2012-274 0111110h, TOWN OF QUEENSBURY
4
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
41111.
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120274 Date Issued: Thursday, June 14, 2012
This is to certify that work requested to be done as shown by Permit Number P20120274
has been completed.
Location: 543 QUEENSBURY Ave
Tax Map Number: 523400-297-008-0001-026-000-0000
Owner: 543 QUEENSBURY AVE., LLC
Applicant: G.I. SPORTZ DIRECT INC.
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 Enforcem nt
or Zoning Board of Appeals.
064 TOWN OF QUEENSBURY
�` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120274 Application Number: A20120274
Tax Map No: 523400-297-008-0001-026-000-0000
Permission is hereby granted to: G.I. SPORTZ DIRECT INC.
For property located at: 543 QUEENSBURY Ave
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: 543 QUEENSBURY AVE.,LLC
543 QUEENSBURY Ave Certificate of Occupancy(COM)
SUITE 1 Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-274
CO Only- G.I. Sportz Direct, Inc.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 06,2013
(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 o eensbu 4We e%ay,June 06, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
51Z-`7k15- q`13?-,
0JE) Community DEvelopment Office C' t'1' ''
Town of Queensbury • 742 Bay Road • Queensbury, New York •12301 r-- , _ •
David Karn. Director of Building & Codes 1 j
Craig Brown. Zoning Administrator• Michael J. Palmer. Fire Marshal I 1 ` -.,
li... v 6) 10/610- ESTABLISHMENT OFA NEW BUSINESS e�I{I.i� i4,.= .i rjOJ`�.3
nP P CERTIFICATE OF OCCUPANCY PERMIT APPLICA-TION—
*Note: This application is for occupancy only, with no work requiring a building per it. 0!' ( - �
r 241/7-b!
TAX MAP # 49r), g"' / -,:-) ec BLDG. PERMIT FILE# (6 . I , ,r]'4/
e (� � ) If applicable
Name of Business: G . T. J f�n1;J� 1 i R e C! I "' c-
Address c/�� C('1� ��-/'e '� f �(1'r�c tc J u
of Business: `�' la/ �U `' l� Y�� QUESTIONS? CALL 761-8256 OR
/ �� 12-6
Z�� EMAIL codesna,queensbury.net
�i ,� (
—r.: t S VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: � / \I'\J +I�! D INFORMATION
,ll— c www.queensbury.net
OBusiness Phone Number: &7 1 -I q 63
Type of Business: N 1'1OLE SA-L-E / ./s7•14- i_ v76 d
r)f1j1..I 1 g c[._-S -I C E sscrz I e-S
Owner of Property: s43GVrat., - LLC Phone Number(s): o-ii- ics3 S�0"'7`"1'� qbv)
I
Home 1 Cell
Owners Address: S43 t(;t Eg,_,,2y , a �151%C.,12y, ,�'/ (2 0 dJ •
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: _ .1 -- Date: / W -L.
6-f erson submitting this for —' tv1P8 2L1 , 2-012_
Notes / Comments: -- --
116604
EMERGENCY CONTACT UPDATE
/x;12
.
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502xDES
` `'
PLEASE PRINT 6? :26/6.2 -
DATE: 2q)
' 5� �� � 171 .► ti'
BUSINESS NAME: -"�� ..�
BUSINESS ADDRESS: S '2 (SA/L S13U)e`-I , & & 1, N4 ( 2 Du
BUSINESS PHONE: —611 - 63 / sl v- 63E.- OLI22 S
CONTACT 1: 1312-1 �N � HOME PHONE S� 6- 276E coo-3
ADDRESS:
CONTACT 2: �� pp() C- HOME PHONE 9 ' ' Oil l
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.
_ l
118604
Inspection Form 1)
Town of Queensbury Fire Marshal O Periodic Inspection Date:�'' 1 r 1) Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 (,CO Inspection Permit#: 1 d- 2-
/Li
Fire Marshals Representative
MJ Palmer Business Name: Sc-'i-c\-
� Location:
X GK Stillman Contact: (h,
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024&FC1029
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& FC1029.11c\,CY\
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6M L /
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 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
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 & R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
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
Sprinkler System Annual Fire Mar tat wet'.n ' •
Sprinkler FDC
Kitchen Suppression Semi Annual OK t0 165UE Cm-filtrate ICs�t@ Gf Occupancy
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 JUN 1 ,2
Operating Permit, if required will be issued after �`� Fire ,,hd
u
Completion of Inspection , TaWn Clams
Inspection Form
Town of Queensbury Fire Marshal (ID Periodic Inspection Date: <' Time: IU
742 Bay Road,Queensbury NY 12804 o Re-Inspection .�
518 761 8206/518 761 8205 o CO Inspection Permit#: c -Of�), -)-7 c/
Fire Marshals Representative
MJ Palmer Business Name:% ,.,�T ._'5A,074_7,
Location: -� /X_l,t.$ /.r�,r2r�_ Ai�Y
GK Stillman Contact: t=f,r,s K'ta not. '
J
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024& FC1029
Locks and latches FC1008& FC1029.2 /' 7
Sign:Normal FC 1011 &FC1029 _--r'
Sign:backup FC 1011.5.3& FC1029.7.5 (. t�`--
AISLES:
-
Main Aisle Width FC 1024/1025& FC1029.11 ,---- 1 Ler4
Secondary Aisle Width FC 1025&FC1029.11 / --)v
/ 2�¢ 7 G`/l y• 1Xi`L.'44)��
FIRE EXTINGUISHER: Hung FC 906 -- I Hi14. In f'7 F71)
Inspection of extinguisher FC 906 it�h/ ` Sy s
/_�6s /lam
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3 _`.�
EMERGENCY LIGHTING: � /l i
''>:_i Interior FC 1006.3&FCI029.8 1-,..f („)/2/74/41 ' 0.,64 G6,-f�Z
Exterior FC 1006.3 — l r. 1(; lT9 l 5 ti
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 _
Combustibles in Equipment Rooms FC315.2.3 _--
F.D.
-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
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 _ _--''-
ExteriorStorageFC315.3 ---�'"-
VacantREINSPECTION DUE APPROXIMATELY
Buildings FC 311 _
21 DAYS
Ins OK NC DATE: 14\10\\? OK 16SYSTEMS: FC 901.6 p
Date /
Generator Annual DATE:1 // 1) o NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual rg,, ,67b--*-Yy5j
Fuel Island Suppression Semi Annual (�lifi J
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
1
Operating Permit, if required will be issued after
Completion of Inspection
N05'35 54"E
348.61
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