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CO-000226-2017 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CO-000226-2017 Date Issued: Friday, June 2, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000226-2017 has been completed. Tax Map Number: 296.13-1-23 Location: 1011 State Rte 9 Owner: Frank Parillo Applicant: Phantom Fireworks Eastern Region,LLC This structure may be occupied as a: Certificate of Occupancy Only Tenant: Phantom Fireworks(main business location 1011 State Route 9) By Order of Town Board Two Locations for Special Sales Event: Related to this C/O(see Planning TOWN OF QUEENSBURY Office Files) 1. 663 State Route 149-Stranahan-event location 2. 308 Dix Avenue-K-Mart-event location Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, YYY Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 +� Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000226-2017 Tax Map No: 296.13-1-23 Permission is hereby granted to: Phantom Fireworks Eastern Region,LLC For property located at: 1011 State Rte 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 Tvce of Construction Owner Name: Frank Parillo Certificate of occupancy $0.00 Owner Address: 215 Ballard RD Total Value $0.00 Gansevoort,NY 12831 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications Certificate of Occupancy Only Tenant:Phantom Fireworks(main business location 1011 State Route 9) Two Locations for Special Sales Event:Related to this C/O(see Planning Office Files) 1. 663 State Route 149-Stranahan-event location 2. 308 Dix Avenue-K-Mart-event location $50.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,May 17,2018 (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 of ueensbu [ / J�Jedn y ,2017 SIGNED BY: /•VJ 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: ; CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: CO -(ZOZZGo -aWl7 Permit Fee: 50,00 "Note: This application is for occupancy only,with no work requiring a building permit. Name of Business 1-.14 A.1—,-cm /=i2EGUD KS L- ,*s E / ) 44---_ Address L'}�� �ELrt�OnlT �J//E C E 0 �/ Type of Business 7/9 7-,em �� $ 2017 Manager o 5`y 1 7�Z ! OR Person in charge V 1t1 L� � fr S t,a¢a!J ' TOWN OF Ot1E NSBURY g BUILDING &CODES Business Phone No. S/$ .257 -O LI-L8— Property Owner Fre, k F?a r- o Address �lrj pjQ(f0.! cL E✓DJr �a�3� Phone ,/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: l N ANT 8 v Signature: Date: S-S-/7 P-SSL-d00 S-ao/7 Notes I Comments: ^ aa nqD Maim t51 E64 loo*y,� h T�77 o n5 Ps5c-- 36119 41 aw— 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 Office Use Onlv Town of Queensbury Fire Marshal Received; ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Permit Fee: 'Note: This application is for occupancy only,with no work requiring a building permit. Name of Business f h&wra M rIr—E wo/2K5 Address Gds 5-747e RT - /*? Type of Business eet7&t- Sjq&i0 G F NV SRfE e1.00Yyg4KS- Manager OR Person in charge 6019joT .SsA$a Business Phone No. iT-1 aS77'FL8' Property Owner Srev�/ s N�yN Z n/ApS7�L°/Ff Address SO/b BAGDSO� 1.uF! `-/ rT FIA'ANC' Phone �-1$ ' 791 - 0 9'V& ✓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: s�o8o Signature: Date: y--/L ' go i7 Notes I Comments: 24 Xor, t - 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-761.8236 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal-New Business Permit 518-761-8206 Office Use Only Town of Queensbury Fire Marshal Received; ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Permit Fee: 'Note: This application is for occupancy only,with no work requiring a building permit. Name of Business P//.W16H1 F/jeewole res Address 30$ Q 1 X nve Type of Business &7'it11- it57*?x a NN S07PE P/CFW0�2,l;$ Manager OR Person in charge V/jV+d V)V T 6-&.921D Business Phone No. 461I1?'a57 aVA-1? Property Owner 9/ri J zX- Address _t3 0 Y A 11l Ar!& Phone ,/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: V gNT S&4-06 Signature: Date: S-/4-17 Notes/Comments: 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 Please print clearly DATE: ` J BUSINESS NAME: AIAU7-PA) /`/ '� OXA?S. BUSINESS ADDRESS: 20 BUSINESS PHONE: 7 `f PHONE 1: 0 CONTACT 1: [1frjc eA17T PHONE 2: TOWN/VILLAGE RESPONDING FROM: PHONE 1: S/9 - ;fit- 9 CONTACT 2: J- 45eykl D nO1, PHONE 2: TOWN/VILLAGE RESPONDING FROM: 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. TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P h.o n e: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbun/ net www.queensbury.net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman ;., - Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-000226-2017 Case Module: Permit Inspection Date: 06/02/2017 Inspection Status: Passed Inspector: Mike Palmer Inspection Type: General(Fire Marshal) Job Address: 1011 State Rte 9 Parcel Number: 296.13-1-23 Queensbury,NY 12804 Contact Type Company Name Name Primary Owner Parillo,Frank Applicant [Phantom Fireworks Eastern Region,LLC] Granted Permission [Phantom Fireworks Eastern Region,LLC] Tenant [Phantom Fireworks Eastern Region,LLC] Checklist Item Passed Comments Exit Access YES Exit Enclosure YES Exit Discharge YES Locks and Latches YES Sign:Normal YES Sign:backup YES Main Aisle Width YES Secondary Aisle Width YES Fire Extinguisher Hung YES Inspection of Extinguisher YES Energency Lighting Interior YES Clearance to Electrical YES Electric Wiring Enclosed YES No Smoking Signs YES Storage YES Interior Finishes YES CO Detectors YES Clearance to Sprinkler/Ceiling FC 18"/24" YES Lisa Palmer,Mike(Inspector) Jun 02,2017 Page(1)