CO-000796-2016 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-000796-2016 Date Issued:
This is to certify that work requested to be done as shown by Permit Number CO-000796-2016
has been completed.
Tax Map Number: 303.15-1-12
Location: 708 QUAKER RD
Owner: Mike Seale
Applicant: Smart Wash of Queensbury
This structure may be occupied as a: C/O Only
Smart Wash of Queensbury,LLC By Order of Town Board
TOWN OF QUEEN BURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4
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 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-000796-2016
Tax Map No: 303.15-1-12
Permission is hereby granted to: Michael Greenough
For property located at: 708 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
Tvce of Construction
Owner Name: Mike Seale Certificate of occupancy $0.00
Owner Address: 51 Lehland DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O Only
Smart Wash of Queensbury,LLC
$50.00 PERMIT FEE PAID-TMS PERMIT EXPIRES: Friday,November 17,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ensbu n '[�ursd' 17,2016
SIGNED BY: (-iVylJ'/ /vJ for the Town of Queensbury.
Director of Building&Code Enforcement
�y \9 Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Gv`19(�- r� 1(1
'Note: This appllcaffon Is for occupancy only,wllh no work requiring abPermit Fee:
�uilding permit Q
Name of Business �l rVl(k& K)Odh 6 / �rYl" r ( ref} Swo l f Wag Iq 6 t
Address —1 nfAa- tom_
Type of Business rT�—
Manager
9E
Person in charge
Business Phone No. �S ( & `� — lD act
Properly OwnerSLI Qliz_
Address IOR Boake,- 0,- QUO YIS6 .kil f\A- la$Dq
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:
Signature:
Date: I
Notes/Comments: I
�'l�f e n-by 15 —+� 2 SG�v�2_ OSS r� bmf
7 I (/U roy� cov VOaAL i
IMPORTANT: The business owner Is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire
extinguishers,fire sprinkler systems,and flre alarm systems require annual inspections by an outside contractor and the corresponding
documentation must be provided to the Fire Marshal's of ee. Fire extioguishing systems found in kitchens and gas stations require
seml-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