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CO-000100-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 4WL Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CO-000100-2016 Date Issued: Friday, June 3, 2016 This is to certify that work requested to be done as shown by Permit Number CO-000100-2016 has been completed. Tax Map Number: 296.17-1-51 Location: 870 State Rte 9 Owner: Aperio Properties Applicant: Phantom Fireworks Queensbury This structure may be occupied as a:C/O only Phantom Fireworks Queensbury By Order of Town Board Time Frame: June 1 -July 5,2016 TOWN OF QUEEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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 Q►UEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000100-2016 Tax Map No: 296.17-1-51 Permission is hereby granted to: Phantom Fireworks Queensbury For property located at: 870 State Rte 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 Owner Name: Aperio Properties Certificate of occupancy $0.00 Owner Address: 7 South Shore DR Total Value $0.00 South Amboy,NJ Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications C/O only Phantom Fireworks Queensbury Time Frame: June 1-July 5,2016 $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (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 ex iration date.) Dated at the Town o ueensb / ue 1,Zfl 16 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 [D: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION PermitNo,: -vfr`Y_� -a?v1So Permit Fee; 'Z.,✓a�e 3 'Note: This application is for occupancy only,with no work requiring a building permit. Name of Business Address S'70 .'7-fgTE 0 u T E 9 Type of Business 6-T q l t— P/ Manager I TOWN tit=QUEENSBURY OR �,r BUILDING & COIDES Person in charge !/, ye-e. -r sz o-6 Z) / C Business Phone No. 3317 - 6 I o - S'99-1 Property Owner 4 oqt )z 10 pie o PEg-T/E.S Address 7 9.9u7'N S /Vbze J) 12 1 u'e, SoaT'4 t m8oy NJ• Phone 917— 216 - 256 !o ,/Provide an accurate layout of your store showing all walls,exits, stockrooms, rest rooms, counters, and fixture layout on a separate sheet of paper. Print Name: V rnl CEry T Si-g B O Signature: _ Date: z./2-5-12_491 6 Notes!Comments- 296.17-1 -51 CO-0100-2016 Phantom Fireworks June 1 - July 5, 2016 870 Stole Route 9 CIO only (in space of former Metro Mattress)+ 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 Please print clearly DATE: T / z, BUSINESS NAME: PX1,gsUT0m BUSINESS ADDRESS: 970 5 e- BUSINESS PHONE: 3 .36 — 6/ 0 — S' 1 PHONE 1: 3 30 CONTACT 1: G�11UC��' S`r� a PHONE 2: TOWN/VILLAGE RESPONDING FROM: a CrJ B W PHONE I: 330 ' 3 (o0 7112— CONTACT 2: J OSO N O A d w` PHONE 2: S) 9 - ZS ? r F5r9 TOWN/VILLAGE RESPONDING FROM: 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. 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. TOWN OF QLIEENSBURY FIRE MARSHAL'S OFFICE Phone: 518-761-8206 - Fax: 535-745-4437 'reniarshalG ueensburj .net • ulux7c1.queensburtf et Fire Marshal Michael J Falmer Deputy Fire Marshal Ganj K Stillman FIRE MARSHALS OFFICE Town of Queensbury 742 Bay Road, Queensbunj, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Phantom Fireworks Queensbury 870State Route 9 044000100-2016 2!312016 1 have reviewed the submitted drawings for the above project, and offer the following comments: 1) All egress door hardware shall comply with chapter 10 of the Fire Code of NYS. The use of a key operated or thumb turn device is not permitted. Plans appear compliant 2) Fire Marshal to verify operation of all Exit/Emergency lights, function test will be required. 3) Fire extinguisher locations to be discussed. 4) Provide key for Knox Box. S) FM office to verify CO detector requirements, per NYS part 1228 of title 19 NYCRR (section 1228.4) C4Duty' ars Gary K. Stillman 742 Bay Road Queensbury NY 12844 518 761 8205 garys@queensbury.net Fire Marshal 's Office . Phone: 528-761-8206 ■ Fax: 518-745-4437 fire)itarshalftueensbur.al .tet - 707071,.queensbutij.net ed71r 4Ifdb� SI, • asVir iiply , 4444y dv. dv' �,Piv�l 6, Pt A("(t) � ) t� ,�,r ,r Ivoyya (riiy�4 (i .; 3 w d o y 4 G�' Pof 4 9 i pPr B i iI ."''' 'P�^�� ; r ,,..' "i...m'` a � 1'G dlNvir'41"IK^0 'tl snx :s. :a°t"aiA ,.'��$" -t*m#a `."tea.'.. t nh�tlt''J✓v. "'^, _ :3, o-':r`if�iH1^n'�i�urlu'�4 ror7. _.,a.Fn'�in:€t,<mu'$4 ..i'§" :+ ,C 82V�lNm, ...,,.,.,, z��lA"�i �. Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-000100-2016 Case Module: Permit Inspection Date: 06/03/2016 Inspection Status: Passed Inspector: Mike Palmer Inspection Type: General(Fire Marshal) Job Address: 870 State Rte 9 Parcel Number: 296.17-1-51 Queensbury,NY 12804 Contact Type Company Name Name Primary Owner [Aperio Properties] Granted Permission [Phantom Fireworks Queensbury] Applicant [Phantom Fireworks Queensbury] Checklist Item Passed Comments Main Aisle Width YES Inspection of Extinguisher YES FIRE ALARM YES EVAC Plan YES Secondary Aisle Width YES No Smoking Signs YES Fire Extinguisher Hung YES Sprinkler FDC YES Exit Discharge YES Sign:Normal YES Clearance to Sprinkler/Ceiling FC 18°/24" YES Energency Lighting Interior YES Sign:backup YES Exit Enclosure YES Storage YES Knox Box:Installed/checked YES Clearance to Electrical YES Locks and Latches YES Exit Access YES Electric Wiring Enclosed YES Sprinkler System YES CO Detectors YES Combustibles in Equipment Rooms YES Lisa Palmer, Mike(Inspector) Jun 03,2016 Page(1) SO MW U)0 zo LLJ LLI D Z LL— 00 Z=! ti co %0 L---JO r— C) C14 JI CLi U 2 ID E 0 1 b -00 I 9474�,V4� E CZJ