CC-0086-2022 fttX_,,WU,
CERTIFICATE OF OCCUP
ANCY ONLY office use only
A Permit#: C`- G
D742 Bay Road OWE Permit Fee:S f . G 0
.Queensbury,yy 12804 P:518-761-8206 or 518-761-8205 W MAR o 202? Invoice tt: �6
e sbu .net
TOWN OF QUEENS13URY
**This application is for occupatlCILDING& CO
q;t�►� rk requiring a building permit**
BUSINESS INFORMATION:
Name of business:
Vie
Business Address (including suite, space, etc.):
I IT
Detailed explanation of business (attach a separate,piece of paper, if necessary.):
ee(-(4 V�k M04, V1i- !C
* * *Pulse 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: teevl - _ - 8 e,
Applicant signature: Date:
Y�
M. 11__Q1Y1 )1C1'oL\_
Property Owner name: ,E { f
Property'Owner signature:
UnApie of 0uupur Y 017ty
4
=i
Town of Qyccnsbun
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s):
Mailing Address, C/S/Z: :4�: Ja ` 2�O
Cell Phone: )�� ( � Q1� Land Line: (�53 2< ) --
Email:
• Business Owners :
Contact Name(s):
Mailing Address, C/S/Z: 'Z
Cell Phone:_( Land Line: _
Email:
• Manager:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _( )
Email:
• Property Owner(s):
Business Name: 0 V I'Z.e. .
Contact Name(s):
Mailing Address, C/S/Z: 1
Cell Phone:_( ) Land Line: _( )
Email:
Contact Person for Compliance in regards to this project: Aam L Q�(-�
1.1
Cell Phone:(C; ( !) _ �' `l Land 'ne: L_)
Email:'"� JG -G✓ Y t ( v(n ( ,
Certificate of Occupancy Only Revised February 2022
Town of Quccnsbun
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: Y
Business Name: l
Business Location (including suite,space,etc:): Q Iign .cq4y1aeJ—
MROLi
Business Phone#:.
V1. Business contact name: W
Main Phone:_( ' 10,�� 'r�� ;Secondary Phone:
Coming from what town/village? "AZ _ 6'e �r'q-
2. Business contact name: _ �j A � ('jy-�
Main Phone:_O '2'J�i--1 V11;Secondary Phone:_( )
Coming from what town/village?
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FIREMARSHAL@QUEENSBURY.NEf'
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE
Certificate of occupancy Only Revised February 2022
x
r��1
1
�z
� I
CD
o �
s �
302.6--1-51.2 CO-0086-2022
finders Keepers
756 Glen Stre Unit 7
Certificate'of occupany
II
��C t
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
L N RFUIrE
Finders Keepers
786 Glen Street Unit 7
-&`-0086-2022
Go
03/08/2022
I have reviewed the submitted drawings for the above project; and offer the
following comments:
1) Verify Fire extinguisher.locations & inspection.
2) Locks / latches shall comply with 2020 NYSFC.
3) Verify operation of existing exit/ emergency lights.
4) Verify Knox.Box key.
5) Verify aisles &.storage.
6) Verify CO detection
7) Verify Square footage
Deputy Fire Marshal
Tyson Converse
742 Bay Road
Queensbury NY 12804
518 7618205
garys@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 Fax: 518-745-4437
-flremarshal@queensburij.net 7MMqueensburi�net