CO-000805-2016 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-000805-2016 Date Issued: Tuesday, December 20, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000805-2016
has been completed.
Tax Map Number: 302.6-1-53
Location: 736 GLEN ST
Owner: Plaza Glen, Sleep Time Mattress Outlet
Applicant: Hoffinan Enterprises
This structure may be occupied as a: Certificate of Occupancy Only
Plaza Glen By Order of Town Board
Tenant: Sleep Time Mattess Outlet TOWN OF QUEENSBUR/Yf
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 Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000805-2016
Tax Map No: 302.6.1.53
Permission is hereby granted to: Sleep Time Mattress Outlet
For property located at: 736 GLEN ST
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
Type of Construction
Owner Name: Sleep Time Mattress Outlet Certificate of occupancy $0.00
Owner Address: 736 GLEN ST Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Plaza Glen
Tenant:Sleep Time Maness Outlet
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 28,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of lens ;�y--/ / on er 28,2016
SIGNED BY: �^•,(��/ for the Town of Queensbury.
Director of Building&Code Enforcement
y
Town of Queensbury Fire Marshal Office Use ON
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: CO-$®5 . 20 b
Permit Fee: 5�
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business SL FP -77ME 11iAT7-kE=(-S tjVnE- -
Address 73 E UPPEK 6q-0w S T
Type of Business MfI iT P-&fT sA S
Manager 0611l/ HILL
OR
Person in charge
Business Phone No. ME / - 419 3
Property Owner PJA7Au le N)
Address � Co' on—a c t��q�+rx A)r /X211
Phone or
✓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: T OVIVSK
Signature:
Date:
Notes I Comments: D E C E 0 V 2
NOV 232015LS �
TOWN OF QUEENSBURY
BUILDING & CODES
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 inscection,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 no tTOWN
tQUEEN
E
LNOV3
DATE: 22 / BURY
ES
BUSINESS NAME: SL�f TIM E M/-TFKLS S OUTI-F1
BUSINESS ADDRESS: _ _ 7�l Z�PPt�72 Cr(_C—lV ST-
BUSINESS
PHONE:
PHONE 1: 9 - D l S
CONTACT 1: PON H I LL PHONE 2:
TOWN/VILLAGE RESPONDING FROM:
CONTACT 2: Wlt,(IVE Cl-f�� l2Y PHONE 1: g Z — 3
PHONE 2:
TOWN/VILLAGE RESPONDING FROM: ,S 1211-!ar_zr_A C0111&164
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: 518-761-5206 • Fax: 515-745-4437
fireimarshal@queeusbin•il.net • wunv.queensbuntmet
Fire Marshal Michael J Panner Deputy Fire Marshal Gary K Stillman
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