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CO-0014-2022
r ° ', ;�, CERTIFICATE OF OCCUPANCY ONLY Office Use Only APPLICATION Permit#: C U — UzZ- Totsm of�icens fly, ... . . Permit Fee:$ 6 IV 742 Bay Road,Queensbury,NY 12804 E C E 0 ` n� #' P:518-761-8206 or 518-761-8205 www. ueensb r . at JAN 19 2022 "This application is for occupanc orb �g,qq !ring a building permit** BUILDING&CODES BUSINESS INFORMATION: Name of business: Business Address (includi g suite,space, etc.): 15'11�!) A-vlc�\\Or\ Detailed explanation of business (attach a separate piece of paper, if necessary): 1 54e s rR— ***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: Applicant signature: pa�r---- Date: I Property Owner name: _ Property Owner signature: Date: Certificate of Occupancy Only Revised December 2020 I(- - TornWC, . 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.aueensbtiry.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s):'�k-� CA Mailing Address, C/S/Z: (�� 1 cal Cps;��.�,�, ��7\�� c�- , ,►�1`(' 1� Cell Phone: La.�e: ( CcPt&!, 4 Email: �Pcl'�� �u�\� 9 • Business Owner(s): Contact Name(s): c� � �v�1. 1 Mailing Address, C/S/Z: ��c �a \-�\c 'v��v<�\� �--C� Lair Cell Phone: Land Line: Email: • Manager: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: • Property Owner(s): Business Name:ko iov1 Ht i1 i�t\J(O 4C Contact Name(s):Jason Mailing Address, C/S/Z: 5-7`6 Av-10&iov.RA Cell Phone: Land Line: Email: ;asbv+-tule,r@�IYa►'h1dmV.coY� Contact Person for Compliance in regards to this project: Cell Phone: Land Line: !�2k'�b �-QVS ©kAZ''6— Email: �e q�L`�.� -7`'7� Certificate of Occupancy Only Revised December 2020 Town a Qyc= ury 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.): J' -7ca (Q1 raC60'�4 Business Phone#: 1. Business contact name: ��J��`� 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 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW MG Sales and Auctions 578 Aviation Road CO-0014-2022 1/20/2022 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Verify location of exit/Emergency lighting. Function test will be required • Lock/ latches shall comply with Chapter 10 of 2020 IFC. • Verify paths of egress • Verify storage • Verify clearances to electrical service panels • CO detection is required, if source is present • Knox Box key is required Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 Fax: 518-745-4437 -flrentarshal@queensburit.net • zvzvzv.queensbury.net JAN 19 2021. TOWN OF QUEENSBURY BUILDING&CODES s� "h1 k - � L 302.5-1-92.11 CO-0014-2022 MG Sales and Auctions 578 Aviation Rd. Space 35 Certificate of Occupancy Only