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CO-0552-2022 CERTIFICATE OF OCCUPANCY ONLY office use only T Permit#: cc ` 0V52. M ZZ v Q To�,•n of CLrccnsbun Permit Fee:$ � 742 Bay Road,Queensbury,NY 12804 SEP 0 6 2022 Invoice#: �O P:518-761-8206 or 518-761-8205 w w. u bur .net TOWN OF QUEENSBURY BUILDING&CODES "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: �%�/ / Name of business: Uuie a g h4 ✓ aSSc7�h-e_ LC Business Address (including suite, space, etc.): -9_5 9 O' S7 A/- QuLceo-&A�k, `� � Detailed explanation of business (attach a separate piece of paper, if necessary): lt,A eel v"t l co h 1cc 4 4r> & c2f&-ce-, or* * lease 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: 'cAn G— G1WQe-rkn4 Applicant signature: Date: —aZ� Property Owner name: Avx�feLj LK s O Property Owner signature: . i Date: / / 2 12-_ Certificate of occupancy Only Revised June 2022 J Tome of(Zrccnsbun, 742 Bay Road,Queensbury,NY 12804 P:518-161-8206 or 518-761-8205 www.gueensbury.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): T�) n�ckr% yt c, ir'eQ n, ,L,4, Mailing Address, C/S/Z: �- .M0-01 vlen, Gy-c-eyi bigcl 1Rvc-/ Cell Phone: 5 IC < ) © q&ea Land Line: �) Email:_ h r-o nv%o,c to m4r,, . CU4^ • Business Owners : J Contact Name(s): Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Manager: Contact Name(s): Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: • Property Owner(s): ^ Business Name: ; — / 4 1 Contact Name(s): ,/A-rkd il-c_ c--.) 'L to CA C S r; Mailing Address, C/S/Z: CF .5 0 0, S , Cell Phone:_( [ ) '4 &f' 00e2b Land Line: _( ) Email: CA n 1 a a ksc> Contact Person for Compliance in regards to this project: Cell Phone: ( ) Land Line: �) Email: Certificate of Occupancy Only Revised June 2022 Torn of Q ueensbun• 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: G( rT Business Name: l,'CJAc' �1 T , . 0 /91 Business Location (includ'ng suite,space,etc.): � J � o � � n S �e- Qr - Business Phone#: 127-)U 4 1. Business contact name: Main Phone:_( _) �� �- C( Secondary Phone:_( ) Contact is coming from what town/village? G to e-✓1A'AUQr34 2. Business contact name: kvvn y�-e c­� Main Phone:_( ' f ) �� 00econdary Phone:_( ) Contact is coming from what town/village? ✓il.� Q A.=✓j 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 `l Cf, 3 , � r ECE .0WE sEP o s 2022 ± � l TOWN OF QUEENSBURY ` BUILDING&CODES but S a ct C Le C SEP o 61o22 TOWN OF UEENSB BUILDINGURY & CODES a o S scv es 296.13-1-18 CO-0552-2022 Outta Sight Massotherapy 959 State Rte 9, Ste N-A Certificate of Occupancy I F ���0) i 4 f �20 Zp ` . .� 6 z y r^ P 'V a (rnfj/W t I 5 I 296.13-1-18 CO-0552-2022 _ I Outta Sight Massotherapy 959 State Rte 9, Ste N-A r " Certificate of Occupancy r � I - { � I ( i i � � L , , P , • ; ` 1 1 J FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " 'LAN REVISE ' ' Outta Sight Massotherapy 959 State Route 9 Suite N-A (Upstairs) CO-0552-2022 9/7/22 I have reviewed the submitted drawings for the above project; and offer the following comments: 1) Verify Fire extinguisher locations & inspection. 2) Locks /latches-shall comply with 2020 NYSFC. 3) Verify operation of existing exit / emergency lights. 4) Verify Knox Box key. 5) Verify aisles & storage. 6) Verify CO Detection Deputy Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 tysonc@queensbury.net Fire Marshal's Office - Phone: 518-761-8206 Fax: 518-745-4437 -firemarshal@queensbunj.net - W7M.queensbunt.net