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CO-000139-2017 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-000139-2017 Date Issued: Tuesday, April 25, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000139-2017 has been completed. Tax Map Number: 302.11-1-2 Location: 643 GLEN ST Owner: T&M Jacobs Properties,LLC Applicant: Primelink, Inc. This structure may be occupied as a: Certificate of Occupancy;first floor (voice and data) By Order of Town Board Prime Link TOWN OF QUEENSBURY Cross Ref. Site Plan Review 8-2017 �`� Issuance of this Certificate of Occupancy DOES NOT relieve the r property owner of the responsibility for compliance with Site Plan, /YJ 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 OL Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000139-2017 Tax Map No: 302.11-1-2 Permission is hereby granted to: Primelink,Inc. For property located at: 643 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 Tvce of Construction Owner Name: T&M Jacobs Properties,LLC Certificate of occupancy $0.00 Owner Address: 643 Glen ST Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy;first floor (voice and data) Prime Link Cross Ref. Site Plan Review 8-2017 $50.00 PERMIT FEE PAID,THIS PERMIT EXPIRES: Tuesday,April 10,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of QueensbuLLbefbre the axxpirattonn date.) Dated at the Town o Queens // WMoo017 SIGNED BY: ' / for the Town of Queensbury. Director of Building&Code Enforcement 302.11-1-2 CO 139-2017 Town of Queensbury Fire Marshal Prime Link 643 Glen Street (1st floor) ESTABLISHMENT OF A NEW BUSINESS C/O with cross Ref. P-SP-8-2017 CERTIFICATE OF OCCUPANCY PERMIT APPLICATION ,.-. Permit Fee: Note: This application is for occupancy only,with no work requiring a building permit. v Name of Business vpo M CLIA K Address — D LS2 C g Type of Business %I A 5 1 1 Grn1 Manager � Ai,� :0 2 OR (��E� Ca�1NW1 TOWN OFQUEENSBURY Person in charge �l�' J COMMUNITY DEVELOPMENT Business Phone No. Property Owner Address (:ALL I Phone 1� � � '♦(p0 ,/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: _t Date: Notes 1 Comments: CASs SPS S`-d-017 I��lovr 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 ' \I 302.11-1 -2 CO 139-2017 DATE: 17 Prime Link 643 Glen Street (1st floor) BUSINESS NAME: �iNK C/O with cross Ref. P-SP-8-2017 R��E BUSINESS ADDRESS: �3 uPP�� R c( BUSINESS PHONE: 1� — mZj PHONE 1: CONTACT 1: Si�J� �ovtttv\,\tC1C PHONE 2: RcZ�i) TOWN/VILLAGE RESPONDING FROM: PHONE Is �3 CONTACT 2: �P� C �1 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 firemarshal@queensburynet • www.queensburu.net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman ] 7 _ 05. LEYRCK 91• RMI- REAL ZS'TRTE P . 'a2 — 7-q PT- 8. rGra :' FOB 2 3'2017 00. ad s _ er EWIM nil U E C E O V E APR 0 4 2017D - 302.11-1-2 C0139-2017 C TO" yQ EVE SB RY Prime Link MENT 643 Glen Street (1st floor) C/O with cross Ref. P-SP-8-2017 EMERGENCY CONTACT UPDATE Please print clearly DATE:l-1 BUSINESS NAME: BUSINESS ADDRESS: G tl BUSINESS PHONE: _ PHONE 1: S�c � CONTACT 1: ���J� �avttF��Ct� PHONE 2: TOWN/VILLAGE RESPONDING FROM: G�PcMP1-�1a ��Y l PHONE 1S5�8 �C -Q� CONTACT 2: �tl�� CYc�.�1N 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 P h o n e: 518-761-8206 • F a x. 518-745-4437 feremarshal@queensbury.net wzvw.queensbury.net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman Please keep the approved plans on-site Site Plan 8-2017 PRINIELINK, INC. Attached is a copy of your final approved plan signed by Zoning Administrator Craig Brown. This is the only copy you will receive Please make sure your contractor receives these plans and keeps them on site. Before any work is started please contact Bruce Frank, Code Compliance officer at 761.8226. He will inspect the project at various stages to ensure your project is in compliance with your approved plans. This is separate from inspections performed by the Building & Codes office. Applicant(s) PRIMELINK. INC. Application Type Site Plan 8-2017 _ Owner(s) T& M Jacobs Properties,LLC SEQR Type Unlisted Agent(s) n/a Lot size 5.38 acres Location 643 Glen Street Ward: 2 Zoning Classification: Cl Tax ID No. 302.11-1-2 Ordinance Reference 179-3-040 Cross Reference SP 41-2003 fence/landscaping; SP 42- Warren Co.Referral February 2017 2005 warehouse;AV 64-2006 storage bldg. Public Hearing February 14,2017 Site Information Project Description: Applicant proposes to lease 1,843 sq.ft. first floor interior space of an existing building 27,488 sq.ft. (footprint),31,182 sq.ft.(floor area). Project is intended for anew tenant—no changes to interior,building exterior or site. Pursuant to Chapter 179-3-040 of the Zoning Ordinance, adding a tenant to an existing building shall be subject to Planning Board review and approval. Plans reviewed/approved by -Craig arrwYrk �oninq Ad"giinistrator on ��2.,LZand copies distributed as follows: Applicant, File, Bruce Frank, Code Compliance Officer, Building Permit file FIRE MARSHAL'S OFFICE Toxon of Queensbury 742 Bay Road, Queensbury, NY 12804 (Dw " Horne of Natural Beauty ... A Good Place to Live " PLAN REVIEW Prime Link 643 Upper Glen CO-000139-2017 4/5/2017 The following comments are based on review of the submitted plan: 1) FM to verify location and function of exit and emergency lighting 2) FM to verify locations of fire extinguishers 3) FM to verify paths of egress 4) Carbon Monoxide detection may be required 5) FM to verify storage space 6) FM to verify compliant locks / latches Fire Marshal Michael J Palmer Fire Marshal 518 761 8206 firemarshal@queensbury.net Fire Marshal 's Office • P k o n e: 518-761-8206 • Fax: 518-745-4437 ftrentarshal fteensbtimnet • 7MMqueensbuni net