CO-000052-2016 U
O N
�D �+�,,,_
O
00
N o � z X23
vo
cn
Z
F� o
W O
z � cn
4
ce
o Q r; C7 ani 'd U o
00
y,
Ln
7f Lei
Cd
ul
o - v�
1-0
cn
to
N C;j
rn :3 D
k4c��u�
+' '
,
Community Development Office ;
i
Town of Queensbury • 742 Bay Road • Queensbury, New York ■12804ji, +
David Flatin,Director of.wilding&Codes Michael J.Palmer, Fire Marshal 0 4 2016 ' I
Craig Brown,Zoning Administrator-
T,, E
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # • J � J BLDG. PERMIT FILE## QC QrJL
It applicable
Name of Business: _Wa m'n em f rlr
Address r 6� �7%
of Business: 41 �1 �an� r QUESTIONS? CALL 761-8256 OR
EMAIL codes(Mgueensburv.net i
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: � ' INFORMATION
rr __ www.gueensbury.net
Business Phone Number:
Type of Business: nQ
Owner of Property: Ur— " , t Phone Number(s): -1 -6t —q-100
{ 1-� Nome cell
Owners
Address: o bhj h f f. Ra(' nsEad, 8' mv , W oyw
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date:
Of person submitting lhls form
Notes 1 Comments:
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beatty ... A Goan Pince to Live "
PLAN REVIEW
Warren Center (Westmount)
42 Gurney Lane
2/8/2016
CO-000052-2016
• Verify placement and function of all exit and emergency lighting
fixtures
• Verify Fire extinguishers locations
• Provide current generator inspection report
• Provide current sprinkler system inspection report
• Provide current record of inspection for range hood suppression
• Provide current cleaning report for Hood, duct and fan kitchen
systems
• Complete install of Knox Box and provide keys
• Evaluate / Install carbon monoxide detection
• Complete walk thru inspection of the facility will be required
• Placement of Blue FD signage
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office * P il o Fa e: 518-761-8206 ■ Fax: 515-745-4437
remarsltalQ neensbun .net - 7171V71). ueensburt .net
i
EMERGENCY CONTACT UPDATE
Please print clearly
DATE:
I FEB 0 4 1016 U
BUSINESS NAME: V v , Ire C T� - uJ "tiSBURY
BUILCI �' C-3 DES
BUSINESS ADDRESS:,Z1I G
BUSINESS PHONE: '�a
PHONE 1:
CONTACT 1: { PHONE 2:5 t --7(P}- 6,50d
TOWN/VILLAGE RESPONDING FROM:
l0jr) MamCr PHONE 1:_7C 4- C)C1:3
CONTACT 2: Rcr)e_ Q�acy')u PHONE 2: 2� 5a5 I
TOWN/VILLAGE RESPONDING FROM:
I
This form is used to assist Emergency Service personnel who may be called to j
your business after hours. 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 • F a x: 518-745-4437
'remarshalQ ueensbu .net • www.queensbury.net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
u ;
' ..�
P.' W W '
� 5
�
zczu �
Z O
w z l
"
o wzC4 ° '} l~—
N W PL ww
��.��11WWW WW
w
0 0 0 0 0 0 0 0
00000000 , - `y
°ate U 3� we�9
�o
I��
east wing
.<
Oav
v of t
W W II
Z
• a � � � ,�' Lei-. ` I :C„;C_
u—
yu N �,
(I H
`.yy Ate,
V)
:w'a M