2024-0067 -i
4
CERTIFICATE OF OCCUPANCY ONLY Office Use Only DC -
1 1 Permit#: 02 Ga ki-
4 AP,PLI'CATION 11 i°° ;`s
Town afctrecns6un� Permit Fee:$ '1 00
FEB 0 6 202`) Invoice#: ZCTZit'�— 061113
742 Bay Road,Queensbury,NY 12804 tij
P:518-761-8206 or 518-761-8205 www.queensbury.net— --a-1
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**This application is for occupancy only, with no work requiring a building permit**
BUSINESS INFORMATION: f (--r1561
Name of business:HI n\ *1 1-e VI GtA rr12k\cwn c\-- O►'� tie-
Business Address (including suite, space, etc.): AU t A-&CAd ` , '7,0
\gee-Th\-Do A \ 0 -\/- 1 Ze 6Cce53
Detailed explanation of business (attach a separate piece of paper, if necessary):
***Please provide an accurate layout of your space 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: g,eUf1C u no-So (...0c) --(—
Applicant signature: Date:
Property Owner name: Aviation Mall NewCo LLC
Property Owner signature: .� Date: 2/2/24
Certificate of Occupancy Only Revised September 2022
1.4 )
Town of QJi'cnsbury
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensburv.net
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): F—e no I t-( HOBO TCZZ
Mailing Address, C/S/Z: �( 7 3 < 1--/t4 S-1-
Cell Phone:. ( Land Line: (
Email: rim go?-.2-\ f e9) �.0t r-asr61G1k t. cool
• Business Owner(*..
Contact Name(s): e`{/1 e ') / �r1013() ,-N'-Z
Mailing Address, C/S/Z: [ 7 3• {-4 S t - i o y ( L ` %O .
Cell Phone:_( W 9.1 ) l5C(S ( 75 Land Line: _(
Email: m o a72.1-1 I gee3 � qa� c���d tl, Corn
• Manager:
v
Contact Name(s): ��Y1 �. `e-�n(T°S0
Mailing Address, C/S/Z:
Cell Phone:_( ) Land Line: _(
Email:
• Property Owner(s):
Business Name: Aviation Mall NewCo LLC
Contact Name(s): James Griffith-General Manager
Mailing Address, C/S/Z: 578 Aviation Road, Queensbury, NY 12804
Cell Phone:_(315 )269-5370 Land Line: (518 )793-8818
Email:JamesGriffith@pyramidmg.com
this project: I� V � ,& 0 �� Z
Contact Person for Compliance in regards tohi l -(-�{ i"1Q
Cell Phone: ( 4 -4 ) 5 G( 5\ Land Line: ( )
Email: 0116 �� 19 5E 1 G� C�-�8Y1c ((% Cu,JU`1
Certificate of Occupancy Only Revised September 2022
‘11611
limn of Qjccnsbuzy
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensburv.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:
Ltd( (4-1- e 0 G Acci 1_1 (
Business Name: f�I�� I ` � l ' + �e X i�� 1
1)1 V G SO e k \f 1 - V-taD s
Business Location(including suite,space,etc.): q) 7` T') H u I a (o i I
veen93 la) ‘cyC y ( Zeoz - ( PACe )
Business Phone#: /Q OS O q
1. Business contact name: �ey n 0 9-� Y10�6 .nee
Main Phone:_( 11(A ) 2 t 99 c) k 5 ;Secondary Phone:_(T"J � ) 7 cia / 3-7
Contact is coming from what town/village? 1 (t y
2. Business contact name: 1)f 0 CRk I C 10-.)--(03
Main Phone:_( ) ;Secondary Phone:_(
Contact is coming from what town/village?
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 TYSON CONVERSE
Certificate of Occupancy Only Revised September 2022
0111K FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Mini-Mart Rey& Mexican Food
578 Aviation Rd
2024-0067
2/12/24
I have reviewed the submitted drawings for the above project; and offer the
following comments:
1) Verify Fire extinguisher locations & inspection including "K" type.
2) Verify Ansul suppression heads line up with all cooking appliances or if
modifications have to be done, verify appliances are lined up.
3) Will need full inspection of Ansul system/verify shunt trip shut offs
Gas/Electric
4) System must trip fire alarm system and Horn strobe for store only
5) Locks /latches shall comply with 2020 NYSFC.
6) Verify operation of existing exit/ emergency lights.
7) Verify paths of egress
8) CO Detection required
9) Verify Knox Box key.
