CO-0209-2022 office Use Only
CERTIFICATE OF OCCUPANCY.ONLY 2
Permit#:
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in 2,) .
APPLIC jt I to - be
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ni4m C eEit
742 Gay Read,Queensbury,NY 12804 Invot e
P:5I8-761-8206 or 518-751-3205 wv�rvv.queensbur nu A P Rx 2 2 2 0 9-2
TOWN OF QUEENSBURY
'This application is for occupancy a building permit"
BUSINESS INFORMATION:
lame of business: BJJAIII�
iusiness Address (including suite,space,etc.):
Lo z e r i,\P
)etailed explanation of business (attach a separate piece of paper, if necessary):
* "Flema provide an acmate .1-ayoft Of yolw space showing.
an wghF 63day Stoeblooms
F rat roam, coamers aad fixt1wes
On a separate Shw of PVQr*
AARORANT:The business owner is responsible for keeping exits clear and maintaining exit
igns and emergency lights. Fire extinguishers,fire sprinkler systems, and fire alarm systems
equire annual inspections by an outside contractor and the corresponding documentation
nust be provided to the Town of Queensbury Fire Marshal's office. Fire extinguishing systems
-ound in kitchens and gas stations require semi-annual inspections. Any violations noted
luring an inspection require immediate corrective action and a re-inspection.
applicant name: L (-j JUG RCCYJ- 6e,�
.1 kpplicant signature:_ Date:
Iroperty Owner name: i-6A J Ll 0
Iroperty O�,jner signature:
4=�� Date:
P r!,j i P d F c!b r U3 ri 2022
w4olf
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: (�
Name(s): `--�p`��\� �C\o�C� o0`.DLZAP
Mailing Address, C/S/Z:
Cell Phone:�) Land Line: . )
Email:
• Business Owner(s):
Contact Name(s):. 0
Mailing Address, C/S/Z: 1311 S , , Gr-q� �O lYt 12 \
Cell Phone: _( S)'9 Land ine: _( SIT )*.q,3-L-pG d3
Email:
• Manager:
Contact Name(s): pe <�
Mailing Address, C/S/Z:
Cell Phone:_( S( S ) 232-, Z 2-3 Land Line: _( )
Email:
• Property Owners : ,
Business Name: �� C�1W ��� C—�N
Contact Name(s): j-eL/j
Mailing Address, C/S/Z: ���
Cell Phone:_( Land Line:
Email: c '
Contact Person for Compliance in regards to this project:�'-
Cell Phone: 6\% )\ Land Line: I
Email O
Certificate of Occupancy Only Revised February 2022
Te,Lan of Clams UP
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 MAYBE 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:
I
Business Location (including suite,space,etc.):'
Business Phone#:
1. Business contact name.\---,
Main Phoned ) : Secondary Phone:_( )
Coming from what town/village?
2. Business contact name^ Q,
Main Phone: Seconds Phone:
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P:518-76.1-8206 'F: 5.18-745-4437.'
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE
Certificate of Occupancy Only Revised February 2022
t �
I ivvl Nial i Gil ILA i iayyi vL4 � aNac:a
PLAYGROUND#2
51'-8•X 14'-5•
142 50 FT
PLAYGROUND
44-8•x2P-11•
1123 50 FT
-----------------------
.Y 6 6RI13 06M
13'-5•X 8'-4•
1125q FT
INFANTS 61NKS- TODDLERS
16 MONTHS 16.36
PLAYGROUND#3 I TOTAL 1:4 MONTHS 1:5 PRESCHOOL
14'-0•xDo'-B• 14-11•x1a'-T' 11 TOTAL CLASSROOM
430 50 FT I 14-5•X 27-11• 11 TOTAL 1:6
� 332 Sq FT
a 27-T•X W-1'
I I 385 SO FT a
a
I❑ 38l 5q FT
alLd
!
TPAISCHOOL PRE56HOOL
1:15 GLASROOM
TOTAL 14 1:10 ® zo— OFT — 1V-8•X24'-3• C211: �.1..�o t
01 5 �a LU Q i
-- 425 50 FT ryry I,�U
b'-119116• 3 � !tea V
A a
PLAYGROUND#4 �
INFANT-TODDLER ,,.
W-O"X21'-8• a Ir t r Office
,I
36190 FT a
a DiR GTO � O
OFFIG
9'-1•X DIP 10
A 50 L) Vim'
— I PRESCHOOL
GLASRROM
11 TOTAL 1:12 ad
ts'-q x25'-0 PRESCHOOL
CLASSROOM TOTAL
40150 FT
I� a
21250 FT PRESCHOOL ILA55R I TOTALS 309.11-2-31 CO-0209-2022
21 FT Building Kidz of Queensbury
2335 0
7 Luzerne Road
Certificate of Occupancy
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW .
Building Kidz of Queenbury
7 Luzerne Road
CO-0209-2020
4/25/2022
The following comments are based on review of drawings:
• Verify fire extinguisher location and inspection
• CO detection required
• Verify operation of exit/Emergency lighting.
• Lock/ latches shall comply with Chapter 10 of 2015 IBC.
• Verify paths of egress
• Verify storage
• Install Knox Box and main entrance for FD use
• Provide report of inspection for fire alarm system
• Post occupant load each room
• Verify dryer vent to exterior
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@queensbury.net ■ 7MMqueensbum net