CO-000204-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-000204-2015 Date Issued: Friday, October 30, 2015
This is to certify that work requested to be done as shown by Permit Number CO-000204-2015
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: AVIATION MALL NEWCO LLC
Applicant: Ballston Coin&Jewelry
This structure may be occupied as a:
C/O only, Space 67 By Order of Town Board
Tenant:Ballston Coin&Jewelry TOWN OF QUEENSSBBURYA
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, � `/N1� ayyV//ykkF' VVV
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 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CO-000204-2015
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Ballston Coin&Jewelry
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
Tvce 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
Variety Retail
C/O only,Space 67
$50.00 PERMIT FEE PAID-THIS 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 beforejtheexration datWtober
Dated at the Town of ueensb //Mo6,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID:
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: CO 000'x- X5
Permit Fee:" lny
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business y#altTl flVrAI L �G Q� Dt-1 6I s.rf -�
Address �� 4- Por-Por rl /� {/)7L f AJC ( J VI/T204)
Type of Business 1�}�R. 2'iS",l_ C-r-odz-e (7—'a9't
Manager rCirNl�fl✓0� O�SrQ�L /
OR
Person in charge
Business Phone No. 64 -366 -F312
Property Owner �{ft+'t 16C.",20 L) -
Address S 7 4V it-170,J /10&1,
Phone
✓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:
Signature: Off —2 6 2015
Date: II
Notes I Comments: BUILDING & CODES
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: /0 4 /a
BUSINESS NAME: V 4-a L'e%�y IteT&, -
BUSINESS ADDRESS: S�� vlt} ( Jd qqu A-,Y .
BUSINESS PHONE: o 30 E '�1 -2 7 ,
CONTACT1: ''ev HOME PHONE `SJ 306
ADDRESS: S - P T S(�C1
CONTACT 2: HOME PHONE
ADDRESS:
Town of Queensbury Fire Marshal—New Business Permit 518.761-8206
etFIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Variety Retail
578 Aviation Road, Suite 67
204 - 2015
10/26/15
M occupancy ,
• All egress hardware to comply w/ Chapter 10 of NYSFC (no key or
thumb turn devices)
• Fire extinguisher locations to be determined
• Verify function of exit and EL fixtures
• Verify aisles and storage
n�r4 —7 :L
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office • P h o ri e: 518-761-8206 • F a a: 518-745-4437
ftremarshal fteensbunl.net • mww.dueensbunt.net