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CO-000135-2016 E '~ U ® 0 N w N O U ® H C cr a U s- o � a kn rq o O N � A C+ v oo tf c7j00 aU En F� tiD 2 O 44 cd Q ^O U cl 03 40. a Q U O p 4 �� mo GD rn G' rr � ,E N o4"9-1a 9.1 U U U f, TO" OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: CO-000135-2016 Tax Map No: 296.19-1-1 Permission is hereby granted to: Adirondack Enrichment PLLC For property located at: 60 GLENWOOD AVE In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tyne of Construction Owner Name: RGJC,LLC Certificate of occupancy $0.00 Owner Address: 60 Glenwood AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications CIO Only Adirondack Enrichment $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the ex 'ration date.) Dated at the Town of ueensb /'Thur d re 17,2016 SIGNED BY: /� for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Co 135. SIC t b Permit Fee: T ZQ I ryo ire ) *Note: This application is for occupancy only,with no work requiring a building permit. Name of Business r i 1"0(1cI,c4c..V E_;V%r- c_In e-0 e ry Address 00 �JAc-Z_S C7L{ Type of Business {-o zt Cm,"Ctf0 f Manager OR Person in charge Z i"Di U-iJ O 2016 Business Phone No. I A- 3o ay SEN SURA '1"0 OP ��0� Property Owner �.0 TC L_L..C. � �u'��r U,II 010 Address ` lj LJ Phone ,'o-7 - .3 ✓Provide an accurate layout of your store showing all walls,exits,stockrooms, rest rooms,counters,and fixture layout on a separate sheet of paper. Print Name: V T 0,LlLdo:,! Signature: . Date: Notes/Comments: IMPORTANT: The.business owner is responsible for keeping exits clear and maintaining exit signsand emergency lights. Fire extinguishers,fire sprinkler systems,and fire'alarm systems require annual inspections by an outside contractor and the corresponding documentation must be provided to the;Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semi-annual inspections. Any violations noted during an inspection,require immediate`correctiye action. CONTACT NUMBERS: Director,Building and Codes-761-8253 Zoning Administrator-761-8218; 'Zoning-761-8238 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal-New Business Permit 518-761-8206 .EMERGENCY CONTACT UPDATE Please print clearly °-- DATE: I U, MAR 15 2016 U LBUILDINlG Du$� BU6 BUSINESS NAME: LLC' BUSINESS ADDRESS: tca �. •� �� rr � b �s �� r� �I ( ` BUSINESS PHONE: I PHONE 1: '-]ctf/ -- lot CONTACT 1: GCS. t..yAcUr`w�,,,S--- PHONE 2:. &�5-L - 3t9-1 TOWN/VILLAGE RESPONDING FROM: alfeon156J��_ PHONE 1: 757 CONTACT 2: PHONE 2: LL' -3 w a:j TOWN/VILLAGE RESPONDING FROM: 1e-e.,L- r This form is used to assist Emergency Service personnel who may be called to your business afterhours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist"Police and/or Fire personnel in gaining entry to your building. PLEASE BE ADVISED THAT FAILURE-TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE PERSONNEL. TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P h.o n e. 518-761-8206 - Fax. 518-745-4437 firemarshal fteensburly.net zvzvzv.queensbupj net Fire Marshal Michael j Palmer Deputy Fire Marshal Garii K Stillman FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Line " PLAN REVIEW Adirondack Enrichment 60 Glenwood Avenue C®-000135 -2016 3/17/2016 ® Verify Lock/ latches on egress doors are compliant ® Compliant combo exit sign / emergency lights at egress doors, to be verified ® Add carbon monoxide detection throughout the space ® Verify Fire extinguishers locations throughout ® Verify aisles and storage Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fi r e M a r s It a 1's Off i c e - P It o 71 e: 518-761-8206 - F a x: 518-745-4437 firemarshal@gzceensbunl net - Z=70.queensburiI net ir�l.l Illlmr.,. ■ ■ � ■� MEM��.�4��;, _ I�<I ■MMM■� NOM■■■■■MMM'E■■■M■■M■■■■N■■■NOOSE No OEM ONEEMOSE_..�■MNM■■! ■■■■■i►1■■■■■ee■■1 �_ ,�_- N■■■eNe ME MMMMMU lii��iiil■ii iE■ESSMEi!■Ind 11 ■ " ■■ ■IA�iIf M■� � ■■11111M !�� ! ■■■E Ill [ ■■ ■i1A1■ ■ ■ ■■ 1 ■■i:11I!■■■■ ��:.1�■■■■�I■■ ims ■ 1■■N■■■N��Z`NN�YWI NNER�,N■■■■■■■I■■111 ■■I■®®■ om ■MOM■ �E■■O■■ N■■■■ ■IIe■ "' ' ■VIII■■■■■■ ■ ■ NMMENIeMIIII!!11li1 11MM1M1 OMEN ■■NI■ 1; �. ■■M■E■SEE��1� 1I■e■■ME ■N NOON ■ ■ s111101,19= ■I1 i` . . . ■NMI ■■■ OMNI ME lMINNI Mme■!,■■leellMl��I■e■■■■■M■I!■11■■■ME am mom mm ISEZEN SEE MENNEN1 ■■■11■■■MENE■�11� ■1 ■!■!■■ ■MEMNNI■MM e■■I1Ne■EE■e■ ■Il■e■■■■�MM m 6 !!■ ENI�■N■Nil ih�! l1IN eN,�e■■■■■N■■�If�■i�■ ■■�N■N■MM■MOMEN■■■■I■11111111 ■M■1® No IN �N�N■9■■■eOe■O■�M11 MN®IN■■■MEN ■OZONE■■■■■■I■■11■■ ■N®I■■■M!■■!■M��■1'1116■�a��uE■■■■■■■■�■1I■N ME■■IIM■■■eN■ OEM MEN ■MNIMOII■ N■■11■MM■■MIN■MMEN■■■MONO M■■MM■M■M■OI■■11■� N■OIIe■M■■NNe■■■■OOIIM■■MME■eeeNM■�I■NIME N■■411 N■■N■■■OMN■ON■NOON■N■NM I■■11NM ■Mli � .9NOM■!■E■!■O■MMO■■MNENM■IO■ ME■ ■■ 0 ME INS r. 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