2014-420 `�i�` TOWN OF QUEENSBURY
oiss742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140420 Date Issued: Wednesday, September 24, 2014
This is to certify that work requested to be done as shown by Permit Number P20140420
has been completed.
Location: 756 GLEN St
Tax Map Number: 523400-302-006-0001-051-002-0000
Owner: QUEENSBURY PLAZA I, LLC
Applicant: HALLOWEEN CITY
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 /d
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
1� TOWN OF QUEENSBURY
' S 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140420 Application Number: A20140420
Tax Map No: 523400-302-006-0001-051-002-0000
Permission is hereby granted to: OUEENSBURY PLAZA I. LLC
For property located at 756 GLEN St
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: QUEENSBURY PLAZA I, LLC Certificate of Occupancy(COM)
400 ANDREWS St Suite 500 Total Value
ROCHESTER NY 14604-0000
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2014420 PARTY CITY d/b/a Halloween City
Cert. of Occupancy ONLY Store # 1B
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 11,2015
Of 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 uee bury; Jbu a September 11,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
1,
tOffice Use I
0nlyi � {
Town of Queensbury Fire Marshal
L f Receive XJ14
ESTABLISHMENT OF A NEW BUSINESS � cia Sc? Tax map ID: a barg
'/ S'/ j
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION— -
I— I D
fp-
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Note: This application is for occupancy only,
/with no work
requiring a builildingpermit.---
Name of Business � 6W r/3a //Dwe c.r 0151
Address /�`J l/pp Cie^ t� ae.e seury/ lage-f Sive 113
Type of Business tMow-eI.ri lefty? 5a/e.5/ CP o,,,,,,Qr S / de-col-
t
Manager N.rt t 6'f
OR
Person in charge
Business Phone No.
Property Owner
ac,024/5 eta za / L G.C.- S (6LC
Address date Andrews SE_ Ste-60o A ettermv pica'!
Phone 585 -59/G- 406(7
/Provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,counters,and fixture layout on a
separate sheet of paper. /
Print Name: it/Eft. Zr- Esy
Signature: /Ie / a
Date: 977//
Notes I Comments:
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 Sheriffs 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
077,95-(Zo(S
DATE:
BUSINESS NAME: 4/794-4-4(-11V)
BUSINESS ADDRESS: 75-4" Crier 6 4, Zea. S6`''1i 01 , /201
BUSINESS PHONE: 751/-5-7/- /7/7 )( 6z/62-
CONTACT 1: a��" M HOME PHONE 75114-977-597
ADDRESS:
CONTACT 2: / '/,f k le0D k( HOME PHONE 75 679-2651
ADDRESS:
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
Inspection Form J // P,?,
Town of Queensbury Fire Marshal 0 Periodic Inspection Date:44j/IK`` Time:
742 Bay Road,Queensbury NY 12804aRe-Inspection ) /
518 761 8206/518 761 8205 CoSInspection Permit#: / C-1 yot,1
D
Fire Marshals Representative
MJ Palmer Business Name:
Location: / S 6 4,,JS4 S-, a /A
XGK Stillman Contact: (s(11 Ke C I gtoTip S 8 &a-alb -0990
Type of Inspection N/A Yes No
EXITS. Exit Access FC 1014&FC1029
Exit Enclosure FC 1020&FC1029 % NOTES
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
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 /
EVAC Plan FC 404.2 /
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 ...e......
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.Signaqe- FC 510 ./
No Smoking Signs FC 310.3
Storage FC 315.2 /
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
FC 80
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610 �rr�
Clearance to Sprinkler/Ceiling FC 315.2.1 -.,-
18"
18" / 24"
IF
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) e
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3
Vacant Buildings FC 311 /
RE INSPECTION DUE APPROXIMATELY
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 ALP/ )
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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