CO-000583-2017 TOWN OF QUEEN S B U RY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
- Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000583-2017 Date Issued: Thursday, September 21, 2017
This is to certify that work requested to be done as shown by Permit Number CO-000583-2017
has been completed.
Tax Map Number: 302.6-1-15
Location: 729 GLEN ST
Owner: 727 Glen LLC
Applicant: 51 Vape
This structure may be occupied as a:C/O Only
Tenant:51 Vape 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-000583-2017
Tax Map No: 302.6-1-15
Permission is hereby granted to: 51 Vape
For property located at: 729 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: 727 Glen LLC Certificate of occupancy $0.00
Owner Address: 727 Glen ST Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O Only
Tenant:51 Vape
$50.00 PERMIT FEE PAID-TFUS PERMIT EXPIRES: Tuesday,September 18,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the ex iration date.)
Dated at the Town o ueensb 4mo
a , er 18,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office use Only 6 V
Permit#: �� — -;Lb 17
APPLICATION
OG
::; Permit Fee:$
Invoice#:
742 Bay Road,Queensbury,NY 12804 i( ij
P:518-761-8206 or 518-761-8205 www. eftburV.net
UTNSBURY
irl
lcntn ut tLiercu.Lwr
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net
BUSINESS INFORMATION:
Name of business: 47
Address (including suite, space, etc.): ,
/11 l'2-4,�Pel
Type of business (i.e.: retail, car repair, etc.): Q�- r
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest
rooms, counters and fixtures on a separate sheet of paper.
IMPORANT: 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 Town of Queensbury 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 and a re-inspection.
Applicant name:
Applicant signature:
Date: �Pe
Certificate of Occupancy Only Revised June 2017
li»rn iJ(Lixrn+ r,
742 Bay Road,Queensbury, NY 12804
P: 518-761-8206 or 518-761-8205 www.queensbury.net
EMERGENCY CONTACT INFORMATION
"THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR
BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND
AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN
GAINING ENTRY TO YOUR BUILDING."
PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN
DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL.
Date: 41A
Business Name: l �'
Business Location (including suite, space, etc.):
myLp� z
Business Phone#:
1. Contact name:
l ,y
Main Phone: _( ) G'�-" l'l� ; Secondary Phone:_( )
Coming from what town/village?
2. Contact name:
Main Phone:_O Secondary Phone:_( )
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised June 2017
� 1V
cV �1
� 00 7EUD
o O
O cu
U � �
o 1_�
r-L
N ; cy) �E
1
ti „5 � ll
i
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLANT REVIEW
51 Vape
729 Glen Street
CO-000583-2017
9/15/201`
The following comments are based on review of drawings:
® Verify fire extinguisher location and inspection
o CO detection required
o Verify operation of exit /Emergency lighting.
Lock/ latches shall comply with Chapter 10 of 2015 IBC.
Verify paths of egress
o 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 fteensbury.net • immqueensburl/,net