CO-0582-2018 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-0582-2018 Date Issued: Friday, September 14, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0582-2018
has been completed.
Tax Map Number: 303.20-2-41
Location: 146 RIVER ST
Owner: Amy Findlay, 144 RIVER STREET, LLC
Applicant: DME Constulting Agency LLC d/b/a Discount Medical Equipment& Supplies
This structure may be occupied as a: Certificate of Occupancy Only
Tenant: Discount Medical Equipment& Supplies By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (-. 4A0 4 ,o/i5t
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
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742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CO-0582-2018
Tax Map No: 303.20-2-41
Permission is hereby granted to: DME Constulting Agency LLC d/b/a Discount Medical Equipment&Supplies
For property located at: 146 RIVER 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: Amy Findlay Certificate of occupancy $0.00
Owner Address: Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Tenant:Discount Medical Equipment&Supplies
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, September 14,2019
(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 d.te.)
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Dated at the Town Quee ury; 4Fri.. ,„, . m.er 14,2018
SIGNED BY: �' for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office Use Only
Permit It Co -' b 2 2006
APPLICATION
Thwn Off. . Permit Fee:$ 1 O
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8206 or 518-761-8205 www.queensbury.net
**This application is.for occupancy only, with no work requiring a building permit**
CONTACT INFORMATION:
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• A licant: Ilib)5CT:p`Aiositi;
Name(s): E Co,�1.St, .... agcn 1—C q
Mailing Address, C/S/Z: 3
Cell Phone: 1, ). rae c ' Land Line: L- I c ) g'ao -/ i;�Li
Email: q,u+in3 ct , eh-7 v-1
• Business Owner(s):
Contact Name(s):4X 4r')L0LAJL&4
Mailing Address, C/S/Z: �
Cell Phone:_( ) Lan t' ie ( '` a r=s
Email: j �. ...,_ .. ._�. z. 4
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SEP 10 2018
• Manager: 4 a}
Contact Name(s): �;. ?:€ .m;_ .._. :a [:: :: ;
Mailing Address, C/S/Z:
Cell Phone: ( _ ) Land Line: _( )
Email:
• Property Ownerls):
Business Name: 1,;-. ,a'•A CD(a-ten St5Y1
Contact Name(s): P7 Ppb-uAc is)k
Mailing Address, C/S/Z: 14 — C .0 I-
Cell Phone:_( j Land Line: _( )
Email:
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Certificate of Occupancy Only Revised June 2017
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742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
BUSINESS INFORMATION:
Name of business: C Lux)
Address (including suite, space, etc.): J ' p 1 V el S'1-
ft )
10-gi s
Type of business (i.e.: retail, car repair, etc.): GC. Gj.Q. ryLQ_di coP .
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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: afit4 - dJj.uu'
Applicant signature: anj4
Date: 1 i
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Certificate of Occupancy Only • Revised June 201.7
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742 Bay Road,Queensbury,NY 12804
P:S18-761-8206 or 518-761=8205 www.aueensbury.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: A131 t "
Business Name: . L 1 Co ,t E9ftApt-nuDtt- S-u--P-PL2,0
Business Location(including suite,space,etc.): I IQ••
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Business Phone#: 18+ i aStaltedI' ICI Qcr&L 31C gc)-() "1 , (
1. Contact name
Main Phone: .) o c -1 ;Secondary Phone:J21-S ) ga-D `"i 3 -
Coming from what town/village?___CLIadj24 10-/
2. Contact name: t. V ner d
Main Phone:_( 14 ) O' ^ I ;Secondary Phone:_( )
Comin from what town villa ? k -G IS/g / ge � /
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TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F; 518 745.4437
F4R !tAti liAL9PyWO8VRY-NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
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Certificate of Occupancy Only Revised June 2017
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