2010-377 TOWN OFQ UEENSBURY
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742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100377 Date Issued: Friday, August 13, 2010
This is to certify that work requested to be done as shown by Permit Number P20100377
has been completed.
Location: 3342 STATE ROUTE 9
Tax Map Number: 523400-277-004-0001-002-000-0000
Owner: NORTHEAST REALTY DEVELOPMENT INC
Applicant: ADIRONDACK HELI GROUP
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 Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
111h TOWN OF QUEENSBURY
coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100377 Application Number. A20100377
Tax Map No: 523400-277-004-0001-002-000-0000
Permission is hereby granted to: ADIRONDACK HELI GROUP
For property located at: 3342 STATE ROUTE 9
in the Town of Queens bury,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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: NORTHEAST REALTY DEVELOP
INC Certificate of Occupancy(COM)
P.O. BOX 4047 Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-377
Adirondack Heli Group (retail use only) see C. Brown, ZA letter dated August 4, 2010 (in the inspections
report)
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 13,2011
(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 TorSmorQueens Frialust 13,2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
fig '
Community Development Office
Town of Queensbury • 742 Bae/ Road• Queensbury, New York •12804
Date Stamp
•David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator•Michael J. Palmer,Fire Marshal
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# 2 7 /- y -1 ' Z BLDG. PERMIT FILE# 3 7 7
If applicable
Name of Business: Ad;cor1 cl v,P
Adress
ofBusiness: /Vr 50 US 9 OUGG(1S`Ov y Y
QUESTIONS? CALL
OR
nsbury net
EM
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: ±r, c (ne_E-c r,o INFORMATION
� www.aueensburv.net
[%
Business Phone Number: S- 775- ))9S-t?
Type of Business: 1.2e..-1--cLi
Owner of Property: korWa + 2207 1ek.e10cA4Phone Number(s): & 528
Home Cell
Owners
Address: 33 U) Rr - 9 &Aice_ 6e-orae- /l/`/
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: 7- Z S'/0
person submitting this fonn
Notes / Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: 7 2W- 10
BUSINESS NAME: Adiroc- c/o..cK. I-kt; Crave
BUSINESS ADDRESS: iG S0 (U5 St- 2,T q
BUSINESS PHONE: iyS' 275- ?e5'/
HOME
CONTACT 1: l rtcX Cfl cj o PHONE Yqc- 77.E4gsSq
ADDRESS: // 1 ron-1- M. C-c r_ G coot. /V y
HOME
CONTACT 2: PHONE
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 PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P h o n e: 518-761-8206 • F a x: 518-745-4437
fzremarshal@queensbury.net • www.queensbury.net
/-0
Town of Queensbury Fire Marshal
742 Bay Road
;a `,C Queensbury NY 12804
518 7618206 phone 518 745 4437 fax
..,. firemarshal@queensbury.net
Lo
COMbitatibti, INSPECTION REPORT
NAME: 4D M, H t1--` �.`("R LOCATION: 1
am
DATE: ' frj1L TIME: 6 at. INSPECTOR: '
9
Fire Alarm Sprinkler Elevator FDC
Generator Range Hood Fuel Island
Fire Pump 209U Other
Enter date of inspection
Receipt of Inspection:
CODE SECTION DE \;: ION OF VIOLATION
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VIOLATIONS MUST BE CORRECTED IMMEDIATELY. A RE-
INSPECTION WILL BE CONDUCTED IN A TIMELY MANNER
Inspection for Permit • Occupy
Fire Marshal's Office Request Recd Permit No.
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: AV- 7 Time: l 1
Phone: (518)761-8206 Business Name: A 0i,,,_ t,tZt fnc`3_Q
Fax: (518)745--4437 Location:_ 2_i 9
Type d Inspection N/A Yes No
EXITS:
Exit Access ,/ COMMENTS
Exit Enclosure
Exit Discharge /
AISLES:
Main Aisle Width / " ,�Q
Secondary Aisle Width tht•n-j-c,-.Lk_ CI) 5. 1-I J
C
EXIT SIGNAGE
Sign-normal / l-- (t7, c -1-r�e, S 1'15 v -
Sign-battery ,
EVAC signs in rooms 7 -
TRUSS ID SIGNAGE 7
EMERGENCY LIGHTING / 5+4 t ( A C� - l c I 4,
FIRE EXTINGUISHER: ITC- (r CO 411 \/� M S
Hung ,r
Inspection of extinguisher
s-f-,1 / b1c
,im r iNi
FIRE ALARM SYSTEM /7
Fan Shutdowncc-\n(c 6 A,vl CL- Pc-l'N C---1-
Fire Sprinkler System (FDC)
Fire Suppression-kitchen
Fire Suppression-Gas Ikon 7 !
Generator / RX5-1' C �C
Hood Installation - !/
Elevator /
Interior Finishes l
Storage / f
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical 7-
Electric Wiring Enclosed/Labeled 7
Combustible Waste /
Vehicle Impact Protection
Knox Box /
F.D.Signage-Utility Rooms
No Smoking Signs i
Maximum occupancy Sion 7
Emergency Evacuation Plan —7-
i
o Approved (If no other approvals apply,the B B.C Office issue the -, «.t: .f Occupancy)
o Denied /call for Recheck
il,Inspected By: l
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