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CO-0739-2021
CERTIFICATE OF OCCUPANCY ONLY office use only APPLICATION Permit#: Co — �`?✓�"����( Town of Chrcensburj, Permit Fee:,$ /I C).t,:)p 742 Bay Road,Queensbury,NY 12804 Invoice#: a(o`7 P:518-761-8206 or 518-761-8205 www.gueensbury.net "This application is for occupancy only, with no work requiring a building permit" CONTACT INFORMATION: V, T->,,-n �c) —"T- • Applicant: Name(s): 7Ao-0 JAI itj41.,13,4e-+t/ s eme4 Mailing Address, C/S/Z: L11 1-43 1-e-01 6iM.3,*16 jNV! 2M Cell Phone: (5-/9 ) %8 o�L -,?'7-zq Land Line: � ) Email: 3-,+Afj4 Sw•.n 7l&D5•,. • Business Owner(s): Contact Name(s): SIEWn ��✓`� "W,I��� Mailing Address, C/S/Z: `h kAc4y Afe- ,.,ce 6 Y 128V1 Cell'Phone:_(St? ) 65 3-3904 Land Line: _( ) Email: IAIJIL'rns�M�s� .`� 71( L.Pu Cam^ • Manager• Contact Name(s): DAL), Vinjen Mailing Address, C/S/Z: '}/ H4srleu 6/UL�e /CoS�`�`�� ! e (2Y01 Cell Phone:_(5-19 ) 693 -3"i0Y Land Line: Email: "99(o .J, . pawl� 77 c.✓a hdov•c ILI-,- • Property Owner(s): Business Name: 5FOIq .STD Indus S Contact Name(s): S 74v t Mailing Address, C/S/Z: /S. Cell Phone:_( S! ) nr -l`1'77 Land Line: _( ) Email: D OCT 0 7 2021 TOWN OF QUEENSBURY BUILDING& CODES Certificate of Occupancy Only Revised June 2017 db Town of Quccnsburty 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.aueensbury.net BUSINESS INFORMATION: Name of business: NO VE 7& hW r�6 Club Address (including suite, space, etc.): 3a l 3�i__ Type of business.(i.e.: retail, car repair, etc.): r,4e S CeAll- 61,C-6) 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. TH /) Applicant name: S6t^-0/1 Applicant signature: 4 J Date: Q aVy'r Zv21 Certificate of Occupancy Only Revised June 2017 Towm of czycerisb ly 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.oueensbury.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: ©G')v iq•cr 20 2 1 Business Name: Aboez l �ltfiL Business Location(including suite,space,etc.): a"eeo Business Phone#: r5V 1. Contact name: Main Phone:_( ) :Secondary Phone:_( ) Coming from what town/village? 2. Contact name: Main Phone:_( ) ;Secondary Phone:_( ) Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:518-761-8206 F: 518-745-4437 FIREMARSHAL@QUEENSI3 URY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 t � O y,o�'"'I 303.15-1-7 CO-0739-2021 ..J -ah�� Above 9 Athletic Club rls 301 Dix Ave G Certificate of Occupancy U � �. v�av 9►unae � � - � 3 m "•r �c ., w�cv An a-9* aw 4Y If JR, EE E= K0o 0 0 0 ,C _ crw nc Ly e a i a 1 ROM � �n roc � • t �1 OCT 0 7 2021 TOWN OF QUEENSBURY 74 BUILDING&CODES FURNITURE S Solozz 3 5 �5;h•.il.i .lip. .�� '�I f 1 i f f'^i� � 1 I i C� 1 - � - m ..t• - ,. � .,y ram •If _ A � tv ax ;thy �rr.- �;itiy'"`.4 '~^'^• ,. � - _ - :...<'= •-•s.�;^y_ - -,.;s,' - ._s:.-��'"' ,- -'- - .,r'-tit. - - i: w '"-+:>.:tires. ,:, - K},•.`4- �.. �_ _ �a ,p„ ,..�Z fa u�.f*�i.'�i��` -- -",l.• v��.r;�s - •r'„ �:h1. - ,�. ��`,`n`.-,,fir SrN - P.-.�n r `•'r=,^ ir1r: .j" --'�..-'fp..--'?`�'._- � ��;:'� e,•:. it �''�^ Y�q+" '�.r.���'�r��. w•....ew.,+m'. •.yJ�'-�,/t � .. ;i:`','.: ;�'`ti�,wl::iti=:'.'-'�� '. _ _ ��p�,. �Sa:?"':{Ava��:tea-+"_ :�?'v _ _-S•a::��,i.s�• _ ':`Y..._ - -.=t z,•�a.�hY xld.....-:•r?'G. ,�y'�`iF' �•f-�"��#�-., u•'��- Y", - - h G SS 't.��.+�s�; tea'.�y�,... _ _ "tom' - �. -_•V'..��:.,-A'~� L_'�..,- - _ ., ...: .k+,+jyi: - I' = -„s,�aC•'ems ' _ - - - _ - �Y'`-�_.a��,._ 303.15-1-7 CO-0739-2021 Above 9 Athletic Club OCT 0 7 2021 301 Dix Ave TOWN of QUEENSBURY Certificate of Occupancy BUILDING& CODES