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CO-0444-2023 ;--~ CERTIFICATE OF OCCUPANCY ONLY office use only APPLICATION Permit#: c1b - Ek 2O? Town afQurcn+lion• Permit Fee:$ �� '� Q ! Invoice#: b5 742 Bay Road,Queensbury,NY 1280 - -Wry-net L� P:518-761-8206 or 518-761-8205 en r .net V U L JUE 9 2023 pp TOpitbn;Wf,�w� o work requiring a building permit****This a lication is for occu G CODES BUSINESS INFORMATION: Name of business: 5ara-ma 11n Busines Address (including suite, space, etc.): 78 j i� " P, A(�— la- Roy 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: CrC4 Oi—i Applicant signature: Date: 7,611 l Property Owner name: GVY►L �Q-L- 1 �✓ l''� �'V \ Property Owner signature: Date: t li Certificate of Occupancy Only Revised September 2022 Town of Qgeensburu 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: 7/1 / n Business Name: Si?1 1r114' RAllo (ren Business Location (including suite,space,etc.):SZ8 A V 1 o4i on_IRpCcLJ Qb iV Business Phone#: ( a`ZC5 zgn 1. Business contact name: ` Main Phone:_( 5�)yao Secondary Phone:_( ) Contact is coming from what town/village? w>—d" 2. Business contact name: A�ckwedt Main Phone:_(� ) 744-yc��17 ;Secondary Phone:_( ) Contact is coming from what town/village? D TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:518-761-8206 F:518-745-4437 FIREMARSHAL@QUEENSBURY.N ET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE Certificate of Occupancy Only Feyised Sgpternw 2022 7inrn of c Lrccnslwy 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): `Q Mailing Addre , C/S/Z: 961 -965&n Ukf- Cell Phone: ( 09 %26 706,q Land Line: • Business Owner(s): Contact Name(s): Mailing Address, C/S/Z: -bovi- Cell Phone:_(� _) 5 _ � Land Line: _( ) Email: • Manager: Contact Name(s): r.ru .9crkwelt Mailing Address, C/S/Z: Cell Phone:_(61g ) 764-5�5� 7 Land Line: _( ) Email: • Property Owner(s): Business Name: y� t'a� AtAtL- Contact Name(s): Mailing Address, C/S/Z: '1 12 Cell Phone:_( '3tg Land Line: _( ) `�9 3� LS Email: C-V" Contact Person for Compliance in regards to this project: 6-7e S4r-omk&a4 Cell Phone: ) 709 Land Line: �) Email: Certificate of Occupancy Only Revised September 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- 0444-2022 7/20/2023 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 • Provide current layout drawing for the space • Function test exit and Emergency lighting fixtures 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@queensbitrt .net - 7MMqueensburil net k�w\o VIA eg�An � ECE0VE AUG 11 2023 1 OWN OF QUEEMSBURY_. . BU{LDINGi &CODES ,es Hod orvox sAoe—rAinown b �µ113n°�ry-�+ �YN-�r Alm.r...MYd e.�.Jtl�l3 b ° �n Ixl !N l3�J u �� y 1 El 03Jx3'r' N CNmleEl 9-13d m 1 ^L�e=Y�d re IYWh (rvl !tlYX�-1Y � � r nNo_,ynx (� iSPdML' I � x04 sxow .x os � In3° ax° NnM 9 3s l 1 yqpH 7 � .n 3x�a nt vdnx .is 33Yem E�-i� � `P1PrsNadT, yy33 Ix C� �!{ E�, y 3Nd3d IN. YlH1Y11 3 3W IM A W E Jnf6l�al- G1Y1�1 Fll ,H 513tlW ,9915be .ittlm(p—�—.et 3HW3 rseN a .e Aeaox ,ms r�ssnJox anNYOY s Y a ND iS.