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CO-0650-2023 CERTIFICATE OF OCCUPANCY ONLY Office Use Only APPLICATION Permit#: CJJ r 0(o 202-S VO4ff..'rg Permit Fee:$ 1�� r 742 Bay Road,Queensbury,NY 12804 Invoice#: 2-E) P:518-761-8206 or 518-761-8205 www.clueensburV.net "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: 1 Name of business: ��` Business Address (including suite, space, etc.): V) r4_C3� pold �� Tr Detailed explanation of business (attach a separate piece of paper, if necessary): A�ej j S /,0-5 V 2456 e0lkc-4 bl ** *Please provide an accurate layout of your space showing A walls, exits, stockrooms, rest rooms, counters and fihctures 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: BAQbR&,q_ C( Applicant signature: Date: lo hI Idto Property Owner name: Property Owner signature: Date: Certificate of Occupancy Only Revised February 2022 l' n Of 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: 0 13 Business Name: 14 01 A Business Loc tion(includi g suite,space,etc.): Av) IU I 206� I V Business Phone#: " 1. Business contact name: T2ct r�Q rrt- k I ACAM Main Phone:_( ) � ) 3 9)" NO � ; Secondary Phone:_(�/� ) 3o- 9d 37 Coming from what town/village? I �r 2. Business contact name: he Main Phone:_(, / _?z)-7- Secondary Phone:_( ) Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 51 8-761-8206 F: 518-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE Certificate of Occupancy Only Revised February 2022 wvfy. 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): R A R b 0,4,a Mailing Address, C/S/Z: 2 1k POi n w69 2V Cell Phone: 1 ` 6 A Land Line: Email: pal , P! • Business Owner(s): Contact Name(s): 'd 1 Mailing Address, C/S/Z: 7 14I C-H oo m 0 Cell Phone:_( _) f - Eog land Line: _( ) Email: • Manager: Contact Name(s): At Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Property Owner(s): Business Name: Ve.410A( 1l� Contact Name(s): U Mailing Address,.C/S/Z: �i�! o a, kv Z�0 Cell Phone: _( ) Lan Line: _( 3 ) 2 �/.3 9 oa Email: ,�7A-Me3 Ykd4'i�M , com Contact Person for Compliance in regards to this project: Cell Phone: Land Line: Email: Certificate of Occupancy Only Revised February 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 Gifts N Glamour 578 Aviation Rd space 42 CO-0650-2023 10/12/2023 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) CO Detection 5) Verify Knox Box key. 6) Verify aisles & storage. 7) Maintain 18" Clearance from ceiling for sprinkler system 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 -flrenzarshal@queensbury.net - www.queensbury.net 'h �J N � � ioQ "No. UAW- A-z � r a P) Ag 1-u Ilk i ANn8SNEITIO=10 NMO.L --- -- --------___-- _- — -_-- CIE Z 1 130 302.5-1-92.11 CO-0650-2023 Gifts N Glamour 0 H 578 Aviation Rd, Space 42 Certificate of Occupancy