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CO-0176-2022 Apr 12 22 07:25a Todd Heym 5183383M p.3 CERTIFICATE OF OCCUPANCY ONLY office Use only APPLICATION permit#: C4-_01 I-b - Zo 2-2— Permit Fee: ronv W(twoulwry 742 Bay Road,queensbury,NY 12804 Invoice le• _4��� P:518-761-82Q6 or S18-761-8205 www.aueensburv.net �O�rlo• ?�Z?� "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: { - Name of business: Business Address (induding suite,space,etc.): 1 ua.lf.•� (�saal � SwAp— Detailed explanation of business(attach a separate piece of paper, if necessary): ur .SGt)OC1 - --.-- Plame provide an wAwaW Iayolult of yow space dWWhp A waft, cats, stockrooms, Est rooms, COVISters and MUMS on a separate sheet of paper IMPORANT:The business owner is responsible for keeping exits dear 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 MarshaPs 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: 1 OAci �^^^" Applicant signature: Date: G4Z- , Property Owner name: LZ + n�Ewu�s✓2 L �- r Property Owner signature;. . : — :. . y ' Date: CertiE'icate of occMancy_Oniy �V10 :i;- _ Revised Febmary2022 Apr 12 22 07:25a Todd Heym 5183383649 p.3 CERTIFICATE OF OCCUPANCY ONLY office use only IWL APPLICATION permit#:f-o1 i-lo • Zo 22 . l r4H'71 Ld(,hMCA+lW►Y Permit Fee:$ 742 Bay Road Invoice ,Queensbury,NY 12804 P:518-761-aZ06 or 518-761-8Z05 www.aueensbury.net oo� b • 2o 2,Z- "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: 0 Name of business: f� T a►/1eird�b Business Address (including suite, space, etc.): jk uk (�ao� c�• y Detailed explanation of business (attach a separate piece of paper, if necessary): *' *Please provide an wxwate Iayont of yow space showing A wags, exks, stockrooms, rest rooms, comtters and tktu res on a separate sheet of paper*** 1MPORANT: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: -7d&U 6A'\ Applicant signature: 9Date: 4� ZL— Property Owner name: k Property Owner signature: ; _F .. tir,�.,<�^� ri Date: certificate of Dccupancy OnV TOWN! OF( 8 .+,+ ,� �� Revised February 20Z2 I Apr 12 22 07:25a Todd Heym 5183383649 p 4 !«aTi of c Za eu>hun 742 Bay Road,Queensbury,NY 128Q4 P:518-761-8206 or 518-761-8205 www.gueensbury.net CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: r Name(s): I Od + T6tyrin r'1 Mailing Address,C/S/Z: 'is- L-warvf 7ra"t G-Krs"04-t Cell Phone: ( SW Cob- 1g5Z1 Land Line. i VK Email:_ +r-h.E4M IQ .04.00. LD&IN • Business Ownerts Contact Name(s): A-L,. Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( Email: • Manager: Contact Name(s): �tcrl�e„ Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _(�) Email: • Property Owneds): Business Name: ctriydi Qcir}s Contact Name(s): Ida i I i� add,�s .._.�j_..��r�Wt Jan 60mItvArd Apr 12 22 07;26a Todd Heym 5183383649 p.5 Town 4d'(kgmcn.%l1ur. 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbuty.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: 1I ZOz� Business Name: Lo �d;de 4at-r 6 D Business Location (including suite,space,etc.): l I -a ICI '4"- n- ecA Business Phone#: S( k— g� 1. Business contact name:. Main phone:_( 51V ) a{yp 1yL-14 :Secondary Phone:_( SIB'_ } 2*0 S97`� Comingfrom what town/village? &Las 2. Business contact name: �7rrygp . Main Phone:_(_� ;Secondary Phone: Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:51&761-6206 F: 518-745.4437 F1 REMARSHAL@QUEENSFiURY.NE-r FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL TYSON CONVERSE Certificate of occupancy only Revised February 202-2 FIRE MARSHAL'S OFFICE Tozon of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live ,' PLAN REVIEW En Pointe Hair 118 Quaker Road CO- 0176-2022 4/12/2022 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Verify location of exit/Emergency lighting. Function test will be required • Lock/ latches shall comply with Chapter 10 of 2020 IFC. • Verify paths of egress • Verify storage • Verify clearances to electrical service panels • CO detection is required, if source is present • Knox Box key is required Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office - Phone: 518-761-8206 Fax: 518-745-4437 .firemarshal fteensbui2j net - zvww.queensbury.net r Apr 12 22 07:25a Todd Heym 5183383649 p.2 �Vk— C E ]RY 302.7-1-12 CO-0176-2022 rg [LARR19 20 En Pointe Hair Studio 118 Quaker Rd TOWN OF QuEENCertificate of Occupancy �u��a« c' rc Ar D Aoer, n ���