2012-511 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120511 Date Issued: Thursday, November 01, 2012
This is to certify that work requested to be done as shown by Permit Number P20120511
has been completed.
Location: 578 AVIATION Rd HI #1
Tax Map Number: 523400-302-005-0001-092-011-0000
Owner: AVIATION MALL NEWCO LLC
Applicant: ADIRONDACK & MORE
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 ('r�~ 1
owner of the responsibility for compliance with Site Plan, Variance, or ,�. ti �'
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Entoaeme
or Zoning Board of Appeals.
0164 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120511 Application Number: A20120511
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: ADIRONDACK& MORE
For property located at: 578 AVIATION Rd HI #1
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: AVIATION MALL NEWCO LLC
4 CLINTON Sq Certificate of Occupancy(COM)
SYRACUSE,NY 13202-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-511
CO Only- ADIRONDACK&MORE
Tenant space 45
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 30,2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town I ' . -ensbury Tu•. a, October 30,2012
SIGNED BY . 4 for the Town of Queensbury.
Director of Building&Co.e Enforcement
Community Development Office
Town of Queensbury - 742 Bay Road • Queensbury, New York •12804 4 •,
David Hatin, Director of Building& Codes �
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal a ;. r ..
ESTABLISHMENT OFA NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP # O °at 6 - I `IR I BLDG. PERMIT FILE#
If applicable
nn
Name of Business: Ptdl(()r1CbC-k d- MDI MORE
Address C 5 A �Sp&c LS
of Business: r) g V t Gi �" )c'Syy l Y.1 Q uec.A.4- r QUESTIONS? CALL 761-8256 OR
EMAIL codesRqueensbury.net
rn VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: of T ► I 1 � INFORMATION
www.queensbury.net
Business Phone Number: 5 1 'T - 6 g
Type of Business: ----R G\ rt-
Owner of Property: ?\1 Y-MY\ 1 d Phone Number(s):$ -n9 3 c6X s
Home Cell
Owners Address: S7 /_.r, q it/1
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: Date: 7 (Ar:, %__
Of person submitting this form
Notes / Comments:
EMERGENCY CONTACT UPDATE oc,.
5 2012
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 1.0,? ��
BUSINESS NAME: MIQZU1�QCt NO/2- "
BUSINESS ADDRESS: cd- L'-)r) z4r^ SPA C-1 5
BUSINESS PHONE: 5I -3S 7 K
CONTACT 1: 6. 17-\ m HOME PHONE` 1 q I �I a
ADDRESS: .. U� r'.�Y Q ' Le
CONTACT 2: cak N-&c 1,Y\ HOME PHONES 1 k - ill 040
ADDRESS: SC15 t)-Th S.1r'voh (,LL ) 6
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.
',40.. x . FIRE MARSHAL'S OFFICE
Town of Queensbury
Qu.eenbury 742 Bay Road, Queensbunj, NY 12804
*250* "Home of Natural Beauty ... A Good Place to I loe "
PLAN REVIEW
Adirondack & More
2012 - 511
10/30/2012
The following comments are based on plan review:
1) Verify function of exit and EL fixtures
2) Verify lock/ latch compliance
3) FE locations and inspection
4) Verify aisles and storage
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 o CO Inspection Permit#:
Fire Marshals Representative
MJ Palmer Business Name:
Location:
_ GK Stillman Contact:
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
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510
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
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 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 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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F Folding table(2) S Silver rug
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L Pine small shelves(2) G Glass Shelves(4) 1.
H White hutch I I Black grid
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B Brown stained
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