CO-0307-2022 .CERTIFICATE OF OCCUPANCY ONLY Office Use On
... ...._... Permit# CO—D�O"� -202?�
APPLICATION
F�sTr.a t err"shW? Permit F.ee-$°
747 Bay Road;QUOertAiUey,NY 12804: Invoice.f#:,
::P::518-761-8!0G or 518=7. 61-8205 tiriui .queerisburv.riet
**This application is:fa:r.oceupancy only; with no inrark requiring a building permit**
BUSINESS INFORIVIi4TION:
Name_Qf business: . 7 r ti , fl-'A:,e6ex-77,
Btisiness.Address (including suite, space, etc.,).:- 1;V ci
iDetailed.ex lanation o�f business attach a se' "to piece'of: a pe.r: f necessar. }:p ( ..p pp. , Y
[:A' —}a C c k5<:'S 0:r'1G4/
.......... ::_:.......,..._ ...:. .. ............................
.:..::.........:..:
Pteas pro ide an A cc u�lrAte [Ay. ►ut + f;your space s owipg
All:wags.* : xl it , sty l ��m � ;Ir rooms .counters and fixtures
Oft A separate sheet. o, f;paper..
IMPORANT47h.e business:own.er is responsible for keeping:exits-clear and.rnaintaihi.hg exit
s gns_and emergency mergency lights. fire-extinguishers, fire sprinkler systems, and fire.alarm-systerris
require°annual:inspectioils by ah Outside contractor and.tare_corres.,p.onding documentation
must be provided to the Town:of Queensbury Fire Marshal's office. Fire extiri go"is.hirtg systems
found n kitchens and gas stations require semi-annual`inspectio is. Any viofations:;noted
d:uring::an inspection require imrimediate corrective action.and a.re-inspection:
,Applicant name;. .� �r: 4+ .
Applicant_signature;: r:, ,.. . Date; .5
Property.Ow.er name:!-alp Q i!11—&1.
A a r1
Property Owner signature: Date:: :
certificate o9 Qttupancy,Only Reuised;Fe6ruary,ZOZ2
CERTIFICATE OF OCCUPANCY ONLY office use only
APPLICATION Permit#:
a�aur} Permit Fee:$ '
742 Bay Road,Queensbury,NY 12804 Invoice#: l5-+.o
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:
• Applicant: #e-roo—"
Name(s):
Mailing Address, C/S/Z: 00 &e ANban4 . "\) I :22D9
Cell Phone: v( i8 ) (13 a- 1,5-1 aZ Land Line: � )
Email: eS�eS�i�ecxs;-�n� omen e• Co r+�
• Business Owner(s):
Contact Name(s): S vzn
Mailing Address, C/S/Z: 81a R r W1 12 a
Cell Phone: _( SIB ) 32- 15 Land Line: _( )
Email: Com
• Manager:
Contact Name(s):
Mailing Address, C/S/Z: q
Cell Phone: _( 519 ) ' ® — Land Me: _( )
Email: Ldk z. Q Verats W(Atc' gs 0 C)-Co r-.
• Property Owner(s): _
Business Name: hz Ovkkeks 0-1� Lesce- ��-
Contact Name(s):
Mailing Address, CjS/Z: _ O } �� kle. 5 �u'I� 4®-� �Nnge, � WE
Cell Phone:_( ) 2S - (�soO Land Line: _( )
Email: f-cN T e-seA n cLcksS OC icy- S. C0 ftn
Contact Person for Building & Code Compliance: Robb al ( a e rw yeSe—
Cell Phone: ( ao l ) L1gS— BD-69L Land Line: � )
Email: ROV,n q e-Ne Vf'§e-cin ACSSOT(CL+es .C-d r r\.
Certificate of occupancy Only Revised December 2017
i
Town of Quccnsbuq- MAY 18 2022
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net TOWN OF O UEENSBURY
BUILDING & OODES
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.):
Business Phone#: S 732 r)rl L
1. Business contact name: Sever)
Main Phone:_( S19 ) q 32—1 S'-;t- ;Secondary Phone:_( )
Coming from what town/village? f�l b�� ; N y
2. Business contact name: P, kZ 1-e AnZ.-r,—
Main Phone:_( 5 1 ) 3 C7 '" ��5 ;Secondary Phone:_( )
Coming from what town/village? Q(•een s bur
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FI REMARSHAL@QUEENSBLJ RY.N ET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE
Certificate of Occupancy Only Revised February 2022
1
WITHIIli 48 HOURS
OF RECEIVING
YOUR PERMIT APPROVAL PACKET
YOU MUST CALL
518-761 -8206 OR 518-761 -8205
TO SCHEDULE AN INSPECTION
WITH THE FIRE MARSHAL'S OFFICE
PLEASE REFER TO THE PLANT REVIEW
ENCLOSED III YOUR PACKET
PRIOR TO CALLING FOR
AN INSPECTION
THANK YOU I
Certificate of Occupancy Only Revised February 2022
FIRE MARSHAL'S OFFICE
Tozvn of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Heroes Hideout
1424 Route 9
CO-0307-2022
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
• Verify Truss ID signage
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
firemarshal@queensbunl.net - zvzvzu.queensburi net
i 3.3ww
E F G H H.6 J K
23'-11" 18'_6" 8.30,_0.
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I I 2O,yY'� I � I.
NOTE' I I I \ I• `� ?: '`
ALL FIELD EXISTING CRIOFNDITIONS IEDD BYT AND DIMENSIONS TO BE I
Odi
ALL UTILITY LOCATIONS SHOWN ARE APPROXIMATE, -
FIELD VERIFY EXACT LOCATIONS. j. F i
--- ----
—L---------- —— — -- 14 .W
THIS DRAWING IS FOR PRELIMINARY PURPOSES ONLY. -- ",
ALL COLUMNS AND DIMENSIONS SHOWN REFLECT
PRE-CONSTRUCTION CONDITIONS.FINAL DIMENSIONS, ^ ! l�
I I I I I:
d c -
COLUMN LOCATIONS AND BULKHEAD LOCATIONS ARE I
DEPENDENT UPON STRUCTURAL FRAMING DESIGN. ---
_._......._.._.. III I I I I cl H-
ALL ELECTRICAL PANELS AND RTU LOCATIONS TO BE FIELD
VERIFIED BY TENANT. I k6
;
. 15'-10 30'-0" 16'-0" 8-4- 18'-2"
LEGEND: I ? i:'='
i l.:' .'.� .:J.!
TDEMISE WALL
FIRE RETARDENT WALL �,fFOAEREESTATEt�YlSQRS'
yEXTERIOR WALL
———— EXISTING LEASE LINE
—— EXISTING CODUMN LINE 28g.16-1-1
>; EXISTING COLUMN i; '���"'"_""�"�":":-:•
RTD RTD Heroes Hideout -0307-2022 � ar.,
424 State Rte 9, E .
ELECTRICAL PANEL CertificateSte 9
200A. 208/ 120 VOLTS
Of
p
ccupa,cy
T TRANSFORMERi;PI _ :.
3'
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DDILAKE GEORGE N ALOD-EXIST\LOD-LAKE-E)UST-9-TENANT.dwg•LOD