CO-0761-20180 TOWN OF QUEENSBURY
PPP
5, 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-0761-2018 Date Issued: Thursday, December 6, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0761-2018
has been completed.
Tax Map Number: 303.16-1-58
Location: 446 DIX AVE
Owner: First Tracks LLC
Applicant: Premier Plus Travel Agency
This structure may be occupied as a: Certificate of Occupancy ONLY
Premier Plus Travel Agency By Order of Town Board
2nd floor office space (above existing garage) TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
1.
144° 4
property owner of the responsibility for compliance with Site Plan,
N.,
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.
1
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-0761-2018
Tax Map No: 303.16-1-58
Permission is hereby granted to: Dawn Biddiscombe
For property located at: 446 DIX AVE
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: First Tracks LLC Certificate of occupancy $0.00
Owner Address: 451 Lockhart Mountain RD Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy ONLY
Premier Plus Travel Agency
2nd floor office space(above existing garage)
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, December 6,2019
(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 date.)
Dated at the Town ue ury; /I'Th c ay/.11- - ber 6, 2018
SIGNED BY: I ' ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office Use Only
_,
Permit#:
APPLICATION
„ cx r,hk,rary Permit Fee:$ I
742 Bay Road,Queensbury,NY 12804 Invoice#: g
P:518-761-8206 or 518-761-8205 www.queensbury.net
**This application is for occupancy only, with no work req .irk a tiid,ing permit**
CONTACT INFORMATION:
DEC 0 3 2018
• Applicant• ` Q 1 � VtN OF Qf I URY
Name(s): : bin `�,l c�Cs LC_)t`1 _ NCO I�? P Psi1A k3.1SOACI
Mailing Address, C/S/Z: 4'+ p Dk AV20(‘‘}Q \ ez-ArISbwr (11d 12 4
Cell Phone: Km 1E ) ar L Lo Land Line: ( ) ()L 4 '66-6 f4,
Email: mt t
• Business Owner(s):
Contact Name(s): CkCIA CO
Mailing Address, C/S/Z: \ cv ] , esc.rt5 t
Cell Phone: _(SW' ) ` .2-3 g,57)13 Land Line: _(
Email: ipre_si-c-1.';.7 SYVI 1 I , C cxv,
• Manager:
Contact Name(s): �,44 r2 �L1 c-'J
Mailing Address, C/S/Z: f � i/ //lee C.er,r- '( Sr-VS--
Cell Phone: _( ;�� ) Y`/ Land Line: _(S i S- ) '- S i,C
Email: o.2 cLe_, . c
• Property Owner(s):
Business Name: (rt_C5
Contact Name(s): �1�{ \C OJ\C
Mailing Address, C/S/Z: \SAS/ `c,,-•J ✓fir s c- e /;�
Cell Phone: _( 7,- ) gS"n Cc Li Land Line: ( sIp) )
Email: o 5 c�.l,23C ezz,,(.. C-C". _
Certificate of Occupancy Only Revised June 2017
Iowa orilterern , ay
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
BUSINESS INFORMATION:
(-rfcx_ve_L_ Ne,Y1 C.)
Name of business: E
Address (including suite, space, etc.): 1`t l�
o )( \
Type of business (i.e.: retail, car repair, etc. : M Q nY 1
g...(103
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: ( � SOS ( 'J
Applicant signature:
Date: e—k 4 )
Certificate of Occupancy Only Revised June 2017
k n.roar Ckreen. un
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: ' Q_ 1— I v
Business Name: V(� ‘ ' \� p`U ` C4S(?
Business Location (including suite, space,etc.): `A\-# `p \1NJ, 'C A. '`-
trk f(X-Y\5\01/4-DA\ D -1\ 1:)--F-D1
Business Phone#: ` api ^ LP ' C q
(06 1. Contact name: 1 ad 1 S c
Main Phone:_( SIP ) Z`7 - (2-1jAkTclary Phone:_( _) �� VP1 k-E-4
Coming from what town/village? S r tZc\
2. Contact name: inCr -•Q j lNJ_
Main Phone:_( \ ) (ICI '0 88`-40Secondaary Phone:_(
Coming from what town/village? C� n S f `�t`S I I 2-? I
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
FIRE MARSHAL'S OFFICE
Town ofQueensbury
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742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Premier Plus Travel Agency
446 Dix Ave
CO-0761-2018
12/04/2018
The following comments are based on review of the submitted plans:
1) Fire Extinguisher locations to be verified.
2) Locks / latches shall comply with the 2015 International Fire Code.
3) Carbon monoxide detection will be required Per NYS part 1228-
4) Verify operation of existing Exit/Emergency lights in space.
De ty Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fi re Marshal 's Office • Phone: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net