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CO-000057-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number; CO-000057-2016 Date Issued: Tuesday, February 9, 2016 This is to certify that work requested to be done as shown by Permit Number CO-000057-2016 has been completed. Tax Map Number: 309.11-2-36 Location: 4 WESTERN AVE Owner: Hayes& Hayes Applicant: Jill White This structure may be occupied as a: CIO only,space 93 Wynter Haven Quilt Studio By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, , Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Ent, Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 : Community Development- Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000057-2016 Tax Map No: 309.11-2-36 Permission is hereby granted to: Wynter Haven Quilt Studio For property located at; 4 WESTERN 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 Tvoe of Construction Owner Name: Hayes&Hayes Certificate of occupancy $0.00 Owner Address: 297 Saratoga AVE Total Value $0.00 South Glens Falls,NY 12803 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications CIO only,space#3 Wynter Haven Quilt Studio $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 ury before a ex 'ration e.) Dated at the T of Q ee u ay,February 9,2�016 SIGNED BY: YY for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Fire Marsha! Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: -50 - 11- 2-510 CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: GD- `��""�41 1p Permit Fee:*15-0 >Y1V 01c St.. Zbc� *Note: This application is for occupancy only,/with no work requiring a building permit. Name of Business Address (,(,YPj _� "c� F, Type of Business r t 411 /1')l� f7J P CSCZ/Qs y y(- Manager OR Person in charge 7 f Business Phone No. Property Owner � `f 41 Z4.0 5- e .Z! a �Address L-Fa - -442-1 e ( 7. Lj ,ll Alj( 4,790-3 Phone --� �' / i� • ��f ✓Provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,counters,and fb ture layout on a separate sheet of paper. Print Name: Signature: /�.. /,1/ Date: Notes/Comments: IMPORTANT: 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 Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semiannual inspections. Anv violations noted during an inspection,require immediate corrective 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 518-76M206 EMERGENCY CONTACT UPDATE Please print clearly DATE: ,2-� /r BUSINESS NAME: )zvl)k r 7�/1-�►'✓ r7` �f�] ! () BUSINESS ADDRESS: -V SU GOZ(Sl°r7 all G��'�'�Sr��C�' / VY BUSINESS PHONE: �+� �/ e�wo 7-7 f ,+ l��r / PHONE I: CONTACT 1: t /rG(� �T�� PHONE 2: TOWN/VILLAGE RESPONDING FROM: Yy,)A5� (�����c� 7'``�l� //1 /'`� PHONE 1: CONTACT 2: PHONE 2: TOWN/VILLAGE RESPONDING FROM: This form is used to assist Emergency Service personnel who may be called to 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 Phone: 518-761-8206 - Fax. 518-745-4437 flrenmrshal@queensbutynet - www.aueensbul-It.net Fire Marshal Michael I Palmer Deputy Fire Marshal Gant K Stillman Wynter Haven Quilt Studio 4 So.Western Ave,Queensbury,NY 12804 518-792-2077 Wynter Haven Quilt Studio Emergency Exit Procedure: • In the event of an emergency, all customers will be directed to exit through the nearest exit. • Assigned person will call 911. • North Parking Lot is the assigned meeting Place in the event of an emergency. • Trained Staff will assist in the evacuation of customers from the front of the store, to exit through the front emergency exit and be directed to the North Parking Lot. • Trained Staff will assist in the evacuation of customers from the back of the store, to exit through the rear emergency exit and be directed to the North Parking Lot. • Assigned Staff Member will verify that all customers have been safely removed from the premises. • Assigned Person will meet emergency responders.