2024-0064 CERTIFICATE OF OCCUPANCY ONLY Office Use Only
Permit#: 2b2eSt
APPLICATION
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Town of Que nsbun Permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#: OD•bl'
P:518-761-8206 or 518-761-8205 www.queensbury.net
**This application is for occupancy only, with no work requiring a building permit**
BUSINESS INFORMATION:
Name of business: Top Dbc 1 4-t N 11-sc
Business Address (including suite, space, etc.): i t X. NA .
Detailed explanation of business (attach a separate piece of paper, if necessary):
T cx t...1 S , \ Sco rSe) �A-t —1—C7 A 1►.I u,SC.\
***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: 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. A y,vi itation's=noted'f c-2-
- � �a Vi
during an inspection require immediate corrective action and a re-inspection.
[ILI FEB 0 5 2024
Applicant name: A-IZl-I lk4ts- NVDIZA t 5 TOwi,i[n,�!g ��-i7, y
pp
Applicant signature: C- Date: L f1 2aZ
Property Owner name: -O I
Property Owner signature: f� Date: 2/ 3/2Y
Certificate of Occupancy Only Revised September 2022
'41.•i
Town of CLrecnsbun•
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): iS-►Z M r-#lT3o 11'1 D72-4-1L
Mailing Address, C/S/Z: 5 Kii1M S-E• G l�1S T--AAA— i N1 / 1' a I
Cell Phone: (crib ) 9 4`-- • 0 G-77 Land Line: ( )
Email: M?M A-►41,7 Co/ 6Ci c. c sk'-.Db • cit,+--i
• Business Owner(s):
Contact Name(s): - s-A cant
Mailing Address, C/S/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: lava �k ,
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:_( ) _ Land Line: _( )
• Email:
Contact Person for Compliance in regards to this project: Aisz M A-i41). l-t a �=5
Cell Phone: ( S-1 ) G14 4 •ro (o'j $ Land Line: ( )
Email: A-144-kid- h = A2 M.1k--1 G Co e L . L01.'1
Certificate of Occupancy Only Revised September 2022
•
PLS
Town of QLrcrnsbury
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.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: 2-4 2_o2A
Business Name: �� L -J? A-1^I (�I�
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Business Location(including suite,space,etc.): k5�
Business Phone#: J i - b
1. Business contact name: A IZIA kr.c I5 ko I ��
Main Phone:_(_, ( Q ) '\ 44 - t (,7 S;Secondary Phone:_(
Contact is coming from what town/village? 5
2. Business contact name:
Main Phone:_( _ ) ;Secondary Phone:_(
Contact is coming from what town/village?
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
IOW FIRE MARSHAL'S OFFICE
wok Town of Queensbury
F.7
742 Bay Road, Queensbury, NY 12804
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"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
The Hyper Pup Dog Training
299 Dix Avenue
2024-0064
Certificate of Occupancy Only
02/20/2024
I have reviewed the submitted documents for the above project, and offer the
following comments:
1. Verify fire extinguisher location and current inspection tag
2. Verify paths of egress
3. Verify storage
4. Verify clearances to electrical service panel .
5. Verify locations of and perform function test of all exit and/or emergency
lighting
6. Verify installation of CO detection
7. erify 1.y, ks and latches
!:75•;;;ZI „. /141644"4:ge
Deputy Fire Marshal
John Schadwill
742 Bay Road
Queensbury NY 12804
518 761 8206
schadwillj@queensbury.net
Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
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303.15-1-7 2024-0064
The Hyper Pup Dog Training
I 299 Dix Ave
Certificate of Occupancy Only