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2013-415 TOWN OF QUEENSBURY 742 Bay Road,Qucensbury,NY 12804-5902 (518)761-8201 r Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130415 Date Issued: Monday, September 23, 2013 This is to certify that work requested to be done as shown by Permit Number P20130415 has been completed. Location: 4 WESTERN Ave S Tax Map Number: 523400-309-011-0002-036-000-0000 Owner: HAYES & HAYES LLC Applicant: HAYES & HAYES LLC This structure may be ocLJ&1JsQ6ET CONSIGNMENT BOUTIQUE Certificate of Occupancy (COM) By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property 1 . / '41 owner of the responsibility for compliance with Site Plan, Variance, or t �� 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 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20130415 Application Number: A20130415 Tax Map No: 523400-309-011-0002-036-000-0000 Permission is hereby granted to: KIDS CLOSE CONSIGNMENT BOUTIOUE HAYES &HAYES LLC For property located at. 4 WESTERN Ave S 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: HAYES &HAYES LLC 297 SARATOGA Rd Certificate of Occupancy(COM) SOUTH GLENS FALLS NY 12803-0 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-415 KIDS CLOSET CONSIGNMENT BOUTIQUE CO ONLY $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 11,2014 (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 Quee bury /We i s•i. . •ptember 11,2013 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: 3D'111 .-- 3(47 CERTIFICATE OF OCCUPANCY PERMIT APPLICATION'' " PPrihht No.: /5 Permit Fee: *Note: This application is for occupancy only,with no work requiring a building permit. Name of Business CICS CtO Y ec i 6 A/Tfl€fY &o('ri ali Address 11 s(,t,TA'I tmiTEN AIF face tY_SPfu')y UR-0/ t 7 SUIT V 1 Type of Business coNs I(Yf i /12 YT S1 CkF- Manager J1 I97 ( 5/q) .cc8/F+2n.7S16.9 — STML'!7"Ckes OR Person in charge �+ Business Phone No. (570 V 36 6-6- 64/ (5ic ) ctt ; 9e etz 5 c Property Owner p tits 41 I E LL c Address Phone Cie —02)Ii ✓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: "Ph-Q0 i97 (Sj/p-Pi9,yc/a9 - dmwr ns Signature: `.Zttig alSk cc a Date: 1/30/x /3 Notes 1 Comments: DituA5 t?'`a�J613 SLC,4e 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 'BP ,2o13- 40 EMERGENCY CONTACT UPDATE AUG 30 2013 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 DATE: 9t'AC1202) BUSINESS NAME: X(05 CLCW f 001N-Sr-ffM*11T 7 OL 1 BUSINESS ADDRESS: Lt S• A-UEQue E1SA U 2-`-/ f H l2Z1'o2-/ BUSINESS PHONE: 518 6', G LI CONTACT 1: c.c.sl H `cegfi-JSk—S/ALS PHONE sit gI.2 550.2 ADDRESS: G3 /`/ Sr. Ct7I1-$ PiUS NY / ( 410-reLPHONECONTACT 2: TROW93 =STi1v/YC/'I - 6-7C 4Cq' 05 e4 ADDRESS: 6.3 /3/9Ai C(-6-/YS F/9- LS NY A28-0/ Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 Inspection Form Town of Queensbury Fire Marshal ql `11(5 Periodic Inspection Date: Time: ro`' 742 Bay Road,Queensbury NY 12804 'CORe-Inspection t/ 518 761 8206/518 761 8205 Inspection Permit#: 'tel Fir Marshals Representative MJ Palmer Business Name: .,-b Sj6 . Location: 4 LA.L.-5-kAA,' GK Stillman Contact: (2,e-Si C, 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 ,.\C.) 111�! fi L010 -r.�_ Secondary Aisle Width FC 1025&FC1029.11 \ \ Ol _ FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 _ P(‘ <"1‘-{ EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 �-, Exterior FC 1006.3 p) tu Clearance to Electrical FC 605.3 IC) Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 f--� No Smoking Signs FC 310.3 /�/J _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 I Fire MaKt al Inspecbun Complete Kitchen Suppression Semi Annual OK to Issue Certificate of Occupancy Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 SEP 11 2013 3 Operating Permit, if required will be issued after I Completion of Inspection I �__. Fire Mersh41 i,... Town of Queensbury __ Inspection Form T, Town of Queensbury Fire Marshal O Periodic Inspection Date41113 rr 1 Time:)3f� 742 Bay Road,Queensbury NY 12804 Re-Inspection c� 518 761 8206/518 761 8205 'a° /CO Inspection Permit#: t 1 Fir- Marshals Representative MJ Palmer Business Name: 160S Cl�� Location: Li S U S-tT+z N GK Stillman Contact: CD°S it) Type of Inspection N/A Yeses No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 �, Locks and latches FC1008& FC1029.2 it.a MQI dd Z, Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 oSU L$� AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 Tn FIRE EXTINGUISHER: Hung FC 906 !/ oL LmenCpc{�Jct liceW Inspection of extinguisher FC 906 {/� EVAC Plan FC 404.2 / \Ao A-4( 1 'Ly TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 _� 4% Exterior FC 1006.3 l l 0 5 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 � Combustibles in Equipment Rooms FC315.2.3 {�1 I� � F.D.Signage- FC 51077 II ^ No Smoking Signs FC 310.3 ✓ .! klY '�c+�!51_ 4 L'*"\ Storage FC 315.2 Compressed Gas FC 3003 / Vehicle Impact Protection FC 312.1 . y ( 1'\ w 5 1: Interior Finishes FC 803-804 Smoke Detectors FC 907 /'� CO dance rsto 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 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 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 ( ) )000 fed h •GGA P.13" I�J Al 0 2013 Iti v s .3y)Vl WY/4 fir. .I.L ti se J O ^ t \i l V T C (KOLL ± Dow5i AliC 3 0 2013 I" qr c) crr 12* c 3 s V � c) 11-it j -coy; . 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