CO-000785-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Y ` Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000785-2017
Tax Map No: 303.20-2-34
Permission is hereby granted to: Better Than New Painting
For property located at: 15 BOULEVARD
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: Anthony Muscatello Certificate of occupancy $0.00
Owner Address: 91 Mannis RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Tenant:Better Than New Painting
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 20,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the ex irationdate.)
Dated at the Town o ueens �We ecember 20,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
a
CERTIFICATE OF OCCUPANCY ONLY Office use Only
ANUMbNom
qw APPLICATION Permit#: c o 000-1
//�� T
rt.n ot( n.hury Permit Fee:$- _�V. 60
742 Ba Road EEC
E DVIE Invoice#:y ,Queensbury, NY 12804P:518-761-8206 or 518-761-8205 www !Lb t ` 2017
Litu-ICry 77; X ArYo ofo. 30 3. ;Za_.2 -3 y�
"This application is for o uAR9da"Myliv k requiring a building permit"
CONTACT INFORMATION: 15 i3v v ' {'�
• Applicant:
Name(s):
Mailing Address, C/S/Z:
Cell Phone,; ) ��- / L ncl )
Email:
• Business Owners �
Contact Name(s): ,/ to
Mailing Address, C/S/Z: Al i
Cell Phon _( / ) nd ine: _( )
Email: ""e
• Manager:
Contact Name(s): b�-/'/ �P�-�J
Mailing Address, C/S/Z: 6-A75 s
Cell Phone: _( '� /9 ) d Ling!: /_( )
Email: 1- � j 'o
• Property Owner(s):
Business Name:
Contact Name(s): t\1 (C Q�
Mailing Address, C/S/Z: / �tro✓c� � "�� Qs 6u.v r j. �Z.s-��%
Cell Phone: (D ' ) ?r' - (S 1 Land Line:
Email:
Contact Person for Building & Code Compliance:
Cell Phone: ( -'>46 Land Line: �)
Email: C."c rl z_l'
Certificate of Occupancy Only Revised December 2017
742 Bay Road,Queensbury, NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net
BUSINESS INFORMATION:
Name of business: 64-yer ALJ Cc �n 1� Y1
Address (including suite, space, etc.): l-c /,e ✓nr`�
Type of business (i.e.: retail, car repair, etc.): lo/i/
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: Zfi h/7
Certificate of Occupancy Only Revised December 2017
1
Fi.s.r1 t4 t i(va, uri'
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.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: /
- qyi Ila
Business Name: 2
Business Location (including suite, space, etc.): "
� v
Business Phone#:
1. Contact name:
Main Phone:_( 5 1?" Secondary Phone:_( )
Coming from what town/village?
2. Contactname:
Main Phone:_(� f_) 7Secondary 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 December 2017
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TOWN OF QU EENSBURY
BUILDING CODES
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303.20-2-34 CO-000785-2017
Better Than New Painting
15 Boulevard
Certificate of Occupancy Only
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Better Than New Painting —— - -
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15 Boulevard
Certificate of Occupancy Only
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