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CO-000519-2017 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-000519-2017 Date Issued: Thursday, August 31, 2017 This is to certify that work requested to be done as shown by Permit Number CO-0005 1 9-20 1 7 has been completed. Tax Map Number: 288.-1-53 Location: 1415 State Rte 9 Owner: Northway Outlets, LLC Applicant: Lisa Taikowski This structure may be occupied as a: C/O Spirit Halloween The Outlets at Lake George West By Order of Town Board Suite 100 and 115 combined TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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-000519-2017 Tax Map No: 288.4-53 Permission is hereby granted to: Lisa Taikowski For property located at: 1415 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 Tvceof Construction Owner Name: Northway Outlets,LLC Certificate of occupancy 50.00 Owner Address: 2700 Westchester AVE,Suite 407 Total Value 50.00 Purchase,NY 10577 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications C/O Spirit Halloween The Outlets at Lake George West Suite 100 and 115 combined $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 23,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the exp' ion date.) Dated at the Town ofeb /� ed August 23,2017 SIGNED BY: y for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY Office Use Only 4 1W APPLICATION Permit#: oG d<,antacYrt}#wn, Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 Invoice#: .2(9-7 P: 518-761-8206 or 518-761-8205 www.gueensbury.net 53 "This application is for occupancy-orily, with no work-requiring a building permit" � - CONTACT INFORMATION: �! L • Applicant: Name(s): Li 5q- k0uV5(1i Mailing Address, C/S/Z: 525 PuCV—F2 / p,�✓- Cell Phone: ( 4(?2) 52$ ©$l2 Land Line: Email: +4k 0Lo5� ya C. Loi^ • Business Owner(s): Contact Name(s): 6AP& A5 Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Manager: Contact Name(s): A -5 -'c Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Pro ert Owner (s): / Business Name: l` Gc Oli- ieTs Z,L6 Contact Name(s): RA 1-1 US Mailing Address, C/S/Z: 1-7 W jST('14�Sr"EX Avg A(6-7 VgAzffiE NV Jd.57 Cell Phone: _( ) Land Line: _( �► ) 25 3 5 04 Email: S 1 -',fJU '/Y1,4AJA Gain e.UT+.. CQM Certificate of occupancy Only Revised June 2017 �[ArrTFnfR1T�- 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbury.net BUSINESS INFORMATION: Name of business: ' + �'< %_1 U A l 6.1 AJ 66W Address (including suite, space, etc.): 1415 SAT-6 �-I � LAE'L 6,F646,9— AIV 160 - 115 Type of business (i.e.: retail, car repair, etc.): 5 EA50tQ4 A ((6L�e6Q a-E TA, L S 701 Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixtures on a separate sheet of paper. IMPORANT: 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 Town of Queensbury 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 and a re-inspection. Applicant name: L(,5 5-L r Applicant signature: ae r Date: Certificate of Occupancy Only Revised June 2017 4 WSW 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.gueensbury.net EMERGENCY CONTACT INFORMATION "THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN GAINING ENTRY TO YOUR BUILDING." PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL. Date: Business Name: kA Business Location (including suite, space, etc.): ) ( f}TE �-� �I , LA KE 6FOZ6 F SviT"6 IOC 1 ( 6 Business Phone#: 1. Contact name: t �� ► (�� � � Main Phone:_( ) 57ZS, ' ) 2; Secondary Phone:_( ) Coming from what town/village? kJA P����s 2. Contact name: � C S �,4, (� f..�J�< t Main Phone:_O `J '`( S14&onclary Phone:_( ) Coming from what town/village? o aA i a b1 t z.6 TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 518-761-8206 F: 518-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-0005 1 9-201 7 Case Module: Permit Inspection Date: 08/31/2017 Inspection Status: Passed Inspector: Gary Stillman Inspection Type: General(Fire Marshal) Job Address: 1415 State Rte 9 Parcel Number: 288.