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CO-0313-2022 CERTIFICATE OF OCCUPANCY ONLY office use only Permit#: CO -=1:1>1- - ?AZ2., APPLICATION i Toum of C:Zgecns iue) Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 Invoice#: �� P:518-761-8206 or 518-761-8205 www.gueensburV.net "This application is for occupancy only, with no work requiring a building permit" CONTACT INFORMATION: D (C E. 9W MAY 232022 • Applicant: TOWN OF QUEENSBURY Name(s): Kirill Gron Mailing Address, C/S/Z: 50 Mechanic street Fort Edward NY 12828 Cell Phone: 5( 18 )955-5513 Land Line: � ) Email: kirillgron@yahoo.com • Business Owner(s): Contact Name(s): Kirill Gron Mailing Address, C/S/Z: 50 Mechanic street Fort Edward NY 12828 Cell Phone:_(518 ) 955-5513 Land Line: _( ) Email: kirillgron@yahoo.com • Manager: Contact Name(s): N/A Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: • Property Owner(s): Business Name: Zim development Co Contact Name(s): Amdrew Laakso Mailing Address, C/S/Z: 959 Route 9 suite B Queensbury NY 12804 Cell Phone:_(518. )798-0026 Land Line: _( ) Email:andrewlaakso@zimdevelopment.com Certificate of Occupancy Only Revised June 2017 Top m of Q rcrnshuor 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: 05/20/2022 Business Name: Seela Yoga Business Location(including suite,space, etc.): 959 Route 9 suite Y Queensbury NY 12804 Business Phone#: 518 955-5513 1. Contact name: Stanislav Gron Main Phone:_(518 )744-4423 ;Secondary Phone:_( ) Coming from what town/village? Queensbury 2. Contact name: Yulya Gron Main Phone:_(518 )955-7422 ;Secondary Phone:_( ) Coming from what town/village? Fort Edward 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 June 2017 Fawn of(to-'C Xy 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensburVinet BUSINESS INFORMATION: Name of business: Seela Yoga LLC Address (including suite, space, etc.): 959 Route 9 suite Y Queensbury NY 12804 Type of business (i.e.: retail, car repair, etc.): Yoga studio i Please provide an accurate layout of your store 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: Kirill Groh Applicant signature: Date: 05/20/2022 Certificate of Occupancy Only Revised June 2017 296.13-1-18 CO-0313-2022 Seela Yoga LLC 959 State Rte 9, Suite Y Certificate of Occupancy Q P � • ECER MAY 23 2022 i OWN OF QUEENSBU ;.'. BUILDING&CODESRY ol � 1 1 i'Y FIRE MARSHAL'S OFFICE Town of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Seela Yoga 959 Route 9, Suite Y CO-0313-2022 5/19/2022 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Location of exit/Emergency lighting appear adequate. Function test will be required • Lock/ latches shall comply with Chapter 10 of 2020 IFC. • Verify paths of egress • 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 -flreniarshal@queensburj.net - wzvw.queensbury.net