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2024-0324 S r _ CERTIFICATE OF OCCUPANCY ONLY Office Use Only " •," y Permit#:Permit Fee:20 - 0-52 I\ � , _ APPLICATION I� ) Town ofClgernsbun- 742 Bay Road,Queensbury,NY 12804 Invoice#: , W� P:518-761-8206 or 518-761-8205 www.queensbury.net TE This application is for occupancy only, with no work requ r : iva V; BUSINESS INFORMATION: JUL 0 2 2024 Name of business: SWIIY S Pcz TOWN OFC�UEE 0 &CODES Business Address (including suite, space, etc.): (v�'r.' '•,-','r?zf-kP)ca''"tt!'1: �Us AijaJno, )&3 / w,�u I M Y C2�-oLJ CS Ac.,.c� G`I� 0 Detailed explanation of business (attach a separate piece of paper, if necessary): I scL ge 4(/1/4,2_14c-t ° ***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: 7ifl L01 1 Wall 9 Applicant signature: Tin 10Y)g N42J/1 Date: ©D 27 /2,O.2 q � Property Owner name: �g G.0.4-Ck4.,` p Y Property Owner signat _____A_Lm Date: Certificate of Occupancy Only Revised February 2022 I� lY Town of alrecnsbury 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): 10 4119 wail') Mailing Address, C/S/Z: 2r$—T Memicw1)1-000( Road -6u.EEtV !3URY WY' o - o4 Cell Phone: ( 919 ) z"�0 68'32, Land Line: ( Email: Tin I'on9 i4ot ( 9rno- !•CO-i' • Business Owner(s): (� Contact Name(s): Till 1,0 WO9 Mailing Address, C/S/Z: ),(g-`J 'ow !ray < oac U.Ei A/ lu Cell Phone:_( 9Z4 ) �q6� ��53�a� Land Line: _( Email: ko i9 I ill f , Cawl • 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 regards to this project: Cell Phone: ( ) Land Line: ( Email: Certificate of Occupancy Only Revised February 2022 Town of gut-1nA ury 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensburv.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: Sunny Spa Business Location (including suite,space, etc.): 578 Aviation Road Queensbury NY 12804 Space 04 Business Phone#: 929-290-6833 1. Business contact name: Jin Long Wang Main Phone: 929-290-6833 ;Secondary Phone: Contact is coming from what town/village? Queensbury 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@QUEENSBURY.NET DEPUTY FIRE-MARSHALTYSON CONVERSE DEPUTY FIRE MARSHAL JOHN SCHADWILL Certificate of Occupancy Only Revised May 2024 ,i. 302.5-1-92.11 2024-0324 Sunny Spa C • ,IEI >. . 578 Aviation Rd, Space 04 lifi cc Certificate of Occupancy , . . . , . .. .-..f •'' Z1 'r.r. .: . , ...._ .r.. .. .^' 1 1 ILO 7• . ...., „...... , . f , t" f I . . ,A• 1 . Ii i/ . .. ,,•,, .,, , ir ... rI" ..".... , ti ",„... ... 4' ..,,...-.,... g , , t ,. . ,-- cz, (415.1.55 8 71,24 ittitip 1 ' ; --- ......• '' 'L.'"! L .• ..,. •, ii,. .. . .u . , i t• 0 . gv , . I,. :,; '! • i . i :11 i . . 1A01.5595P)0-°,11e4LJ." 4 - ._ _. . _ .... ....... _. _ ._. . .•