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CO-000693-2017 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-000693-2017 Date Issued: Thursday,November 9, 2017 This is to certify that work requested to be done as shown by Permit Number CO-000693-2017 has been completed. Tax Map Number: 302.5-1-92.11 Location: 578 AVIATION RD Owner: AVIATION MALL NEWCO LLC,Jade Gift Inc. Applicant: Rex Chen This structure may be occupied as a: C/O only,Tenant:Jade Gift Aviation Mall,Space 42 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 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-000693-2017 Tax Map No: 302.5-1-92.11 Permission is hereby granted to: Jade Gift Inc. 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 Tvne of Construction Owner Name: Jade Gift Inc. Certificate of occupancy $0.00 Owner Address: PO Box 547 Total Value $0.00 Lake George,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications C/O only,Tenant:Jade Gift Aviation Mall,Space 42 $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,November 5,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town ofF iday, v r 017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement CERTIFICATE OF OCCUPANCY ONLY Office use Only Permit#: 77^- APPLICATION Permit ee:$ gyeo' 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-00206 or 518-761-8205 , ,;w.queensbury.net -0` "This application is for occupancy only, with no work requiring a building permit" CONTACT INFORMATION' � , ,s `sf.� NOV 0 2 2017 ® Applicant- G ;�.�. �N� 1.Name(s): TOWN OF aU51�NBBURY Mailing Address, C/S/Z: J�� G i � , D BOX 5 4 Lae G "T Cell Phone: (' 3 0 - 4,52 �_�� Land Line: ( 3'1$ ) '712 ' $3 �5_' Email: R T. (U � H15 MAL C4 H o Business Owner(s): Contact Name(s): -�2X L�-2 �' Mailing Address, C/S/Z° �34 L © I � � ��'`S �ry� � OF 90 Cell Phone: _( S_/9 301 - q32 7 Land Line: _( Email: RTs(A 3'O DTHA IL. C,OM o Manager: �X G�Q Contact Name(s): e,&Mk 44 h Mailing Address, C/S/Z: Cell Phone: _( -0 ) Land Line: _( ) Email: a Property Owner(s): nn pp L L G Business Name: kit N-eGt�GC7 , Contact Name(s): Da ve w7 Jo /V LII% Mailing Address, C/S/Z: Av,Afi MA)1 Cell Phone: _( 5`��$ ) St/, - Land Line: Email: Certificate of Occupancy Only Revised June 2017 Arl C E O V E 742 Bay Road;Queensbury,NY 12804 NOV 0 z 2017 R: 518-761-8206 or 518-761-8205 www.gueensbury.net TOWN OF QUEENS183 y BUILDING&CODES EMERGENCY CONTACT INFORMATION **THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN GAINING ENTRY TO YOUR BUILDING.** PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL, Date: Business name: 13aA G -� IAI C . jad � 6^)ft Akh- �4,041 IA/11%hp !�f Business Location (including suite, space, etc.): ,5-qs AUGf�n Pd , 14r>� z IV,- 2F04 sig - q Z7 _57/8 7q2- Business Phone#: L}�✓v� �/✓� 1. Contact name: lAx (!�h'e rL,,� Main Phone:_( 57 U ) D — SL ; Secondary Phone:_( .SIB ) 7 q 2 ' 8-3 / Coming from what town/village?. b Y- 2. Contact name: L -eA cl n, Main Phone:_(,�79_) I q2 O- /�; Secondary Phone:_( 0 ) Coming from what town/village? S Gf Y TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P: 518-761-8206 F: 518-745-4437 I=IREMARSHAL@QUEENSBU RY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN Certificate of Occupancy Only Revised June 2017 WQ 742 Bay Road,Queensbury,Ny 12804 P: 518-761-8706 or 518-761-8205 :ww.gueensbury.netB�l�IN��� INF�RMATI�IVa Name of business: ja - ly Address (including suite, space, etc.): L L S p E 4Z ,j�aA 6,y4 Av1A+l`vim Had, Av_Atm, Rd , uy�✓ /4/, /2So '1;�C:dSt Type of business (i.e.: retail, car repair, etc.): � " rzQ Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixtures on a separate sheet of paper. IMPORANT: 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 Town of Queensbury 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 and a re-inspection. Applicant name: 6,C�-ex Applicant signature: Date: Ivo r' Certificate of Occupancy Only Revised June 2017 I,V'>l ! boa I K 7Bf I r PI's P -74 D E C E 0 NYJE- xx x NOV 0 2 2 x x pX � 'S�Icy X T-N QF QUEE RY BUILDING&C DSS cX x x x �C �S PCa Kp'5p �( < )( x X X K x xXKxx xxx X �, X xx xxx x x x X X E X x xxx /xx xxx_X _ O N N Q A co m c ,poor Q o (n fl. 0 O V i34t MtA Li W I °sox" a f fl ► a�� f�� cn" $ () > � a) a = 4-- N -0O � MLU