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CO-0462-2023 }, :; , CERTIFICATE OF OCCUPANCY ONLY Office Use Only APPLICATION Permit(l,, C ) Tong ofQueen.ibul'? Permit Fee:$LL-- 742 Bay Road,Queensbury,NY 12804 Invoice#: to P:518 761-8206 or 518-761-8205 www.nueensbury.nat "This application is for occupancy only, with no work requiring a building permit" BUSINESS INFORMATION: Name of business:-U R 1MILEE EAST LLC.. RV 00- SUeC_9;!mrrS Busiriess'Address(including suite,space, etc.): E ,�V t pfT -on �1 ci 4 v-CF-iJ J- 1\j o y Detailed explanation of business (attach a separate piece of paper, if necessary): D►sPg_A_,q St�FcC-t1 E'6f? r"/20i,UL`6�, Plewe provide an acmat a layout of your space showing all Walls, exits,, stockroo»Is,, rest rooms, coffers and fixtiVes Oft a separate*sheet of paper"� IMPORANT:The business owner is responsible for keeping exits clear and maintaining exit signs and emerggncy 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: Tg O.—O oaf c Applicant signature. Date: _41?pp gi t C, 1 Property Owner name: Property Owner signature: Date: '7 i Certifleate of Occupancy only Revised February2022 Tonm of Qrccnsbury 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: •,/2dfi Business Name:Ay Rt=_-rA I L.ER i5_Pr: -F LL-C-' 9N ONE 57uKR STo(-?z � Business Location (including suite,space, etc.): S 7 2 Ayi etn o m 2ctiA,n Ma, q 0 C>Ui=g_1v5ry2�! N Y 12g04-1 Business Phone#: 5-1 s — 4 S9 — 4 CTS 1. Business contact name:, &N3 jCJ4. j Main Phone:_(Sig ) q q q ` q 50,,7 ;Secondary Phone: Coming from what town/village? L-A-T A rA . 7,Ay 2. Business contact name: D PrY I T) S1-6k JAV-;r Main Phone: o_( 18 3 78 " 36 �/ ;Secondary Phone: Coming from what town/village? LATe-kA,vi 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 February 2022 Town of Quccnsbun 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): /NNTfJONN ROUScf, Mailing Address, C/S/Z: LAT1J P<b 9 ),y 12tia a Cell Phone: (5 6 ) qLi — 64 S(�rl Land Line: S( 1 ���Ea Email: -T3 V�o,)ScEr • Business Owner(s): Contact Name(s): ty1 qc V-K Mailing Address, C/S/Z: `4 S Ay-6) l-AT4 k4A, IZa t c> Cell Phone: _( S Land Line: _(5(13 ) �f�9 (�aS Email: tt2� sPfLQ4�v e ;3�,rea+ PO�ssa:v•�.� • Manager: Contact Name(s): A rrn-kn N`I k$c)QD >E , Mailing Address, C/S/Z: gW 0SK A\f-F-. . LJ -OA AM, AQ 42110 Cell Phone:_( 61& ) 9 4L4 - 4Sa7 Land Line: _( ) Sri 4('15 Email: -T3" 44wiS-ER 61 • Property Owner(s): Business Name:Avi p I cep MALL Mow Ca LPL Contact Name(s): 6ARFg-r-r `i3LAIR Mailing Address, C/S/Z: 579 4v'A-roalJ kt-rrb PTV EL'8G&1 Cell Phone:_(60 ) ��� - ©iS� Land Line: PA Email: (;ARP TT LAIP9 2i PYIf-AAaDKQCoM Contact Person for Compliance in regards to this project: A07o-ta'4'/ Cell Phone: 5( l5 ) qq- yS®l Land Line: S(da ) 45`1 -gVi5- Email: r.T, 4ouSEV-C. 'B?,Li9rCa MPAssRy DAD Certificate of Occupancy Only Revised February 2022 FIRE MARSHAL'S OFFICE Tozvn of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to .Live " PLAN REVIEW RV One Superstore 578 Aviation Rd space 40 CO-0462-2023 7/27/2023 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) CO Detection 5) Verify Knox Box key. 6) Verify aisles & storage. 7) Maintain 18" Clearance from ceiling for sprinkler system rL �h:fi0iLd2 D uty Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fi r e M a r s h a 1 's Off i c e - P h a n e: 518-761-8206 - F a x: 518-745-4437 -flremai,shal@queensbunl.net - zvzvzv.queensbury.net -� NORTH ,mm 1 °® Location AMM& REG ° I E w v�Fs GFl i!F FxF�F e m " a Lo Jj uE B 0 0 3 J) w 0 0 — "'�j 0 0 F o Q PY b Txev.nnw Cox.wie9 �c�wrtox eeu�Be case rn.. °Kw ° ° P,v macoa QUEENSBURY.NY LE/SE PLAN --� } wrz: osmim NM L1