CC-000320-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000320-2016 Date Issued: Thursday, October 20, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000320-2016
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: Tru-Escape,AVIATION MALL NEWCO LLC
Applicant: Donn DeLane
This structure may be occupied as a:Commercial Alterations
Aviation Mall,Space A 102 By Order of Town Board
Tru-Escape,Mystery Rooms TOWN OF QUEENSSBUR/YJ
Issuance of this Certificate of Occupancy DOES NOT relieve the �J property owner of the responsibility for compliance with Site Plan, V
Variance,or other issues and conditions as a result of approvals by the
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 1.2804-5904 (518)761-8201
Community Development - �arildang & Cade (518) 761-8256
BUILDING PERMIT
Perrnit.Number: CC-000320-2016
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Tru-Escape
For property located at: 578 AV"IN110N RD
In tate 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
"Iype of Construction
Owner Name: AVIKHON MAIM.,NEWCO ILC Retail-Mercantile-Alteration $I1,000.00
Owner Address: 4 Clinton SgUare Total Value $11,000.00
Syracuse,NY 13202
Contractor or Builder's Name/Address Electrical Inspection.Agency
Plans&r:Specifications
Commercial Alterations
Aviation Mall, Space A 102
Trac-Escape, Mystery Rooms
S 75.00 PERMIT FE"1:PAID -THIS PERMIT EXPIRES: Saturday, May 27, 2017
(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 the expiration date.)
Dated at tlle"l"irwn of iveens ry; ti0, 2, 11016SIGNED BY: for the Town of Queensbury.
Director of Building& Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
Date: Tax Map ID
Tax Map ID :�) -2—r'5 2 . 1 Permit No. 252�c-
-
Permit Fee 41-5 lyvv-
Zone Rec Fee
Historic Site Yes No Site Ilan 4
Subdivision Name Lot# Subdivision#
a,
Project Location 41zi,
TOWN 131).RESOLUTION''86-20,13: $850 recreation fee for new dwelling units—single family, duptexes/two-family,
multiple,family,apartments, condominiums,townhouses,and/or manufactured &modular homes, but not mobile
homes. This is in addition,to the permit fee(s).
Applicant Owner
Address Address
Phone/E-mail Phone/E-mail
o n n E_1 'TKV -
Contact Person fore Building&Codes Compliance: 1)(2p q Phone
2_�o9 0
TYPF,OF CONSTRUCTION
,,'Check all that apply New Addition (Alteration I"floor sf 2"floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
9 4
IA5Mercanti
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other
If commercial or industrial please indicate of business
...........
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
Proposed use of building or addition
Source of Heat.(circle one) Gas Coil Propine Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well
e. Sewer or Private Septic System
'V'alue of all work to be performed (labor or materials) $ Y 1
DECLARATION.
1. 1 acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12: month period.
2. If work is not complete by the I. year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application,plans and supporting materials are a true and complete statement f description of
the work proposed,that all work will be performed in accordance with the NYS Building Codes,local building
laws and ordinances, and in conformance with local zoning regulations
4. I acknowledge that prier to occupying the facilities proposed, I or any agents will obtain a certificate of
occupancy.
5. I also understand that I I we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: DATE:
SIGNATURE: DATE:
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit.
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
FIRE MARSHAL/S OFFICE
roar Of Q-1rer'rlsbrrrop
742 B(7y ROMI, QP.tee;isbury, NY' 12804
PLAN REVIEW
TRU Escape
578 Aviation Road
CSC-000320-2016
5/26/2016
Plan review based on submittals:
• Please describe nature of the business (OCC" Class)
• Calculated occupant Load
• Provide sprinkler plans for review
• :provide fire alarm plans for review
• Verify compliance of Locks / latches
• Verity fire extinguisher locations
• Carbon Monoxide detection ??
• Verify function of exit and emergency lighting fixtures
Michael J Palmer
Fire Marshal
712 Bay Road
Queensbury NY 1.2801
firemarslial@queensbury.net
=i r e N1 a r S Jr a 1"s Off i C c' h o n c: 518-761-8206 F a x� 518-745-44,37
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