CO-000441-2016 TOWN OF QUEENSBURY
4k 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (5 18)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000441-2016 Date Issued: Tuesday, July 12, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000441-2016
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: AVIATION MALL NEWCO LLC
Applicant: Maurice's
This structure may be occupied as a: C/O only,Maurice's
Space 33A,temporary location during remodel By Order of Town Board
TOWN OF QUEENSBURY/�
Issuance of this Certificate of Occupancy DOES NOT relieve the t/SB
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
dGk i 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CO-000441-2016
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Maurice's
For property located at: 578 AVIATION RD
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
Tyne of Construction
Owner Name: AVIATION MALL NEWCO LLC Certificate of occupancy 50.00
Owner Address: 4 Clinton Square Total'Value 50.00
Syracuse,NY 13202
Contractor or Builder's Name/Address Electrical Inspection Agency
Kile Miller
Plans&Specifications
CIO only,Maurice's
Space 33A,temporary location during remodel
$ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, J u ly 11, ?017
(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 the Town o ueens ry; Iona , 2016
SIGNED BY: /¢ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.:
Permit Feer
'Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business _M o.,U r;c_C"S _ } ,f
Address 557j ✓,al,;m •6 e..3-3 A , Qye�n5LurV tv I
Type of Business
Manager ,
OR
Person in charge
Business Phone No. I
Property Owner >J i mx-'c r C C>
Address 5-) g
Phone 't rd -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. y 1
Print Name: -K `,,-- KAe—c
Signature: KLL, JUL J 8 20116
Date: Z(O
Notes!Comments:
v� b u Mk0_jv.
IMPORTANT: 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 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.
CONTACT NUMBERS:
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
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's Department
1. This form is used to assist Emergency Service personnel who may be called to your business after hours. Please
be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police
and/or Fire personnel in gaining entry to your building.
2. Please be advised that failure to respond to assist emergency service personnel may result in damage to your
building to facilitate entry by police and/or fire personnel.
PLEASE PRINT
DATE: LU JUL 0$ 2016
BUSINESS NAME: O�UrI �
BUSINESS ADDRESS: ,$ nxllcftk54-7)&-i� & " tiq k
BUSINESS PHONE:
CONTACT 1: Cie 2rnjW HOME PHONE
ADDRESS: &I$I AIJ1 d ?O\ViV_Nn CA l C)
CONTACT 2: jes5je HOME PHONE LS1S 'SgSZO
ADDRESS: i N. F C�S, La"az \j,�cyc(efsuf-Q [ 0 �
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
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