CO-000753-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: CO-000753-2016 Date Issued: Wednesday, November 2, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000753-2016
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: AVIATION MALL NEWCO LLC,AVIATION MALL NEWCO LLC
Applicant: Jade Gift
This structure may be occupied as a: C/O only,Temporary Location for
Holidays By Order of Town Board
Aviation Mall,Space 33A TOWN OF QUEENSBURY
Tenant:Jade Gift
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �y1X
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-000753-2016
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Jade Gift
For property located at: 578 AVIATION RD
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: AVIATION MALL NEWCO LLC Certificate of occupancy $0.00
Owner Address: 4 Clinton Square Total Value $0.00
Syracuse,NY 13202
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O only,Temporary Location for Holidays
Aviation Mall,Space 33A
Tenant:Jade Gift
550.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 1,2017
(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 expir on date.)
Dated at the Town of Q eensbury V�jEesd mber I,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Onlv
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: _ =2,5-!" `9"),/!
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Cf) - Tg7D\ " 2C(k
Permit Fee: $ `JO, 1 Y�Qz1 cL 12-12-
This
LIThis application is for occupancy only,with no work requiring a building permit.
Name of Business Jaalk yt`—f—L I/VG-
Address A010110-n Mdtl 578 AlWetfivpn , &arj
y4UYX�
Type of Business
Manager Rex 6��VV 33A
OR 5 d
Person in charge
Business Phone No. Store (518) c161 - 2600 ad (-90)307—T52.7
Property Owner Av-,Atl" MAlI NxyJ—Cy 1'LG
Address 5,78 A afro?, ppnol . ia!,g,n� liuTV.YI2Fozf
Phone all VHia 4et�l # (SI(g ) �-69— ClglsP6tl4
✓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: 0. 6 f-t U G ( PQ-x 6-e h
Signature:
Date: l0 .31, iv l 6
Notes I Comments: I_`1 �+—L� ! l/ I
OCT 31 2016
'v01u o�e�n �� 17A11p YYh Qh l.UEE:NSOU
9UIlDING&,-
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-761-8216 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: �a - 3 ' zv/ 6
BUSINESS NAME:
JAS
AV'1CAfjVN-n L�
BUSINESS ADDRESS: S79
BUSINESS PHONE: t Sl� `7 1
PHONE 1: (s79) 3D7- y'S- 7
CONTACT 1: 7 X L en —PHONE 2:I/OR
TOWN/VILLAGE RESPONDING FROM: -R-QX 6,n-eyb
PHONE 1: 0�- 9s z7
CONTACT 2: �- �� � PHONE2: co
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
Phone: 518-761-8206 • F a z: 515-745-4437
firenrarshal@queensbunr.net • zozozu.queensburi .net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman
FIRE MARSHAL'S OFFICE
Toznn of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Jade Gifts
578 Aviation Road, Space 33A
CO-000753 -2016
Plan review based on submittals:
• Exit/ Emergency lighting function test required.
• Verify compliance of locks / latches
• Verify locations of fire extinguishers
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437
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