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'z�a..i, •°S� :- - �s 4�`�} •.a �•4. r- :R ,�r,t T�:a==`'' �'- t }, %• "-: rr.: ..i`* +, '�..,� •-"�'' 's �':rx•' Sa r.;;h,.,4:,i .-,,pb - _ =`�;3i,• ur'a•=3=•�•�'.a?u-�:`t)°d.�ii;::;,'`.3„ >�.,.,[*'.'t'. � :� �.st '�',,;i«.- 1V." �.', -sue�. �.� '�`i�?}�T�trYr'�ur4�'4 �C �>�'�' ,.i,+ '.'4,:.{��:Xi•:••ai i !�;i5i t.a..S '�� i`' :>'.,,.' ••' r _ L.r'~ii v F,., _',.. e.t. +h ,. • J, +`?0 `x, ' ,.it„u v - CERTIFICATE OF OCCUPANCY ONLY Office Use Only Permit#: , , APPLICATION Town ofQjeens'ury Permit Fee:$ 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8206 or 518-761-8205 www.queensburv.net **This application is for occupancy only, with no work requiring a building permit** BUSINESS INFORMATION: Name of business: 5 ‘ (6 tea, p pkrS Business Address (including suite, space, etc.): S j a l..- LCJ 51- 6 Avçck \-cv- RA . 1vVaih-to alfill [ t,(ee,rl Sbu,1146 NY ( 22j0 Detailed explanation of business (attach a separate piece of paper, if necessary): \ I VtS- ic1 014,v, ( 3 X wee k.( Sek Dns too-rEfin) NYNN A- CQ \'-\-ctl Reo on Sanc-b-nci ed Cl u 6 .. Please provide an accurate layoul 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: J enn1` K romle, r I � Applicant signatur Date: ��j J I 1 a.�l- Property Owner name: n/ e s S . &ri f Property Owner signature: See ate: Certificate of Occupancy Only Revised September 2022 Town of(lila:Wavily 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): ? irn)?13 Mailing Address, C S Z: Cell Phone: (51(8 ) 3D1 LC o� 2 Land Line: ( ) Email: i-e,n set Y o-e..1 5'5S c� revw I . L OVY1 • Business Owner(s): Contact Name(s): :Te,nfl)T-"r 13nim1 , Mailing Address, C/S/Z: aLpeeS'- :_Space_ tom i -G 1 Cell Phone: 5 J 30 9- —6) 7 c? Land Line: '5?-8 -Ai a-hUP / Email: CsrrppMrJ G� 'Ma./1. Cclyii .(pen sb/.Li ji Ai Y -a1 1 • Manager: Contact Name(s): Orli/yip) i f.il-coV eYVYAIPL, Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: • Property Owner(s): L /� Business Name: �Vl C��/ rl �'/ I . / I Contact Name(s): A YY)QS }Yl ` Mailing Address, C/S/Z: 4101-01.+72D1 nil el Cell Phone: 4 ' ) Land Line: ( 3— Email: J7).il e,S frr 1 /1 Col (pU11,� �(�1 m a n . ( loon 12) � H O I Contact Person for Compliance in regards to this project: \ tflf Cell Phone: ( 51,6) (o ? Land Line: ( ) Email: [ fL C j Certificate of Occupancy Only Revised September 2022 i. if Town of(Zaescns qaay 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: 5 1 1 11) I) LI Business Name: 5 1 B GlrcLpkrs Business Location (including suite,space, etc.): 1 LO J �1 '� ia� U�' 1 > > l.ai I'-� Ali ‘% a h bn A?CIO__ . uee., bc.d N1 - 1c)-- O"- Business Phone#: 3 146 — 10 1 (9 ?a 1. Business contact name: v ciR n \--c-eY )i t 1 Main Phone:_(5'1i5 ) '51)1-t- -1 of 'Secondary Phone:_( ) 3010 r �C D Contact is coming from what town/village? a Sbui� n ' I 2. Business contact name: ail` YO��i M l 1eJ, . Main Phone:_c51 ) c 3-%"11) 5 �, econdary Phone:_( ) (Contact is coming from what town/village? &J3LL . 