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CO-0720-2023 CERTIFICATE OF OCCUPANCY ONLY Office Use only r p 1 Permit#: 10 - 03 2-5 APPLICATION E [1 V E Permit Fee:$ M 2 Town of Ckreensbury 's; t� 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8206 or 518-761-8205 www.queehs ury.r0 0 8 2023 I TOWN OF QUEENSBURY * BUILDING f CODES A This application is for occupartcyaonly;wlin-no-work requiring a building permit** BUSINESS INFORMATION: Name of business: 0,k1.6011�g(.kky Cof11,e kem- V\CA'-\- Business Address (including suite, space, etc.): .S \VeS-4-eN UVe- Q eenSl M) Detailed explanation of business (attach a separate piece of paper, if necessary): C,Cct1- ShOp , ',- Ac, gA(AtC. sACLCkS, 4kaUr-7 ***Please provide an accurate layout of your space showing all walls, exits, stoclrooms, 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. iv A Applicant name: OICnQn') .\(,k9) Applicant signature: Date: ) 1-52--D3 Property Owner name: Property Owner signature: Date: Certificate of Occupancy Only Revised September 2022 Town of CLrccnsbwy 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s):- l� �C)'1cs 1\Uk I Mailing Address, C/S/Z: f,6G Gt11Cce Sher S Ckeitn/ 111 •(}()3 Cell Phone: IQ ) 3)(-/ qC(pt. Land Line: ( c-IS2 ) Email: \i1 C b`(11 Gg ig 17 0 ✓(Y1 0/1i • Business Owner(s): Contact Name(s): SN-� ) MailingAddress, C/S/Z: 66 ICIn(&/rr Al, `c'W l3 03 Cell Phone: ( ) `).73C/ CI L19.6 Land Line: _( Email: er►'l (Kt<t ( 0T • Manager: Contact Name(s): —'f='" Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( Email: • Property Owner(s): - Business Name: r 1U7(. (AN \e-yA_?� Contact Name(s): Mailing Address, C/S/Z: _ Cell Phone: _( ) /'— S 7/ (9 Land Line: _( Email: Contact Person for Compliance in regards to this project: Cell Phone: ( ) Land Line: ( ) Email: Certificate of Occupancy Only Revised September 2022 0111111% FIRE MARSHAL'S OFFICE Town of Queensbury 4, 742 Bay Road, Queensbury, NY 12804 i "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Queensbury Convenient Mart 4 S Western Ave CO-0720-2023-2022 2900sf • FE locations appear compliant. • FM will function as test exit and emergency lighting fixtures. • CO detection is required. • Locks/Latches to be compliant with Chapter 10 of NYSFC. No key locks accepted. • Verify all electrical switches and outlets are properly covered. Service panels shall have no openings and accurate legend cards installed. Tyson Converse Deputy Fire Marshal 742 Bay Road Queensbury NY 12804 tysonc@queensbury.net • Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • www.queensbury.net „, y 3 . / 4 1 t t 1 ---..- • 37' (cleL PP' 3°V • 3°P #--1 , tart$4* 0 C ..,.......-- i14,47 k ef, . "161 . 40°.... ..........„-/ 1 7;1(31C. 6 0 ,.. I 374 3' • . I 37cA5Q,,,,,_3 .....-- ------ gH ea 13' show case . .PaP • show case ” ., a) a) co cn ca ca 0 u 3 , pi. P. o o 1.c „..c co „, u.) 917 Ft2 .. . 1°4°' 3' P 3' P' 3° r 311P 3 re- • •• -,. •• •• / / .0 - , - I I I I ss.....,,,...____,• I I V - --0, 11-el ler _ Irri BN: QUEENSBURY CONVENT MART INC. AD:2S WESTERN AVE QUEENSBURY, NY 12804 PH#: +1(518) 495-6402 OWNER: DIRHEM N. NAGI +1(518) 334-9486 886 LANCASTER ST ALBANY,NY 12203 7-, _ IIfr .. r, "' m - ,-, t` e I -%t -t fie 1 cc Wa a 0 V) Z fad sflow case I Ili W Q , Q ' t re Z_ 0 snow case d d 5 N K N G Y �O O tN . iii ....917 Ft' L. t1 (----‹ r\---- r-- --- ,r-c.: (---c- r-c- ,i(-- -- western AVE Google Maps t:'•,,,t,',1:4,Mi.:74.,..cii4;4. I .. fie0.4-:$5...F..'•,' T.,. , . .II R ,,,:11.1,, .,q1.,,,,,,, ,,, , • , . • „,.;,,-,i, ..c,;,-, t • 1 -.. Rosewood Tattoo Studio 'ii.ii. . f,"0-,c4?;:WZ '1 - Tattoo shop , ',• 'I:. W''.I.'$':: ::t •-••i:"-,'3,'.',:k.';,`,A14. ' ... ., 9 ' 1 . . Red Carpet Hair Salon 9 k ' . . 14i.f,, 14.n:-....,,, .•:-:-i.A4,. --; '':,•-1;.-...:,;74.7--:'::41: . . 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