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CO-0145-2022 CERTIFICATE OF OCCUPANCY ONLY *A* PYrmi:0: APPLICATION perrmz r 1 W) -' 742 8a Road Invoice y ,Queensbury,NY 12804 -• PrS18-761=8206 or 518-761-8205 wwvj.aueensbury.net p W7 "This application is for occupancy only, with no wor q i6t,Ug3akh'4jiIdi�g t** BUSINESS INFORMATION: TOWN Or QUEDtqv UB RY Name of business: . BUILDING�— `O -, Business Address (including suite,space, etc.): c. } 1y ( r Detailed explanation of business (attach a separate piece of paper, if necessary). 75 ***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: Applicant signature: y Date: Property Owner name: Property Owner signature: � �` Date: 3121122 erG(i„�:ec{C:tcr��r.'cp Crt', fie'r tc•�J:ce.;,:�e,?t7�£��:; t Teswa of fLuccjixu7w 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.aueensbury.net' CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL ~_ • Applicant: 1 Name(s): �` 4 °��� Mailing Address, C/S/Z: V,U, ��� 94 G� I Cell Phone: Land Line: i _ �G _ -� C o Email: j��_��a- JAG 0 • Business Owner(s): Contact Name(s): Mailing Address, C/S/Z: L �� Cell Phone: Land Line: Email: • Manager: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: _ Email: • Property Owner(s): j Business Name: W�..c-CAr� Contact Name(s): Mailing Address, C/S/Z: M�� 4 Cell Phone: Land Line: <I 'T(73 Email: Contact Person for Compliance in regards to this project: u�tY�-� Y Cell Phone: Land Line: Email: 4 i Certificate of Occupancy Only Revised December 2D 0 FW 7'awen of C�rns�ru�g 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.aueensbury.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: -----� k4ltt5 Business Location (including suite,space,etc.): d. P4 Business Phone#: �/ �— ? /� S 1. Business contact name: rs 2J-,c-4 Main Phone: ; Secondary Phone: '5 Coming 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: 518-761-8206 F: 518-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised December 2020 r © ; r m ICC I � _ . I _ `— 288.12-1-22 CO-0145-2022 Artie's Outfitters 1444 State Rte 9 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 Artie's Outfitters 1444 Route 9 CO- 0145-2022 3/29/2022 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 • Knox Box key is required 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@queensbunj net - zvzvw.queensbun/net