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CO-000343-2017 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-000343-2017 Date Issued: Monday, June 19, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000343-2017 has been completed. Tax Map Number: 296.13-1-18 Location: 959 State Route 9 Owner: Mount Royal Plaza, LLC,July 4 ever Fireworks Applicant: July 4 Ever Fireworks Inc. This structure may be occupied as a: C/O Only Tenant:July 4 Ever Fireworks By Order of Town Board Mount Royal Plaza: Space Q downstairs TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the r-Da; 4 / t 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. '"Malkwasm- AGA TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 r Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CO-000343-2017 Tax Map No: 296.13-1-18 Permission is hereby granted to: July 4 Ever Fireworks Inc. For property located at: 959 State Route 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 Tvpe of Construction Owner Name: Camille Esposito Certificate of occupancy $0.00 Owner Address: Total Value $0.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications C/O Only Tenant:July 4 Ever Fireworks Mount Royal Plaza: Space Q downstairs $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 19,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the exp.ation datekJ --- Dated at the Town of eensb /ton92017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY Office Use Only Permit#: APPLICATION Permit Fee:$ �(� ✓/ �y 742 Bay Road,Queensbury, NY 12804 Invoice#: / r73 �Or /3 P: 518-761-8206 or 518-761-8205 www.gueensbury.net 2W-m&P "This application is for occupancy only, with no work requiring a building permit" CONTACT INFORMATION: • Applicant: J_ Name(s): u[t- J" Mailing Address, C/S/Z: S �} 2k- Cell Phone: ( 3�t7 ) Lf &47 - O 343 Land Line: ) Email: �CCih�/%r° _ i�/y ev--ed-. 17-et • B s): ��"" Contact Name(s): he 0 2M 4 41,661 Mailing Address, C/S/Z: ; Soy.. Fe-4s A/4/J-9-39 Cell Phone: _('518 ) 6 - 69 6 3 Land Line: _( ) Email: e 1 7_ pos ma ' I-(oler • Manager�(CaP. Contact Names) S/10 &i, 5 6,4,ilei- Mailing Address, /S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Property Owner(s): Business Name: Contact Name(s): _ Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: 296.13-1-18 CO 343-2017 July 4 Ever Fireworks Camille Esposito,Owner of July 4 Ever Fireworks Mount Royal Plaza- Space Q Certificate of Occupancy ONLY- Brick and Mortar Store for Tent Sale at Sweet Basil parking lot Certificate of Occupancy Only Revised June 2017 296.13-1-18 CO 343-2017 July 4 Ever Fireworks —"C=Ij Camille Esposito,Owner of July 4 Ever Fireworks IM 01 Mount Royal Plaza-Space Q Certificate of Occupancy ONLY- Brick and Mortar Store for Tent Sale at Sweet Basil parking lot 742 Bay Road,Queensbury, NY 12804 P:518-761-8206 or 518-761-8205 www.gueensburV.net BUSINESS INFORMATION: Name of business: IVL Address (including suite, space, etc.): al�;q Type of business (i.e.: retail, car repair, etc.): Pu�� 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: a Applicant signature: Date: _ g- 2,017 Certificate of Occupancy Only Revised June 2017 296.13-1-18 CO 343-2017 July 4 Ever Fireworks Camille Esposito,Owner of July 4 Ever Fireworks Mount Royal Plaza-Space Q Certificate of Occupancy ONLY- Brick and Mortar Store for Tent Sale at Sweet Basil parking lot 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: /01 �4 q Business Location (including suite, space, etc.): ' T� I Z 61 Q,8011 Business Phone#: 1. Contact name: fiVd G 1/1 S C41 Main Phone:_( 'JI 8 '507 - 3 /20 ; Secondary Phone:_( ) Coming from what town/village? Ktdsoy? FG /15 2. Contact name: ( I ((� (5s]7pSt Main Phone:_( ) 0c{ ' 0 3qZ; Secondary Phodne:_( 5 )_5(p Coming from what town/village? y�G�Tt?/V) S r el 1101 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 } Ir W , r Y , v ,.B.,.r...., .: ,.,I,., " .. -._` - - a F'nwi Tv•C��.�s-. Wws,.;,` Town of Queensbury-Building and Codes-Fire Marshal 742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal Case Number: CO-000343-2017 Case Module: Permit Inspection Date: 06/19/2017 Inspection Status: Passed Inspector: Mike Palmer Inspection Type: General(Fire Marshal) Job Address: 959 State Route 9 Parcel Number: 296.13-1-18 Queensbury,NY 12804 Contact Type Company Name Name Applicant [July 4 Ever Fireworks Inc.] Manager Lopez,Christopher Primary Owner [Mount Royal Plaza,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 EVAC Plan YES Energency Lighting Interior YES Clearance to Electrical YES Electric Wiring Enclosed YES Combustibles in Equipment Rooms YES No Smoking Signs YES Storage YES Interior Finishes YES CO Detectors YES Clearance to Sprinkler/Ceiling FC 18"/24" YES FIRE ALARM YES HVAC Shutdown YES Sprinkler System YES Sprinkler FDC YES Camille Palmer,Mike(Inspector) Jun 19,2017 Page(1)