application CERTIFICATE OF OCCUPANCY ONLY Office Use Only
Permit#: CO ' � 5 ZC LZ
APPLICATION i 0()
Permit Fee:.$
Town of Oserniiiury
Invoice#: 3c ‘425
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensburv.net
**This application is for occupancy only,with no work requiring a;building permit**
CONTACT INFORMATION:
• Applicant:
Name(s): Ryan McConky
Mailing Address, C/S/Z: 12 CandlewoodLane,Delmar NY 12054
Cell Phone: ( )5184953230 Land Line: ( )
Email:rmcconky,@strategicetc.com
• Business Owner(s):
Contact Name(s): Ryan McConky,Travis Dunklee,Shannon Dunklee
Mailing Address, C/S/Z:; 17 Burgoyne Ave,Fort Edward NY 12828
Cell Phone: (51.8 )722'0090 .. Land Line: ,.( )
Email:rmcconky@strategicetc.com,tdunklee@strategicetc.com,sdunklee@strategicetc.com0 Si
• Manager: r•'
Contact Name(s): m
Mailing Address, C/S/Z: torti
Cell Phone: ( ) Land Line: _( . ) 19 (TEi
Email:
• Property Owner(s):
Business Name: Sea to Summit LLC
Contact Name(s): Mike Patenaude,Chad Quirion
Mailing Address, C/S/Z: 10 Sagamore St,Glens Falls NY 12801
Cell Phone:_ 518 745-0207 _(
( ) Land Line:
Email:. +.. ..
Contact Person for Building& Code Compliance:Travis Dunkee
Cell Phone: ( )518-764-0791 Land Line: ( )
Email:tdunklee@strategicetc.com
Certificate of Occupancy Only Revised September 2020
Town off fl.bur
742 Bay Road,Queensbury,NY. 12804
P:518-761-8206 or 518-761-8205 www.queensburv.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: 10/19/2020
Business Name:. Strategic Emergency Training and Consulting
53 Luzerne Road, QueensburyNY 12804
Business Location(including suite,space,etc.):
Business Phone#: 518-722-0090
1. Business contact name: Travis Dunklee
Main Phone:_(518 )764-0791 ;Secondary Phone:_( )
Coming from what town/village?.Fort Edward
2. Business contact name:- Ryan McConky
Main Phone: (518. )495-3230 ;Secondary Phone:_(
Coming from what town/village?, Delmar
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 September 2020
S3railerct8"e2rgency TrainingC°:C64ontu21°tI2n:
53 Luzerne Rd
\r"- ---* •
Certificate of Occupancy Only
liwn of ftscensbury
742 Bay Road,Queensbury,NY 32804
P:518-761-8206 or 518-763.-8205 unNw.queensbury.net
BUSINESS INFORMATION:
Name of business Strategic Emergency Training & Consulting LLC
:
53 Luzerne Rd, Queensbury NY '12804
Address (including suite, space, etc.):.
Detailed explanation of business (attach a separate piece of paper, if necessary):
Provide CPR/AED/FA and related training and consulting services
***Please provide•an accurate layout of your space 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: 'Ryan T McConky
Applicant signature: . Date: 'I 0/192020
Property Owner name:sr. (lk,) a ri47,1 .
Property Owner signature)/ e/ iv i... 621*.•.._ Date:
Certificate of Occupancy Only Revised September 2020