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2009-278 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090278 Date Issued: Friday, September 04, 2009 This is to certify that work requested to be done as shown by Permit Number P20090278 has been completed. Location: 1011 STATE ROUTE 9 Tax Map Number: 523400-296-013-0001-023-000-0000 Owner: FRANK PARILLO Applicant: BOUNCE AROUND, INC This structure may be occupied as a: Certificate of Occupancy(COM) 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. a TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090278-35961 Tax Map No: Permission is hereby granted to: For property located at: 1011 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 Type of Construction Owner Name: Frank Parillo z C/O Only Corn $0.00 Owner Address: 215 Ballard RD Total Value $0.00 Wilton,NY 12831 Contractor or Builder's Name/Address Electrical Inspection Agency Plans& Specifications PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, September 6, 2010 (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 of Queensbury; Friday, September 4, 2009 SIGNED BY: �aj4k�� for the Town of Queensbury. Director of Building&Code Enforcement --eF-as-a«--« CoitzmuQnity Development Office RrE wC [E 0 W I Town of ueensburlf - 742 Bay Road - Queensbu.ry, Nezv York -1280 D •David Halm,Director of Building&Codes JUN 19 2099 Craig Brown, Zoning Administrator•Michael J.Palmer,Fire iWarshal I TOWN OF QUEENS ESTABLISHMENT OF A NEW B G& CODES CERTIFICATE OF OCCUPANCY PERMIT APPLICATION TAX MAP # g9 l A--5— i ` D-3 BLDG. PERMIT FILE# 0 2— f applicable Name of Business:_�)bu r1 C-' 1`— r-0cf '-J T�C i Addressi_ A of Business: ` o� ®t-dTe �X (�S CCU( i 1`1�� QUESTIONS? CALL 761-8256 OR EMAIL codes(ftueensburv.net VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: INFORMATION p www.ciueensbury.net Business Phone Number: 0 Type of Business: Owner of Property: Y 'n', � :(� Phone Number(s): Home Cell Owners Address: S i Q (,�I Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. Signature: ' Date: Of person submitting this form Notes / Comments: *Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit n EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: l BUSINESS NAME:�Otl.c,\(f �V,3�t\a r- c. BUSINESS ADDRESS: A�--t � 9�- � �` /-1 BUSINESS PHONE: 0%D HOME CONTACT PHONE ADDRESS: � o t�CtYCP �Z � CONTACT 2: ffl k� HOME k4tR PHONE ADDRESS: "�'� Ne t et' Jr. Z 0 2- 0 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 P h a n e: 518-761-8206 F a x. 518-745-4437 tremarshal@queensbu-n .3� zet wwzv.queensburj.net FIRE MARSHAL'S OFFICE ._► _ 1 Town of Queensbury fOri* 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Bounce Around 2009 - 278 6/26/2009 I have reviewed the current submitted drawings for the above project, and offer the following comments. 1) Indicate on drawing locations of exit and emergency lighting 2) Re label submitted drawing to show correct planned usage of each space, for proper determination of applicable codes. 3) Fire extinguisher locations to be determined. Fire Marshal Michael J Palmer 742 Bay Road Queensbury NY 12804 518 761 8206 firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshnl@queensbunj.net • www.queensbury.net Inspection for Permit to Occupy Fire MarshaPs Office Request Rec'd Permit No. �cl—a--? Town of Queensbury 742 Bay Road Qla'oq rime:Queensbury,NY 12804 Scheduled Inspection Date: Phone: (518)761-8206 Business Name: u r,C L:- r%*�,'Y Fax: (518) 745-4437 Location. ��_ TVP9 of InspecHon N/A US No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width .—Secondary Aisle Width EXIT SIGNAGE Sign—normal Sign-batter EVAC signs in rooms TRUSS ID SIGNAGE C n EMERGENCY LIGHTING FIRE EXTINGUISHER: V Hun (DE Inspection of extinguisher I FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System FDC Fire Suppression—kitchen Fire Suppression—Gas Islan Generator Fire MaVr7 Brie Hood Installation OK to ISS �' Elevator Interior Finishes Stora a Com ressed GasClearance to S rinklersClearance to Electrical Electric Wiring Enclosed/Labeled larshad Combustible Waste Ql1EeS'iSbury Vehicle Impact Protection Knox Box F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sign Emergency Evacuation Plan proved (If no other approvals apply,the B&C Office will s the Cert rate f Occupancy) ❑ Denied / call for Recheck Inspected By: L:\FireMarshai\New Folder\permitto occupyform.doc Inspection for Permit to Occupy Fire Marshal's Office Request Rec'd Permit No. C) r — 9,1b Town of Queensbury Bay Road Qu ( �/y ,CJ�Pm Queensbury,NY 12804 Scheduled Inspection Date: L1 ` Time: Phone: (518)761-8206 Business Name: e Fax: (518) 745-4437 Location: D . Typo of byVoctkm N/A US No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: r----? _Main Aisle Width � 1� T��c�,,,l./ i��r W) Seconds Aisle Width EXIT SIGNAGE Sign-normal Sign-batter EVAC signs in rooms f l TRUSS ID SIGNAGE C r EMERGENCY LIGHTING I� fnwcW FIRE EXTINGUISHER: Hun Inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown (A 7 Fire Sprinkler System FDC Fire Suppression-Vitchen Fire Suppression-Gas Islan S-tic Generator Hood Installation Elevator Interior Finishes Storage Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wring Enclosed/Labeled Combustible Waste Vehicle Impact Protection Knox Box F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occu anc Sign Emergency Evacuation Plan ❑ Approved (If no other approvals apply,the B&C Office will issue the Cer ifi to of Occupancy) ,a(--Denied I call for Recheck Inspected By: L:\FireMarshal\New Folder\permitto occupyform.doc