2012-243 TOWN OF QUEENSBURY
wors742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120243 Date Issued: Friday, June 01, 2012
This is to certify that work requested to be done as shown by Permit Number P20120243
has been completed.
Location: 578 AVIATION Rd HI #1
Tax Map Number: 523400-302-005-0001-092-011-0000
Owner: AVIATION MALL NEWCO LLC
Applicant: ROSEANNA'S
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&Co nfor • ent
or Zoning Board of Appeals.
- Aek
Etif Wil TOWN OF QUEENSBURY
742 Bay Road,`uccnsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120243 Application Number: A20120243
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: ROSEANNA'S
AVIATION MALL NEWCO LLC
For property located at: 578 AVIATION Rd HI #1
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: AVIATION MALL NEWCO LLC
4 CLINTON Sq Certificate of Occupancy(COM)
SYRACUSE,NY 13202-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-243
CO ONLY for Roseanna's (cup cake shop)
Space 53
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 23, 2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueen Ty; Yed ••d./ , 23, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
y
Community Development Office ';'7',.:;--(...1.,:;. ;010P'
i-.% ' V
i� Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 : 'e , {~i•. F! r
David Hahn, Director of Building&Codes Michael J.Palmer, Fire Marshal tjr 1.;'• 'J-di lh: ' bi
r i
Craig Brown,Zoning Administrator I...d,.. . . . - . ..„�
TOIfV!'v i.:• :JU1 1..: FURY
U1CDING & CODES
NEW BUSINESS CERTIFICA1 i OF OCCUPANCY PERMIT
,64-:, u✓ ,, ,P6t APPLICATION
TAX MAP# 2C I.S - 1 —00,\\ BLDG. PERMIT FILE# )e— a •cf3
f applicable
SS pp to t
Name of Business: a1 fR S
On , C� 53
Address ,, }
of Business: p.)
bJ QUESTIONS? CALL 761-8256 OR
\O_K-AtOt\N--
per u,bx. EMAIL codes onqueensburv.net
1- 1„ 1 sVISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 1 '� I,M�L. INFORMATION
www.queensbury.net
Business Phone Number.
V1 -z4rl SLo0 Yg4-1
Type of Business: Q,ij fCLX*A v4 Lti
Owner of Property: PLif&\CJS ,36,SO Go Phone Number(s): S --R5--15--cab
Home Cell
Owners (� �j V c
Address: Sid •Avkz MI �.e.109 k—i c_z r\C- 'l
Please provide an accurate layout of your store (showing all walls, exits, stockrooms, rest rooms,
counters and fixture !avow • a separate sheet of paper.
ISignatur-. � Date: S/ LI--
Cf -mon submitting this form
Notes/ Comments:
D `, L_ n_ y,
MAY 15 2012 -1
EMERGENCY CONTACT UPDATEJU'` �
Please print clearly
DATE: S (tcl aplot
BUSINESS NAME: O SQO,U\\N.c1
BUSINESS ADDRESS: \ I\1 0,M0V\ RC1.\ LDc&c07)0\14--)
BUSINESS PHONE: ;V —$LILD "S'lgq
,,� l PHONE 1: �l%-g6e.0�$�
CONTACT 1: s5\M .k L& raka PHONE 2: cis--- --75q--3-7
TOWN/VILLAGE RESPONDING FROM:
�C^ I I.,,�" PHONE 1: c� -7
CONTACT 2: 1vO k-OS\ �C� � X'J PHONE 2: c 7o --G ? l
TOWN/VILLAGE RESPONDING FROM:
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 QLIEENSBLIRY FIRE MARSHAL'S OFFICE
P k o n e: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net - www.queensbury.net
Fire Marshal Michael I Palmer Deputy Fire Marshal Gary K Stillman
Inspection Form _
Town of Queensbury Fire Marshal O Periodic Inspection Date:�I-, 17 Time: i `
742 Bay Road,Queensbury NY 12804 o Re-Inspection (�--.7
518 761 8206/518 761 8205 CO Inspection Permit#: /72Q?f
Fire Marshals Representative - ,
Y MJ Palmer Business Name: , 4/V
} Location: ,,)---,-79 '/A-fl/M ,e-eorel
GK Stillman Contact:
Type of Inspection N/A Ye; No
EXITS: Exit Access FC 1014& FC1029 r NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024&FC1029
.
Locks and latches FC1008& FC1029.2 / •
K)�
Sign: Normal FC 1011 &FC1029 ..---
1 '�1CC I1� ��/ S
Sign:backup FC 1011.5.3& FC1029.7.5 l 'i h :�� nn, t£ 1!
AISLES:
Main Aisle Width FC 1024/1025& FC1029.11 / /-' i �T.
Secondary Aisle Width FC 1025&FC1029.11 7 '� Cr!v)` U1 t
FIRE EXTINGUISHER: Hung FC 906 / Ailczc > 1 rs1 E-1 f C"FnE.
Inspection of extinguisher FC 906 / C
EVAC Plan FC 404.6 /
TRUSS ID SIGNAGE FC 505.3 /
EMERGENCY LIGHTING: • f
Interior FC 1006.3& FC1029.8 / ;Th Lct1( i cm( t�(.-S (I)
Exterior FC 1006.3 /
Clearance to Electrical FC 605.3 / ltV 11-\ `(C{ „€
Electric Wiring Enclosed/Labeled FC 605.3.1 - C���" ci)/4'r t
Combustibles In Equipment Rooms FC315.2.3 /
F.D.Signage- FC 510
No Smoking Signs FC 310.3 ./
Storage FC 315.2 / /
Compressed Gas FC 3003 /
Vehicle Impact Protection FC 312.1 /
^
Interior Finishes FC 803-804 /
Smoke Detectors FC 907 /
CO detectors FC 610 /
Clearance to Sprinkler/Ceiling FC 315.2.1 7
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) 7
Fuel Pump Warning Signs FC2205.6 /
Fuel Station Emer Procedures FC2204.3.57
Exterior Storage FC 315.3 7 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
SYSTEMS: FC 901.6 lnsp OK NC DATE: OK NC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:Installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
. 4 [ L // e7-A7
Inspection Form
_
Town of Queensbury Fire Marshal C) Periodic Inspection Date:S I�I / Time: `I y 5 4A)
742 Bay Road,Queensbury NY 12804 �o je<Inspection I -
_ �"7
518 761 8206/518 761 8205 r-'CO Inspection Permit#:
Fire Marshals Representative ''-,
_ MJ Palmer Business Name: A ...4'2. 9 S S 3
Location: - '7 7i% .1---, ,.-r1/
GK Stillman Contact: /b/ _/?.. 7.,:-.11, -------
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 �': NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024& FC1029 j/
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 /
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 •�
Inspection of extinguisher FC 906
EVAC Plan FC 404.6 i----
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8 !�
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 -------
Combustibles
Combustibles in Equipment Rooms FC315.2.3 .------
F.D.Signage- FC 510 1 _
No Smoking Signs FC 310.3 .—
Storage FC 315.2 ti�
Compressed Gas FC 3003 c./
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 6100 )__ /`�r�
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) .-------
Fuel
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 ---"-
Exterior
Exterior Storage FC 315.3 ,----- - REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 l
21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Date _
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown ilei'
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Seml Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual _
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
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