring a building permit"
BUSINESS INFORMATION:
Name of business: Adirondack Cotton Company
Business Address (including suite, space, etc.): 1439 State Route 9, Lake George, NY 12845
Detailed explanation of business (attach a separate piece of paper, if necessary): Sale of
womens clothing.
***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 inspection require immediate corrective action and a re-inspection.
Applicant name: Adirondack Cotton Company
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Applicant signature __ :�, Date:
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Property Owner name: Ed Moore-L&M Investments,LLC
Property Owner signature: Date:
Certificate of Occupancy Only Revised December 2020
Tomm of Qercenshury
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
• Applicant: Adirondack Cotton Company
Name(s): Adirondack Cotton Company
Mailing Address, C/S/Z: 1439 State Route 9, Suite 8, Lake George, NY 12845
Cell Phone: Land Line: (518)222-0616
Email: adirondackcotton@gmail.com
• Business Owner(s):
Contact Name(s): Janice Fox
Mailing Address, C/S/Z: 1439 State Route 9, Suite 8, Lake George, NY 12845
Cell Phone: Land Line: (518)222-0616
Email: adirondackcotton@gmail.com
• Manager:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
• Property Owner(s):
Business Name: L&M Investments, LLC/French Mountain Commons
Contact Name(s): Zack Moore - -
Mailing Address, C/S/Z: 1439 State Route 9, Suite 16, Lake George, NY 12845
Cell Phone: Land Line: (518) 792-1483 Cell: (518)683-0720
Email: zmoorel@aol.com
Contact Person for Compliance in regards to this project: Zack Moore
Cell Phone: Land Line: (518) 792-1483 Cell: (518)683-0720
Email: zmoorel@aol.com
Certificate of Occupancy Only Revised December 2020
w E C 0 4.9 E
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JUL 0 Z 20?1
Town ofQ!wensbury TOWN OF QUEENSBURY
BUILDING&CODES
742 Bay Road,Queensbury,NY 12804 W~
P:518-761-8206 or 518-761-8205 www.aueensbury.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: 6/14/2021
Business Name: Adirondack Cotton Company at French Mountain Commons
Business Location (including suite,space,etc.): 1439 State Route 9, Unit 8, Lake George, NY 12845
Business Phone#:
I. Business contact name: Janice Fox
Main Phone: ;Secondary Phone: (518)222-0616
Coming from what town/village? Lake George
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
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!I M=I =I,JSBURY BUILDING& CODES
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(ZLFIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbunj, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
V7lEANN
Adirondack Cotton Company
1439 State Route, #8
CC-0508-2021
7/2/2021
The following comments based on review of the submitted plans:
1) Verify Fire Extinguisher inspection & locations.
2) Locks & latches shall comply with 2020 NYSFC.
3) CO detection required.
4) Verify & test existing Exit & Emergency lights.
5) Verify storage & aisles
6) Provide front door key for Knox Box.
7) Any changes to fire alarm system will require an NFPA72 letter.
Deputy 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
-flremarshal@queensbunt.net - wzymqueensbunt.net
EMERGENCY CONTACT UPDATE
Please print clearly
DATE: 7/2/21
BUSINESS NAME: Adirondack Cotton Co.
(at French Mtn Commons)
BUSINESS ADDRESS: 1439 State Route 9 #8, Lake George NY 12845
BUSINESS PHONE: (518)-222-0616
PHONE 1: (518) 222-0616
CONTACT 1: Janice Kox
2: PHONE 2:
TOWN/VILLAGE RESPONDING FROM: Lake George
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 MARSHAL'S OFFICE
P h o n e: 518-761-8206 - F a x. 518-745-4437
flremarshal@queensbuty.net - www.queensbury.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman