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CO-000753-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: CO-000753-2016 Date Issued: Wednesday, November 2, 2016 This is to certify that work requested to be done as shown by Permit Number CO-000753-2016 has been completed. Tax Map Number: 302.5-1-92.11 Location: 578 AVIATION RD Owner: AVIATION MALL NEWCO LLC,AVIATION MALL NEWCO LLC Applicant: Jade Gift This structure may be occupied as a: C/O only,Temporary Location for Holidays By Order of Town Board Aviation Mall,Space 33A TOWN OF QUEENSBURY Tenant:Jade Gift Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �y1X 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-000753-2016 Tax Map No: 302.5-1-92.11 Permission is hereby granted to: Jade Gift 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 C/O only,Temporary Location for Holidays Aviation Mall,Space 33A Tenant:Jade Gift 550.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 1,2017 (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 expir on date.) Dated at the Town of Q eensbury V�jEesd mber I,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Onlv Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: _ =2,5-!" `9"),/! CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: Cf) - Tg7D\ " 2C(k Permit Fee: $ `JO, 1 Y­�Qz1 cL 12-12- This LIThis application is for occupancy only,with no work requiring a building permit. Name of Business Jaalk yt`—f—L I/VG- Address A010110-n Mdtl 578 AlWetfivpn , &arj y4UYX� Type of Business Manager Rex 6��VV 33A OR 5 d Person in charge Business Phone No. Store (518) c161 - 2600 ad (-90)307—T52.7 Property Owner Av-,Atl" MAlI NxyJ—Cy 1'LG Address 5,78 A afro?, ppnol . ia!,g,n� liuTV.YI2Fozf Phone all VHia 4et�l # (SI(g ) �-69— ClglsP6tl4 ✓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: 0. 6 f-t U G ( PQ-x 6-e h Signature: Date: l0 .31, iv l 6 Notes I Comments: I_`1 �+—L� ! l/ I OCT 31 2016 'v01u o�e�n �� 17A11p YYh Qh l.UEE:NSOU 9UIlDING&,- 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-761-8216 Zoning-761-8238 Fire Marshal-761-8206 Planning-761.8220 Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 EMERGENCY CONTACT UPDATE Please print clearly DATE: �a - 3 ' zv/ 6 BUSINESS NAME: JAS AV'1CAfjVN-n L� BUSINESS ADDRESS: S79 BUSINESS PHONE: t Sl� `7 1 PHONE 1: (s79) 3D7- y'S- 7 CONTACT 1: 7 X L en —PHONE 2:I/OR TOWN/VILLAGE RESPONDING FROM: -R-QX 6,n-eyb PHONE 1: 0�- 9s z7 CONTACT 2: �- �� � PHONE2: co TOWN/VILLAGE RESPONDING FROM: 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. 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. TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE Phone: 518-761-8206 • F a z: 515-745-4437 firenrarshal@queensbunr.net • zozozu.queensburi .net Fire Marshal Michael J Palmer Deputy Fire Marshal Gary K Stillman FIRE MARSHAL'S OFFICE Toznn of Queensbury 742 Bay Road, Queensbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Jade Gifts 578 Aviation Road, Space 33A CO-000753 -2016 Plan review based on submittals: • Exit/ Emergency lighting function test required. • Verify compliance of locks / latches • Verify locations of fire extinguishers Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firenutrsturlfteensbuni.net zumzo.queensbunt.net s-roae -#33A ver S"78 Up . 6 Sbu ly,Y 1281)4 dsflay ��haruz � -19307 5 y7 2 EP►Ay �i5ICM M 0 Oo ON � � N = � Ezl'LOt7 T v 6 0w '� ° U O a O Q. 00t � NLn h V1 0- c T C t9 0 0 0 ''a M ° a U Cox cb2 l xiT i S�Icy Poor CN- p ➢'i S SIA y � '60 E21Ilf.f't4f'.;_ ; O�Eci fiathrow �1c, II Powe r 30 ft A pit