CO-0311-2018 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-0311-2018 Date Issued: Monday, June 18, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0311-2018
has been completed.
Tax Map Number: 296.13-1-18
Location: 959 State Rte 9
Owner: Mount Royal Plaza, LLC, Anthony Esposito
Applicant: July 4 Ever Fireworks Inc.
This structure may be occupied as a: Certificate of Occupancy Only
Tenant: July 4 Ever Fireworks, Space X By Order of Town Board
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-0311-2018
Tax Map No: 296.13-1-18
Permission is hereby granted to: July 4 Ever Fireworks Inc.
For property located at: 959 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
Tempe of Construction
Owner Name: Anthony Esposito Certificate of occupancy $0.00
Owner Address: 382 Rock Cut RD Total Value $0.00
Walden,NY 12586
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Tenant:July 4 Ever Fireworks, Space X
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, June 5,2019
(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 nsbury; Tu ay une 5, 2018
SIGNED BY: ,.D for the Town of Queensbury.
Director of Building&Code Enforcement
CERTIFICATE OF OCCUPANCY ONLY Office Use Only
APPLICATION Permit#:_CD
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Permit Fee:$ I�
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8206 or 518-761-8205 www.gueensbury.net
"This application is for occupancy only, with no work requiring a building permit"
CONTACT INFORMATION:
• Applicant:
Name(s): July 4 Ever Fireworks Inc
Mailing Address, C/S/Z: 382 Rock Cut Rd, Walden, NY 12586
Cell Phone: ( )917-468-9142 Land Line: �)
Email:camille@july4ever.net
• Business Owner(s):
Contact Name(s): Anthony Esposito
Mailing Address, C/S/Z: 382 Rock Cut Rd, Walden, NY 12586
Cell Phone: _( )917-468-9145 Land Line: _( )845-564-0184
Email:camille@july4ever.net
• Manager:
Contact Name(s): Camille Esposito
Mailing Address, C/S/Z: 382 Rock Cut Rd,Walden, NY 12586
Cell Phone: _( )347-466-0393 Land Line: _( )845-564-0184
Email:camille@july4ever.net
• Property Owner(s):
Business Name: Zim Development Co.
Contact Name(s): Andrew Laakso
Mailing Address, C/S/Z: 959 U.S. 9, Queensbury, NY 12804
Cell Phone: _( ) Land Line: _( )518-798-0026
Email:andrewlaakso@zimdevelopment.com
Contact Person for Building & Code Compliance:Andrew Laakso
Cell Phone: a r )518-798-0026
Email:andrewlaakso@zimdevelopment.co
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LMAY 31 2018 u
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Certificate of Occupancy Only Revised December 2017
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742 Bay Road,Queensbury,NY 12804 '--------
P:518-761-8206 or 518-761-8205 www.gueensbury.netILI [MAY 31 2018 11
BUSINESS INFORMATION: Utin, { RY
Name of business: July 4 Ever Fireworks Inc
Address (including suite, space, etc.): 959 U.S. 9, Queensbury, NY 12804
Space X
Type of business (i.e.: retail, car repair, etc.): Retail sales
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: Camille Esposito
1 i
Applicant signature:
Date: 5/30/2018
Certificate of Occupancy Only Revised December 2017
742 Bay Road,Queensbury,NY 12804 MAY 31 2018
P:518-761-8206 or 518-761-8205 www.gueensbury.net TO -NSBURY
BUILMNIG CODES
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: 5/30/2018
Business Name: July 4 Ever Fireworks Inc
Business Location (including suite, space, etc.): 959 U.S. 9, Queensbury, NY 12804
Space X
Business Phone#: 845-564-0184
1. Contact name: Camille Esposito
Main Phone:_( )347-566-3715 ; Secondary Phone:_( )845-564-0184
Coming from what town/village? Queensbury
2. Contact name: Anthony Esposito
Main Phone:_( )917-468-9145 ;Secondary Phone:_( )845-564-0184
Coming from what town/village? Queensbury
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 December 2017
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Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
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Case Number: CO-0311-2018 Case Module: Permit
Inspection Date: 06/15/2018 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: General(Fire Marshal)
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Job Address: 959 State Rte 9 Parcel Number: 296.13-1-18
Queensbury, NY 12804
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Contact Type Company Name Name
primary Owner Esposito,Anthony Esposito,Anthony
granted Permission [July 4 Ever Fireworks Inc.]
property Owner [Mount Royal Plaza,LLC]
4pplicant [July 4 Ever Fireworks Inc.]
