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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 PROPANE TANK____,3cr_sE113 — —— _ _--- - 02,01 *7 4 V ' 1 1 — 0 T KING 1 _...... kINAI E EASEMENT Asp:::•QAR I LO 2 �- I 2.82 ORES I s.a,. I I 100' Ivi 1 CNN LINK NCE I I CONC.0 PAD I ,, 1 I o 1 d — I COUNNs I o "` 0.7xVrte- 1 I CONC.PAD ■ I V1 tt M in 1 N 1 � I ■ CONC.PAD CONCRETE BLOCK ` I I ca+a ■ BUILDING I 44� 1 CONCRETE (HEIGHT APPROX• 25- I O UNIT I BUILDING c P .■ 1 1 wean.AP' CONC.ta7 ■ ,�- 1 I • 3 WALL 1 I 6. Cot,C.PA• I 1 1 0 \ _ _ _ __ — - � ` 0, .r,, ,..L . ,f. “ _ - _ ____ _ _. _. _ — �I ,0 — . � r ~— 322.00 Y X98— — ® LR.F. 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