CO-0493-2022 CERTIFICATE OF OCCUPANCY ONLY office use only
Permit#: ("�O
APPLICATION Permit Fee:$
T61171 of Quccnsbun•
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 requir
BUSINESS INFORMATION: TOWN F Q EN BURY
BUILDING& 06'ES
Name of business:
Business Address (including suite, space, etc.): �\J*Atcr\ Tj
Detailed explanation of business (attach a separate piece of paper, if necessary):
*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: Cc) In
Applicant signature: Date:
Property Owner name:
Property Owner signature: Date:
Certificate of occupancy Only Revised June 2022
Town of(Luccnsbwy
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: 711
Business Name:
Business Location (including suite,space,etc.): Or 6ci�> R y%i&A-kdn '-V 1
Qf Qy � u
Business Phone#:
1. Business contact name: �� _� �ra.�n ,1 t n
Main Phone:_( 5"liR_) bj N o�( [�,,,, rr; Secondary-Phone:_(
Contact is coming from what town/village?
2. Business contact name: Mcljw,
Main Phone:_( ) rlLpq 415a I y; Secondary Phone:_( )
Contact is coming from what town/village? 1,U0.S wcL '
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 TYSON CONVERSE
Certificate of Occupancy Only Revised June 2022
NM---
Town of(Zaccnsbun
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: l
Name(s): r Fir+D.v1 1%n 1�
Mailing Address, C/S/Z: 102 Q S 1'atw
Cell Phone: 51% ) 5;54 c oLAS Land Line: (—)
Email: SfJ d iskZPA ly Q 50dahaaamoe -m• CC W)
• Business Owner(s):
Contact Name(s):
Mailing Address, C/S/Z: (A r a
Cell Phone:_( ) 803-83C Land Line: _( )
Email:&rtc-a f eS Q-:*%nk 1nGa�lsleeY1 COl^n J
• Manager:
Contact Name(s): . s-hgKJ bR
Mailing Address, C/S/Z: 11 1 agt�-Q
Cell Phone:_(4P) -31 0 — Land Line: _( , )
Email: won
• Property Owner(s):
Business Name: f; -};Hot) W—R)Co LLC
Contact Name(s): Jgso�&-t�r
Mailing Address, C/S/Z: " Ayic&imn
Cell Phone:_( ) Land Line: _(5l$ ) ��� 18 x 'd5
Email:_�Qso�tUl�rl7utrcalM�t�yiq,e��+�
Contact Person for Compliance in regards to this project—Imceo c l
Cell Phone: DWR Land Line: (
Email: S LSD
Certificate of Occupancy Only Revised June 2022
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Spirit Halloween
578 Aviation Road
CO- 0493-2022
8/9/2022
The following comments are based on a review of submittals:
• Verify fire extinguisher location and inspection
• Verify paths of egress
• Verify storage
• Verify clearances to electrical service panel
• CO detection is required
• Fire alarm system inspection required
• Sprinkler system inspection required, unless completed by Mall previously
• Provide key for Knox Box
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
flremarshal@queensbu!i .net - www.queensburU.net
NOTE: THE DEPICTION HEREON DOES NOT CONSTITUTE A WARRANTY OR REPRESENTATION OF ANY KIND.ALL MEASURES,DIMENSIONS
AND DISTANCES TO BE FIELD VERIFIED BY TENANT.ALL UTILITY LOCATIONS SHOWN HEREON ARE APPROXIMATE,EXACT LOCATIONS TO BE
FIELD VERIFIED BY TENANT.
THE SQUARE FOOTAGE OF A PREMISES UNDER 50,000 SQUARE FEET IS MEASURED TO THE LEASE LINE AND TO THE MIDPOINTS OF ALL
INTERIOR WALLS AND THE OUTSIDE FACE OF ALL EXTERIOR WALLS.THE SQUARE FOOTAGE OF A PREMISES 50,000 SQUARE FEET OR
GREATER IS MEASURED TO THE OUTSIDE FACE OF ALL WALLS.ALL DIMENSIONS SHOWN ARE TO LEASE LINE.
PRELIMINARY
SPACE#:3
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162r-8"
147'_10" 14'-10"
LEGEND:
14'-9" 6'-0" 13'-7" 16'-10" 0'_2"
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HVAC SCHEDULE
INSTALL
UNIT# TYPE SIZE(IN TONS) MAKE MODEL# SERIAL# DATE
�6�1, 1 RTU 7.5 CARRIER 50HJ008G63RH4 3008G11061 2008
EAU0 8 LC2? 2 RTU 20.0 CARRIER SOHG024CB6AR 400BG30053 2008
3 RTU 4.0 LENNOX CHA165135G 5696AO0855 1996
,4r— ,4
_ 4 RTU 5.0 CARRIER 50HJ0066G63RH4 3208G50625 2008
TOWN OF QUEENSBURY 5 RTU 5.0 CARRIER 50HJ0066G63RH4 3208G10422 2005
BUILDING&CODES 6 RTU 20.0 CARRIER 50HJ-0126-66RHY 3108G50626 2008
"-- 7 RTU 5.0 ICARRIER 50HJ-006G63RHY 13208G10423 2008
8 RTU 15.0 ILENNOX ILCA18OHNIG 15696CO2893 1996
FLOOR PLAN 9 RTU �2.0 ILENNOX CHA16-261-30 15695MO1063 1995
DIMENSION CONTROL PLAN
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