10) Verify Storage
Deputy Fire Marshal
Tyson Converse
742 Bay Road
Queensbury NY 12804
518 761 8205
tysonc@queensbury.net
Fire Marshal's Off ice ■ Phone: 518-761-8206 ■ Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
302.5-1-92.11 2024-0067
Mini-Market Rey & Mexican Food
578 Aviation Rd
Certificate of Occupancy
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MAP SINK
wash rinse zanitize
DISHWASH STATION DOOR
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FREEZER
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TABLE PREP
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EXTINGUISHER
COO.ER/FREE ER
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handwash
sink
DEEP FRYER
SHELVES
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SHELVES
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COOLER REEZER
COOLER FOR SODAS
CASHIER
302.5-1-92.11 2024-0067
Mini-Market Rey & Mexican Food
YO K Department 578 Aviation Rd
STATE of Health
Certificate of Occupancy
KATHY HOCHUL JAMES V. McDONALD, M.D., M.P.H. JOHANNE E. MORNE, M.S.
Governor Commissioner Acting Executive Deputy Commissioner
February 1, 2024
Reyner Reynoso-Lopez L
88 3rd St.
Troy, NY 12180 FEB 0 5 2024
Re: Sabroso Birria Tacos TCl'�i�l G!� #_IEEE l�BI�P'Y
Facility Code: 56-AK26(Proposed)
Queensbury(T), Warren County BUILDING CODES
Dear-Reyner-Reynoso=Lopez: - -- -- - - -- — — --
-
This office is in receipt of an Application for a Permit to Operate (DOH-3915), Food Service
Establishment Basic Information Sheet, kitchen floor plan, and numerous ancillary documents
regarding the conversion of Sabroso Birria Tacos (formerly Cheesewich Grilled Cheese
Concoction) to be located at 578 Aviation Rd, Suites 53, Queensbury (T), received December 7,
2023. In reviewing your submission; we find your proposal to be in substantial compliance with
the New York State Sanitary Code (NYSSC), with the following conditions, and pending the
satisfactory completion of a pre-operational inspection by a representative of this office:
• In accordance with the application, you indicated the establishment will be stand-
up/take-out service only.
• All food that requires washing, straining, or will be thawed under running drained water
must be done in a separate designated food preparation sink or in one of the bays of the
3-compartment sink conditional that the sink bay is thoroughly cleaned and sanitized in
between use. Mounting of chemical and soap dispensers above sink bays where food
prep will occur is prohibited.
• All ice wells, ice machines, and food preparation sink bays must be equipped with an
indirect drain to waste, preferably an air gap.
• There is a grease interceptor shown on the kitchen floor plan. Your local sewer provider
may have additional requirements related to grease interceptors and must be contacted.
• Use of-a reduced oxygenpackaging machine-(vacuum-sealer) at the-facility-to-package --food product and Sous Vide cooking is prohibited without approval from the Glens Falls
District Office.
• If you plan to use any fish that arrives from an approved source frozen and in reduced
oxygen packaging, please read the instructions on the individual fish packages as some
manufactures require the fish to be removed from the packaging prior to thawing.
• As a reminder, minimum 4" baseboard coving is recommended to be installed at all floor
and wall junctures in food storage and food preparation areas to facilitate easy cleaning.
The coving must be smooth, easily cleanable, and non-porous.
• Please note that mechanical ventilation or an openable window to the outside must be
installed in all restrooms. Restroom doors must self-close and latch.
• Please note that no person is to work in a food service establishment in a capacity which
can result in contamination of food or food contact surfaces with disease-causing
organisms; while infected with or carrier of disease-causing organisms capable of
transmission by food; or, while afflicted with a boil or infected wound. As such, this office
Empire State Plaza,Corning Tower,Albany,NY 122371 health.ny.gov
suggests that you establish and adhere to a protocol that addresses the treatment of
infected wounds, the screening and exclusion of staff from food handling based on
illness or symptoms, and the reporting of all allegations of patron illness (that which may
be food borne) to this office with 24 hours. It is strongly recommended that your protocol
require the exclusion of ill food workers exhibiting gastrointestinal illness for at least 48
hours after the cessation of illness symptoms. These procedures, along with satisfactory
hand washing, and prevention of bare hand contact with ready to eat foods, constitute
the most significant barriers to the potential spread of illness at a food service
establishment.
• Finally, you must obtain a Certificate of Occupancy(C/O), Certificate of Compliance
(C/C), or something in writing from your local building department stating a C/O or C/C
was not required to be issued. Once obtained, please forward a copy to this office for
filing.
As a reminder, section 14-1.190(a) of the New York State Sanitary Code (NYSSC) requires
you to obtain a valid Permit to Operate prior to operating your facility. Please contact me
at (518) 793-3893 to schedule a pre-operational inspection.
Sincerely,
Corey iLorenzo
Principal Sanitarian
NYSDOH —Glens Falls District Office
77 Mohican St.
Glens Falls, NY 12801
(518) 793-3893
cc: Ms. Rebecca Bussert, GFDO
Queensbury(T) Code Enforcement
File