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CO-000568-2017 `k 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-000568-2017 Date Issued: Friday, September 15, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000568-2017 has been completed. Tax Map Number: 296.19-1-29 Location: 357 BAY RD Owner: Research Foundation SUNY Plattsburgh,Old School House L.L.0 Applicant: Alzheimer's Disease Caregiver Support Initiative This structure may be occupied as a:Certificate of Occupancy Suite 8 Tenant:Alzeheimer's Disease Caregiver Support Initiative 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 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-000568-2017 Tax Map No: 296.19-1-29 Permission is hereby granted to: Alzheimer's Disease Caregiver Support Initiative For property located at: 357 BAY 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 Type of Construction Owner Name: Research Foundation SUNY Plattsburgh Certificate of occupancy $0.00 Owner Address: 101 Broad ST,316 Beaumont Hall Total Value $0.00 Plattsburgh,NY 12901 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy Suite 8 Tenant:Alzeheimer's Disease Caregiver Support Initiative $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 14,2018 (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 eensb iday pt ,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement From: 09/05/2017 16.16 #096 P002/005 a CERTIFICAT OF OCCUPANCY ONLY office use in.1v r Permit# � �Q 2-Q x " PPLICATION CD Permit Fee. I.mr:.1 t2iari»3Eun � � Invoice#: 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 w ueensbu .net N aA **This a lication is for ccupancy only,with no work requilnn ' a buildir Emit** t CONTACT INFORMATION: t �' SEP . f �� I * Aaplicant: , Nam e{s). `Q 1S Q� 7 n t - 5� �' Mailing Address,`C/S/Z: 5 ' Cell Phone: ( ) Land Eine: l ) Email: Business Owner{s1: Con tact Name{sl: tt L Mailing Address,`C/S/Z: Cell Phone: _( ) Lancs Line: _(5_) 5 "� Email: U a i er: C w�,^cs %ve �s Manag i Contact Mailing Address, 'C/S/Z ee "s �'al Cell Phone: _( ) Land Line: { ` Email: 'e► 8 Property Owners : IIC Business Nam e.` i' Itrltl Contact'Name(s) 7777 Mailing Address, CJS/Z• Cell Phonic ) Land Line: Co --T--. v Email: i ( t�p Ei A l� 1 3 d Jievised June 2017 CenlB a of occupancy OnN I i l a From: 09/05/2017 16:17 #096 P_003/005 I` 4� .✓ 1. �, '� "),,Ks r)if t Zvo-rolnjt, -{ iy t 742 Bay Road,Queensbury,NY 12804 P:318-761-8206 or 518-761-8205 ww ueensbur .net EMERGENCY CONTACT INFORMA'�1 N **THIS FORM IS USED TO AS ST,EMERGENCY SERVICE PERSONNEL WHO Y SE CALLED TO YOUR BUSINESS AFTER HOURS, LEASE BE SURE THE CONTACTS LISTED BE LO j ARE WII.L�NG}1Np AVAILAi3LE TO REPSOND _RING OFF-HOURS TO ASSIST POLICE AND/O i iFIRE PERSONNEL IN..' GAINING ENTRY TO YOU BUILDING.** PLEASE BE ADVISED THATf .. LURE TO,ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT 1N DAMAGE TOY BUI ING By POLICE AND/Oft FIRE PERSONNEL F Date: �15 � -¢' I ; I! L 4U 4 !, Business Name: Business Location (including suite, spice,etc.). i Business Phone#: ` 1. Contact name: Main Phone:_{ �I ) Secondary Phone: Coming from whattown/will � e. I'l tn5�7Lu-- t: h, -2. - Contact name: fi' # Main Phone:_(5 I ) Secondary Phone: Coming from what town/vi) ge? TOW OF QUEEN$RURY FIRE MARSHAL S OFF`CE i ?r 51.8-761-920.6 F: 5 i B- FIREw1ARSHAL@QUEENSBURY NET FERE MARSHAL MIKE PALMER {)EPUTyf FIRE MARSHAL C� RX STILLMAN I x� �erUNGate of Qaupancy Only '� Revised.June 2017 j From- 09/05/2017 16.18 #096 P_004/005 i sA yin 001w>n'bul, 1 EP.Bay Road,Queensbury,NY 12804 ). S. f,f , P:518-76I-8206 or 518-761-8205 ww ueensbur .net BUSINESS INFORMATION: CC a� Name of business: Zfie i� Address (including suite, spac , etc.): - Type of business (i.e.- retail, r repair,etc.): o i �GY 11 Please provide an accurate.jayout of your store showing all walls, exits, stockrooms, rest MOM,counters andIdures on a separate sheet of paper. l IMPORANT.Th'e business o eir�s r,E ponsible for keeping exits clew' and maintaining exit signs and emergency lights, ire extinguishers, fire sprinkler systems and fire alarm systems require annual inspections b an outside contractor and the correspgnding documentation must be provided to the To of Queensbury Fire Marshal's office. ire extinguishing systems inspections, n` violations noted found in kitchens and gas sta ions require semi-annualp .� duringaninspection re uire, mediate corrective`action and a re in eetion. ,a Applicant name: A licant ignature; PP J Date. 7 }� 296.19-1-29 CO-000568-2017 Alzheimer's Disease Caregiver Support Initiative Revised June 2017 Certffkate o!Oceupancy only j 357 Bay Rd., Suite 8 Certificate of Occupancy Only From: 09/05/2017 16:18 #096 P005/005 �E/}2 ENV 61 9NtF 11`1011 C'4 1 j. r „ Of tj _ � L ^t o O 0 w r-1 L ,r 11 rk z 3 z 296.19-1-29 CO-000568-2017 Alzheimer's Disease Caregiver Support Initiative 357 Bay Rd., Suite 8 ;- �,� Certificate of Occupancy Only c ,o , .. a J ,.,s - FIRE MARSHAL'S OFFICE Tozun of Queensbury 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Alzheimers Disease Caregivers 357 Bay Road CO-000568-2017 9/11/2017 The following comments are based on review of drawings: • Verify fire extinguisher location and inspection • CO detection required • Verify operation of exit / Emergency lighting. • Lock/ latches shall comply with Chapter 10 of 2015 IBC. • Verify paths of egress • Verify storage Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437 firemarshal@queensbun.net - zuwzu.queensbupj.net