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CO-0167-2022 c APR Q 7 2022 TOVUI� , r Rq gg �`�`U ANCY ONLY Office use only APPLICATION hermit s_� Trnm< iZnu,hun Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 Invoice 11; P:518-761.8206 or S18-761-8205 Iwwvu.qucensburY.net **This application is for occupancy only,with no work requiring a.building permit** BUSINESS INFORMATION: �tyY�OY� Name of business: 7 C Business Address(including suite,space,etc.): �;Y! ,( 'vim 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 paperiY, pt;M 4 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 r { 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 durin,g an inspection require immediate corrective action and a re-inspection, p Applicant name: K e- Applicant signature:_ Date: 7 a Property Owner name: H-eot rl N r Property Owner signature: Certificate of Occupancy Only Revised December 2020 _., LT 17 � �0 7 2022742 Bay Road,Queensbury,NY 12804 CC2L1EEi�ISSURY +G a COPES 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): K+ Mailing Address,C/S/Z: Co Cell Phone: Land Line: L� Email: • Business Owner(s): Contact Name(s): K Mailing Address,C/5/Z: b N%5 I A,- Cell Phone: Land Line: (f"rd) Email:s4/zf © k?co"r -t. covv! • Manager: x< j Contact Name(s): `' Mailing Address,C/S/Z: : a Cell Phone: Land Line: F. Email: ;x • Property Owner(s): " Business Name: 000h y CGr �'cf Contact Name(s): 14-erwwl lk f ved J Mailing Address,C/S/Z: �f l� lU� P' � ! ' t I'Lt r Cell Phone: Land Line: Email: Contact Person for Compliance in regards to this project: Cell Phone: Land Line: Email: Certificate of dccupancy Only Revised December 2020 1ban okZirnn-Inny 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: Business Name: K c^t C Business Location(including suite,space,etc.): Business Phone t#: 1. Business contact name: V_F J. Main Phone: ;Secondary Phone: stSr G5�-�x�c Comin from what town/village? 2. Business contact name: Main Phone: ;Secondary Phone: Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:5I B-761-8206 F:518-745-4437 FIREMARSI-IAL@QUEENSSURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy only Revised December 2020 J\ 1 tvE D APR 0 7 0z2 "TOWN OF OUP CODS' Y UILD�1 Am 4o M t. 303.19-1-56 CO-0167-2022 K &3 Comfort 6 Highland Ave, Bldg. B Certificate of Occupancy r 303.19-1-56 CO-0167-2022 K &7 Comfort 6 Highland Ave, Bldg. B w G Certificate of Occupancy 9 z 00 C� ONE RA WOM f - 1 I r FIRE MARSHAL'S OFFICE Tozvn of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW K & J Comfort 6 Highland Avenue, Bldg B CO- 0167-2022 4/8/2022 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Verify location of exit/Emergency lighting. Function test will be required • Lock/ latches shall comply with Chapter 10 of 2020 IFC. • Verify paths of egress • Verify storage • Verify clearances to electrical service panels • CO detection is required, if source is present r,iN4, --:� 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 f~iremarshal@queensburt/net - zvz MqueensbunI net