CO-000803-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
ow Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000803-2016 Date Issued: Monday,November 28, 2016
This is to certify that work requested to be done as shown by Permit Number CO-000803-2016
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: AVIATION MALL NEWCO LLC
Applicant: Scott Cronin
This structure may be occupied as a:Certificate of Occupancy Only
Aviation Mall,Space 57 By Order of Town Board
Tenant: Slices of Italy TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve then �J
property owner of the responsibility for compliance with Site Plan, pyj!/'/
Variance,or other issues and conditions as a result of approvals by the
Director of Building&Code Enfo cement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
+ Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000803-2016
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Scott Cronin
For property located at: 578 AVIATION RD
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
Owner Name: AVIATION MALL NEWCO LLC Certificate of occupancy $0.00
Owner Address: 4 Clinton Square Total Value $0.00
Syracuse,NY 13202
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Aviation Mall,Space 57
Tenant:Slices of Italy
$50.00 PERMIT FEE PAID-TI US PERMIT EXPIRES:
(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 umuryWirr/ �; p V1/0 * ember 28,2016
SIGNED BY: (�- for the Town of Queensbury.
Director of Building&Code Enforcement
Communif•tj DeveloJar,=t Office r�
Asa a' .Town of Queensbury • 742 Bay Road • Queensbury, Nezu York ^128 2l�D9 C Lam,. 9 V pq IS
Marilyn Ryba,Executive Director^David Hatin, Director of Building£d Codes NOV Z�2016 I! ;
Craig Brown,Zoning Athydnistratrn ^Michael J. Palmer, Fire Alarsluz! l j j
TOWN OF QUEENSBURI' Ij
NEW BUSINESS CERTIFICATE OF OCC4 ANE _.
APPLICATION
TAX MAP# Jda� 7 ' ! .1/ BLDG. PERMIT FILE# GO -bc)3' 201 b_
If applicable
Name of Business: SLi Ce s O F E 9k1_L/
r A-�Sr G41-
of Busineosns:1 5/171!9 !.T_ -,�l(<6`� ®De'� ,
--7 QUESTIONS? CALL 767-8266 OR
uCLUSburY tZ OtEMAIL ecdesa7nueensburv.net
VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager. ) C DTA nkV11( Yl INFORMATION
Q www.aueensburv.net
Business Phone Number. S l I5 3 3q. Ztjg ��
Type of Business: ?{ ZZ f� Dkle e- A) �f�LC— r OOO 00(/Yf77
_�� c%�.JSy. s'yru��se zoz
Owner of Property: SC0T7 l� ICOA/iN) Phone Numbsr(s):5/6 Z3 S.H89
5
Moms Cell
Owners �LI
Address:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layou n a separate s eat of paper.
Signature: Date:
ofPea=sk 0
mmwne ram
Notes/Comments:
'Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
302.5-1-92.11 CO-000803-2016
Slices of Italy
578 Aviation Rd., Space 57 -
C/O only _ 'l� i s� r 1F
Please print clearly
TO: WARREN COUNTY SHERIFF'S OFFICE FAX: 743 2502
DATE: l I S z0i 6�1- BUSINESS PHONE: ,54. 3361- &Z V�
BUSINESS
NAME: C e-S 0 !G
BUSINESS S7 e3 AVIA--770A) Rl)A-n 5P,4« `/-L!r7
ADDRESS: "eeAJ90U2U NV LZ 80q
c>c>—/T— HOME Csl S�
CONTACT #1: go A//til PHONE:
SCVo� �r� OD' n �Cq' rrr 0K4�
ADDRESS:�y Tw./�a.� �t t2 � (,(�C' k✓ yet LR LZ L t o
HOME /$�
CONTACT #2: A v,',5 C htJl�J PHONE: 3361. 736 7
ADDRESS: L/q Tw. 2� Lg'wP
This form is used to assist Emergency Service personnel who may be
called to your business after hours. Please be sure that the persons
Iisted 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 sex-vice
personnel may result in damage to your building to A
by Police and/or Fire personnel. D
NOV 2-V-2,003
Tow. ury'-JFi-r: IYlarshal's Vit:
?'hone: 518 7618206 Fax: 518 74.5 44; TOWN OF OUEENSBURY
Iireamrarshal a queensbaar, BUILDING& CODES
Fire Marshal Michael J Palmer - Deputy Fire Marshal Gary X Stillman
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: CO-000803-2016 Case Module: Permit
Inspection Date: 11/23/2016 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: General(Fire Marshal)
Job Address: 578 AVIATION RD Parcel Number: 302.5-1-92.11
Queensbury,NY 12804
Contact Type Company Name Name
Granted Permission Cronin,Scott
Property Owner [AVIATION MALL NEWCO LLC]
Tenant [Slices of Italy]
Applicant Cronin,Scott
Checklist Item Passed Comments
Compressed Gas YES
Exit Discharge YES
Fire Extinguisher Hung YES
Sign:backup YES
Clearance to Sprinkler/Ceiling FC 18'/24" YES
EVAC Plan YES
Energency Lighting Interior YES
CO Detectors YES Plugin with battery backup added
FD Signage YES
Main Aisle Width YES
Storage YES
Locks and Latches YES
Sprinkler System YES Inspected 4/2016 by SRI-no changes made to space
Exit Enclosure YES
Secondary Aisle Width YES
Exit Access YES
EVAC Signs in Rooms YES
Sign:Normal YES
Clearance to Electrical YES
Interior Finishes YES
Combustibles in Equipment Rooms YES
Hood Cleaning YES ADK Grease Busters
Electric Wiring Enclosed YES
Kitchen Suppression YES Magen Safety 11/22/16
Inspection of Extinguisher YES
Stillman,Gary(Inspector)
Nov 23,2016 Page(1)
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ECEIVED
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302.5-1-92.11 CO-000803-2016
Slices of Italy
578 Aviation Rd., Space 57
C/O only