2013-031 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130031 Date Issued: Thursday, January 31, 2013
This is to certify that work requested to be done as shown by Permit Number P20130031
has been completed.
Location: 1444 STATE ROUTE 9
Tax Map Number: 523400-288-012-0001-022-000-0000
Owner: ADIRONDACK FACTORY OUTLET CENTER, INC
Applicant: ADIRONDACK FACTORY OUTLET CENTER, INC.
This structure may be occupied as a:
Certificate of Occupancy (COM) By Order of Town Board
Warren County Tourism TOWN OF QUEENSBURY
(-3
Issuance of this Certificate of Occupancy DOES NOT relieve the property 4
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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.
0./k TOWN OF QUEENSBURY
.04 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130031 Application Number: A20130031
Tax Map No: 523400-288-012-0001-022-000-0000
Permission is hereby granted to: ADIRONDACK FACTORY OUTLET CENTER. INC.
For property located at: 1444 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: ADIRONDACK FACTORY OUTLET Certificate of Occupancy(COM)
1444 STATE ROUTE 9 Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-031 WARREN COUNTY TOURISM space
CO ONLY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 31,2014
(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 ensbury• Th d. ,January 31, 2013
SIGNED BY4 for the Town of Queensbury.
Director of Building&C e En • cement
Community Development Office
• -Town of Queensbury • 742 Bay Road • Queensbury, New York •92804
David Hatin, Director of Building& Codes
Craig Brown, Zoning Administrator• Michael J. Palmer, Fire Marshal ' r 0:r
J
ESTABLISHMENT OF A NEW BUSINESS a
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP # of1.
2 ,I a� BLDG. PERMIT FILE# / 3- O3 I
If applicable
Name of Business: rn-i (A_ 0d 1 (e/ gen_E
Address /�yy r
of Business: c &f., lei 9 / / G t;y /�ef,56- QUESTIONS? CALL 761-8256 OR
EMAIL codesQqueensbury.net
- J VISIT OUR WEBSITE FOR MORE
'
Person in Charge or Manager: 1�(�[Lc /6-41.-A7 LQ.G(.t G+_l�/o, INFORMATION
www.queensbury.net
Business Phone Number: ,7(064 / S// •3 Z/-Pco 73
Type of Business: l'+✓lp l f?2otL/ 1-15‘Cjillitd611‘-
Owner of Property: A Phone Number(s):
tj Home Cell
Owners Address:
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: /2 OA.3
Of person submitting this form
Notes / Comments:
Aj _ Kl/n o v- i 6-14,Iv/,d¢ -
>a-pa. u n6w - �' .te i-r `cam ail Grp._,., •�
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT FAX: 743-2502
PLEASE PRINT
DATE: /d/3
BUSINESS NAME: ail_r vu1 Gk (2w j k meta
BUSINESS ADDRESS: I '/'H JI & kI 9, L6- `I>/
BUSINESS PHONE: SSI/- c)-/(o
CONTACT 1: . lUl� r] ) Im , HOME PHONE SO f- ? y9
A DRES . / , k i fL1 / . /VS ..._ A ... II o . )
J
CONTACT 2: Jana'
HOME PHONE -7C, •7&,r,,-
ADDRESS: /,3 ) � ,Lf,(.r(.c�L /�� Cr n,y id-N57
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
U
Town of Queensbury Fire Marshal o Periodic Inspection Date: \- f 3 ill; Time: 1111
742 Bay Road, Queensbury NY 12804 o Re:Inspection �j
518 761 8206/518 761 8205 0;CO Inspection Permit#: ��`0 .
Fire/Marshals Representative
MJ Palmer Business Name: U/reid L.F�7,f , .----------/ .7,
. Location: / .:fes
GK Stillman Contact: J�"1.t. t•r►li /.2-4%/7-4
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014
S. FC1029 NOTES
Exit Enclosure FC 1020& FC1029 .l
Exit Discharge FC 1024& FC1029 ....---"-
Locks
/Locks and latches FC1008& FC1029.2 _---
Sign:
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 f
Inspection of extinguisher FC 906
EVAC Plan FC 404.6 ..-/--
TRUSS
TRUSS ID SIGNAGE FC 505.3 ..-/--
EMERGENCY
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
/No Smoking Signs FC 310.3 / z--)
Storage FC 315.2 i
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 .------ /
Interior Finishes FC 803 - 804 - 4J
Smoke Detectors FC 907 .----
CO
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 ,—.0**1 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
lnsp OK NC DATE: ( ( ( 1' . �OOOK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual /// x DATE: _ OK NC
HVAC Shutdown
Sprinkler System Annual ///l_.
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
dP)3'23
JAN 3 0 2013
The Children's Place
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■small office space
New Open Area-
previously Mall Office,
Maintenance Areas,
and Public Bathrooms storage space
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