-1-53 Lake George,NY 12845 Contact Type Company Name Name Primary Owner [Northway Outlets,LLC] Granted Permission Taikowski,Lisa Tenant [Spirit Halloween] Checklist Item Passed Comments Fire Marshal Notes YES Spaces 100&115 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 Fire extinguisher requires inspection in space 115 8/31/17 corrected Truss ID Signage YES Energency Lighting Interior YES Clearance to Electrical YES Electric Wiring Enclosed YES Combustibles in Equipment Rooms YES FD Signage YES Storage YES Interior Finishes YES CO Detectors YES Ten year detector on front wall by cash wrap Clearance to Sprinkler/Ceiling FC 18"/24" YES FIRE ALARM YES Inspected 12/8/2016-Mahoney Alarms Sprinkler System YES Inspected 6/8/2017-Absolute Spinkler Knox Box: Installed/checked YES Provide key for Knox Box 8/30/17 corrected Stillman,Gary(Inspector) Aug 31,2017 t — — Page(1) INSPECTION WORKSHEET (005130-2017) Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-000519-2017 Case Module: Permit Inspection Date: 08/30/2017 Inspection Status: Failed Inspector: Gary Stillman Inspection Type: General(Fire Marshal) Job Address: 1415 State Rte 9 Parcel Number: 288.-1-53 Lake George,NY 12845 Contact Type Company Name Name Tenant [Spirit Halloween] Primary Owner [Northway Outlets,LLC] Granted Permission Taikowski,Lisa Checklist Item Passed Comments Sign:Normal YES Storage YES Combustibles in Equipment Rooms YES Energency Lighting Interior YES Electric Wiring Enclosed YES Locks and Latches YES Exit Enclosure YES Fire Extinguisher Hung YES Knox Box:Installed/checked YES Provide key for Knox Box 8/30/17 corrected Inspection of Extinguisher NO Fire extinguisher requires inspection in space 115 CO Detectors YES FIRE ALARM YES Inspected 12/8/2016-Mahoney Alarms Exit Discharge YES FD Signage YES Sign:backup YES Main Aisle Width YES Truss ID Signage YES Secondary Aisle Width YES Interior Finishes YES Exit Access YES Sprinkler System YES Inspected 6/8/2017-Absolute Spinkler Fire Marshal Notes YES Spaces 100&115 Clearance to Sprinkler/Ceiling FC 18"/24" YES Clearance to Electrical YES Stillman,Gary(Inspector) Aug 30,2017 _ _ Page(2) Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-000519-2017 Case Module: Permit Inspection Date: 08/28/2017 Inspection Status: Failed Inspector: Gary Stillman Inspection Type: General(Fire Marshal) Job Address: 1415 State Rte 9 Parcel Number: 288. 1 53 Lake George,NY 12845 Contact Type Company Name Name Tenant [Spirit Halloween] Primary Owner [Northway Outlets,LLC] Granted Permission Taikowski,Lisa Checklist Item Passed Comments Fire Marshal Notes YES Spaces 100&115 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 NO Fire extinguisher requires inspection in space 115 Truss ID Signage YES Energency Lighting Interior YES Clearance to Electrical YES Electric Wiring Enclosed YES Combustibles in Equipment Rooms YES FD Signage YES Storage YES Interior Finishes YES CO Detectors YES Clearance to Sprinkler/Ceiling FC 18"/24" YES FIRE ALARM YES Inspected 12/8/2016-Mahoney Alarms Sprinkler System YES Inspected 6/8/2017-Absolute Spinkler Knox Box:Installed/checked NO Provide key for Knox Box Stillman,Gary(Inspector) Page(1) Aug 28,2017 FIRE MARSHAL'S OFFICE Town ofQueensbury ry 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Spirit Halloween (2017) 1415 State Route 9, Ste 100 & 115 CO-000519-2017 8/24/2017 I have reviewed the submitted drawings for the above project, and offer the following comments: 1) Verify fire extinguisher locations 2) Fire Marshal to verify Exit/ Emergency Light operation 3) Locks / latches shall comply with 2015 IFC. 4) CO detection is required 5) Provide a key for the plaza Knox Box 6) Fire Alarm- 12/8/2016, sprinkler 6/8/2017 by plaza C4/(-3 Deputy Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net .• www.queensbury.net -::v A bo LT Tj Lisa Taikowski, Inc. CO 519-2017 Spirit Halloween IcId 1415 State Route 9 The Outlets at Lake George West Suite 100& 115 combined Certificate Of Occupancy ryl rte. x C C n i k �3