CO-0018-2021 CERTIFICATE OF OCCUPANCY ONLY, OfficeUseonly
Permit#:" C 0
APPLICATION
Town of CZircensbun•
Permit Fee:$ �1Q
742 Bay Road,Queensbury,NY 12804 Invoice#: J
P:518-761-8206 or 518-761-8205 www.gueensbury.net
"This application is for occupancy only,with no work requiring a building permit"
CONTACT INFORMATION:
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• Applicant:
CID
Name(s): Boat company Inc rC--
Mailing Address, C/S/Z: 8 .'Delaware Ave Silver Bay, NY 12874 tCell Phone: 9( 73 ) 590-9058 Land Line: ( 518 ) 543-6666 Email: egb@hackerboat: com o
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• Business Owner(s):
Contact Name(s): Ernest G Badcock III �W_J
Mailing Address, C/S/Z: 8 Delaware Ave, Silver Bay, NY 12874
Cell Phone: _( 9 73 ) 590-9058 Land Line: _( 518 ) 543-6666
Email: egb@hackerboat..com
• Manager:
Contact Name(s): Erin Badcock
Mailing Address, C/S/Z: 8 Delaware Ave, Silver Bay, NY 12874
Cell Phone: _( 973 ) 493-0814 Land Line: _( 518 ) 543-6666
Email: . erinb@hackerboat. com
• Property Owner(s):
Business Name: Robert L Perkins Jr
Contact Name(s): Robert L Perkins Jr
Mailing Address, C/S/Z: 138 Harrison Ave Extension," South Glens 'Falls, NY 12803
Cell Phone: _( ) Land Line: j 518 ) 798-9711.
Email: perkinsrecycling315@gmail . com
Contact Person for Building & Code Compliance: Ernest G Badcock
Cell Phone: ( 973 ) `592-9058 Land Line: .518 ) 543-6666
Email: egb@ hackerboat'. com
Certificate of Occupancy Only Revised September 2020
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To»a efCtu=sbury
742 Bay Road,Queensbuey,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net
BUSINESS INFORMATION: .
Name of business: Hacker Boat Company, Inc
Address (including suite;space, etc.): '31.5 Corinth Rd
Queensbury, NY 12804
Detailed explanation of business (attach a_,separate piece of paper, if necessary): Corp. offices
Boat Building,boat 'restoration,boat repairs-,boat storage (inside/outside) ,boat
sa es, retaii sa es
***Piease provide an accurate layout ,of your space showing
all walls, eats, 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: Ernest G Badcock III
Applicant signature: S-��r� '� Date: 01/`1 /2021
Property Owner name: Robert Perkins 'J
01//
Property Owner signature: date. ?//2021
Certificate of Occupancy Only Revised September 2020
Tower d CZDCcnsbuTV
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: 01//c//2021
Business Name: Hacker Boat Company, Inc
Business Location (including suite, space, etc.): 315 Corinth Rd
Queensbury, NY 12804
Business Phone#: 518-543-6666
1. Business contact name: Dave Sollenberger
Main Phone:_( 518 ) 742-7082 ; Secondary Phone:_( )
Coming from what town/village?
South Glens Falls
2. Business contact name: Erin Badcock
Main Phone:_(973 ) 493-0814 ; Secondary Phone:_( )
Coming from what town/village? Saratoga Springs
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 51 8-745-4437
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised September 2020
308.16-2-4.1 CO-0018-2021
i
Hacker Boat Co Inc
315 Corinth Rd i
10 FEET 10 FEET 10 FEET 10 FEET Certificate of Occupancy Only
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!AN 15 2021 .-
TOWN OF QUEENSBURY
BUILDING&CODES