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2005-260 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: P20050260 Date Issued: Tuesday, May 03, 2005 This is to certify that work requested to be done as shown by Permit Number P20050260 has been completed. Tax Map Number: 523400-288-012-0001-022-000-0000 Location: 1444 STATE ROUTE 9 Owner: ADIRONDACK FACTORY OUTLET CENTER, INC. Applicant: SAMSONITE LUGGAGE OUTLET STORE This structure may be occupied as a: By Order of Town Board Certificate of Occupancy (COM) TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050260 Application Number: A20050260 Tax Map No: 523400-288-012-0001-022-000-0000 Permission is hereby granted to: SAMSnNITF 1,1JCTCTACTF 01 JTLRT STORE For property located at: 1444 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 Value Owner Address: ADIRONDACK FACTORY OUTLE 1444 STATE ROUTE 9 Certificate of Occupancy(COM) Total Value LAKE GEORGE, NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-260 SAMSONITE LUGGAGE OUTLET STORE CERTIFICATE OF OCCUPANCY $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 02, 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 Quee u May 02, 2005 for the Town of Queensbury. SIGNED BY Q ry Director of Building&Code Enforcement 1 BP File# NE'.�B'R�s111eSS Dept of Community Development �✓C'rtllCatB Of Town of Queensbwy OCCApan cam'Permit 742 Bay Road Queensbury," 12804 (518) 761-8256 For occupancy only, with no work requiring buildingpermit: no fee required for this permit. Name of Business: Address: 5' Person in Charge or Manager. �S-a GGA )f�t L` E C E I V E D Business Phone Number: MAY 0 2 2005 Type of Business: (i.e.,mgantile,restaurant,hobby shop,plumbing store): TOWN OF QUEENSBURY BUILDING AND CODE Owner of Property: Address:- qI A/A I ly �' �" W127f1 17-k/y Phone Number. Please provide an accurate layout of your store showing all walls,exds,stockrooms,rest rooms, counters and jhlure layout on a separate sheet of paper. r Signature: Date• of person=bmitting"form: Property Tax Map No. Notes/Comments: 04/28/2005 11:10 4012470988 SAMSONITE PAGE 01/01 Y,-c 7 q5' gas - cowi 0( Rpj ot- 7i F Ncwt YNLI wr WU.L-T Ml W 68 amrrAr sear .—I Dwr I I I cm cm 60 rlww'anRw Q.Tq i�d &JA L ct LlAe4 #74 &" = ) '-o 4ok will - Cx + y Town of Queensbury 66 Fire Marshal's Office EMERGENCY CONTACT UPDATE LTM 2000 TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502 PLEASE PRINT DATE: BUSINESS NAME: -rl-7 6Fe: ,S' �Q/P)= BUSINESS ADDRESS:_/�' 7r j DN,0GG jT, a-5— BUSINESS PHONE: / �4 S <) 9 ,,�S - HOME CONTACT : d�l��-1� GGI rt'L" PHONE ADDRESS: lG`yf 9W �d Z/-/ S T 6je A- -f� FGA 340 y 1'� COACT - - - PHONE N7VS —5 l S O 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 BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE Fire Marshal Steve Smith, Deputy Fire Marshal Make Palmer Phone 761-8205, FAX 745-4437 F f' fl Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 V Fire Marshal's Inspection Report Request Permit# SCHEDULE ®© ' O N ON. Name: QL1 AM PM ANYTIME Location: 1 APPROVED N/A YES NO COMMENTS EXIT ACCESS _ EXIT ENCLOSURE EXIT DISCHARGEMAIN AISLE ' WIDTH SECONDARY AISLE WIDTH EXIT SIGN-NORMAL A � O EXIT SIGN-BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER Y INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION _ INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE_ VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN_ EMERGENCY EVAC PLAN�� OK THIS DATE OK FOR CO NOT OK i f 1 SPECT BY COMDEVICHRISJNVORDILETTERS20011FIREMARSHALINSPEC NREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY n of Queensbury Marshal's Office j 742 Bay Road 1 ensbury, NY 12804 / [hon:e (51:8) 76]1-8205 Fax(518) 745-4437 C Fire Marshal's Inspection Report Request ]��(�j SCHEDULE _ Received: Pennit# -""u!' INSPECTION ON: Name: isQA 5 Sy�X C I 1 _ I C _AM PM ANYTIME Location: �N\ APPROVED N/A YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE n l MAIN AISLE WIDTH MOLIA SECONDARY AISLE WIDTH 1 r EXIT SIGN-NORMAL I ;� 4,11c-It EXIT SIGN-BATTERY 6 ll` A l jl( EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER WJ� . INSPECTION FIRE EXTINGUISHER HYDRO FIRE ALARM SYSTEM x _ FIRE ALARM -FAN SHUTDOWN 4116 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN l� h FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE-UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN OK THIS DATE OK FOR CO NOT OK INSPECTED BY COMDEV/CHRISJNVORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY