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CO-0319-2023 CERTIFICATE OF OCCUPANCY ONLY Office Use Only q APPLICATION Permit#: �� l • ��'� ry Town Cf,��Cnsbu Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 invoice#: P:518-761-8206 or 518-761-8205 www.gueensbury.net **This application is for occupancy only, with no work requiri i err it** IN BUSINESS INFORMATION: '� V Name of business: IRS Telecom Inc JVN 09? Business Address (including suite, space, etc.):-509 Queensbury II D)Vlln - — Queensbury, NY 12804 °�Fs Detailed explanation of business (attach a separate piece of paper, if necessary): We design, install and maintain microwave networks for Public Safety Communicaitons networks ***Pig provide an- accwate -layout of yow space showing A wads -e icks., stockroom, rapt room, countm and fnctwes 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: Robert Cornel Applicant signature: Date: 5-11-23 Property Owner name: Prime Group Holdings, LLC Property Owner signature _Eve- Date: Certificate of Occupancy Only Revised September 2022 F Torn oCLzxrnsl�ury 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): Robert Cornell Mailing Address, C/S/Z: 1603 RT 30 N Bomoseen,VT 05732 Cell Phone: )802-777-4662 Land Line: 1 ) Email:rstelecom@comcast.net • Business Owner(s): Contact Name(s): Robert Cornell Mailing Address, C/S/Z: 1603 RT 30 N Bomoseen,VT 05732 Cell Phone:_( ) Land Line: _( ) Email: • Manner: Contact Name(s): Robert Cornell Mailing Address, C/S/Z: 1603 RT 30 N Bomoseen,VT 05732 Cell Phone: _(802 )777-46672 Land Line: _( ) Email:rstelecom@comcast.net • Property Owner(s): Business Name: Prime Group Holdings, LLC Contact Name(s): John A. Burke, Jr. 5yp— Mailing Address, C/S/Z: 85 Railroad Place, Saratoga Springs, NY 12866 Cell Phone:_( ) Land Line: _( )518.615.0552 x7285 Email:John.burke@goprimegroup.com Contact Person for Compliance in regards to this project: Robert Comell Cell Phone: (( )802-777-4662 Land Line: � ) Email: rs ee ecom comcas .ne Certificate of Occupancy Only Revised September 2022 Tosim or(!xcn'sbun' 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: 5-11-23 Business Name: RS Telecom Inc Business Location (including suite,space,etc.): 509 Queensbury Ave, Queensbury NY 12804 Business Phone#: 802-777-4662 1. Business contact name: Robert Cornell Main Phone:_(8021 777-4662 ; Secondary Phone:_( ) Contact is coming from what town/village? Bomoseen, VT 2. Business contact name: Mike AnusZeWski Main Phone:_(518 )232-1066 ;Secondary Phone:_( ) Contact is coming from what town/village? Gansevoort, NY 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 TYSON CONVERSE Certificate of Occupancy Only Revised September 2022 FIRE MARSHAL'S OFFICE Town of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW RS Telecom Inc 509 Queensbury Ave CO-0319-2023 6/9//2023 The following comments are-based on a review of submittals: • Verify fire extinguisher location and inspection • Verify paths of egress • CO detection (if required) • Function test all Exit and Emergency lighting fixtures 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 fteensbum.alet - zuww.queensbunJ.net III am a Lq# �10 1:10-111 MMA1111 ffu 297.12-1-2 CO-0319-2023 RS Telecom Inc 509 Queensbury Ave Certificate of Occupancy