2024-0397 E ,4/6i-P11
CERTIFI
IphaAj i024 Permit o:�.,.,_..�w._-0
I�. permit fee:$
fume fChown TOWN OF OUEENSBURY tnvoiceil:
mesap,use.aueembury.Mr BUILDING&CODES
ta:S11-7S1.1206 or 6U-7it420s yvrwAlutersbtUt'V' t
* only,with no work requiring a building perrnit**
"This application is for occupancy Y,
N IINFORMATl4•
Name of business:
g suite,space,etc.): S. A-VI ok. DA
Business Address(including
fltttnSbur11%at4
Detailed.explanation of business(attach a separate piece of paper,if necessary):
1411),,a 140A mouton 0 5
*d *Please provide an claw a layout of Your space shoes
all galls,. mod ► stockrooms, rest rooms,, oauntars and
fbctures
on a serrate 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. An violations noted
during an inspection require immediate correctiveaction and a re-inspection.
Applicant name:, --i 5 - L b
Applicant signa
ture: (-14
Date: "' I 6 -014
•
Property Owner name: Avi ' c-sYS:d
James Griffith ``" trt1SZT AN'Aingsuaarip`petitE9 z0.4
Property Owner signature: Date:
JP
Grti kii•elOotiwq aM►
T(Nf of w: . . .
742 Bay Road,Queensburr,NY 17..804
P:518-761-8205or5 8-761.8105 www.oueensburv.no%
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE and INCLUDE AN EMAIL
• Applicant:
Name(s): Lisa Lyons
Mailing Address, C/S/Z: 14 Julia Rose et Glenmont NY 12077
Cell Phone: ( )5185884706 Land Line: ( )
Ema i I;lisar Lyons n spirthalioween.com
• Business Owner(s):
Contact Name(s); Spirit Halloween
Mailing Address,C/S/Z: 6826 Black Horse Pike Egg Harbor NJ 68234
Cell.Phone:_( )5185884706 Land Line: j ...,._._...m)
Email:
• Manager:
Contact Name(s): Craig Stromback
Mailing Address, C/S/Z:
Cell Phone: 5184287069
( .... . ) Land Line: _( )
Email:spdist161@spirithailoween.com
• Property Owner(s):
Business Name:
Contact Name(s): C. 1 - -h
Mailing Address,C/S/Z:51' AV)d. '6 1 0A1-U.11 5(f714 I •
Cell Phone:_(SI ) " 3 , ?if Ite Land Line: ( )
Email:IC( U S Yt j .i � r terl 1d .1 ofyl
Contact Person for Compliance in regards to this project: Lisa Lyons
Cell Phone:( )6186884706 Land Line: j
Email:Lisa Lyons@spirithalloween.corn
Cerdfictte of Occupancy Only Revised May P024
Town of ,.,
742 Bay Road,Queensbury,NY 22804
P:SU-7'61-8206 or 518-762-8205 www. u b
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: 7/31/2024
Business Name: Spirit Halloween
-Pcv
space,etc.):XaOillack-14orske Egg Harbor NJ 68234,
Business Location(indudIng suite,
Business Phone#: 5185884706
1. Business contact name: Lisa Lyons
Main Phone: 5185884706 ;Secondary Phone:
Contact is coming from what town/village? Glenmont
2. Business contact name: Craig Stromback
Main Phone: 5184207069 ;Secondary Phone:
Contact is coming from what town/village? chazy NY
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P:5 1 8-76 1-8205/8026 F:51 8-745-4437
FIREMARSH ALQOUVE:NSBURYLNET
DEPUTY FIRE MARSHAL TYSON CONVERSE DEPUTY FIRE MARSHAL JOHN SCHADWILL
Certificate of Occupancy Or lievised May 2024
•
sr 1,, .t • . eYYr . _ .�
•
•
.S 1 i , i I 1 h,.. ti res..
i - ", i , ; i
,,„i ,,i4. Li kis_+ iY..t 1 A'-� ; `ir, •y I .a.r
i
.. .•lit Y,1.?,••4"";-4,.,.,,�., ,.._, .y • 4:4..i.,;.. 4
,, f Sot..,{ • i r ', ( r
,"Y ,4r,.v.1« >. -• �,.. I - �t�"• W M1 '3 rr rWx ,M _"n+'��
1 II[[A 111111ppYYl Y
kt:•.eb.+t<ytime,,, ...:' •-'1,,,A;,.,..• ,e!----! , ' S 1 '�1• ar, • a'rii Awwiy7_.
d S,� . $. t - t. t
.. orMe
,
�Y - •.z:fir'.
1iti•h1A,OLIi4rib=Mrnm 5028-[9L^8'T'5 J0 94i8-19L-815:d
tU8iT 5N'AIngsuaanb'peon Aeg ZVL
"i�ss- 7P�i.
is
302.5-1-92.11 2024-0397
Spirit Halloween
578 Aviation Road
Certificate of Occupancy