2024-0277 7- CERTIFICATE OF OCCUPANCY ONLY Office Use Only
0 _1 SP A. el Permit#: 2624- 02.1-4'
Town of(Zacc•nsbury fr C IE Q Y LD Permit Fee:$ 1 b5--
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742 Bay Road,Queensbury,NY 1284 jn nn
Invoice#:
P:518-761-8206 or 518-761-8205 . ueeUnsb"ur�n.ne�uL4
TOWN OF QUE NSBU Y
**This application is fo • c r,,,: , 1 'co i ,a ,. no work requiring a building permit**
BUSINESS INFORMATION:
Name of business going in to location listed below: g , 0,, d 9 A-
Business Address (including suite, space, etc.): V��7 �,,,, ,,,r,
gr 1 ( F Y -
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Detailed explanation of business: I iLf, /)
7.2-Kievu--65 , ,e.goA., ol-Lc
Pire-KA-14 d
*** On a separate sheet of paper please provide an accurate layout of your
space showing all walls, exits, stockrooms, rest rooms, counters & fixtures ***
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: P)51/L-01 ')(\r°vIld .
Applicant signature: 4 1fvf Date: 2
Property Owner name: 0 S A N V ,M 4 l,—
Property Owner signature: _c Date: C 6/a l ,2-4
Certificate of Occupancy Only Revised May 2024
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742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE and INCLUDE AN EMAIL
• Applicant:
Name(s): 1/1/aw"-353Z3 €3 Ave.. imal
Mailing Address, C/S/Z: d 4., A1074•A'7 6-1/i-b-. /,'? Tc/ /'7 /77`
Cell Phone: ) L Land Line: ( ) 6roo1�ky , N 1t2Zo
Email: WAN ;�i�( i (aitivL�, Gtrh'L . J
WCl1-h Yo 2021(& ic.�\o 44• cOYYI
• Busin Ow er(s):
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
• Manager:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
• Property Owner(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email:
Contact Person for Compliance in regaprr- 1ds t this project:
Cell Phone:O /e 4ti2.if a Land Line: .(_)
Email:
Certificate of Occupancy Only Revised May 2024
Trnrn of(10.-crlchunl'
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.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:
Business Location (including suite, space, etc.): V\V1\,eY tZ B(-O Stutz,41L-Q
Business Phone#: 5'o " 2-Z'— OiE60
1. Business contact name: 3Yn Y ICW
Main Phone: 9 2 D 0 ;Secondary Phone:
Contact is coming from what town/village?
2. Business contact name:
Main Phone: ; Secondary Phone:
Contact is coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8205/8026 F: 518-745-4437
FIREMARSHAL@ Q UEENSBURY.NET
DEPUTY FIRE MARSHAL TYSON CONVERSE DEPUTY FIRE MARSHAL JOHN SCHADWILL
Certificate of Occupancy Only Revised May 2024
•
FIRE MARSHAL'S OFFICE
Town of Queensbury
ET 742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Rose Beauty Spa
870 State Route 9
2024-0277
6/10/2024
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
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
firemarshal@queensbury.net • www.queensbury.net