CO-000364-2015 i
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-000364-2015 Date Issued: Monday, November 30, 2015
This is to certify that work requested to be done as shown by Permit Number CO-000364-2015
has been completed.
Tax Map Number: 302.5-1-92.11
Location: 578 AVIATION RD
Owner: AVIATION MALL NEWCO LLC
Applicant:
This structure may be occupied as a: C/O only,25 Days of Christmas
Aviation Mall, Space 33A By Order of Town Board
TOWN OF QUEEENNSBUARY
Issuance of this Certificate of Occupancy DOES NOT relieve the � I f/ ,/ zt
property owner of the responsibility for compliance with Site Plan, t��C���////(((���iii���"' VV {
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
Tam
Community Development-Building&Codes (5 18)761-8256
BUILDING PERMIT
Permit Number: CO-000364-2015
Tax Map No: 302.5-1-92.11
Permission is hereby granted to: Brendan Wrenn
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 NEWCOLLC Certificate of occupancy $0.00
Owner Address: 578 Aviation RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
C/O only,25 Days of Christmas
Aviation Mall,Space 33A
$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 befoY' d
irat.on date.)
Dated at the TowneQueen M er 23,2015
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.:a -ow"J(Pq -?-Q�b
unv 1 q
nit Permit Fee: `j�t vii' , I Z�
'Note: This application is for occupancy only,with no work requiring a b g pAngit.
Name of Business U a y
Address S�� �U i Gni lo� n C�k AZ�Sour 4 N 'IZQQq
Type of Business
Manager
OR s�
Person in charge
Business Phone No.
Property Owner QYkA Nt:W AAA-6C NJ G0 -r-
Address Address S ntKA'f36cn1 Chi, cf r�� l w2 2 N Z`S (
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. pp __ �
Print Name: r7`CAJWt
Signature: e, N
Date: ji l 144.,5
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 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 Gy
DATE: I S
BUSINESS NAME: 2—q luS or- G,MisLmg S
BUSINESS ADDRESS: S`JY A 000 G N %Z 04-t
BUSINESS PHONE: N 2, -22-- Lj 7 2--
7L'
CONTACT 1: M K t1iLLOA-C HOME PHONE - -
ADDRESS: I l 2 12s 4L/ZG'/U 13LV
CONTACT 2: 11.1 'L util L HOME PHONE 2-ZZ - "I G[[
ADDRESS:
Town of Queensbury Fire Marshal—New Business Permit 518-761-8206
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Cellphone:XXX-XXX-XXXX.Address:XXX XXXXX BLVD XXXX
Case Number: CO-000364-2015 Case Module: Permit
Inspection Date: 11/30/2015 Inspection Status: Passed
Inspector: Mike Palmer Inspection Type: OCC-Inspections
Job Address: 578 AVIATION RD Parcel Number: 302.5-1-92.11
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [AVIATION MALL NEWCO LLC]
Granted Permission Wrenn, Brendan
Granted Permission Malone,Mike
Checklist Item Passed Comments
Compressed Gas FC3003-Compressed Gas FC3003 YES N/A
Exterior Storage FC315.3-Exterior Storage FC315.3 YES N/A
EVAC SIGNS IN Rooms FC404.6(R1&R2)-EVAC SIGNS IN Rooms YES N/A
FC404.6(R1&R2)
Knox Box:installed/checked FC506-Knox Box:installed/checked YES N/A
FC506
No Smoking Signs FC310.3-No Smoking Signs FC310.3 YES N/A
Fire Marshal-Fire Marshal YES
Emergency Lighting Interior FC1006.3&FC1029.8-Emergency YES (3)failed in showroom
Lighting Interior FC1006.3&FC1029.8 Still need one over cash out 11/25/2015
Ok 11/30/2015
Hood Cleaning 3-6 Annual-Hood Cleaning 3-6 Annual YES N/A
Occupancy Cycle-Occupancy Cycle YES M
Truss ID Signage FC505.3-TRUSS ID SIGNAGE FC505.3 YES N/A
Emergency Disconnect FC2203.2-Emergency Disconnect FC2203.2 YES N/A
Fire Extinguisher Hung FC906-Fire Extinguisher Hung FC906 NO stock room
11/25/15 still not complete
Ok 11/30/2015
