2012-583 TOWN OF QUEENSBURY
i
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120583 Date Issued: Tuesday, December 18, 2012
This is to certify that work requested to be done as shown by Permit Number P20120583
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: DRAPER DEVELOPMENT LLC / SUBWAY
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 (.7.4)j
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 1'3;iv Road,t)ut•cmscum,,M'12804-5902 (518)761-8201
Community Development- Building rbc Codes (518) 761.-82'56
BUILDING PERMIT
Permit Number: P201.20583 Application Number: A2012458
Tax M,al, No: 523400-302-005-0001-092-011-0000
lacrtaa.ission is laarehy gran red to : DRAPER DEVELOPMENT LLC/ SUBWAY
For properq located at: 578 AVIATION Ind HI 41
in the Town of Quc cnsbuty,to construct or lalace
at the above location in accordance with application together with plot plans and tather infornnatictn hereto filed
surd approved and in com pliaatace ww,ith the I ''S llnifraa:'n� liatltlin Codes and the()uccn laaarw Zoning
Ordinance.ace. Type of Construction Value
Owner<\ddress: AVIATION MALL NEWC O LLC
Certificate
� CLINTONSCertificatetrf"Clccampaaacy(CONI)
Sq
SYRACUSE, NY 13202-0000 Total Value
Contractor or Builder's Name / .Wdress L?]cctrical Inspection.11,cncy
Plans& Specifications
2012-583 SUBWAY 1�estnrant
CO Only - Drapet—developnient
$50.00 PERMIT IEEE PAID -THIS P'ERMI'T' EXPIRES:
(If a longer period is required,anapplication for an extetasitan mnGyt be in.arle to the code Enforcement Officer
of the`ro n of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday, December 1.8, 2012.
«IGNE ID BY ftrr the 1"caw n Of C)taecn hm.arw'.
Director of Building& Code I;'nforcetnerot
RX Date/Time 11/29/2012 14:45 P.002
2012-11 -29 14:32 Draper Development 5188693989 >> 5187454437 P 2/3
Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, Now York •12804
il. f
David Hatin, Director of Building& Codes •
Craig Brown. Zoning Administrator• Michael J. Palmer. Fire Marshal r_.!I f I P
ESTABLISHMENT OFA NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
'Note: This application is for occupancy only, with no work requiring a building pormit.
TAX MAP# 3Do),5 - (- t• 0 BLDG. PERMIT FILE# /F — L3 U
It applicable
Name of Business: _rxsz,a._C� Qj�LoQm�^i� away
Address QUESTIONS? CALL 7618256 OR
ofBusiness;1-i Cf2.rt2 i,t,,L,z, 2. PL-Q43.-4y Ni 12-205 EMAIL codosPquoensbury.net
VISIT OUR WEBSITE FOR MORE
Person In Charge or Manager: L, L?Ck?1). INFORMATION
www.queensbury.net
Business Phone Number: 5 Ic6 5qe-2.92.2
Type of Business: \?Uwe`-j 1� �i-
Owner of Property:(a 1ALt_ Phone Number(s):51$ .1g3-as!$ G)cr, 1 LI
e W Cl7 .. i..."C• Homo Coll
Owners Address: ,. ,.. .. .44 _ _ t. _ 0
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: _ M _: Date: \12`y\ t2
Of person sub .itting his form
Notes ! Comments:
RX Date/Time 11/29/2012 14:45 P.003
2012-11 -29 14:32 Draper Development 5188693989 » 5187454437 P 3/3
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT FAX: 743-2502
PLEASE PRINT
DATE: \��
BUSINESS NAME: ,1E.1-s:=9rr‘i:g4 4--c
BUSINESS ADDRESS: ' 2. C41-5,- -/ , ivy 12206
BUSINESS PHONE: . Q) pct- 3 1 to _
CONTACT 1: HOME PHONE-515 52,•2.922-
ADDRESS:IA
522ADDRESS:IA 04.1.bcv-*y tvy
CONTACT 2: 2- HOME PHONE(11 Q -no-7747
ADDRESS: A Cc12-,T2 .7-4a ,‘,41 ,-.,x\./ cy 0.2-0 J�
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.
Inspection Form
00
Town of Queensbury Fire Marshal o Periodic Inspection Date: aplv
Time: O '
742 Bay Road,Queensbury NY 12804 (=:'Re-Inspection a
518 761 8206/518 761 8205 CO Inspection Permit#: 1 )
Fir 'Marshals Representative
MJ Palmer Business Name: v8
Location: .-7e> Autcf t.✓r1a'®
GK Stillman Contact:
Type of Inspection N/A Y7f No
EXITS: Exit Access FC 1014& FC1029NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024& FC1029 l
Locks and latches FC1008& FC1029,2
/:„e
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3& FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025& FC1029.11 V
Secondary Aisle Width FC 1025&FC1029.11 ,
Al
FIRE EXTINGUISHER: Hung FC 906A V
Inspection of extinguisher FC 906
NFIR
EVAC Plan FC 404.6 W.
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 /
Exterior FC 1006.3
Clearance to Electrical FC 605.3 V ` ,
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles in Equipment Rooms FC315.2.3 _A
F.D.Signage- FC 510 Wr
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003 AP7
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) 7/
Fuel Pump Warning Signs FC2205.6 /'
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 7 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 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 ....�.-.,.�..."����
p I ire;141Eirszl
`; l ln:,l:ec.i:.r'f..iol4,i e
Kitchen Suppression Semi AnnualJ
Fuel Island Suppression Semi Annual i OK 1��55�hr L3ltifl:r,:zi � ,l CCt11'BrIC)
A
Hood Cleaning 3-6 -Annual a
Knox Box:installed/checked FC506 12
i
Operating Permit, if required will be issued after
Completion of Inspection t.al
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