CO-000437-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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- Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000437-2016 Date Issued: Tuesday, September 13,2016
This is to certify that work requested to be done as shown by Permit Number CO-000437-2016
has been completed.
Tax Map Number: 302.8-147
Location: 216 QUAKER RD
Owner: FRIENDS REALTY ASSOC.,LLC
Applicant: Mattress Firm#150002
This structure may be occupied as a: C/O only
Name change from Sleepy's to Mattress Firm By Order of Town Board
No construction or remodeling TOWN OF QUEENSSBBURY�J /t
Issuance of this Certificate of Occupancy DOES NOT relieve the � - t/ �_( J
property owner of the responsibility for compliance with Site Plan,
��44vvyyll V ✓/N
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
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-000437-2016
Tax Map No: 302.8-1-47
Permission is hereby granted to: Mattress Firm#150002
For property located at: 216 QUAKER RD
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
lype of Construction
Owner Name: FRIENDS REALTY ASSOC.,LLC Certificate of occupancy $0.00
Owner Address: 421 7th AVE, 15th floor Total Value $0.00
New York,NY 10001
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Plans&Specifications
CIO only
Name change from Sleepy's to Mattress Firm
No construction or remodeling
$ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, July 12, 2017
(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 expiration date.)
Dated at the Town sbury, 4� Tue y, ly 12,2016
SIGNED BY: 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:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Ct]_a�� �•ZQ
Permit Fee: `� , +nV
'Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business � 5 i�Z �� # 15
Address 21 (0 At
Type of BusinessGCykt. � Gro7tl�`r`j
Manager
OR
Person in charge YLY4 s JUL 1_' 7
Business Phone No.
Property Owner
Address
Phone
✓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: 1 �i3 � "'!6�5 '�'1C�j s�-f7, vcnc5-c(, ,C.u-1
Signature: )�
Date: tr L-tx) t0
Notes!Comments:
glome 0te— o�C4� : ��Z��.. Stee�l�s i� rr,�tTi2ess Y, 2,4, , iJ
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
semi-annual inspections. Any 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 518-761-8206
EMERGENCY CONTACT UPDATE
Please print clearly
DATE: '
BUSINESS NAME:
f UL 07 2016
BUSINESS ADDRESS: `
�uZT
BuslNEss PHONE:
X04 2—
PHONE is S/6. 776- 79c>3
CONTACT I: lisp) tJ'000 PHONE 2:
TOWN/VILLAGE RESPONDING FROM: FA ff
PHONE I: X16- Y5S p1417
CONTACT 2: 'z5o'rl,) PHONE 2:
TOWN/VILLAGE RESPONDING FROM: ?-'A47 W%J'>sIn-
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 QLIEENSBLIRY FIRE IAIARSHAL' S OFFICE
P h Q n e: 518-761-8206 • Fax: 515-745-4437
fli-eiiiai•shal@giieelasbtclil ziet - zfmm).queensburi/.lie t
Fire Marshal Michael J Palmer Deputy Fire Marshal Gann K Stillman
July 6, 2016
To Whom It May Concern:
The existing Sleepy's locations will be converted to Mattress Firm. No construction or
remodeling is proposed;just changing the name to Mattress Firm.
Sign vendors will be applying for sign permits to change building signage.
If you have any questions regarding this name change project, please don't hesitate to
contact me either by phone or email. Additionally, you can contact me regarding access
for any inspections.
Sincerely,
Rob Jacknewitz
Project Manager: Sleepy's to Mattress Firm
2324 Hampton Ave
Saint Louis, MO 63139
314-647-5100
robjacknewitz@gmaii.com
JUL 7 2016
8:.11LDINC & COuEs .__