Kitchen Suppression Semi Annual-Kitchen Suppression Semi AnnualYES N/A
F.D.Signage-FC510-F.D.Signage-FC510 YES M/A
Other Suppression-Other Suppression YES N/A
Elevator Semi Annual-Elevator Semi Annual YES N/A
Vacant Buildings FC311 -Vacant Buildings FC311 YES N/A
CO Detectors FC610-CO Detectors FC610 YES see Mall
Fuel Island Suppression Semi Annual-Fuel Island Suppression Semi YES N/A
Annual
Evac Plan FC404.2-Evac Plan FC404.2 YES N/A
Generator Annual-Generator Annual YES N/A
Fuel Station Emer Procedures FC2205.6-Fuel Station Emer YES N/A
Procedures FC2205.6
Nov 30,2015 Page(1)
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Checklist Item Passed Comments
Hood Installation-Hood Installation YES N/A
Vehicle Impact Protection FC312.1 -Vehicle Impact Protection YES N/A
FC312.1
Fuel Pump Warning Signs FC2205.6-Fuel Pump Warning Signs YES N/A
FC2205.6
Emergency Lighting Exterior FC1006.3-Emergency Lighting Exterior YES N/A
FC1006.3
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Palmer,Mike(Inspector)
Nov 30,2015 Page(2)
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Please input agency related information you want to display on the generated reports
Cellphone:XXX-XXX-XXXX.Address:XXX XXXXX BLVD XXXX
Case Number: CO-000364-2015 Case Module: Permit
Inspection Date: 11/25/2015 Inspection Status: Failed
Inspector: Mike Palmer Inspection Type: OCC-Inspections
Job Address: 578 AVIATION RD Parcel Number: 302.5-1-92.11
Clueensbury,NY 12804
Contact Type Company Name Name
Granted Permission Wrenn,Brendan
Granted Permission Malone,Mike
Primary Owner [AVIATION MALL NEWCO LLC]
Checklist Item Passed Comments
Knox Box:installed/checked FC506-Knox Box:installed/checked YES N/A
FC506
Other Suppression-Other Suppression YES N/A
Emergency Lighting Exterior FC1006.3-Emergency Lighting Exterior YES N/A
FC1006.3
Vacant Buildings FC311 -Vacant Buildings FC311 YES N/A
Elevator Semi Annual-Elevator Semi Annual YES N/A
Fuel Pump Warning Signs FC2205.6-Fuel Pump Warning Signs YES N/A
FC2205.6
Compressed Gas FC3003-Compressed Gas FC3003 YES N/A
Truss ID Signage FC505.3-TRUSS ID SIGNAGE FC505.3 YES N/A
EVAC SIGNS IN Rooms FC404.6(R1&R2)-EVAC SIGNS IN Rooms YES N/A
FC404.6(R1&R2)
Fire Extinguisher Hung FC906-Fire Extinguisher Hung FC906 NO stock room
1 4tI*n plete:
Occupancy Cycle-Occupancy Cycle YES M
Vehicle Impact Protection FC312.1 -Vehicle Impact Protection YES N/A
FC312.1
Kitchen Suppression Semi Annual-Kitchen Suppression Semi AnnualYES N/A
Emergency Disconnect FC2203.2-Emergency Disconnect FC2203.2 YES N/A
Fuel Station Emer Procedures FC2205.6-Fuel Station Emer YES N/A
Procedures FC2205.6
Evac Plan FC404.2-Evac Plan FC404.2 YES N/A
Fire Marshal-Fire Marshal NO
CO Detectors FC610-CO Detectors FC610 YES see Mall
Exterior Storage FC315.3-Exterior Storage FC315.3 YES N/A
F.D.Signage-FC510-F.D.Signage-FC510 YES M/A
Hood Installation-Hood Installation YES N/A
Nov 25,2015 Page(1)
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Checklist Item Passed Comments
Generator Annual-Generator Annual YES N/A
Fuel Island Suppression Semi Annual-Fuel Island Suppression Semi YES N/A
Annual
No Smoking Signs FC310,3-No Smoking Signs FC31C,3 YES N/A
Emergency Lighting Interior FC1006.3&FC1029.8-Emergency NO (3)failed in showroom
Lighting Interior FC1006.3&FC1029.8
Stahl,Deed one over cash'out fi 1125/2015
Hood Cleaning 3-6 Annual-Hood Cleaning 3-6 Annual YES N/A
Nah Palmer,Mike(Inspector)
Nov 25,2015 Page(2)
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Cellphone XXX-XXX-XXXX.Address:XXX XXXXX BLVD XXXX .••.W„">,1,. ,•_....,,..,.r,.>»,••,•rn•••0.,.rn.u..w,4. ..rn,� ..�,....�...rw... ,, ..
