CO-0492-2022 - CERTIFICATE OF OCCUPANCY ONLY office Use Only
Permit#: CD
APPLICATION �.
p Permit Fee:$
Tawn'I CLpw sbuq
742 Bay Road,Queensbury,NY 12804
Invoice#: �'
P:518-761-8206 or 518-761-8205 www.gueensburV.net
"This application is for occupancy only, with.no work requiring a building permit"
CONTACT INFORMATION:
• Applicant:
Name(s): VC/ O�s.�,CQ V'--o
Mailing Address, C/S/Z: 413Du� 6-ye, Q %,, I,-;-) YQX
Cell Phone: Land Line: ) C 3 L(- 505 3
Email: Co
• Business Owner(s):
Contact Name(s): i- 0 �c r
Mailing Address, C/S/Z: q L`\Y- cQ 5-�- d�—L '
Cell Phone: _( 51? ) Lv I Land Line: _( )
Email: CIE C-0
• Manager: D
Contact Name(s): ; 7�
Mailing Address, C/S/Z:
Cell Phone: C9 Land Line: _( )
Email: /v�L C6
• Property Owner(s):
Business Name: L
Contact Name(s): k
Mailing Address, C/S/Z: i
Cell Phone: _O L3 ) _ '�� Land Line: _( )
Email:
DE C E0bpL
AUG 8 2022
TOWN OF QUEENSBURY
BUILDING&CODES
Certificate of Occupancy Only Revised June 2017
CERTIFICATE Office use only
L CATIO Permit#: ' 04��- - ZC 7_Z
i'rblsm of recnsbut}• AUG 17 2022 Permit Fee:$
� 'L
742 Bay Road,Queensbury,NY 12804 TOWN OF QUEENSBURY Invoice#: kQ T
P:518-761-8206 or 518-761-8205 nft &CODES
"This application is for occupancy only, with no work requiring a building permit"
BUSINESS INFORMATION: L
Name of business: Lc-
Business Address (including suite, space, etc.): 3 _PI,). (,Ue.
Detailed explanatio� iness (attach a separate piece of paper, if necessary):
***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:T-he-business-owper-is-responsible-for keeping-exits-clear-and-maintaining-Bx-it -
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:
Applicant signature: Date:_� —�-=�--
Property Owner name: b rb c'c P 1%c ' (. 4 Lq)eiq Yle.4 C,
Property Owner signature• Date: 5/;/2 I—
Certificate of Occupancy Only Revised June 2022
`rown of(Lacensbun,
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.gueensbury.net
BUSINESS INFORMATION:
Name of business:
Address (including suite, space, etc.): 73 CAu Q-
Type of business (i.e.: retail, car repair, etc.): b R=�?a�-c
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:
II �
Applicant signature:
Date:
Certificate of Occupancy Only Revised June 2017
`bwn of(QL_mrn5 uty
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: 02
Business Name: UC . LQtl
Business Location (including suite,space,etc.): �,3 Z�� ko e-
Nq �Sy
Business Phone#: ) �U v L3 6-
1. Contact name: Q�r-r�Vd��r�c-
Main Phone:_( _) �Q.� 5 1 ;Secondary Phone:_( )
Coming from what town/village? 4' 'r(I-L
2. Contact name: Lf-w -
Main Phone:_( G _) C ;Secondary Phone:_( )
Coming from what town/village? in EI,,Svi-
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 of Queensbunj
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Generation 2 Automotive
473 Dix Avenue
CO 0492-2022
8/9/2022
The following comments are based on a review of submittals:
• Verify fire extinguisher location and inspection
• Verify paths of egress
• Verify storage
• Verify clearances to electrical service panel
• CO detection 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@queensburii.net ■ 7MMqueensbury.net
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Generation II Automotive LLC
473 Dix Ave A16 08
Certificate of Occupancy 10`/�l�P c
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