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2014-103 FOSTOWN OF QUEENSBURY OS742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY •Permit Number: P20140103 Date Issued: Tuesday, May 13, 2014 This is to certify that work requested to be done as shown by Permit Number P20140103 has been completed. Location: 959 STATE ROUTE 9 Tax Map Number: 523400-296-013-0001-018-000-0000 Owner: RAYMOND HIPPELE Applicant: ADVENTURE RESORTS OF AMERICA 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 n owner of the responsibility for compliance with Site Plan, Variance, or �/ /d 4 other issues and conditions as a result of approvals by the Planning Board Director of Building& ode En orcement or Zoning Board of Appeals. TOWN OF QUEENSBURY FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20140103 Application Number. A20140103 Tax Map No: 523400-296-013-0001-018-000-0000 Permission is hereby granted to: ADVENTURE RESORTS OF AMERICA For property located at: 959 STATE ROUTE 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 Value Owner Address: RAYMOND HIPPELE 50 ACORN Dr Certificate of Occupancy(COM) DIAMOND POINT,NY 12824-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-103 ADVENTURE RESORTS OF AMERICA C/O Only- Store J tourism/phone center $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, April 14,2015 (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 To of Que sbu /J M 4 i d.j . 1 14,2014 !6J 4 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: 0)-94,1 3-/- l S' CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: 4- 0 Permit Fee: — AWA *Note: This application is for occupancy only,with no work requiring a building permit. Name of Business -AIvzv-b,i? Raz°/S_ct Address 959S-71-46- 7W6 Type of Business it I!) Manager �7�-�'�^- GUS',' - '�tia�e - �r" '{�� _ -- 'i%� • A 41 II S d. (� .' 1 9. 2014 OR Person in charge .z A mmbn .3k-1-ma s 1 _ OF OUEENSBURY Business Phone No. J (s ) /0_% - ,9R _ ( 'BUILDING & CODES Property Owner G 0 tie LL_______�� Address I q ju LsA L L7A1Y Phone �5l8.) - 7 qk- 60024.0 'Provide an accurate layout of your store showing all walls,exits,stockrooms, rest rooms, counters, and fixture layout on a separate sheet of paper. Print Name: .-w S z- .+-Q Signature: Date: `(-4- (LI Notes/Comments: 1, IIl ( �{ ( ,^) Sp C I1.5 ker SYS4cc' 1 \Ql OLILZ. ft J� �V1/41Q OL.7FlCr 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 Sheriffs 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 APR 4 9 2014 DATE: _ ?f 4 /PI°f T BUILDINGOF U& CODES RY BUSINESS NAME: jakial &k d . JliVzn -trc/M &SOLA �Yrt�F�x IC BUSINESS ADDRESS: 931 RT q eu,k j ;, ait by /')) lak)'J BUSINESS PHONE: (g ) 63/0 - cya 4a • CONTACT 1: RjA`irron HOME PHONE ((7f R-s ADDRESS: ft'sVtio Q114 %jtOuJ' '4 Fe C[/ -oJU/Ala -U011114 CONTACT 2: ', /mint/J- "1"la 43 HOME PHONE 15M)> —S/GS ADDRESS: _ eta II ' 11L1 r i t .n 111 p- b&f o t Town of Queensbury Fire Marshal-New Business Permit 518-761-8206 Inspection Form030 Town of Queensbury Fire Marshal 0 Periodic Inspection Dater I l -IL( `Time: i 742 Bay Road,Queensbury NY 12804 O Re-Inspection (Li-- 03 518 761 8206/518 761 8205 o CO Inspection Permit It: Fire Marshals Representative _ MJ Palmer Business Name: enit- 25o'S Location: q6°1/ WTI 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:NormalFC 1011 &FC1029 Sign backup &FC1 FC 1011.5.3&FC7029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 n Secondary Aisle Width FC 1025&FC1029.11 _ _(�,I/.{-(y FIRE EXTINGUISHER: Hung FC 906 l�+rY/��/\VA`f Tit %' Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance tn ElectricalnloFCL 605.bele r_c3cElecVic 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 Emergency Disconnect FC 2203.2 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 [' Fire Marshal InepectIon Complete Kitchen Suppression Semi Annual 1 OK to Issue Certificateof Occupancy Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 MAY 12 21 • Operating Permit, if required will be issued after Completion of Inspection n ofre Marshal P Town of .bu Inspection Form ' 1� Town of Queensbury Fire Marshal O Periodic Inspection Date:y11S//9- Tim : IK' 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 Sal CO Inspection Permit#: Fire Marshals Representative I, �MJ Palmer Business Name: i3'PJt`JNrt8(---Qtso,•r 5- Location: Location: 9S `I. `! 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 1 I` S Igen) (04;A) Sign. Normal FC 1011 &FC1029 / Sign:backup FC 1011.5.3&FC1029.7.5 cc.n(57 S (xi ^'1 PL-'mrt..g AISLES: 6 t, Main Aisle Width FC 1024/1025&FC1029.11 /„ ".-r Secondary Aisle Width FC 1025&FC1029.11 / FIRE EXTINGUISHER: Hung FC 906 /1 Inspection of extinguisher FC 906 / a) ys„ I 1,1 E1...` " ',r EVAC Plan FC 404.2 77 4,u4 r Jt Cz'S pc,-444 t 0 s.... TRUSSID SIGNAGE FC 505.3 / 1 I C Y2, -x-14 Hr YLC EMERGENCY LIGHTING: b Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 f ' 3 S Electric Wiring Enclosed/Labeled FC 605.3.1 � / I (Ct. nsf u e l i k b Combustibles in Equipment Rooms FC315.2.3 Cah,D L 1.J aujm.. F.D.Signage- FC 510 ` pc ' (V � No Smoking Signs FC 310.3 pct.', V�9 , Storage FC 315.2 / Compressed Gas FC 3003 / .1:, Vehicle Impact Protection FC 312.1 l 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 Waming Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 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 Y B(3 t 14 , DATE: OK NC HVAC Shutdown [7 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 C c.liZ c t2 w u ��s \\ i"\Aup�72 ��Flcc u TOWN OF QUEENSBURY s t FIRE MARSHAU OFFICE REVIEWED BY DATE------ COMMEdTS 3 R Q P -0 MAA ' L �.. N G F D �' A o o� (Mount Royal Plaza 959 State Route 9 stairway to 2nd floor "Suites" is shown Tax Map No. 296.13-1-18 on layout between Store O and Store M Layout shows "Stores" 1st floor or ground level