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CO-0708-2018 fir.: oiiiik, 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-0708-2018 Date Issued: Thursday, November 15, 2018 This is to certify that work requested to be done as shown by Permit Number CO-0708-2018 has been completed. Tax Map Number: 302.5-1-92.11 Location: 578 AVIATION RD Owner: AVIATION MALL NEWCO LLC Applicant: Rex Chen This structure may be occupied as a: Certificate of Occupancy Only Tenant: Jade Gift, Space 42 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-0708-2018 Tax Map No: 302.5-1-92.11 Permission is hereby granted to: Jade Gift Inc. 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 Type 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 Certificate of Occupancy Only Tenant:Jade Gift,Space 42 $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,November 14, 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 e expiration .ate.) Dated at the To ,of Qu e sb / 41 e�. . , 'ovember 14,2018 - SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Aos CERTIFICATE OF OCCUPANCY ONLY Office Use Only APPLICATION Permit#:C( �70 -)-c? I g Q� has n ,r<,.rcrn. n Permit Fee:$ I -- 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8206 or 518-761-8205 www.queensbury.net **This application is for occupancy only, with no work requiring a building permit** CONTACT INFORMATION: dbq Jao,Q �'tf� At .wt,�» (,d,� • Applicant: n Sk,4►'7g Av,'c�-hm of Name(s): Mx CA e 616bury, �.Y 1 Zed a� Mailing Address, C/S/Z: 34 A(�r .n ,fir, 6)-C 4LA►' , /V.Y )21D / Cell Phone: 30 15-2• Land Line: ( ) 76 / — /3 0 Email: r'tSUt Sc 4 rlo7ni►'/, ran • Business Owner(s): Contact Name(s): RR?: C-kr ► L Mailing Address, C/S/Z: Saone a4 0. . Cell Phone: ( ) Land Line: ( Email: • Manager: 11�� ii Contact Name(s): Pe?( Ci/1e Mailing Address, C/S/Z: Bryn.€ Axt bov-e• Cell Phone: _( ) Land Line: _( Email: Atti: Ronc ld C'- g�t� n d • Property Owner(s): YY // L C Business Name: AV►divi Mq I I 60 Contact Name(s): Mailing Ad 31 ss, C/S/Z: .5'78 /1l V`' If Pal, 6 t bNy, iv\�! )260 Cell Phone: ) 768 4t t Land Line: _( 516) 8 6 F- 3.5 - - Email: ronctldbt'rfrcnd �lg pyY ?d'd . God Contact Person for Building & Code Compliance: Cell Phone: { 4 l S ) 30'7 — iS Z1 Land Line: ( Sig ) `7-6 1' — { 13 0 Email: Yt5tA 5-0 6 h ma 'I , (Arras Certificate of Occupancy Only Revised December 2017 lrn,n Quet,nshurr• 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.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: C / ' g Business Name: Jam G)f /A/ Jad.Q faa 4 Business Location (including suite,space, etc.): �/ UO\fc Mai/ , Sri Atftuf��1O _ d)'6`f2-gA1-4'0 Y 11/�/ k Business Phone#: 7 I - /� 1. Contact name: X I Main Phone:_( 315) ) 3D l - els27;Secondary Phone:_( / ) / / 2_-o-s Coming from what town/village? Y� 2. Contact name: C -i 1 -- Main Phone:_( S U ) r r ` ) '3- "°7 ;Secondary Phone: J_( - ) I Z - ZJ 3 93 Coming from what town/village? ‘9ZAr 1ll 07 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 town of tin.' iv 742 Bay Road,Queensbury,NY 12804 P:518-761-8206 or 518-761-8205 www.queensbury.net BUSINESS INFORMATION: cjaL Name of business: 6)1 4, Av',AteP) Mal ) 5-78 Avi►Ati Po , Spate41.42 Address (including suite, space, etc.): 611Adefiril7lArj , /'1 /2 S v 1- Type of business i.e.: retail, car repair, etc.): re4-A I fDY fl ftwr.e 6-4 0-the 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. W-e x c Applicant name: Applicant signature: Date: • o t Certificate of Occupancy Only Revised December 2017 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 r' "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Jade Gifts 578 Aviation Road, #42 CO-0708-2018 11/9/2018 I have reviewed the submitted drawings for the above project, and offer the following comments: 1) Fire extinguisher locations to be verified. 2) Locks / latches shall comply with 2015 IFC. 3) Verify operation of existing Exit signs and emergency lights in the space. 4) Verify aisles and storage. 5) Verify key in Knox Box for gate. D u y ire 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 INSPECTION WORKSHEET (008057-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CO-0708-2018Permit Case Number:Case Module: Thu Nov 15, 2018Passed Inspection Date:Inspection Status: Gary StillmanGeneral (Fire Marshal) Inspector:Inspection Type: 578 AVIATION RD302.5-1-92.11 Job Address:Parcel Number: Queensbury, NY 12804 Contact TypeCompany NameName Granted PermissionJade Gift Inc. TenantJade Gift Inc. Primary OwnerAVIATION MALL NEWCO LLC ApplicantChen, Rex Checklist ItemPassedComments Fire Marshal NotesYESRex Chen Exit AccessYES Exit EnclosureYES Exit DischargeYES Locks and LatchesYES Sign: NormalYES Sign: backupYES Nov 15, 2018Page (1) INSPECTION WORKSHEET (008057-2018) Checklist ItemPassedComments Main Aisle WidthYES Secondary Aisle WidthYES Fire Extinguisher HungYES Inspection of ExtinguisherYES Energency Lighting InteriorYES Clearance to ElectricalYES Electric Wiring EnclosedYES Combustibles in Equipment RoomsYES FD SignageYES StorageYES Interior FinishesYES Clearance to Sprinkler/CeilingYES Sprinkler SystemYESSRI 5/2018 Knox Box: Installed/checkedYESVerified Stillman, Gary (Inspector) Nov 15, 2018Page (2)