Manager Esposito,Camille Esposito,Camille
Checklist Item Passed Comments
:ire Marshal Notes YES PROVIDE Type A Fire Extinguisher as required-ok
Provide copy of NYS PERMIT ok
6/11/18 Type A extinguisher provided
6/13/18 okx NYS license displayed
Exit Access YES
Exit Enclosure YES
Exit Discharge YES
_ocks and Latches YES
Sign:Normal YES Exit sign needs bulbs rear exit
6/11/18 no progress
6/13/18 ok
Sign:backup YES Exit sign failed backup test main door
6/13/18 ok
Main Aisle Width YES Return to verify
Secondary Aisle Width YES
Fire Extinguisher Hung YES Provide(1)51b ABC fire extinguisher at front door
6/11/18 Hang fire extinguishers X2
6/13/18 no progress,hang fire extinguishers
6/15/18 Corrected
Inspection of Extinguisher YES
Energency Lighting Interior YES Emergency light failed backup test side a { 0
to change exit sign main door to combo pak)
6/13/18 ok emergency light repaired
Clearance to Electrical YES
Electric Wiring Enclosed YES
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Checklist item Passed Comments
Combustibles in Equipment Rooms YES
FD Signage YES
No Smoking Signs YES Return to verify
Storage YES Return to verify
Interior Finishes YES
CO Detectors YES Verified
Clearance to Sprinkler/Ceiling YES
FIRE ALARM YES... 1/4/2018 by New York Fire&Sec
Sprinkler System YES 11/30/2017 by Northeast Fire
Knox Box:Installed/checked YES
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Stillman,Gary(Inspector)
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Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: CO-0311-2018 Case Module: Permit
Inspection Date: 06/08/2018 Inspection Status: Failed
Inspector: Gary Stillman Inspection Type: General(Fire Marshal)
Job Address: 959 State Rte 9 Parcel Number: 296.13-1-18
Queensbury,NY 12804
Contact Type Company Name Name
Property Owner Mount Royal Plaza,LLC
Primary Owner Esposito,Anthony
Applicant July 4 Ever Fireworks Inc.
Granted Permission July 4 Ever Fireworks Inc.
Manager Esposito,Camille
Checklist Item Passed Comments
Fire Marshal Notes NO PROVIDE Type A Fire Extinguisher as required •" v ICJ /71
Provide copy of NYS PERMIT
Exit Access YES
Exit Enclosure YES
Exit Discharge YES
Locks and Latches YES
Sign:Normal NO Exit sign needs bulbs rear exit 6 p At)
Sign:backup NO Exit sign failed backup test main door
Main Aisle Width NO Return to verify
Secondary Aisle Width YES
Fire Extinguisher Hung NO Provide(1)51b ABC fire extinguisher at front door 6, , Plak
Energency Lighting Interior NO Emergency light failed backup test side wall(NOTE:ok to change exit
sign main door to combo pak)
Clearance to Electrical YES
Electric Wiring Enclosed YES
Combustibles in Equipment Rooms YES
FD Signage YES
No Smoking Signs NO Return to verify
Storage NO Return to verify
Interior Finishes YES
CO Detectors YES Verified
Clearance to Sprinkler/Ceiling YES
FIRE ALARM YES 1/4/2018 by New York Fire&Sec
Sprinkler System YES 11/30/2017 by Northeast Fire
Knox Box:Installed/checked YES
Stillman,Gary(Inspector)
Jun 08,2018 Page(5)
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Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8258 Building(518)761-8206 Fire Marshal
Case Number: CO-0311-2018 Case Module: Permit
Inspection Date: 06/13/2018 inspection Status: Partial Pass
inspector: Gary Stillman Inspection Type: General(Fire Marshal)
Job Address: 959 State Rte 9 Parcel Number: 296.13-1-18
Queensbury,NY 12804
Contact Type Company Name Name
Property Owner Mount Royal Plaza,LLC
Granted Permission July 4 Ever Fireworks Inc.
Manager Esposito,Camille
Primary Owner Esposito,Anthony
Applicant July 4 Ever Fireworks Inc.
Checklist Rem Passed Comments
Fire Marshal Notes YES PROVIDE Type A Fire Extinguisher as required-ok
Provide copy of NYS PERMIT ok
6/11/18 Type A extinguisher provided
6/13/18 ok
Exit Access YES
Exit Enclosure YES
Exit Discharge YES
Locks and Latches YES
Sign:Normal YES Exit sign needs bulbs rear exit
6/11/18 no progress
6/13/18 ok
Sign:backup YES Exit sign failed backup test main door
6/13/18 ok
Main Aisle Width NO Return to verify
Secondary Aisle Width YES
Fire Extinguisher Hung NO Provide(1)51b ABC fire extinguisher at front door
6/11/18 Hang fire extinguishers X2
6/13/18 no progress,hang fire extinguishers
Inspection of Extinguisher YES
Energency Lighting Interior YES Emergency light failed backup test side wall(NOTE:ok
to change exit sign main door to combo pak)
6/13/18 ok
Clearance to Electrical YES
Electric Wiring Enclosed YES
Combustibles in Equipment Rooms YES
Jun 13,2018 Page(2)
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Checklist Item Passed Comments
FD Signage YES
No Smoking Signs NO Return to verify
Storage NO Return to verify
Interior Finishes YES
CO Detectors YES Verified
Clearance to Sprinkler/Ceiling YES
FIRE ALARM YES 1/4/2018 by New York Fire&Sec
Sprinkler System YES 11/30/2017 by Northeast Fire
Knox Box:Installed/checked YES
Stillman,Gary(Inspector)
Jun 13,2018 Page(3)