CO-0518-2022 CERTIFICATE OF OCCUPANCY ONLY office Use Only
i APPLICATION Permit#: CD - 051'6• ?A22_
Toum ofQircens!?ul} Permit Fee:$ 1��
742 Bay Road,Queensbury,NY 12804 Invoice#: O
P:518-761-8206 or 518-761-8205 vAm.ciueensbury.net
**This application is for occupancy only, with no work requiring a bu' ermit**
BUSINESS INFORMATION:
0
Name of business: The Body Barre
2
Business Address (including suite, space, etc.): ok O,� �d
578 Aviation Rd,suite 29D,Queensbury NY 12804 5
Detailed explanation of business (attach a separate piece of paper, if necessary
Dance studio conducting instructional dance classes
***Please provide an accurate layout of your space showing
all walls, exits, stockrooms, rest rooms, counters and factures
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: Anna Lafontaine
Applicant signature: Date: 8/17/22
Property Owner name: Aviation Mall
Property Owner signature: % Date: 8/17/22
Certificate of Occupancy Only Revised June 2022
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Toom of(Teensbuq
742 Bay Road,Queensbury,NY 12804
P:.518-761-8206 or 518-761-8205 www.Queensbury.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: The Body Barre
Business Location (including suite,space,etc.):
579 Aviation Rd,snit 29D,Queenshnry NY 19904
Business Phone#: 5187416000
1. Business contact name: Anna Lafontaine
Main Phone:_(_)5182606044 ;Secondary Phone:_( )
Contact is coming from what town/village? Lake George,NY
2. Business contact name:
Main Phone:_(_) ;Secondary Phone:_( )
Contact is 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 TYSON CONVERSE
Certificate of Occupancy Only Revised June 2022
i
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:Town o£(twensbury
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): Anna Lafontaine
Mailing Address, C/S/Z: 58 Truesdale Hill Rd Lake George NY 12845
Cell Phone:() 5182606044 Land Line: �)
Email: thebodybarrestudio@gmail.com
• Business Owner(s):
Contact Name(s): Katie Langdon (and Anna Lafontaine,see above)
Mailing Address, C/S/Z: 25 Caroline St Queensbury NY 12804 .
Cell Phone:_( ) 5188320083 Land Line: _( )
Email: thebodybarrestudio@gmail.com
• Manager:
Contact Name(s): see above,Anna and Katie
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
• Property Owner(s):
Business Name: Aviation Mall NEWCO, LLC
Contact Name(s): Jason Tyler
Mailing Address, C/S/Z: 578 Aviation Rd, Queensbury NY 12804
Cell Phone:_( ) Land Line: _( 518 ) 793-8818 x105
Email: iasontvleranpyramidmg.com
Contact Person for Compliance in regards to this project: Anna Lafontaine,applicant,see above
Cell Phone: Land Line: �)
Email:
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 "
The Body Barre
Space 29D
578 Aviation Rd
CO-0518-2022
8/18/2022
I have reviewed the submitted drawings for the above project; and offer the
following comments:
1) Verify Fire extinguisher locations & inspection.
2) Verify operation of existing exit/ emergency lights.
3) CO Detection if required
4) Verify Knox Box key.
5) Verify aisles & storage.
Deputy Fire Marshal
Tyson Converse
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fire Marshal 's Office ■ Phone: 518-761-8206 Fax: 518-745-4437
-flreniarshal@queensbuill.net ■ WWW.queensbuU net
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The Body Barre
578 Aviation Rd, Space 29D
Certificate of Occupancy
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