2005-128 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050128 Application Number: A20050128
Tax I\1ap No: 523400-288-012-0001-017-000-0000
Permission is hereby granted to: SEASONS IN THE ADIRONDACK_ 1.1,C
For property located at: 1476 STATE ROUTE 9
in the Town of Queensbury,to constrict 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. Tyne of Construction Value
Owner Address: MALTA TOWNHOMES, LLC
384 BROADWAY Certificate of Occupancy(COM)
FLOOR 2 Total Value
ALBANY, NY 12207-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-128 Seasons in the Adirondack, LLC
Space 4, Mountain View Outlet Mall
Certificate of Occupancy : Retail Sales and Internet Sales
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, March 22, 2006
(if a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To,vLu off,Queen ury; Tuesday, March 22, 2005
SIGNED BY f' A', for the Town of Queensbury.
y
Co Enforcement Director of Building&
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�BP File#
1:lept of Commmity Development ��Z"�1�1C3aite CW
T42B�ay Roa��
Queensbury,NY 12804
(S18) 761-8256 :.
Por occupancy only,with no work requining btril&gpermit: no fee required for this permit
Name of Business: SEPIS602 IM fi l o N Ck., L.L
Address:
Person in Charge or Manager. M"Y 8 tit R Ak Y }
Business Phone Number:
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): ✓� , �
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1
Uwuer of Property: Mmc{ft.-ra i N 4.to a u.+,4$fi 1-LiG
Address- A,L Add w`
Phone Number. St8- YG2—2 V/I
-Please provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,
mounters and frdure Layout on a separate sheet ofPapm
y
Signature: m,.:I `!� Date: MRAG�4 91 2adr
ofpe+xo_wbinirni+ farm
-- Property Tax Map NJ W 1—�-
Notes/Comments:
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Town of ue' ensbun.`.
Fire Marshal's Office
�18-761
EMERGENCY CONTACT UPDATE
LTRS 20W
TO: WARREN COUNTY SHERIF7S DEPT. FAX: 743-2 n
i
PLEASE PRINT
DATE: KARCf4 9, i66
BUSINESS NAME: 5£ASO NS I u t-t�T r$b 160 r> eZ. 4c k
BUSINESS ADDRESS: c ,u r S B u�Y�► ry--`1
BUSINESS PHONE: Sty- Gh'Y- IV,/to
HObIE
CONTACT 1: 22&t/C> !=Z Y PHONE S/2-4 9L
I4 Fey too t(dw Sly- 2411- P3?1?
ADDRESS:
HOME
CONTACT 2:..
t 4 Fd 'y Ito w
ADDRESS:
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 BUELDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE
.Fire Marshal Steve Smith, Deputy Fire Marshal Make Palmer
Phone 76I-8205,PAX 745-4437
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437 O
Fire Marshal's Inspection Report
Request en) SCHEDULE
Received: Permit# a�DS� IAU INSPECTION ON:
Name: ,9a5 it 441 If0,0Jar �7 � AM PM ANYTIME
Location: MAWAMV I C0
APPROVED
N/A YES NO I COMMENTS
EXIT ACCESS
EXIT ENCLOSURE /�`
EXIT DISCHARGE Lam'
MAIN AISLE WIDTH J �
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL
EXIT SIGN-BATTERY - b041A �• ���'v"-I ? a l
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG ���� �`�"'4
FIRE EXTINGUISHER
INSPECTION x
FIRE EXTINGUISHER HYDRO x
�
FIRE ALARM SYSTEM
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM - +�
FIRE SUPPRESSION-KITCHEN 1� ,c�t ok d0 ,, N� hi-t
FIRE SUPPRESSION-GAS J
ISLAND c
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS / te.
CLEARANCE TO SPRINKLERS
CLEARANCE TO ELECTRICAL _ AL
ELECTRIC WIRING ENCLOSED ®"� F I�_ ft►v�4J u-
COMBUSTIBLE WASTE Ix—
PACT PROTECTION XQS 0� Q�
{ � �
FIRE LANE
1 ;`�j
�1►
F.D.SIGNAGE-UTILITY ROOMS _ 2 x
NO SMOKING SIGNS
MAXIMUM OCCUPANCY SIGN
EMERGENCY EVAC PLAN
/t AOT Ufo� uP -
OK THIS DATE O FOR CO NOT OK
INSOFICTED BY
COMDEINCHRISJIWORD/LETTERS2001IFtREMARS HALINS PECTIONREPORT 11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury
Fire Marshal's Office ASP g
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# �� INSPECTION ON: 5 3 —
Name: 9 f CLSvt--S I !U 11,E ,p ; r.-0 :� PM ANYTIME
Location: �-ta('ram-( s crce 5 oi- hn�rc a,�
APPROVED
N/A YES NO COMMENTS
EXIT ACCESS
EXIT ENCLOSURE pen
t�i ) �( �EXIT DISCHARGE 7 6 U
0
MAIN AISLE WIDTH
SECONDARY AISLE WIDTH
EXIT SIGN-NORMAL `
EXIT SIGN-BATTERY 1Ao ao a ec4e J ,� 1
EMERGENCY LIGHTING
FIRE EXTINGUISHER HUNG
FIRE EXTINGUISHER
INSPECTION k
FIRE EXTINGUISHER HYDRO
FIRE ALARM SYSTEM 21
FIRE ALARM -FAN SHUTDOWN
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION-KITCHEN
FIRE SUPPRESSION-GAS
ISLAND
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS /V
CLEARANCE TO ELECTRICAL '
ELECTRIC WIRING ENCLOSED
COMBUSTIBLE WASTE A)
VEHICLE IMPACT PROTECTIONS 15 (`(
FIRE LANE /
F.D.SIGNAGE-UTILITY ROOMS )A /V e 1A `, It 0brtcA
NO SMOKING SIGNS C.
MAXIMUM OCCUPANCY SIGN _
EMERGENCY EVAC PLAN _i w 0074k,
Z9
aff-,,��
OK T IS DAT FOR CO NOT OK
C
INSPE ED BY
COMDEVICHRiSJM/ORDILETTERS20011FIREMARSHALINS TIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
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