2015-011 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150011 Date Issued: Wednesday, May 06, 2015
This is to certify that work requested to be done as shown by Permit Number P20150011
has been completed.
Location: 1048 STATE ROUTE 9
Tax Map Number: 523400-296-009-0001-012-000-0000
Owner: GAM OF THE ADIRONDACKS, LLC
Applicant: ENABLE YOUR MOBILITY LLC
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance, or
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other issues and conditions as a result of approvals by the Planning Board
Director of Building&Code Enfo emen
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
`OA 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150011 Application Number: A20150011
Tax Map No: 523400-296-009-0001-012-000-0000
Permission is hereby granted to: ENABLE YOUR MOBILITY LLC
For property located at: 1048 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: GAM OF THE ADIRONDACKS, LL(
PO BOX 95 Certificate of Occupancy(COM)
KATTSKILL BAY,NY 12844-0000 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-011 ENABLE YOUR MOBILITY LLC
Cert. of Occupancy ONLY
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,May 06,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before th expiration .a .)/
Dated at the T n of e n ry,/„/ . !�nesday,May 06,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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c�� u; -o(e, E, (1 ' I
Town of Queensbury Fire Marshal "
ESTABLISHMENT OF A NEW BUSINESS 16 -oil T. I ,i ID: JAN 1 3 � V
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION P rmit ..: -v
•WN 4 •.
Permit --Rtlii nI &CODES
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business ; 11,-1_6>f (7, "- Pick./inZ.Z ) ,q -/-0
Address /O 6/2 5,/moi'/e iec/e //
Type of Business N C,i'i ��^^
Manager "6,47,--/- ?`mac'
OR
Person in charge
Business Phone No. -Z‘C`--.7'/i e
j,^�o �71L/' /4 r �,1 1 c) L
Property Owner i:1A Iv) cif Z ci•
Address acs dS�x f ,4-,,,it ir+lf e v ' / / t/
Phone S70 ' wie 7
,./Provide an accurate layout of your store showing all walls, exits,stockrooms, rest rooms, counters, and fixture layout on a
separate sheet of paper.
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Print Name: ✓��`
Signature: .i7 . ;, ..,z.,1
Date: // 1 7/ "
Notes/Comments: 'Dv , j
. n i i C l ._c ei ri o -ler'e4" !✓-r •
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q ' c7 d .e.et q of? ,.n( ,-9( �,�_!'Y�frC a r
Q Enable Your Mobility, LLC
Sales,Service,Rentals&Batteries
Scooters, Power Chairs, Wheel Chairs
Stair Lifts, Hip High Chairs&Lift Chairs
Hospital Beds,Patient Lifts any more
IMPORTANT: The business owner is responsible for keeping exits clear and I Bob S tfcik
extinguishers,fire sprinkler systems, and fire alarm systems require annual inspect Owner
documentation must be provided to the Fire Marshal's office. Fire extinguishing :
semi-annual inspections. Any violations noted during an inspection, require immedi Email: Enableym@albany.twcbc.com 1042 State Route 9
Phone&Fax 518-921-4023 Queensbury, NY 1280
CONTACT NUMBERS: www.enableym.com
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
//'2/ 2 . 7e:, ,. ,.,
Inspection Form
00
Town of Queensbury Fire Marshal O Periodic Inspection Date:l I 2 )!5 Time: I
742 Bay Road,Queensbury NY 12804 o Re-Inspection / /1
518 761 8206/518 761 8205 CO Inspection Permit
Fire Marshals Representative
X MJ Palmer Business Name: 4 7. Aridil •��i
Location: /? ."' '-k `9
GK Stillman Contact: geli ,15?-/
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign: Normal FC 1011 &FC1029 �/
Sign: backup FC 1011.5.3&FC1029.7.5 ,/ „ [ i�l fl ��
AISLES: V
Main Aisle Width FC 1024/1025&FC1029.11 ,/
Secondary Aisle Width FC 1025&FC1029.11 ./-
FIRE
FIRE EXTINGUISHER: Hung FC 906 f
Inspection of extinguisher FC 906 f
EVAC Plan FC 404.2 �� C ,2
TRUSS ID SIGNAGE FC 505.3 / Q : i�
EMERGENCY LIGHTING: JV)6I
,.
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3 / 1
1 Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 .......-----------------"T---
Combustibles in Equipment Rooms FC315.2.3 /
F.D.Signage- FC 510 f/
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 .�
Vehicle Impact Protection FC 312.1 /-
Interior Finishes FC 803-804 7
Smoke Detectors FC 907 /
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6 /
Fuel Station Emer Procedures FC2204.3.5 ./
Exterior Storage FC 315.3
Vacant Buildings FC 311 / REINSPECTION DUE APPROXIMATELY
Emergency Disconnect FC 2203.2 / 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
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