2014-179 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20140179 Date Issued: Thursday, June 26, 2014
This is to certify that work requested to be done as shown by Permit Number P20140179
has been completed.
Tax Map Number: 523400-302-005-0001-092-011-0000
Location: 578 AVIATION Rd HI 41
Owner: AVIATION MALL NEWCO LLC
Applicant: ECOATM, INC.
This structure may be occupied as a:
Certificate of Occupancy (COM)
By Order of Town Board
TOWN OF QUEEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the �
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property owner of the responsibility for compliance with Site Plan, ,L���,CCL////000%%%✓✓✓GGGEEE" �l
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140179 Application Number: A20140179
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: ECOATM. INC.
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 NEWCOLLC
4 CLINTON Sq Certificate of Occupancy(COM)
SYRACUSE,NY 13202-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-179 ECOATM
C/O Only- 12 sq ft Kiosk/Machine
automated buy back of used consumer electronics
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 22,2015
(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 To of Qu nsbu A ZV__for
ay 22,2014
SIGNED BY Q the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only y._.
Town of Queensbury Fire Marshal �
Received: M�� .� 9 p Q}�
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: / �j "(j� 1l
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: —1
Permit Fee:
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business QQCOP(SP1 r\11C
Address � r5 ��.�; �-.0, c* t „c.eevis , ) 'C t YO L(
Type of Business �1�1I1�1'1(,th4 YIV 1X C\ O CON/MA X C.� e1C'.CCYOr\\C
Manager no nA- YVIGIa\\\(\Q___
OR
Person in charge ?On 0.( COQ Gr wC Y {
Business Phone No. ( (Q(D'
Property Owner '. ���`^ ,mac c ov .a- (�-ro�I �- �- C
Address L�ln�oh ;�� , �� C� �tc�� Sv .-e) Sy-,1 0-4--S•12) IJ c
Phone ij) (�ZZ `-TO 00 1 3ZL`Z
✓Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters, and fixture layout on a
separate sheet of paper. `,, `n �� �
Print Name: N C01e V\� 1, ey
Signature: W‘'t
Date: J 1(0 I I r • •
Notes/Comments: We do Y1Q�\(1an 01 - ►vv►\.\-. Weh O C a 1\\p /ty\ \nz
1-\1161 IS 12-So. -c", TA- lodKS S\YY1\110 1-o o` l2iabcy ,, 6' Cc S W.
'10 100 it v\l t v\ dee 1 ISI 100 Ae- aid )Io o��� i�� a r arei
;�Iecfinc�1 ou11�t•'� �
1 mopy.of fihe \OE •
-
IMPORTANT: 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 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.
CONTACT NUMBERS:
Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning -761-8238
Fire Marshal-761-8206 Planning-761-8220
Town of Queensbury Fire Marshal-New Business Permit 518-761-8206
EMERGENCY CONTACT UPDATE
TO: Warren County Sheriff's Department
1. 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.
2. 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.
PLEASE PRINT
DATE: f ; 1
BUSINESS NAME: kap/kW 1-'NC
BUSINESS ADDRESS: C `' `� •°`^ q4"d. )3Y I z L
BUSINESS PHONE: (552‘) 22J3
CONTACT 1: N I CO t-e V VQ _i HOME PHONE (0--- (DcO42 3
ADDRESS: ) 15 V I S cu(q,0\' ' YK\N'-'
CONTACT 2: ((O r� I�I ��,II� CP \-e.,\ HOME PHONE 1. 13 ?A— 4\\1
ADDRESS: i \5 11 1 Swap C‘f\\n
3 af\Z:i e3o
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form 3
Town of Queensbury Fire Marshal O Periodic Inspection Date: (#46'
Timer
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: L
F)rviVlarshals Representative
X MJ Palmer Business Name: t CO rn N c.
Location: 3"--) } j r)c 1)'
GK Stillman Contact:
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&FC1029.11 I, l
Secondary Aisle Width FC 1025&FC1029.11 C I v (.)
rh-
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
by
EVAC Plan FC 404.2 I C (-
TRUSS
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: \-A11(1
Ct-
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
Emergency Disconnect FC 2203.2 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
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
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