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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130245 Application Number: A20130245
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: CUSTOM TS
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. Tie of Construction Value
Owner Address: AVIATION MALL NEWCO LLC Certificate of Occupancy(COM)
4 CLINTON Sq Total Value
SYRACUSE,NY 13202-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-245 Custom Ts
CO ONLY - Space#40
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 07,2014
(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 Towne 07,2013
WSIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
'
Office Use ON
Marshai Received:
Town of Queensbury Fire ESTABLISHMENT OF ANEW BUSINESS
Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.:
Permit Fee:
°%21KThis application isfor occupancy only,with nowork mquiriin abuilding permit.
'
Name ofBusiness ,
Address
/
Type of Business
Manager
OR
Person incharge
Business Phone No.
PnopwMxC}wnor
Address
Phone
VProvide an accurate layout of your store showing all walls,exits,stockrooms, rest rooms,counters,andfixdure!ayoutonn
separate sheet ofpaper.
Signature:
Date:
Notes I comments:
The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire
--------fire ophnk|e[Sy�8m8`and fire 8\amnsvo�0srequire annual)DnpeoUon3byaOOVh;ideooD�a� the extinguishers,—documentation mustbe provided 1Vthe Fire Marshal's office. Fire extinguishing nysbgnl8 found in kitchens and gas stations require
semi-annual inspections.
CONTACT NUMBERS:
Director,Building and Codes'7G1'8253 Zoning Administrator'781-8218 Zoning-761-8238
Fire Marshal-701-8206 Planning-761-8220
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's 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
DATE: L(
BUSINESS NAME: ncl,
BUSINESS ADDRESS:
BUSINESS PHONE:
CONTACT 1: k�Ck 1. HOME PHONE
ADDRESS:
�j
CA
C L
CONTACT 2: HOME
ADDRESS: _4ii�I
Town of Queensbury Fire Marshal-New Business Permit 518-761-8206
RETAIL OPPORTUNITY
INLINE SPACE AVAILABLE
SPACE: 40 SQUARE FOOTAGE: 1,466
SPACE DETAILS:Former Motherhood Maternity,large entrance with display windows,sales floor with fix-
tures, fitting rooms,backroom, bathroom.
NEARBY TENANTS:Target,Footlocker, Zales,Hallmark, Bath&Body Work.
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W'Ir\ } N 578 Aviation Road,Queensbury,NY 12804
f _ Located in the vibrant Glens Falls region,near the popular resort area of Lake George.
Less than a quarter mile from both I-87 and Route 9.
www.shopaviationmall.com
466
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`t Community Development Office G zi- 2013 If
Town of Queensbury• 742 Bay Road- Queensbury, New York -92804
Date
David Hatin, Director of Building& Codes
Craig Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal 0Stamp
-------------__________�
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancyonly, with no work requiring a building permit.
TAX MAP# -3 6 a--5 BLDG. PERMIT FILE#� — tJ
/� app ica e
Name of Business: l .. LLS` -t7
Address � �'��
of Business: R QUESTIONS? CALL 761-8256 OR
+ EMAIL codes ftueensburv.net
Person in Charge or Manager: -- y �..��C y SIT OU N ORMATION R WEBSITE R MORE
www.aueensbury.net
Business Phone Number:_ '�1'' c�— 3�'/
Type of Business:
o
Owner of Property:: � t 10 r\ 9 Phone Number(s):
Home Cep
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: C
Of person submitting this form
Notes/Comments:
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 3
BUSINESS NAME: u.S mks
BUSINESS ADDRESS: S pa o lJ -Sto `1,r --� •� (ha
BUSINESS PHONE: Z to / d
CONTACT 1: wHOME PHONE 95'1--$"�,3 69 1
C.ai
ADDRESS: c7 to U� ��.� , �(0 C>� S'" fvC7�/
CONTACT 2: HOME PHONE (aol`-9 3 9-0&0
ADDRESS:
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
Town of Queensbury Fire Marshal o Periodic Inspection Date:� Time:
742 Bay Road,Queensbury NY 12804c Inspection
518 761 8206/518 761 8205 12804c::' -Inspection
Inspection Permit
Fire Marshals Representative
_ MJ Palmer Business Name:
Location:
,/rGK 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 404.2
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 404.6 111 &112)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3
Vacant Buildings FC 311 REINSPECTIONDUE APPROXIMATELY
nDS
SYSTEMS: FC 901.6 Insp OK NC DATE: C
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
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: � ime: _
742 Bay Road,Queensbury NY 12804 �Re-Inspection
518 761 8206/ 761a82Q5� a CO Inspection Permit#: ! ✓ 7
Fire Marshals Representative M s
MJ Palmer Business Name `
/GK Stillman Contact: *�� , ,r1'S/
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
Si n: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 404.2
TRUSS ID SIGNAGE FC 505.3 j ✓�
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 ��17�
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 dd
Combustibles in E ui ment Rooms FC315.2.3 `° f l `��!/ fH&W
F.D.Si na e- FC 510 t
No Smoking Signs FC 310.3 -ted
Storage FC 315.2 1 er
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 404.6 111 &112
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTIONDUE 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 r O DATE: OK NC
HVAC Shutdown ,/
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning }3-6-Annual I: � 2�?l «
Knox Box:installed/checked FC506 ff
Operating Permit, if required will be issued after
Completion of Inspection
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