Case Number: CO-000364-2015 Case Module: Permit
Inspection Date: 11/20/2015 Inspection Status: Failed
Inspector: Mike Palmer Inspection Type: OCC-Inspections
Job Address: 578 AVIATION RD Parcel Number: 302.5-1-92.11
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [AVIATION MALL NEWCO LLC]
Granted Permission Malone,Mike
Granted Permission Wrenn,Brendan
Checklist Item Passed Comments
Vacant Buildings FC311 -Vacant Buildings FC311 YES N/A
CO Detectors FC610-CO Detectors FC610 YES see Mall
Hood Cleaning 3-6 Annual-Hood Cleaning 3-6 Annual YES N/A
Emergency Disconnect FC2203.2-Emergency Disconnect FC2203.2 YES N/A
Exterior Storage FC315.3-Exterior Storage FC315.3 YES N/A
Occupancy Cycle-Occupancy Cycle YES M
Fire Extinguisher Hung FC906-Fire Extinguisher Hung FC906 NO stock room
No Smoking Signs FC310.3-No Smoking Signs FC310.3 YES N/A
Hood Installation-Hood Installation YES N/A
Fuel Station Emer Procedures FC2205.6-Fuel Station Emer YES N/A
Procedures FC2205.6
Compressed Gas FC3003-Compressed Gas FC3003 YES N/A
F.D.Signage-FC510-F.D.Signage-FC510 YES M/A
Vehicle Impact Protection FC312.1 -Vehicle Impact Protection YES N/A
FC312.1
Emergency Lighting Interior FC1006.3&FC1029.8-Emergency NO (3)failed in showroom
Lighting Interior FC1006.3&FC1029.8
Kitchen Suppression Semi Annual-Kitchen Suppression Semi AnnualYES N/A
Elevator Semi Annual-Elevator Semi Annual YES N/A
Generator Annual-Generator Annual YES N/A
Fuel Pump Warning Signs FC2205.6-Fuel Pump Warning Signs YES N/A
FC2205.6
Fire Marshal-Fire Marshal NO
Emergency Lighting Exterior FC1006.3-Emergency Lighting Exterior YES N/A
FC1006.3
Truss ID Signage FC505.3-TRUSS ID SIGNAGE FC505.3 YES N/A
Knox Box:installed/checked FC506-Knox Box:installed/checked YES N/A
FC506
Nov 20,2015 Page(1)
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Checklist Item Passed Comments
Evac Plan FC404.2-Evac Plan FC404.2 YES N/A
Other Suppression-Other Suppression YES N/A
Fuel Island Suppression Semi Annual-Fuel Island Suppression Semi YES N/A
Annual
EVAC SIGNS IN Rooms FC404.6(R1&R2)-EVAC SIGNS IN Rooms YES N/A
FC404.6(R1&R2)
Palmer,Mike(Inspector)
Nov 20,2015 Page(2)
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:taicXLII i( Time:"? O
742 Bay Road,Queensbury NY 12804 o Re-Inspection ^
518 761 8206/518 761 8205 = �
CO Inspection Permit#: w - 00003a C-)- ca I
Fir .Marshals Representative
MJ Palmer Business Name: as Day- S _scyy,-ept
Location: 7 ct' A J t c ti�'c.
_ 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 Ery need I i' ►'t-S
AISLES: S 0ti)5.S
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 4-4 tivqp
Inspection of extinguisher FC 906
EVAC Plan FC 404.2
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 605.3.106' 1Z.)
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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