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 AVIATION MA AW '11 N ADA ACCESSIBILITY MA MALL 302.5-1-92.11 2024-0240 518 Grapplers 578 Aviation Rd. Certificate of Occupancy ADA accessible entrances are identified below and ample parking is available throughout the site. Thank you for shopping at Aviation Mall. AWATION MALL s e © 17:2 n r--, — 1 icj fift i t. . 11 119' girri rgi PI tf: I MAY > 7 �� lik :,� : .. E//i o (J ��Tp WN 1 ®C-IflEtMS at A , - ll-- LDINQ�EE D c- S ' . t}� BU1 ('& CODE11 'I i Q, I 1 c„..„.,,I Ili k 6 ' 1 Ir.„0„...., •1 A „ ..., ,- 0 I, -) i J - ) . r T ca* ,_61 — 0 7 -GET / (ig2. - 11I7..\-: ' % LEV7 I'l - CF,/ =` 4:, T 1 1 / ® ',_0A ACCESSIBLE ENTRANCE 6 '' ADA PARKING •flii. ADA RESTROOMS i, l b .�1 1 I / I ' 1 -je_ "(ILI . i at 1 el A-, t . .p)erS i , ,,, . „, , ir:-.-, ..._._-_-_:L____ _ -- C{ C: ', _.: , , _ i -7 , 1 cc 64-- S act relew as In addition, pl ase visit our anchor stores for family style and handicap acccessibl strooms. Aviation Mall 1578 Aviation Road, Queensbury, NY 12804 1518-793-88181 www.shopaviationmall.com 601,Lbi — 5r l ).0 302.5-1-92.11 2024-0240 �� 1- ean � �� �, �° ���� 518 Grapplers r . ,gthe.listr ct lr 4au ,wr °�;� os., u ..- ..y ' 578 Aviation Rd. ❑ Draw the layout of your home Certificate of Occupancy as best as you can,include: • Doorways • Windows(if they can v _ be used as exits) • Fire escapes (if in an `� l apartment) 4. Wyi n , La V v Irk MA OP1 ❑ Draw two floor plans if your fl#r5 � �`n house is 2 stories. i- W. Y P A—S ❑ Label each room. x v ❑ Draw a circle where ther(are 3 1 } \� smoke alarms. - "" ❑ Draw two ways out of e% �- (D o room. w p Y� Q ul ❑ Write"Exit"on each w t ac3 — - V of the home. . l` Li Draw an"X"for a safe g - Z meeting place outside. lig 5 m F- \if 111111/ ❑ Practice escaping from - - �. IA room in your home! `LP: Example _s • 0 b 6 n I 18 4...,- ❑® , v®`C, I:: --,,l . � ,`I MIL 1 1 t �.ceD;,,„.[ , 5 --, _______—______> V _ 54 ozoaiNFan r 1 P �iM Li: l Lii`eet Meeting Place ' SAFE Post your escape plan on a place where you will see it such as a refrigerator or bulletin board. WORLDWIDE. 302.5-1-92.11 2024-0240 mmdr - Fo; o teo dr w yoy es4,4p 518 Grapplers 578 Aviation Rd. ❑ Draw the layout of your home Certificate of Occupancy as best as you can,include: • Doorways 1 • Windows (if they can qJ be used as exits) • Fire escapes (if in an r;"1— apartment) ! ' } IA 1 S 1 II. YU. s 5 D Draw two floor plans if your 1 X �[�"� house is 2 stories. `�]„) �� ©��IIIII !!!! 1I1111I . ❑ Label each room. �, ❑ Draw a circle where there are ILE_ 1� 11.11111.1111111..111.1111. smoke alarms. ■1�1Draw two ways out of eachIimIIMiI'._- 11111❑ Write"Exit"on each way out illerrilrillrirliiI , , 11- of the home. ❑ Draw an"X"for a safe 1111111- meeting place outside. ' f your , ❑ Practice escaping from every room in home! I I ;ill' i i il 1 � v L�• l Example . 1 P 0 ),.....:5 LA 4 pm... k. 1 it 4 I 0' — ' ' �' n--j ., , IF i 020ai NFPA I i 1 6? Meeting Flue SAFE KOS Post your escape plan on a place where you will see it such as a refrigerator or bulletin board. WORLDWIDE. �� i r erg. ; 302.5-1-92.11 �� . �� < .! s= o : ® n � � 4 2024-0240 r sc e u 3 _ r !� 'A 518 Grapplers imommuliminimmims : / 578 Aviation Rd. ❑ Draw the layout of your home Certificate of Occupancy as best as you can,include: ,'ilor `— --� — --- - . • Doorways 1ll -- • Windows(if they can C l be used as exits) p • Fire escapes (if in an ,�' r apartment) ❑ Draw two floor plans if you'r , - 1 0 \jj(2S--Hli& house is 2 stones. ❑ Label each room. , , \�I 1� 1 CO--50, CI Draw a circle where there are1\i ‘eit-P S3D0 18 JNlallfl9 ` l smoke alarms. �'i'-- �9naisN Grin JO NMa.. ❑ Draw two ways out of each 1 E. 1 ` AYH MOM. ❑ Write"Exit"on each way out r of the home. `, 1 UU �U 5 a ❑ Draw an"X"for a safe tt k meeting place outside. f" 1 I C 1 f -- ❑ Practice escaping from every tY room in your home! •� I tI J 1 Example 1' - _ ' � i V 8 t....]@ ( C 7, ' �',' 1.-- LP 6 o I .__. .,,..7.-:9 e—.4-.-n—N. , \,, 14. Di 1 All I --� , C ,.D c I t� MB�`9 1 -( •*s� ,v� ' Q ' 02003NFPA P - Meeting Plan SAFE IUDPost your escape plan on a place where you will see it such as a refrigerator or bulletin board. WORLDWIDE. Fir 2024-0240 Escape :,Follow ing,the,lns:r=l c#��ors, d 302.5-1-92.11 DiDraw the layout of your home 518 Grapplers as best as you can,include: — 578 Aviation Rd. • Doorways IiIiIIIIi! I Certificate of Occupancy ■■■ • Windows (if theycan �be used as exits)• Fire escapes (if in an � apartment) MIIIIHIIUI ❑ Draw two floor plans if your house is 2 stories. ' ❑ Label each room. ❑ Draw a circle where there are smoke alarms. ❑ Draw two ways out of each l E\jdo room. ❑ Write"Exit"on each wayout � s UI of the home. ❑ Draw an"X"for a safe111111Pilitin.'1-11' meeting place outside. ��' ! ' ❑ Practice escaping from every �11■ j 11-- iiiiiii ■.1.111 LEMEMI■11■■■■■■■■MEMEM■ room in your home! !II1IIIIIIIIIiiijiIIiii! i 1 iiu..riijjj .uiiiJiiuiiun • -I---. illip ' ii 1 o - 3is pI Of I I10 ® �c ) > 1illi IN 011 02003NFPA �} 6■I 112111.1.1111- I.�■ 1>Meetlna Plaea 111111 y.,f, ©■r� ■ Illr4lG\L©»`'i7l `i/ P . SAFE YcM c1 ht. kYe Post your escape plan on a place where you will see it such as a refrigerator or bulletin board. WORLDS. FIRE MARSHAL'S OFFICE ."4 Town of Queensbury IF.471,0 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW 518 Grapplers 578 Aviation Rd, Suite 65 2024-0240 5/21/2024 I have reviewed the submitted drawings for the above project; and offer the following comments: 1) Verify Fire extinguisher locations & inspection. 2) Locks / latches shall comply with 2020 NYSFC.- 3) Verify operation of existing exit/ emergency lights. 4) CO Detection 5) Verify Knox Box key. 6) Verify aisles & storage. Deputy Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 tysonc@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • www.queensbury.net